氟喹诺酮类抗生素心脏毒性机制的研究进展

氟喹诺酮类抗生素的心脏不良反应较为罕见,但产生的后果严重,所以倍受关注。本文从离子通道角度、动作电位水平和心电图表现等方面对氟喹诺酮类药物心脏毒性电生理机制的研究进展进行综述。     

氟喹诺酮类抗生素在土壤中的归趋及其生态毒性研究进展

氟喹诺酮类抗生素是治疗人和动物细菌性感染的高效广谱抗菌药,因其具有良好的药物动力学特性及治疗效果,临床应用非常广泛.其残留物进入土壤后,会发生吸附、降解、植物吸收等一系列转化过程.本文对土壤中氟喹诺酮类抗生素的主要污染源及其在土壤中的吸附、降解、植物吸收与富集等一系列转化过程进行了分析,并探讨了土壤中氟喹诺酮类抗生素残留所引起的生态效应,旨在为土壤污染防治和修复提供依据.     

结核分枝杆菌耐氟喹诺酮类药物的分子机制研究进展

结核病是由结核分枝杆菌(Mycobacterium tuberculosis)通过空气传播引起人类感染的慢性传染病,耐药结核分枝杆菌的流行是目前结核病防治的世界难题。氟喹诺酮类药物是人工合成药物,应用于耐药结核的临床治疗中,在治疗中起着核心的作用。但近年来,氟喹诺酮类药物的抗性菌株不断出现,愈发增加了结核病治疗的困难与治疗失败风险。在临床中氟喹诺酮药物的靶点比较清楚,是结核分枝杆菌的DNA旋转酶。目前发现结核分枝杆菌耐氟喹诺酮类药物的机制主要包括药物靶点DNA旋转酶的关键氨基酸改变、药物外排泵系统、细菌细胞壁厚度的增加以及喹诺酮抗性蛋白MfpA介导的DNA旋转酶活性调控。其中在氟喹诺酮靶标DNA旋转酶功能活性改变的耐药机制方面,编码DNA旋转酶基因突变一直是研究的热点,但近年来发现DNA旋转酶的调控蛋白MfpA以及DNA旋转酶的修饰在细菌耐药性中起着重要的作用,相关机制还亟待发现。本文综述了当前结核分枝杆菌耐氟喹诺酮类药物的作用机制,旨在为研发精准诊断技术和药物发掘提供科学理论基础和参考。     

质粒介导的耐氟喹诺酮类药物基因的研究

目的 了解南昌大学第二附属医院质粒介导的耐氟喹诺酮类药物大肠埃希菌的流行情况和耐药机制.方法 收集该院2009年1月至2011年12月常规培养的耐左氧氟沙星的大肠埃希菌株100株,提取DNA后PCR扩增qnrA、qnrB、qnrC、qnrD、qnrS、aac(6’)-Ib和qepA基因,并对aac(6’)-Ib阳性产物测序比对.结果 (1)7株细菌检测出qnr基因,其中qnrA2株,qnrS 5株,1株qnrS和qnrA同时阳性,qnrB、qnrC和qnrD均未检出.(2)5株检测出aac(6’)-Ib基因,测序结果经BLAST比对均为野生型,未发现aac(6’)-Ib-cr基因.(3)所有菌株均未检测出qepA基因.结论 该院的氟喹诺酮类抗菌药的耐药机制主要还是靶位突变和细胞膜通透性改变导致的,但7％的质粒介导的耐药基因的检出率也提醒我们要密切关注质粒介导的耐药情况.     

