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.
















