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Diogo BS, Rodrigues S, Antunes SC. Mixture Matters: Exploring the Overlooked Toxicity of Sulfamethoxazole and Trimethoprim in Aquatic Environments. ENVIRONMENTAL TOXICOLOGY 2025. [PMID: 40405472 DOI: 10.1002/tox.24528] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/22/2024] [Revised: 02/21/2025] [Accepted: 05/01/2025] [Indexed: 05/24/2025]
Abstract
Sulfamethoxazole (SMX) and trimethoprim (TRIM) are two antibiotics included in the third Watch list to be monitored in inland waters by the Water Framework Directive. However, their mixture (MIX) is overlooked and is especially concerning because it mirrors the real conditions in natural aquatic ecosystems. This study aimed to evaluate the toxic effects of environmentally relevant concentrations of SMX (150 μg/L), TRIM (30 μg/L), and MIX (150 μg/L SMX + 30 μg/L TRIM) in different standard species: Aliivibrio fischeri (bioluminescence inhibition), Escherichia coli ATCC 25922 (growth inhibition), Lemna minor (growth inhibition and biochemical biomarkers), Daphnia magna (immobilization/mortality, reproductive effects, and biochemical biomarkers), and Danio rerio (survival, hatchability, abnormalities, and biochemical biomarkers). Considering all the parameters evaluated, and using the Independent Action model and the antibiotics ecotoxicological assessment approach, the results reveal that: (i) all antibiotics affect the bacteria A. fischeri and E. coli differently, causing a pronounced E. coli inhibition growth; (ii) SMX and MIX were slightly toxic to D. magna (after 48 h) and D. rerio (after 96 h), and moderately toxic to L. minor (after 7 days) and D. magna (after 10 days); (iii) TRIM was slightly toxic to all organisms tested, except for L. minor, which exhibited moderate toxicity; (iv) the interaction of the antibiotics in mixture varied significantly depending on the parameter; however, it revealed similar toxicity to SMX. Significant ecotoxicological data were obtained, clarifying the ecological risks of these antibiotics in aquatic ecosystems. Remaining vigilant regarding environmental contamination linked to levels of SMX and TRIM in surface waters is crucial. Assessing the combined impacts of multiple stressors is essential for prioritizing environmental safety and ecotoxicity assessments for antibiotics amidst climate change, preserving the health and integrity of aquatic ecosystems.
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Affiliation(s)
- Bárbara S Diogo
- ICBAS, Instituto de Ciências Biomédicas de Abel Salazar, Universidade do Porto, Porto, Portugal
- CIMAR/CIIMAR, Centro Interdisciplinar de Investigação Marinha e Ambiental, Universidade do Porto, Matosinhos, Portugal
- FCUP, Departamento de Biologia, Faculdade de Ciências, Universidade do Porto, Porto, Portugal
| | - Sara Rodrigues
- CIMAR/CIIMAR, Centro Interdisciplinar de Investigação Marinha e Ambiental, Universidade do Porto, Matosinhos, Portugal
- FCUP, Departamento de Biologia, Faculdade de Ciências, Universidade do Porto, Porto, Portugal
| | - Sara C Antunes
- CIMAR/CIIMAR, Centro Interdisciplinar de Investigação Marinha e Ambiental, Universidade do Porto, Matosinhos, Portugal
- FCUP, Departamento de Biologia, Faculdade de Ciências, Universidade do Porto, Porto, Portugal
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Li D, Wang Z, Yu Q, Wang J, Wu R, Tuo Z, Yoo KH, Wusiman D, Ye L, Guo Y, Yang Y, Shao F, Shu Z, Okoli U, Cho WC, Wei W, Feng D. Tracing the Evolution of Sex Hormones and Receptor-Mediated Immune Microenvironmental Differences in Prostate and Bladder Cancers: From Embryonic Development to Disease. ADVANCED SCIENCE (WEINHEIM, BADEN-WURTTEMBERG, GERMANY) 2025; 12:e2407715. [PMID: 40007149 PMCID: PMC11967776 DOI: 10.1002/advs.202407715] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/08/2024] [Revised: 11/26/2024] [Indexed: 02/27/2025]
Abstract
The bladder and prostate originate from the urogenital sinus. However, bladder cancer (BC) is usually classified as an immune "hot" tumor, whereas prostate cancer (PCa) is deemed as an immune "cold" tumor according to the tumor microenvironment (TME) and clinical outcomes. To investigate the immune differences between BC and PCa, studies are compared focusing on immune regulation mediated by sex hormones and receptors to identify key genes and pathways responsible for the immune differences. From a developmental perspective, it is shown that PCa and BC activate genes and pathways similar to those in the developmental stage. During prostate development, the differential expression and function of the androgen receptor (AR) across cell types may contribute to its dual role in promoting and inhibiting immunity in different cells. Androgen deprivation therapy affects AR function in different cells within the TME, influencing immune cell infiltration and antitumor function. Additionally, estrogenα and estrogenβ exert contrasting effects in PCa and BC, which may hold the potential for modifying the "cold" and "hot" tumor phenotypes. Future research should target key genes and pathways involved in bladder development to clarify the immune regulatory similarities and differences between BC and PCa.