氟喹诺酮类药物体外诱导肺炎克雷伯菌耐药后GyrA和ParC的变异

目的了解3种氟喹诺酮类（FQS）体外诱导肺炎克雷伯菌（Klebsiella pneumoniae,Kpn）耐药性的差异,研究肺炎克雷伯菌DNA旋转酶A亚单位（GyrA）和拓扑异构酶ⅣC亚基（ParC）的变异与其耐喹诺酮类药物的关系。方法采用环丙沙星（CW）、左氧氟沙星（LEX）和加替沙星（GAT）对从临床分离8株Kpn进行体外分步诱导,采用琼脂平板二倍稀释法测定CIP、LVF及GAT对Kpn诱导前、后的最低抑菌浓度（MIC）,并对诱导成功的17株Kpn的GyrA的基因（gyrA）和ParC的基因（parC）进行PCR扩增,选取其中8株KpnDNA测序并进行序列分析比较。结果8株耐FQS菌株都存在GyrA变异,同FQS耐药性相关的变异有Ser83（TCC）→Phe（TTC）、Ile（ATC）和Tyr（TAC）,Asp87（GAC）→Ala（GCC）、ma（GCC）和Glu（GAA）,5株Kpn同时存在ParC的变异：丝氨酸Ser80（AGC）→Ile（ATC）。结论本研究体外实验证实了Kpn可在长期低剂量的接触抗菌药物后形成耐药菌株。在高度耐FQS的Kpn中同时存在GyrA和ParC变异。     

男性泌尿道来源的脲原体对氟喹诺酮类药物耐药性研究*

目的:运用酶链聚合反应(PCR)技术分析和比较不同生物群的脲原体对氟喹诺酮类药物的耐药情况。方法:以脲原体16Sr RNA保守区域基因为扩增靶序列检测脲原体的不同生物群,采用PCR方法扩增拓扑异构酶gyr A和parC基因并进行测序,分析基因突变与耐药的关系。结果:脲原体生物一群对左旋氧氟沙星的耐药性高于生物二群,二者差异有统计学意义(t=2.071,P=0.044)。gyr A基因主要为112号编码蛋白D112E的变异,parC基因主要为编码蛋白S83L的变异,即83号位丝氨酸(TCA)到亮氨酸(TTA)的变异的变异。与未突变株相比,拓扑异构酶基因突变株对环丙沙星MIC存在统计学差异(P0.001)。结论:不同生物群的脲原体对部分氟喹诺酮类耐药存在差异,拓扑异构酶基因突变与脲原体对喹诺酮类耐药存在相关性。     

革兰氏阴性杆菌氟喹诺酮耐药株的实验研究

对８２株临床分离的氟喹诺酮药物（Ｆｌｕｏｒｏｑｕｉｎｏｌｏｎｅｓ,ＦＱＮＳ）耐药菌进行了多种抗生素敏感试验。结果显示８２株耐药菌对５种药物耐药率分别为：诺氟沙星９７．５６％、依诺沙星９６．３４％、罗美沙星９５．１２％、氧氟沙星９２．６８％、环丙沙星８７．８％。３２株菌对ＦＱＮＳ存在较普遍的交叉耐药现象,对氨苄青霉素、庆大霉素、丁胺卡那霉素及头孢菌素类的多重耐药率也较高。８２株菌中有４３株菌携带质粒（５２．４４％）。质粒消除及转化实验结果表明：质粒与ＦＱＮＳ耐药性无关。     

蓝细菌光敏色素Alr1966GAF2及其突变体的表达与光化学性质研究

采用PCR技术从鱼腥藻（Anabaena sp.PCC7120）中扩增蓝细菌光敏色素基因片段alr1966gaf2,将alr1966gaf2插入到pET-30a（+）载体中,构建表达质粒pET-alr1966gaf2。最后将Alr1966GAF2与HO1、PcyA在E.coli BL21（DE3）中共表达获得色素蛋白Alr1966GAF2,并对该蛋白的光化学性质进行分析。结果显示,色素蛋白Alr1966GAF2结合色素为藻蓝胆素（phycoerythrobilin,PCB）或藻紫胆素（phycoviolobilin,PVB）,在3种不同吸收态15Z-P_{428 nm}、中间态和15E-P_{514 nm}之间具有顺序可逆光效应。通过定点突变技术将DXCF基序中的保守性Cys突变为Ala,获得了突变体Alr1966GAF2（C72A）。将Alr1966GAF2（C72A）与HO1、PcyA共表达,获得色素蛋白Alr1966GAF2（C72A）。研究结果表明Alr1966GAF2（C72A）结合色素为PCB,Alr1966GAF2（C72A）-PCB具有较强的荧光活性,其荧光量子的产率高达0.11。Alr1966GAF2（C72A）不仅能够共价结合PCB,还可以结合胆绿素（Biliverdin,BV）,均具有较强的红色荧光活性。     

