Jm. Goldhill et al., EFFECTS OF ANTIBIOTICS ON EPITHELIAL ION-TRANSPORT IN THE RABBIT DISTAL COLON IN-VITRO, Journal of Pharmacy and Pharmacology, 48(6), 1996, pp. 651-656
One side-effect of the therapeutic use of antimicrobial agents is resp
iratory paralysis as a result of inhibition of skeletal neuromuscular
transmission; cholinergic neuro-effector motor transmission in the gas
trointestinal tract is inhibited by the same classes of antimicrobial
agent. Study of the effects of several classes of antibiotic compound
on intestinal motility has suggested that antibiotic-induced alteratio
ns of intestinal motility may be related to the onset of diarrhoea or
the development of antibiotic-associated colitis. These compounds may,
however, also initiate or exacerbate diarrhoea by altering control of
epithelial function, a possibility that has not previously been rigor
ously investigated. This series of experiments investigated the effect
of six antibiotics on rabbit distal colonic epithelial ion transport.
Of all the antibiotics studied, only ampicillin was without effect. C
lindamycin, erythromycin, gentamicin and lincomycin, each reduced the
response of the epithelium to electrical field stimulation. In additio
n, the lincosamides clindamycin and lincomycin reduced basal short cir
cuit current and the epithelial response to acetylcholine. Vancomycin
had no effect on the response to electrical field stimulation or acety
lcholine but enhanced the secretory action of prostaglandin E(2). Thes
e data suggest that, in addition to their ability to alter intestinal
motility, a number of potential antibiotic interactions with the epith
elium and its innervation may contribute to the pathogenesis of antibi
otic-associated diarrhoea and colitis.