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Tetracyclines

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Part of the book series: Progress in Inflammation Research ((PIR))

Abstract

The tetracyclines are a group of antibiotics discovered in the 1940s that were quickly recognized for their effectiveness against a variety of microorganisms. These drugs remain important for treatment of infections caused by mycoplasma, rickettsiae, Chlamydia, and some spirochetes. Tetracyclines were initially proposed as a treatment for rheumatoid arthritis (RA) based on the belief that the disease may be caused or triggered by an infectious etiology [1, 2]. It is clear there is a link between infection and certain cases of polyarthritis related to hepatitis C, parvovirus, and Lyme disease. Although an infectious cause of RA has not been demonstrated, the role of the tetracycline family in treating RA has been re-examined due to the discovery of the anti-inflammatory and immunomodulatory effects of these agents.

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References

  1. Bartholomew LE (1965) Isolation and characterization of mycoplasmas (PPLO) from patients with rheumatoid arthritis, systemic lupus erythematosus and Reiter’s syndrome. Arthritis Rheum 8: 376–388

    Article  CAS  PubMed  Google Scholar 

  2. Cooper SM (2001) Tetracyclines. In: S Ruddy, ED Harris, CB Sledge (eds) Kelley’s Textbook of Rheumatology, 6th ed. W.B. Saunders, Philadelphia, 913–920

    Google Scholar 

  3. Golub LM, Lee HM, Lehrer G, Nemiroff A, McNamara TF, Kaplan R, Ramamurthy NS (1983) Minocycline reduces gingival collagenolytic activity during diabetes. Preliminary observations and a proposed new mechanism of action. J. Periodont Res 18: 516–526

    Article  CAS  PubMed  Google Scholar 

  4. Golub LM, Ramamuthy N, McNamara TF, Gomes B, Wolff M, Casino A, Kapoor A, Zambon J, Ciancio S, Schneir M et al (1984) Tetracyclines inhibit tissue collagenase activity. A new mechanism in the treatment of peridontal disease. J. Peridont Research 19: 651–655

    Article  CAS  Google Scholar 

  5. Golub LM, McNamara TF, D’Angelo G, Greenwald RA, Ramamurthy NS (1987) A non-antibacterial chemically-modified tetracycline inhibits mammalian collagenase activity. J. Dent Res 66: 1310–1314

    CAS  PubMed  Google Scholar 

  6. Greenwald RA, Golub LM, Lavietes B, Ramamurthy NS, Gruber B, Laskin, RS, McNamara TF (1987) Tetracyclines inhibit human synovial collagenase in vivo and in vitro. J Rheumatol 14: 28–32

    CAS  PubMed  Google Scholar 

  7. Yu LP Jr, Smith GN Jr, Brandt KD, Meyers SL, O’Connor BL, Brandt DA (1992) Reduction of the severity of canine osteoarthritis by prophylactic treatment with oral doxycycline. Arthritis Rheum 35: 1150–1159

    Article  PubMed  Google Scholar 

  8. Golub LM, Lee HM, Ryan ME, Giannobile WV, Payne J, Sorsa T (1998) Tetracyclines inhibit connective tissue breakdown by multiple non-antimicrobial mechanisms. Adv Dent Res 12:12–26

    Article  CAS  PubMed  Google Scholar 

  9. Yu LP Jr, Smith GN Jr, Hasty KA, Brandt KD (1991) Doxycycline inhibits type XI collagenolytic activity of extracts from human osteoarthritic cartilage and of gelatinase. J Rheumatol 18: 1450–1452

    PubMed  Google Scholar 

  10. Sewell KL, Breedveld F, Furrie E, O’Brien J, Brinckerhoff C, Dynesius-Trentham R, Nosaka Y, Trentham DE (1996) The effect of minocycline in rat models of inflammatory arthritis: Correlation of arthritis suppression with enhanced T cell calcium flux. Cell Immunol 167: 195–204

    Article  CAS  PubMed  Google Scholar 

  11. Shlopov BV, Lie WR, Mainardi CL, Cole AA, Chubinskaya S, Hasty KA (1997) Osteoarthritic lesions: Involvement of three different collagenases. Arthritis Rheum 40: 2065–2074

    Article  CAS  PubMed  Google Scholar 

  12. Shlopov BV, Smith GN, Cole AA, Hasty KA (1999) Differential patterns of response to doxycycline and transforming growth factor Bl in the down-regulation of collagenases in osteoarthritic and normal human chondrocytes. Arthritis Rheum 42: 719–727