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Affiliation(s)
- Dengxiong Li
- Department of UrologyInstitute of UrologyWest China HospitalSichuan UniversityChengdu610041China
| | - Zhipeng Wang
- Department of UrologySichuan Provincial People's HospitalUniversity of Electronic Science and Technology of ChinaChengdu610041China
| | - Qingxin Yu
- Department of pathologyNingbo Clinical Pathology Diagnosis CenterNingbo CityZhejiang Province315211China
| | - Jie Wang
- Department of UrologyInstitute of UrologyWest China HospitalSichuan UniversityChengdu610041China
| | - Ruicheng Wu
- Department of UrologyInstitute of UrologyWest China HospitalSichuan UniversityChengdu610041China
| | - Zhouting Tuo
- Department of Urological SurgeryDaping HospitalArmy Medical Center of PLAArmy Medical UniversityChongqing404100China
| | - Koo Han Yoo
- Department of UrologyKyung Hee UniversitySeoul04510South Korea
| | - Dilinaer Wusiman
- Department of Comparative PathobiologyCollege of Veterinary MedicinePurdue UniversityWest LafayetteIN47907USA
- Purdue Institute for Cancer ResearchPurdue UniversityWest LafayetteIN47907USA
| | - Luxia Ye
- Department of Public Research PlatformTaizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical UniversityLinhai317000China
| | - Yiqing Guo
- Department of Public Research PlatformTaizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical UniversityLinhai317000China
| | - Yubo Yang
- Department of UrologyThree Gorges HospitalChongqing UniversityWanzhouChongqing404000China
| | - Fanglin Shao
- Department of RehabilitationThe Affiliated Hospital of Southwest Medical UniversityLuzhou646000P. R. China
| | - Ziyu Shu
- Department of Earth Science and EngineeringImperial College LondonLondonSW7 2AZUK
- Joint International Research Laboratory of Green Buildings and Built Environments (Ministry of Education)Chongqing UniversityChongqing400045China
| | - Uzoamaka Okoli
- Division of Surgery & Interventional ScienceUniversity College LondonLondonW1W 7TSUK
- Basic and Translational Cancer Research GroupDepartment of Pharmacology and TherapeuticsCollege of MedicineUniversity of NigeriaEnugu StateNsukka410001Eastern part of Nigeria
| | - William C. Cho
- Department of Clinical OncologyQueen Elizabeth HospitalHong KongSAR999077China
| | - Wuran Wei
- Department of UrologyInstitute of UrologyWest China HospitalSichuan UniversityChengdu610041China
| | - Dechao Feng
- Department of UrologyInstitute of UrologyWest China HospitalSichuan UniversityChengdu610041China
- Division of Surgery & Interventional ScienceUniversity College LondonLondonW1W 7TSUK
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Lavorato M, Iadarola D, Remes C, Kaur P, Broxton C, Mathew ND, Xiao R, Seiler C, Nakamaru-Ogiso E, Anderson VE, Falk MJ. dldhcri3 zebrafish exhibit altered mitochondrial ultrastructure, morphology, and dysfunction partially rescued by probucol or thiamine. JCI Insight 2024; 9:e178973. [PMID: 39163131 PMCID: PMC11457866 DOI: 10.1172/jci.insight.178973] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2024] [Accepted: 07/25/2024] [Indexed: 08/22/2024] Open
Abstract
Dihydrolipoamide dehydrogenase (DLD) deficiency is a recessive mitochondrial disease caused by variants in DLD, the E3 subunit of mitochondrial α-keto (or 2-oxo) acid dehydrogenase complexes. DLD disease symptoms are multisystemic, variably manifesting as Leigh syndrome, neurodevelopmental disability, seizures, cardiomyopathy, liver disease, fatigue, and lactic acidemia. While most DLD disease symptoms are attributed to dysfunction of the pyruvate dehydrogenase complex, the effects of other α-keto acid dehydrogenase deficiencies remain unclear. Current therapies for DLD deficiency are ineffective, with no vertebrate animal model available for preclinical study. We created a viable Danio rerio (zebrafish) KO model of DLD deficiency, dldhcri3. Detailed phenotypic characterization revealed shortened larval survival, uninflated swim bladder, hepatomegaly and fatty liver, and reduced swim activity. These animals displayed increased pyruvate and lactate levels, with severe disruption of branched-chain amino acid catabolism manifest as increased valine, leucine, isoleucine, α-ketoisovalerate, and α-ketoglutarate levels. Evaluation of mitochondrial ultrastructure revealed gross enlargement, severe cristae disruption, and reduction in matrix electron density in liver, intestines, and muscle. Therapeutic modeling of candidate therapies demonstrated that probucol or thiamine improved larval swim activity. Overall, this vertebrate model demonstrated characteristic phenotypic and metabolic alterations of DLD disease, offering a robust platform to screen and characterize candidate therapies.
