[Anethole dithiolethione: an antioxidant agent against tenotoxicity induced by fluoroquinolones]

Pathol Biol (Paris). 2004 Jul;52(6):308-13. doi: 10.1016/j.patbio.2003.11.001.
[Article in French]


Tendinopathy and tendon rupture are the adverse effects observed with fluoroquinolone antibiotics in old patients. The aim of this study was to investigate the effect of anethole dithiolethione (5-[p-methoxyphenyl]3H-1,2-dithiole-3-thione) on the oxidative stress induced by three fluoroquinolones (pefloxacin, ofloxacin, ciprofloxacin) incubated with rabbit tenocyte cell line. Anethole dithiolethione is a well known antioxidant and glutathione inducer. Anethole dithiolethione is widely used in human therapy for its choleretic, sialogogic properties and recently proposed as cytoprotective agent in lung precancerous lesions prevention in smokers. In this purpose, protection against oxidative stress induced by fluoroquinolones has been assessed using cytofluorimetric probes to quantify cytotoxicity and reactive oxygen species production. Fluorescence signal was quantified in 96-well microplates, using cold light cytofluorometer. Significant reactive oxygen species production was detected after 45 minutes for all fluoroquinolones tested. Anethole dithiolethione has been evaluated on this parameter. Anethole dithiolethione significantly (*: P<0.05) reduces and normalizes reactive oxygen species induced by fluoroquinolones. So, anethole dithiolethione (Sulfarlem), well known for its antioxidant and glutathione inducing properties, good tissue diffusion and good tolerance in humans, could be beneficially associated to fluoroquinolones, and be proposed as a therapeutic adjuvant to prevent oxidative stress and tendinous adverse effects induced by xenobiotics and more precisely by fluoroquinolones.

Publication types

  • English Abstract
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Anethole Trithione / pharmacology*
  • Anethole Trithione / therapeutic use
  • Animals
  • Anticarcinogenic Agents / therapeutic use
  • Cell Line
  • Cell Survival / drug effects
  • Cells, Cultured
  • Humans
  • Lung Neoplasms / prevention & control
  • Oxidative Stress / drug effects
  • Oxidative Stress / physiology*
  • Precancerous Conditions / prevention & control
  • Rabbits
  • Reactive Oxygen Species / antagonists & inhibitors
  • Reactive Oxygen Species / metabolism
  • Tendons / cytology
  • Tendons / drug effects
  • Tendons / physiology*


  • Anticarcinogenic Agents
  • Reactive Oxygen Species
  • Anethole Trithione