    Article  CAS  PubMed  Google Scholar 

  13. Wasil M, Halliwell B, Moorhouse CP (1988) Scavenging of hypochlorous acid by tetracycline, rifampicin and some other antibiotics: A possible antioxidant action of rifampicin and tetracycline? Biochem Pharmacol 37: 775–778

    Article  CAS  PubMed  Google Scholar 

  14. Amin AR, Attur MG, Thakker GD, Patel PD, Vyas PR, Patel RN, Patel IR, Abramson SB (1996) A novel mechanism of action of tetracyclines: Effects on nitric oxide synthases. Proc Natl Acad Sei USA 93: 14014–14019

    Article  CAS  Google Scholar 

  15. Trachtman H, Futterweit S, Greenwald R, Moak S, Singhai P, Franki N, Amin AR (1996) Chemically modified tetracyclines inhibit inducible nitric oxide synthase expression and nitric oxide production in cultured rat mesangial cells. Biochem Biopbys Res Commun 229: 243–248

    Article  CAS  Google Scholar 

  16. Amin AR, Patel RN, Thakker GD, Lowenstein, CJ, Attur MG, Abramson SB (1997) Post-transcriptional regulation of inducible nitric oxide synthase mRNA in murine macrophages by doxycycline and chemically modified tetracyclines. FEBS Lett 410: 259–264

    Article  CAS  PubMed  Google Scholar 

  17. Amin AR, Di Cesare PE, Vyas P, Attur M, Tzeng E, Billiar TR, Stuchin SA, Abramson SB (1995) The expression and regulation of nitric oxide synthase in human osteoarthritis-affected chondrocytes: Evidence for up-regulated neuronal nitric oxide synthase. J Exp Med 182: 2097–2102

    Article  CAS  PubMed  Google Scholar 

  18. Taskiran D, Stefanovic-Racic M, Georgescu H, Evans C (1994) Nitric oxide mediates suppression of cartilage proteoglycan synthesis by interleukin-1. Biochem Biophys Res Commun 200: 142–148

    Article  CAS  PubMed  Google Scholar 

  19. Murreil GA, Jang D, Williams RJ (1995) Nitric oxide activates metalloprotease enzymes in articular cartilage. Biochem Biophys Res Commun 206: 15–21

    Article  Google Scholar 

  20. Blanco FJ, Ochs RL, Schwarz H, Lötz M (1995) Chondrocyte apoptosis induced by nitric oxide. Am J Pathol 146: 75–85

    CAS  PubMed  Google Scholar 

  21. Pruzanski W, Greenwald RA, Street IP, Laliberte F, Stefanski E, Vadas P (1992) Inhibition of enzymatic activity of phospholipases A2 by minocycline and doxycycline. Biochem Pharmacol 44: 1165–1170

    Article  CAS  PubMed  Google Scholar 

  22. Martin RR, Warr GA, Couch RB, Yeager H, Knight V (1974) Effects of tetracycline on leukotaxis. J. Infect Dis 129: 110–116

    CAS  PubMed  Google Scholar 

  23. Forsgren A, Schmeling D, Quie PG (1974) Effect of tetracycline on the phagocytic function of human leukocytes. J. Infect Dis 130: 412–415

    CAS  PubMed  Google Scholar 

  24. Gilbertson-Beadling S, Powers EA, Stamp-Cole M, Scott PS, Wallace TL, Copeland J, Petzold G, Mitchell M, Ledbetter S, Poorman R (1995) The tetracycline analogs minocycline and doxycycline inhibit angiogenesis in vitro by a non-metalloproteinase-dependent mechanism. Cancer Chemother Pharmacol 36: 418–424

    Article  CAS  PubMed  Google Scholar 

  25. Thong YH, Ferrante A (1980) Effect of tetracycline treatment on immunological responses in mice. Clin Exp Immunol 39: 728–732

    CAS  PubMed  Google Scholar 

  26. Ingham E, Turnbull L, Kearney JN (1991) The effects of minocycline and tetracycline on the mitotic response of human peripheral blood-lymphocytes. J. Antimicrob Chemother 27: 607–617