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Affiliation(s)
- Manuela Lavorato
- Mitochondrial Medicine Frontier Program, Division of Human Genetics, Department of Pediatrics, The Children’s Hospital of Philadelphia (CHOP), Philadelphia, Pennsylvania, USA
- Department of Pediatrics and
| | - Donna Iadarola
- Mitochondrial Medicine Frontier Program, Division of Human Genetics, Department of Pediatrics, The Children’s Hospital of Philadelphia (CHOP), Philadelphia, Pennsylvania, USA
| | - Cristina Remes
- Mitochondrial Medicine Frontier Program, Division of Human Genetics, Department of Pediatrics, The Children’s Hospital of Philadelphia (CHOP), Philadelphia, Pennsylvania, USA
| | - Prabhjot Kaur
- Mitochondrial Medicine Frontier Program, Division of Human Genetics, Department of Pediatrics, The Children’s Hospital of Philadelphia (CHOP), Philadelphia, Pennsylvania, USA
| | - Chynna Broxton
- Mitochondrial Medicine Frontier Program, Division of Human Genetics, Department of Pediatrics, The Children’s Hospital of Philadelphia (CHOP), Philadelphia, Pennsylvania, USA
| | - Neal D. Mathew
- Mitochondrial Medicine Frontier Program, Division of Human Genetics, Department of Pediatrics, The Children’s Hospital of Philadelphia (CHOP), Philadelphia, Pennsylvania, USA
- Department of Pediatrics and
| | - Rui Xiao
- Department of Biostatistics, Epidemiology and Informatics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA
| | | | - Eiko Nakamaru-Ogiso
- Mitochondrial Medicine Frontier Program, Division of Human Genetics, Department of Pediatrics, The Children’s Hospital of Philadelphia (CHOP), Philadelphia, Pennsylvania, USA
- Department of Pediatrics and
| | - Vernon E. Anderson
- Mitochondrial Medicine Frontier Program, Division of Human Genetics, Department of Pediatrics, The Children’s Hospital of Philadelphia (CHOP), Philadelphia, Pennsylvania, USA
| | - Marni J. Falk
- Mitochondrial Medicine Frontier Program, Division of Human Genetics, Department of Pediatrics, The Children’s Hospital of Philadelphia (CHOP), Philadelphia, Pennsylvania, USA
- Department of Pediatrics and
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Diogo BS, Rodrigues S, Golovko O, Antunes SC. From bacteria to fish: ecotoxicological insights into sulfamethoxazole and trimethoprim. ENVIRONMENTAL SCIENCE AND POLLUTION RESEARCH INTERNATIONAL 2024; 31:52233-52252. [PMID: 39138731 PMCID: PMC11374860 DOI: 10.1007/s11356-024-34659-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/12/2024] [Accepted: 08/04/2024] [Indexed: 08/15/2024]
Abstract
Sulfamethoxazole (SMX) and trimethoprim (TRIM) are two of the most used antibiotics in the last 50 years, to prevent and treat bacterial infections; however, the available literature about toxicity to non-target organisms is quite discrepant and incomplete. This study aims to assess the SMX and TRIM ecotoxicological effects in standard species: Aliivibrio fischeri (bioluminescence inhibition), Escherichia coli ATCC 25922 (growth inhibition), Lemna minor (growth inhibition and biochemical biomarkers), Daphnia magna (immobilization/mortality, life history traits, and biochemical biomarkers), and Danio rerio (survival, hatching, abnormalities, and biochemical biomarkers). The species tested showed different acute sensitivities to SMX (A. fischeri < D. magna < E. coli < L. minor) and TRIM (L. minor < A. fischeri < D. magna < E. coli). Overall, TRIM reveals less toxicity than SMX, except for E. coli (Ecotoxicological approach based on Antimicrobial Susceptibility Testing - EcoAST procedure). Both antibiotics affect individually (e.g., growth and survival) and sub-individually (e.g., antioxidant defenses) L. minor, D. magna, and D. rerio. This study allowed us to generate relevant data and fill gaps in the literature regarding the effects of SMX and TRIM in aquatic organisms. The here-obtained results can be used to (i) complete and re-evaluate the Safety Data Sheet to improve the assessment of environmental safety and management of national and international entities; (ii) clarify the environmental risks of these antibiotics in aquatic ecosystems reinforcing the inclusion in the 4th Watch List of priority substances to be monitored in whole inland waters by the Water Framework Directive; and (iii) combat the development of antimicrobial resistance, as well as supporting the definition of environmental measurements in the context of European One Health Action Plan. However, it is essential to continue studying these antibiotics to better understand their toxicity at ecologically relevant concentrations and their long-term effects under different climatic change scenarios.