铜绿假单胞菌parC基因突变与耐氟喹诺酮的关系

研究了成都地区临床分离的铜绿假单胞菌拓扑异构酶ⅣparC基因突变与耐氟喹诺酮类药物的关系。测定临床分离的55株铜绿假单胞菌的MIC值,从中筛选出1株敏感菌和8株耐药菌,以标准敏感菌株ATCC27853作为质控菌株。用PCR反应扩增parC基因的喹诺酮耐药决定区(QRDR),扩增产物片段长度为396bp,同时对上述10株菌的PCR产物进行测序分析。临床分离敏感菌和标准菌株ATCC27853的parC基因序列与国外报道的序列相同,而R25,R42,R43,R44等4株耐药菌株在87位(TCGCG→TTG)均有突变,该单位点突变引起氨基酸由Ser→Leu的改变,此外,新发现在所有耐药菌株115位有一静止突变(GCT→GCG),该突变未引起氨基酸的改变。拓扑异构酶ⅣparC基因突变是铜绿假单胞菌对氟喹诺酮类药物产生耐药性的机制之一,以87位的突变最为常见。     

叶绿素寡聚体的光化学性质及其水悬浮液在光下的pH变化

单体叶绿素α在含水的石油醚中形成叶绿素α-水寡聚体,在含二氧六圜的石油醚中形成叶绿素α-二氧六圜寡聚体。两者除吸收光谱有所不同外,其光化学性质也有明显区别:叶绿素α-二氧六圜寡聚体的延迟发光强度比叶绿素α-水寡聚体的大一个数量级;叶绿素α-二氧六圜寡聚体带有负电荷,电镀时趋向正极,叶绿素α-水寡聚体带正电荷,电镀时趋向负极;两种寡聚体电镀所成的膜在光下产生相反的光电位。叶绿素α-水寡聚体水悬浮液在照光时有pH值变化,变化幅度0.2—0.3pH单位,停止照光pH恢复原值。     

Thermal reversibility and bistability in photochromic diarylethenes

An account is given of the research work in progress in the authors’ laboratory on the photochromic behaviour (photocyclization) of diarylethenes structurally constrained to the cis geometry. Depending on the aromaticity of the aryl groups, the photoreaction can be thermoreversible, photoreversible or both. Examples of different photochromic behaviours of two series of photochromic diarylethenes (dipyrrolylperfluorocyclopentenes, which are thermally and photochemically reversible, and dithienyldithiolthiones, which are thermally stable and photoreversible) are investigated here by steady state and time-resolved spectroscopy to obtain information about their photochemistry and the competitive relaxation paths of their electronically excited states.     

Phototoxicity and photoinactivation of blebbistatin in UV and visible light

Blebbistatin was recently identified as a selective, cell-permeant inhibitor of myosin II. Because blebbistatin is likely to be used extensively with fluorescence imaging in studies of cytoskeletal dynamics, its compatibility with common excitation wavelengths was examined. Illumination of blebbistatin-treated bovine aortic endothelial cells at 365 and 450-490 nm, but not 510-560 or 590-650 nm, caused dose-dependent cell death. Illumination of blebbistatin alone at 365 and 450-490 nm changed its absorption and emission spectra, but the resultant compounds were not toxic. In addition, photoreacted blebbistatin no longer disrupted myosin distribution in cells, indicating loss of pharmacological activity. Fluorescence microscopy showed that upon illumination, blebbistatin became bound to cells and to protein-coated glass, suggesting that toxicity may arise from light-induced reaction of blebbistatin with cell proteins. Blebbistatin should be used only with careful consideration of these photochemical effects.     

