Clinical usage of several
classes of antibiotics is associated with moderate to severe side effects due to the promotion of mitochondrial dysfunction...
The CNS is extremely dependent on delivery of molecular oxygen for maintaining a required level of metabolic activity, as reflected by the high concentration of neuronal mitochondria. Thus, it is not surprising to find several distinct behavioral abnormalities conforming to established psychiatric criteria that are associated with antibiotic usage in humans...
The mitochondrion is an enslaved bacterium, normally producing significant amounts of ATP in comparison to glycolysis [
13]....
Antibiotics that are supposed to target pathogens will also bind to mitochondria with high affinity and cause side effects [
17]. An example of this is seen with minocycline. It inhibits ATP synthesis and calcium retention in the mitochondria of brain cells [
18]. The commonality of these antibiotic-induced side-effects lead physicians to create a term for this phenomenon called antimicrobial-induced mania, or antibiomania, since it can occur in neural tissues due to higher metabolic rates [
19–
21]...
We and others propose that mitochondria dysfunction may be part of the core problem for abnormal behaviors induced by antibiotic treatment, e.g., depression, autism, etc. [
16,
22–
27]. Dysfunctional mitochondria have recently become a center of interest in explaining mental disorders [
28–
33]...
Additional examples of mitochondrial dysfunction, which are antibiotic-induced, are extensive and not limited to psychiatric behavior....
Antibiotic-induced mitochondrial damage can be pronounced on neurons, as noted earlier for behavior, especially given their metabolism, which requires 20% of the oxygen entering the body...