    Article  CAS  PubMed  Google Scholar 

  27. Kloppenburg M, Brinkman BM, de Rooij-Dijk HH, Miltenburg AM, Daha MR, Breedveld FC, Dijkmans BA, Verweij C (1996) The tetracycline derivative minocycline differentially affects cytokine production by monocytes and T lymphocytes. Antimicrob Agents Chemother 40: 934–940

    CAS  PubMed  Google Scholar 

  28. Hanemaaijer R, Sorsa T, Konttinen YT, Ding Y, Sutinen M, Visser H, van Hinsbergh VW, Helaakoski T, Kainulainen T, Ronka H et al (1997) Matrix metalloproteinase-8 is expressed in rheumatoid synovial fibroblasts and endothelial cells. Regulation by tumor necrosis factor-alpha and doxycycline. J Biol Chem 272: 31504–31509

    Article  CAS  PubMed  Google Scholar 

  29. Ritchlin CT, Haas-Smith SA, Schwartz EM, et al (2000) Minocycline but not doxycycline upregulates IL-10 production in human synoviocytes, mononuclear cells and synovial expiants [abstract]. Arthritis Rheum 43 (suppl) 345

    Google Scholar 

  30. Sanchez I (1968) Tetracycline treatment in rheumatoid arthritis and other rheumatic diseases [in Spanish]. Brasil Med 82: 22–31

    Google Scholar 

  31. Brown TM, Hochburg MC, Hicks JT et al (1985) Antibiotic therapy of rheumatoid arthritis: A retrospective cohort study of 98 patients with 451 patient-years of followup [proceedings]. Int Congr Rheumatol (Suppl): 85

    Google Scholar 

  32. Skinner M, Cathcart ES, Mills JA, Pinals RS (1971) Tetracycline in the treatment of rheumatoid arthritis. A double blind controlled study. Arthritis Rheum 14: 727–732

    Article  CAS  PubMed  Google Scholar 

  33. Breedveld FC, Dijkmans BA, Mattie H (1990) Minocycline treatment for rheumatoid arthritis: An open dose finding study. J. Rheumatol 17: 43–46

    CAS  PubMed  Google Scholar 

  34. Langevitz P, Bank I, Zemer D, Book M, Pras M (1992) Treatment of resistant rheumatoid arthritis with minocycline: an open study. J. Rheumatol 19: 1502–1504

    CAS  PubMed  Google Scholar 

  35. Kloppenburg M, Breedveld FC, Terwiel JP, Mallee C, Dijkmans BA (1994) Minocycline in active rheumatoid arthritis. A double-blind, placebo-controlled trial. Arthritis Rheum 37: 629–636

    Article  CAS  PubMed  Google Scholar 

  36. Tilley BC, Alarcon GS, Heyse SP, Trentham DE, Neuner R, Kaplan DA, Clegg DO, Buckley L, Cooper SM et al (1995) Minocycline in rheumatoid arthritis. A 48-week, double-blind, placebo-controlled trial. MIRA Trial Group. Ann Intern Med 122: 81–89

    CAS  PubMed  Google Scholar 

  37. Pillemer SR, Fowler SE, Tilley BC, Alarcon GS, Heyse SP, Trentham DE, Neuner R, Clegg DO, Leisen JC, Cooper SM et al (1997) Meaningful improvement criteria sets in a rheumatoid arthritis clinical trial. MIRA Trial Group. Minocycline in Rheumatoid Arthritis. Arthritis Rheum 40: 419–425

    Article  CAS  PubMed  Google Scholar 

  38. O’Dell J, Haire CE, Palmer W, Drymalski W, Wees S, Blakely K, Churchill M, Eckhoff PJ, Weaver A, Doud D et al (1997) Treatment of early rheumatoid arthritis with minocycline or placebo: Results of a randomized, double-blind, placebo-controlled trial. Arthritis Rheum 40: 842–848

    Article  PubMed  Google Scholar 

  39. O’Dell JR, Paulsen G, Haire CE, Blakely K, Palmer W, Wees S, Eckhoff PJ, Klassen LW, Churchill M, Doud D et al (1999) Treatment of early seropositive rheumatoid arthritis with minocycline: Four-year followup of a double-blind, placebo-controlled trial. Arthritis Rheum 42: 1691–1695

    Article  PubMed  Google Scholar 

  40. Reveille JD, Alarcon GS, Fowler SE et al (1996) HLA-DRB1 genes and disease severity in rheumatoid arthritis. The MIRA Trial Group. Minocycline in Rheumatoid Arthritis. Arthritis Rheum 39: 1802–1807

