Pleiotropic Effects of Levofloxacin, Fluoroquinolone Antibiotics, against Influenza Virus-Induced Lung Injury

PLoS One. 2015 Jun 18;10(6):e0130248. doi: 10.1371/journal.pone.0130248. eCollection 2015.

Abstract

Reactive oxygen species (ROS) and nitric oxide (NO) are major pathogenic molecules produced during viral lung infections, including influenza. While fluoroquinolones are widely used as antimicrobial agents for treating a variety of bacterial infections, including secondary infections associated with the influenza virus, it has been reported that they also function as anti-oxidants against ROS and as a NO regulator. Therefore, we hypothesized that levofloxacin (LVFX), one of the most frequently used fluoroquinolone derivatives, may attenuate pulmonary injuries associated with influenza virus infections by inhibiting the production of ROS species such as hydroxyl radicals and neutrophil-derived NO that is produced during an influenza viral infection. The therapeutic impact of LVFX was examined in a PR8 (H1N1) influenza virus-induced lung injury mouse model. ESR spin-trapping experiments indicated that LVFX showed scavenging activity against neutrophil-derived hydroxyl radicals. LVFX markedly improved the survival rate of mice that were infected with the influenza virus in a dose-dependent manner. In addition, the LVFX treatment resulted in a dose-dependent decrease in the level of 8-hydroxy-2'-deoxyguanosine (a marker of oxidative stress) and nitrotyrosine (a nitrative marker) in the lungs of virus-infected mice, and the nitrite/nitrate ratio (NO metabolites) and IFN-γ in BALF. These results indicate that LVFX may be of substantial benefit in the treatment of various acute inflammatory disorders such as influenza virus-induced pneumonia, by inhibiting inflammatory cell responses and suppressing the overproduction of NO in the lungs.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acute Lung Injury / drug therapy*
  • Acute Lung Injury / virology
  • Animals
  • Anti-Bacterial Agents / chemistry
  • Anti-Bacterial Agents / pharmacology*
  • Drug Evaluation, Preclinical
  • Fluoroquinolones / chemistry
  • Fluoroquinolones / pharmacology
  • Free Radical Scavengers / chemistry
  • Free Radical Scavengers / pharmacology*
  • Humans
  • Influenza A virus / immunology
  • Influenza, Human / drug therapy*
  • Influenza, Human / virology
  • Interferon-gamma / metabolism
  • Levofloxacin / chemistry
  • Levofloxacin / pharmacology*
  • Lung / drug effects
  • Lung / pathology
  • Lung / virology
  • Male
  • Mice, Inbred ICR
  • Neutrophils / metabolism
  • Nitric Oxide / metabolism
  • Oxidative Stress
  • Reactive Oxygen Species / chemistry
  • Reactive Oxygen Species / metabolism

Substances

  • Anti-Bacterial Agents
  • Fluoroquinolones
  • Free Radical Scavengers
  • Reactive Oxygen Species
  • Nitric Oxide
  • Levofloxacin
  • Interferon-gamma

Grants and funding

This research was supported [in part] by Grant-in-Aid for Scientific Research from Japan Society for the Promotion of Science (JSPS) (KAKENHI 21390177, 23390142, 25860118) and by Japan Science and Technology Agency (JST), A-step feasibility study program (10801043).