临床分离铜绿假单胞菌对氟喹诺酮类抗菌药物的耐药性检测

目的了解临床分离铜绿假单胞菌对喹诺酮类等抗菌药物的耐药性。方法琼脂稀释法测定86株铜绿假单胞菌对5种氟喹诺酮类抗菌药物以及头孢吡肟、美罗培南的耐药性。结果铜绿假单胞菌对诺氟沙星、氧氟沙星、左氧氟沙星、环丙沙星、加替沙星的耐药率分别为50%、61.6%、51.2%、48.8%、51.2%;对头孢吡肟和美罗培南的耐药率分别为30.2%、23.2%。结论铜绿假单胞菌对氟喹诺酮类抗菌药物耐药显著,临床应加强检测和监测。     

Formation of singlet oxygen from solutions of vitamin E

Vitamin E offers protection against oxidative stress and is an efficient quencher of singlet oxygen. A recent report suggests that photo-excitation of vitamin E results in the formation of a triplet state (Naqvi et al. Photochem Photobiol Sci 2, 381 (2003)). This leads to the possibility of the triplet state of vitamin E being able to sensitize singlet oxygen and if this is the case it would be counter productive in terms of the biological protective function of vitamin E. We report the production of singlet oxygen, detected by 1270 nm luminescence, from pulsed laser excitation (308 nm) of vitamin E and an analogue, 2,2,5,7,8-pentamethyl-6-hydroxy-chroman (PMHC), with quantum yields between ～0.1 and 0.2. The luminescence was identified as singlet oxygen from self-quenching by vitamin E with solvent-dependent rate constants similar to published values. Whilst the beneficial antioxidant aspects of vitamin E are well established, these results indicate that vitamin E when directly excited can sensitize singlet oxygen formation and may, therefore, be capable of inducing biochemical and biological damage. The results are discussed in relation to recent reports on the deleterious effects of vitamin E dietary supplementation and pro-oxidant effects of vitamin E.     

Formation of singlet oxygen from solutions of vitamin E

Vitamin E offers protection against oxidative stress and is an efficient quencher of singlet oxygen. A recent report suggests that photo-excitation of vitamin E results in the formation of a triplet state (Naqvi et al. Photochem Photobiol Sci 2, 381 (2003)). This leads to the possibility of the triplet state of vitamin E being able to sensitize singlet oxygen and if this is the case it would be counter productive in terms of the biological protective function of vitamin E. We report the production of singlet oxygen, detected by 1270 nm luminescence, from pulsed laser excitation (308 nm) of vitamin E and an analogue, 2,2,5,7,8-pentamethyl-6-hydroxy-chroman (PMHC), with quantum yields between ∼0.1 and 0.2. The luminescence was identified as singlet oxygen from self-quenching by vitamin E with solvent-dependent rate constants similar to published values. Whilst the beneficial antioxidant aspects of vitamin E are well established, these results indicate that vitamin E when directly excited can sensitize singlet oxygen formation and may, therefore, be capable of inducing biochemical and biological damage. The results are discussed in relation to recent reports on the deleterious effects of vitamin E dietary supplementation and pro-oxidant effects of vitamin E.     

