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. 2023 May 24;14(8):1410–1428. doi: 10.1039/d3md00166k

Dual-functional antibiotics possessing antibacterial and anti-inflammatory properties.

Antibiotic class Antibiotics Antibacterial activity spectrum Immunomodulatory activity Ref.
Macrolides Azithromycin (1) Gram-positive and Gram-negative Lowers IL-1β, IL-8, NF-κB, IL-10, MMP-9 26–28
Clarithromycin (2) Gram-positive and Gram-negative Lowers TNF-α. Restores the TNF-α/IL-10 ratio 31
Tetracyclines Tetracycline (3) Gram-positive and Gram-negative Prevents IL-1β and IL-18 release. Inhibits MMP-2 and MMP-9 34 and 35
Doxycycline (4) Gram-positive and Gram-negative bacteria Lowers TNF-α, IL-1β, IL-6, IL-8, and IL-10 36 and 37
Tetracycline 3 (5) Gram-positive Lowers TNF-α, IL-1β, IL-6, IL-8, and IL-10 36–38
Oxazolidinones Linezolid (6) Gram-positive Lowers TNF-α, IFN-γ, IL-1β, IL-6, IL-12, IL-17, MIP-2, MMP-9, and MMP-5 40–46
Fluoroquinolones Moxifloxacin (7) Gram-positive and Gram-negative Lowers KC, IL-1β, and IL-17A 48–51 and 53
Ciprofloxacin (8) Gram-positive and Gram-negative Lowers TNF-α, IL-1β, and CXCL2/MIP-2 49 and 50
Levofloxacin (9) Gram-positive and Gram-negative Reduces ROS, NOX 49 and 52
Glycopeptides Vancomycin (10) Gram-positive Lowers IL-1β 42
Polymyxins Colistin (11) Gram-negative Lowers TNF-α, IL-1β 57–60