Tedizolid is an oxazolidinone antimicrobial agent[1]. Tedizolid selectively binds to the 23S rRNA of the bacterial 50S ribosomal subunit, blocks the formation of the 70S initiation complex and thereby inhibits protein synthesis, exhibits specific bacteriostatic activity against Gram-positive bacteria[2]. Tedizolid is commonly used in the study of acute bacterial skin and skin structure infections (ABSSSI) and pneumonia[3].
In vitro, Tedizolid (0.096-3mg/L; 48-72h) caused potent, concentration- and time-dependent inhibition of mitochondrial protein synthesis, cytochrome c-oxidase activity, spare respiratory capacity, and structural damage in human HL-60 and THP-1 cells[4]. Treatment of human colonic epithelial NCM460 cells with Tedizolid (0-10μM; 72h) significantly reversed dextran sulfate sodium (DSS)-induced senescence , reduced SA-β-gal-positive cells, downregulated P16 and P21 expression, and restored p-AMPK levels[5].
In vivo, Tedizolid (200mg daily for 24h; i.p.) significantly reduced MRSA thigh burden in neutropenic mice with mixed P.anaerobius infection[6]. Tedizolid phosphate (10mg/kg/day; orally; 2 days) reduced lung bacterial titers, and attenuated inflammation and edema in C57BL/6 mice with penicillin-sensitive S. pneumoniae pneumonia[7].
References:
[1] Kanafani ZA, Corey GR. Tedizolid (TR-701): a new oxazolidinone with enhanced potency. Expert Opin Investig Drugs. 2012;21(4):515-522.
[2] Lade H, Joo HS, Kim JS. Molecular Basis of Non-β-Lactam Antibiotics Resistance in Staphylococcus aureus. Antibiotics (Basel). 2022;11(10):1378.
[3] Carena AA, Stryjewski ME. Tedizolid (torezolid) for the treatment of complicated skin and skin structure infections. Expert Rev Clin Pharmacol. 2020;13(6):577-592.
[4] Milosevic TV, Payen VL, Sonveaux P, Muccioli GG, Tulkens PM, Van Bambeke F. Mitochondrial Alterations (Inhibition of Mitochondrial Protein Expression, Oxidative Metabolism, and Ultrastructure) Induced by Linezolid and Tedizolid at Clinically Relevant Concentrations in Cultured Human HL-60 Promyelocytes and THP-1 Monocytes. Antimicrob Agents Chemother. 2018;62(3):e01599-17.
[5] Zhou M, Liu ZL, Liu JY, Wang XB. Tedizolid phosphate alleviates DSS-induced ulcerative colitis by inhibiting senescence of cell and colon tissue through activating AMPK signaling pathway. Int Immunopharmacol. 2024;135:112286.
[6] Yamagishi Y, Mikamo H, Kato H, et al. Efficacy of tedizolid against methicillin-resistant Staphylococcus aureus and Peptostreptococcus anaerobius in thigh mixed-infection mouse model. J Infect Chemother. 2017;23(6):368-373.
[7] Choi S, Im W, Bartizal K. Activity of tedizolid phosphate (TR-701) in murine models of infection with penicillin-resistant and penicillin-sensitive Streptococcus pneumoniae. Antimicrob Agents Chemother. 2012;56(9):4713-4717.
Tedizolid是一种恶唑烷酮类抗菌剂,对MSSA、MRSA、VRE.faecium和VRE.faecalis的MIC50值为0.5μg/ml,对MSSE、MRSE、PSSP和PRSP的MIC50值为0.25μg/ml[1]。Tedizolid选择性结合细菌50S核糖体亚基的23SrRNA,阻断70S起始复合物的形成,从而抑制蛋白质合成,对革兰氏阳性菌表现出特异性抑菌活性[2]。Tedizolid常用于急性细菌性皮肤及皮肤结构感染(ABSSSI)和肺炎的研究[3]。
体外实验中,Tedizolid(0.096-3mg/L;48-72h)对人HL-60和THP-1细胞表现出强效的浓度和时间依赖性抑制作用,抑制线粒体蛋白质合成、细胞色素c氧化酶活性、储备呼吸能力,并造成线粒体结构损伤[4]。Tedizolid(0-10μM;72h)处理人结肠上皮NCM460细胞可显著逆转葡聚糖硫酸钠(DSS)诱导的细胞衰老,减少SA-β-gal阳性细胞比例,下调P16和P21表达,并恢复p-AMPK水平[5]。
体内实验中,Tedizolid(200mg/天;24h;腹腔注射)显著减少了中性粒细胞减少小鼠在混合P.anaerobius感染下的MRSA大腿感染负荷[6]。Tedizolidphosphate(10mg/kg/天;口服;2天)可降低C57BL/6小鼠感染青霉素敏感型S.pneumoniae肺炎模型的肺部细菌滴度,并减轻炎症和水肿[7]。
