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Affiliation(s)
- Bárbara S Diogo
- ICBAS, Instituto de Ciências Biomédicas de Abel Salazar, Universidade do Porto, Rua de Jorge Viterbo Ferreira, 228, 4050-313, Porto, Portugal
- CIMAR/CIIMAR, Centro Interdisciplinar de Investigação Marinha e Ambiental, Universidade do Porto, Terminal de Cruzeiros do Porto de Leixões, Avenida General Norton de Matos, S/N, 4450-208, Matosinhos, Portugal
- FCUP, Departamento de Biologia, Faculdade de Ciências, Universidade do Porto, Rua do Campo Alegre S/N, 4169-007, Porto, Portugal
| | - Sara Rodrigues
- CIMAR/CIIMAR, Centro Interdisciplinar de Investigação Marinha e Ambiental, Universidade do Porto, Terminal de Cruzeiros do Porto de Leixões, Avenida General Norton de Matos, S/N, 4450-208, Matosinhos, Portugal
- FCUP, Departamento de Biologia, Faculdade de Ciências, Universidade do Porto, Rua do Campo Alegre S/N, 4169-007, Porto, Portugal
| | - Oksana Golovko
- Department of Aquatic Sciences and Assessment, Swedish University of Agricultural Sciences (SLU), 75007, Uppsala, Sweden
| | - Sara C Antunes
- CIMAR/CIIMAR, Centro Interdisciplinar de Investigação Marinha e Ambiental, Universidade do Porto, Terminal de Cruzeiros do Porto de Leixões, Avenida General Norton de Matos, S/N, 4450-208, Matosinhos, Portugal.
- FCUP, Departamento de Biologia, Faculdade de Ciências, Universidade do Porto, Rua do Campo Alegre S/N, 4169-007, Porto, Portugal.
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Zhao W, Chen Y, Hu N, Long D, Cao Y. The uses of zebrafish (Danio rerio) as an in vivo model for toxicological studies: A review based on bibliometrics. ECOTOXICOLOGY AND ENVIRONMENTAL SAFETY 2024; 272:116023. [PMID: 38290311 DOI: 10.1016/j.ecoenv.2024.116023] [Citation(s) in RCA: 30] [Impact Index Per Article: 30.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/27/2023] [Revised: 01/20/2024] [Accepted: 01/24/2024] [Indexed: 02/01/2024]
Abstract
An in vivo model is necessary for toxicology. This review analyzed the uses of zebrafish (Danio rerio) in toxicology based on bibliometrics. Totally 56,816 publications about zebrafish from 2002 to 2023 were found in Web of Science Core Collection, with Toxicology as the top 6 among all disciplines. Accordingly, the bibliometric map reveals that "toxicity" has become a hot keyword. It further reveals that the most common exposure types include acute, chronic, and combined exposure. The toxicological effects include behavioral, intestinal, cardiovascular, hepatic, endocrine toxicity, neurotoxicity, immunotoxicity, genotoxicity, and reproductive and transgenerational toxicity. The mechanisms include oxidative stress, inflammation, autophagy, and dysbiosis of gut microbiota. The toxicants commonly evaluated by using zebrafish model include nanomaterials, arsenic, metals, bisphenol, and dioxin. Overall, zebrafish provide a unique and well-accepted model to investigate the toxicological effects and mechanisms. We also discussed the possible ways to address some of the limitations of zebrafish model, such as the combination of human organoids to avoid species differences.