Intraprotein electron transfer in inducible nitric oxide synthase holoenzyme

Intraprotein electron transfer (IET) from flavin mononucleotide (FMN) to heme is essential in NO synthesis by NO synthase (NOS). Our previous laser flash photolysis studies provided a direct determination of the kinetics of the FMN–heme IET in a truncated two-domain construct (oxyFMN) of murine inducible NOS (iNOS), in which only the oxygenase and FMN domains along with the calmodulin (CaM) binding site are present (Feng et al. J. Am. Chem. Soc. 128, 3808–3811, 2006). Here we report the kinetics of the IET in a human iNOS oxyFMN construct, a human iNOS holoenzyme, and a murine iNOS holoenzyme, using CO photolysis in comparative studies on partially reduced NOS and a NOS oxygenase construct that lacks the FMN domain. The IET rate constants for the human and murine iNOS holoenzymes are 34 ± 5 and 35 ± 3 s⁻¹, respectively, thereby providing a direct measurement of this IET between the catalytically significant redox couples of FMN and heme in the iNOS holoenzyme. These values are approximately an order of magnitude smaller than that in the corresponding iNOS oxyFMN construct, suggesting that in the holoenzyme the rate-limiting step in the IET is the conversion of the shielded electron-accepting (input) state to a new electron-donating (output) state. The fact that there is no rapid IET component in the kinetic traces obtained with the iNOS holoenzyme implies that the enzyme remains mainly in the input state. The IET rate constant value for the iNOS holoenzyme is similar to that obtained for a CaM-bound neuronal NOS holoenzyme, suggesting that CaM activation effectively removes the inhibitory effect of the unique autoregulatory insert in neuronal NOS. Electronic supplementary material  The online version of this article (doi:) contains supplementary material, which is available to authorized users.     

Phototoxicity of 7-oxycoumarins with keratinocytes in culture

Seventy-one 7-oxycoumarins, 66 synthesized and 5 commercially sourced, were tested for their ability to inhibit growth in murine PAM212 keratinocytes. Forty-nine compounds from the library demonstrated light-induced lethality. None was toxic in the absence of UVA light. Structure-activity correlations indicate that the ability of the compounds to inhibit cell growth was dependent not only on their physiochemical characteristics, but also on their ability to absorb UVA light. Relative lipophilicity was an important factor as was electron density in the pyrone ring. Coumarins with electron withdrawing moieties – cyano and fluoro at C₃ – were considerably less active while those with bromines or iodine at that location displayed enhanced activity. Coumarins that were found to inhibit keratinocyte growth were also tested for photo-induced DNA plasmid nicking. A concentration-dependent alteration in migration on neutral gels caused by nicking was observed.     

Real Time Detection of Reactions Between Radicals of Lycopene and Tocopherol Homologues

Laser flash photolysis of lycopene in homogeneous chloroform solution together with tocopherol homolopes results in rapid formation of the lycopene radical cation and slower formation of tocopheroxyl radicals. Time-resolved detection by absorption spectroscopy of decay of the lycopene radical cation, of formation of the tocopheroxyl radicals, and of bleaching of lycopene has shown that a-tocopherol is able to reduce the lycopene radical cation and thereby partially regenerate lycopene on a ms timescale. In contrast, lycopene is able to reduce the δ-tocopheroxyl radical, whereas an equilibrium exists between the lycopene radical cation and β- or γ-tocopherol. The relative stability of these antioxidant radicals is hence: a-tocopheroxyl > lycopene radical cation ≈ β-tocopheroxyl - γ-tocopheroxyl > S-toco-pheroxyl.     

Surface Plasmon-Enhanced Spectroscopy and Photochemistry

A review of selected recent contributions to the area plasmon-enhanced spectroscopy and photochemistry is presented.     

肺炎克雷伯杆菌对氟喹诺酮耐药的机制研究

目的研究肺炎克雷伯杆菌对氟喹诺酮类药物（FQNs）的耐药机制。方法筛选临床分离的对环丙沙星耐药的肺炎克雷伯杆菌共10株,采用微量肉汤稀释法检测菌株对5种氟喹诺酮类药物的MIC值;采用PCR方法检测菌株染色体和质粒携带的喹诺酮耐药基因（gyrA基因、parC基因和qnr基因）并测序;质粒接合试验验证qnr基因的转移性。结果 10株肺炎克雷伯杆菌对5种氟喹诺酮类药物均产生耐药性。扩增产物经测序发现10株肺炎克雷伯杆菌染色体的gyrA基因和parC基因均有突变;有2株菌株（K79和K107）携带qnrA基因,这2株菌的接合菌对喹诺酮抗菌药的MIC值上升了5～30倍;未检测到qnrB阳性的菌株。结论 gyrA和parC基因突变是肺炎克雷菌对氟喹诺酮类产生耐药机制的主要原因,质粒上qnrA基因的存在,也是产生喹诺酮耐药的一个重要因素。