PMID- 36214215 OWN - NLM STAT- MEDLINE DCOM- 20230213 LR - 20230213 IS - 1099-0461 (Electronic) IS - 1095-6670 (Linking) VI - 37 IP - 1 DP - 2023 Jan TI - Examination of antimicrobial effect of fluoxetine in experimental sepsis model: An in vivo study. PG - e23240 LID - 10.1002/jbt.23240 [doi] AB - Since most infectious diseases can develop into sepsis, it is still a major medical problem. Some in-vivo studies showed promising properties of fluoxetine in the treatment of infections. This study aims the antimicrobial effect of fluoxetine on the inflammatory process used in the treatment of sepsis-modeled rats. Besides, to investigate the efficacy of fluoxetine on modifying the antibiotic effect of imipenem in the inflammatory response. An experimental sepsis model was divided into negative control, positive control, fluoxetine 5 mg/kg, imipenem 60 mg/kg, and combined (fluoxetine; imipenem). Procalcitonin (PCT), high-sensitivity C-reactive protein (hs-CRP), lactate, myeloperoxidase activity (MPO), the inflammation markers interleukin-1beta (IL-1beta), interleukin-6 (IL-6), tumor necrosis factor-alfa (TNF-alpha), and monocyte chemoattractant protein-1 (MCP-1) levels were measured by enzyme-linked immunosorbent assay method. Oxidative stress markers, total oxidant status (TOS), total antioxidant status (TAS), total thiol (TT), and native thiol (NT) were measured using photometric methods. Oxidative stress index (OSI) was calculated according to TAS and TOS levels. The statistical analysis was performed by Statistical Package for Social Sciences version 22.0. After treatment with fluoxetine, imipenem, and combined groups, IL-1beta, IL-6, TNF-alpha, MPO activity, MCP-1, hs-CRP, PCT, lactate, and the oxidative stress markers OSI, and disulfide levels were decreased (p < 0.05). The TT, NT, and TAS levels significantly statistically increased (p < 0.05). This research demonstrates that fluoxetine has effects as anti-inflammatory and antioxidant, and the combined treatment with antibioticum imipenem indicates positive synergistic effects in the experimental sepsis model. CI - (c) 2022 Wiley Periodicals LLC. FAU - Cakir, Ahsen AU - Cakir A AUID- ORCID: 0000-0002-2121-2198 AD - Faculty of Medicine, Bezmialem Vakif University, Istanbul, Turkey. FAU - Bozali, Kubra AU - Bozali K AUID- ORCID: 0000-0003-2416-0773 AD - Faculty Life Sciences and Environmental Technology, Avans University of Applied Science, Breda, The Netherlands. AD - Department of Medical Biochemistry, Faculty of Hamidiye Medicine, University of Health Sciences Turkey, Istanbul, Turkey. FAU - Celikten, Mert AU - Celikten M AUID- ORCID: 0000-0002-8215-3638 AD - Department of Scientific Research Projects, Experimental Application and Research Center, Bezmialem Vakif University, Istanbul, Turkey. AD - Department of Anatomy, Medipol Institute of Health Sciences, Istanbul, Turkey. FAU - Guler, Eray Metin AU - Guler EM AUID- ORCID: 0000-0003-4351-1719 AD - Department of Medical Biochemistry, Faculty of Hamidiye Medicine, University of Health Sciences Turkey, Istanbul, Turkey. AD - Department of Medical Biochemistry, Faculty of Medicine, Bezmialem Vakif University, Istanbul, Turkey. FAU - Sahan, Ebru AU - Sahan E AUID- ORCID: 0000-0002-1287-8166 AD - Department of Psychiatry, Faculty of Medicine, Bezmialem Vakif University, Istanbul, Turkey. FAU - Durdu, Bulent AU - Durdu B AUID- ORCID: 0000-0002-0244-4006 AD - Department of Infectious Diseases and Clinical Microbiology, Faculty of Medicine, Bezmialem Vakif University, Istanbul, Turkey. FAU - Sumbul, Bilge AU - Sumbul B AUID- ORCID: 0000-0002-8768-3777 AD - Department of Medical Microbiology, Faculty of Medicine, Bezmialem Vakif University, Istanbul, Turkey. FAU - Kocyigit, Abdurrahim AU - Kocyigit A AUID- ORCID: 0000-0003-2335-412X AD - Department of Medical Biochemistry, Faculty of Medicine, Bezmialem Vakif University, Istanbul, Turkey. LA - eng GR - E8.2019/3/Bezmialem Vakif Universitesi/ PT - Journal Article DEP - 20221010 PL - United States TA - J Biochem Mol Toxicol JT - Journal of biochemical and molecular toxicology JID - 9717231 RN - 0 (Anti-Infective Agents) RN - 0 (Antioxidants) RN - 9007-41-4 (C-Reactive Protein) RN - 01K63SUP8D (Fluoxetine) RN - 71OTZ9ZE0A (Imipenem) RN - 0 (Interleukin-6) RN - 0 (Lactates) RN - 0 (Tumor Necrosis Factor-alpha) SB - IM MH - Animals MH - Rats MH - *Anti-Infective Agents/pharmacology MH - Antioxidants/pharmacology MH - C-Reactive Protein/metabolism MH - *Fluoxetine/pharmacology/therapeutic use MH - Imipenem/pharmacology/therapeutic use MH - Interleukin-6/metabolism MH - Lactates MH - Oxidative Stress MH - *Sepsis/drug therapy MH - Tumor Necrosis Factor-alpha/metabolism MH - Disease Models, Animal OTO - NOTNLM OT - antidepressive OT - fluoxetine OT - imipenem OT - inflammation OT - sepsis EDAT- 2022/10/11 06:00 MHDA- 2023/01/18 06:00 CRDT- 2022/10/10 06:02 PHST- 2022/08/03 00:00 [revised] PHST- 2022/02/26 00:00 [received] PHST- 2022/09/22 00:00 [accepted] PHST- 2022/10/11 06:00 [pubmed] PHST- 2023/01/18 06:00 [medline] PHST- 2022/10/10 06:02 [entrez] AID - 10.1002/jbt.23240 [doi] PST - ppublish SO - J Biochem Mol Toxicol. 2023 Jan;37(1):e23240. doi: 10.1002/jbt.23240. Epub 2022 Oct 10.