    Article  CAS  PubMed  Google Scholar 

  41. O’Dell JR, Blakely KW, Mallek JA, Eckhoff PJ, Leff RD, Wees SJ, Sems KM, Palmer WR, Klassen LW, Paulsen GA et al (2001) Treatment of early seropositive rheumatoid arthritis. A two-year, double-blind comparison of minocycline and hydroxycholoroquine. Arthritis Rheum 44: 2235–2241

    Article  PubMed  Google Scholar 

  42. Van der Laan WH, Molenaar ET, Verheijen JH et al (2000) Doxycycline has no effect on disease activity or joint destruction in rheumatoid arthritis: a double-blind placebocontrolled study [abstract]. Arthritis Rheum 43 (Suppl) 9: S345

    Google Scholar 

  43. St Clair EW, Wilkinson WE, Pisetsky DS, Sexton DJ, Drew R, Kraus VB, Greenwald RA (2001) The effects of intravenous doxycycline therapy for rheumatoid arthritis: a randomized, double-blind, placebo-contolled trial. Arthritis Rheum 44: 1043–1047

    Article  Google Scholar 

  44. Goulden V, Glass D, Cunliffe WJ (1996) Safety of long term high-dose minocycline in the treatment of acne. Br J Dermatol 134: 693–695

    Article  CAS  PubMed  Google Scholar 

  45. Assad SA, Bernstein EF, Brod B, James WD (2001) Extensive pigmentation secondary to minocycline treatment of rheumatoid arthritis. [Letter] J. Rheumatol28: 679–682

    CAS  PubMed  Google Scholar 

  46. Fanning WL, Gump DW, Sofferman RA (1977) Side effects of minocycline: A doubleblind study. Antimicrob Agents Chemother 11: 712–717

    CAS  PubMed  Google Scholar 

  47. Gough A, Chapman S, Wagstaff K, Emery P, Elias E (1996) Minocycline induced autoimmune hepatitis and systemic lupus erythematosus-like syndrome. BMJ 312: 169–172

    CAS  PubMed  Google Scholar 

  48. Angulo JM, Sigal LH, Espinoza LR (1998) Coexistent minocycline-induced systemic lupus erythematosus and autoimmune hepatitis. Semin Arthritis Rheum 28: 187–192

    Article  CAS  PubMed  Google Scholar 

  49. Marzo-Ortega H, Misbah SJ, Emery P (2001) Minocycline induced autoimmune disease in rheumatoid arthritis: a missed diagnosis? J. Rheumatol 28: 377–378

    CAS  PubMed  Google Scholar 

  50. Pisetsky DS, St Clair EW (2001) Progress in the treatment of rheumatoid arthritis. JAMA 286: 2787–2790

    Article  CAS  PubMed  Google Scholar 

  51. Alarcon GS (1999) Antibiotics for the treatment of rheumatoid arthritis? Minocycline shows promise in some patients. Postgrad Med 105: 95–98

    Article  CAS  PubMed  Google Scholar 

  52. O’Dell JR (1999) Is there a role for antibiotics in the treatment of patients with rheuma-toid arthritis? Drugs 57: 279–282

    Article  PubMed  Google Scholar 

  53. Cooper SM (1999) A perspective on the use of minocycline for rheumatoid arthritis. J Clin Rheumatol 5: 233–238

    Article  CAS  PubMed  Google Scholar 

  54. Trentham DE, Dynesius-Trentham RA (1995) Antibiotic therapy for rheumatoid arthritis. Scientific and anecdotal appraisals. Rheum Dis Clin North Am 21: 817–834

    CAS  PubMed  Google Scholar 

  55. Alarcon GS (1998) Minocycline for the treatment of rheumatoid arthritis. Rheum Dis Clin North Am 24: 489–499

    Article  CAS  PubMed  Google Scholar 

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Bird, K., O’Dell, J.R. (2005). Tetracyclines. In: Day, R.O., Fürst, D.E., van Riel, P.L.C.M., Bresnihan, B. (eds) Antirheumatic Therapy: Actions and Outcomes. Progress in Inflammation Research. Birkhäuser Basel. https://doi.org/10.1007/978-3-7643-7726-7_12

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  • DOI: https://doi.org/10.1007/978-3-7643-7726-7_12

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