Fluoroquinolone antibiotics have been known to cause severe, multisystem adverse side effects, termed fluoroquinolone toxicity (FQT). This toxicity syndrome can present with adverse effects that vary from individual to individual, including effects on the musculoskeletal and nervous systems, among others. The mechanism behind FQT in mammals is not known, although various possibilities have been investigated. Among the hypothesized FQT mechanisms, those that could potentially explain multisystem toxicity include off-target mammalian topoisomerase interactions, increased production of reactive oxygen species, oxidative stress, and oxidative damage, as well as metal chelating properties of FQs. This review presents relevant information on fluoroquinolone antibiotics and FQT and explores the mechanisms that have been proposed. A fluoroquinolone-induced increase in reactive oxygen species and subsequent oxidative stress and damage presents the strongest evidence to explain this multisystem toxicity syndrome. Understanding the mechanism of FQT in mammals is important to aid in the prevention and treatment of this condition.
A growing body of research suggests a link between adverse childhood experiences and negative health outcomes. However, less is known about where racial discrimination ranks compared to other adverse childhood experiences, such as maltreatment. To address this issue, I conducted two systematic reviews of meta-analyses to compare the magnitudes of the links between racial discrimination and depressive symptoms and childhood maltreatment and depressive symptoms. My aim was to establish if racial discrimination should be considered an adverse childhood experience. My results demonstrated that the link between racial discrimination and depressive symptoms (r = 0.27) is comparable to the links between 4 different manifestations of maltreatment and depressive symptoms (physical abuse: r = 0.257, emotional abuse: r = 0.301, neglect: r = 0.381, sexual abuse: r = 0.408). I discuss the implications of these findings and propose future research directions.