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Affiliation(s)
- Weichao Zhao
- Hunan Province Key Laboratory of Typical Environmental Pollution and Health Hazards, School of Public Health, Hengyang Medical School, University of South China, Hengyang 421001, PR China
| | - Yuna Chen
- Hunan Province Key Laboratory of Typical Environmental Pollution and Health Hazards, School of Public Health, Hengyang Medical School, University of South China, Hengyang 421001, PR China
| | - Nan Hu
- Key Discipline Laboratory for National Defense for Biotechnology in Uranium Mining and Hydrometallurgy, University of South China, Hengyang 421001, PR China.
| | - Dingxin Long
- Hunan Province Key Laboratory of Typical Environmental Pollution and Health Hazards, School of Public Health, Hengyang Medical School, University of South China, Hengyang 421001, PR China.
| | - Yi Cao
- Hunan Province Key Laboratory of Typical Environmental Pollution and Health Hazards, School of Public Health, Hengyang Medical School, University of South China, Hengyang 421001, PR China.
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Albers J, Mylroie J, Kimble A, Steward C, Chapman K, Wilbanks M, Perkins E, Garcia-Reyero N. Per- and Polyfluoroalkyl Substances: Impacts on Morphology, Behavior and Lipid Levels in Zebrafish Embryos. TOXICS 2024; 12:192. [PMID: 38535925 PMCID: PMC10975676 DOI: 10.3390/toxics12030192] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 12/15/2023] [Revised: 02/23/2024] [Accepted: 02/26/2024] [Indexed: 04/01/2024]
Abstract
The presence of per- and polyfluoroalkyl substances (PFASs) in aquatic environments is often persistent and widespread. Understanding the potential adverse effects from this group of chemicals on aquatic communities allows for better hazard characterization. This study examines impacts on zebrafish (Danio rerio) embryo physiology, behavior, and lipid levels from exposure to perfluorooctanoic acid (PFOA), perfluorohexane sulfonate (PFHxS), and heptadecafluorooctanesulfonic acid (PFOS). Embryos were exposed to lethal and sublethal levels of each chemical and monitored for alterations in physiological malformations, mortality, lipid levels, and behavior (only PFOA and PFHxS). The predicted 50% lethal concentrations for 120 hpf embryos were 528.6 ppm PFOA, 14.28 ppm PFHxS, and 2.14 ppm PFOS. Spine curvature and the inability of the 120 hpf embryos to maintain a dorsal-up orientation was significantly increased at 10.2 ppm PFHxS and 1.9 ppm PFOS exposure. All measured 120 hpf embryo behaviors were significantly altered starting at the lowest levels tested, 188 ppm PFOA and 6.4 ppm PFHxS. Lipid levels decreased at the highest PFAS levels tested (375 PFOA ppm, 14.4 PFHxS ppm, 2.42 ppm PFOS). In general, the PFAS chemicals, at the levels examined in this study, increased morphological deformities, embryo activity, and startle response time, as well as decreased lipid levels in 120 hpf zebrafish embryos.
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Affiliation(s)
- Janice Albers
- Oak Ridge Institute for Science and Education, Environmental Laboratory, US Army Engineer Research & Development Center, Vicksburg, MS 39180, USA
| | - John Mylroie
- Environmental Laboratory, US Army Engineer Research & Development Center, Vicksburg, MS 39180, USA (N.G.-R.)
| | - Ashley Kimble
- Environmental Laboratory, US Army Engineer Research & Development Center, Vicksburg, MS 39180, USA (N.G.-R.)
| | | | - Kacy Chapman
- Oak Ridge Institute for Science and Education, Environmental Laboratory, US Army Engineer Research & Development Center, Vicksburg, MS 39180, USA
| | - Mitchell Wilbanks
- Environmental Laboratory, US Army Engineer Research & Development Center, Vicksburg, MS 39180, USA (N.G.-R.)
| | - Edward Perkins
- Environmental Laboratory, US Army Engineer Research & Development Center, Vicksburg, MS 39180, USA (N.G.-R.)
| | - Natàlia Garcia-Reyero
- Environmental Laboratory, US Army Engineer Research & Development Center, Vicksburg, MS 39180, USA (N.G.-R.)
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