Acute myocardial effects of chloramphenicol in newborn pigs: a possible insight into the gray baby syndrome

J Infect Dis. 1985 Aug;152(2):344-50. doi: 10.1093/infdis/152.2.344.

Abstract

Mechanical function and mitochondrial respiration were observed in newborn pig hearts in the presence of chloramphenicol. Isolated perfused hearts exposed to chloramphenicol (25, 50, or 100 micrograms/ml) demonstrated acute reductions in pressure development and cardiac output accompanied by elevated left atrial filling pressure. The effects of chloramphenicol and chloramphenicol succinate (25, 50, 100, or 200 micrograms/ml) on oxidative activity of isolated mitochondria were also investigated. With unesterified chloramphenicol, inhibition of state 3 respiration was most apparent when glutamate and palmitylcarnitine were supplied as substrates. Inhibition of mitochondrial oxidation of succinate or glutamate was only detectable at 200 micrograms/ml. Inhibition of alpha-ketoglutarate oxidation was not seen at any concentration of antibiotic studied. Chloramphenicol succinate most strongly inhibited state 3 oxidation of succinate and alpha-ketoglutarate and had relatively mild effects on oxidation of glutamate and palmitylcarnitine. Succinate oxidation by submitochondrial particles was unaffected by chloramphenicol succinate, a result suggesting interference with succinate transport.

MeSH terms

  • Animals
  • Animals, Newborn
  • Blood Pressure / drug effects
  • Cardiac Output / drug effects
  • Chloramphenicol / toxicity*
  • Cyanosis / chemically induced*
  • Heart / drug effects*
  • Humans
  • In Vitro Techniques
  • Infant, Newborn
  • Ketoglutaric Acids / metabolism
  • Mitochondria, Heart / drug effects
  • Mitochondria, Heart / metabolism
  • Perfusion
  • Shock / chemically induced*
  • Succinates / metabolism
  • Succinic Acid
  • Swine
  • Syndrome

Substances

  • Ketoglutaric Acids
  • Succinates
  • Chloramphenicol
  • Succinic Acid