Gills are the respiratory organs of fish, and they complete gas exchange when blood flows through here. The morphological changes of gills are an indicator of early toxicity (Fiedler, et al., 2020). However, it is still unclear whether SMZ and CMN at environmental concentrations can damage fish gills. From the point of view of big data, after analyzing the possible mechanism and results of SMZ and/or CMN, we found that the combined use of SMZ and CMN could cause strong oxidative stress, inflammation, and apoptosis at the same time. After that, we found that long-term exposure to environmental concentrations of SMZ and CMN in fish gills will cause tissue damage, and antioxidant system will also be inhibited. Compared with the control group, the MIX group caused more severe oxidative damage, inflammation, and apoptosis. These experimental results support the conclusion drawn by big data and prove that the combined use of pesticides and antibiotics at environmental concentrations is harmful to organisms. Furthermore, it is inferred that the organisms living in the polluted water environment are damaged by environmental pollutants.
Liu et al. found that zebrafish exposed to an environment containing SMZ can consume SMZ through daily activities. SMZ entering the body can cause oxidative stress and inflammation in healthy fish (Liu, et al., 2020). After observing the results of the oxidative stress indicators detection in this study, it was found that the exposure of CMN and/or SMZ caused oxidative stress in the tissues. GSH is commonly found in various organisms and is the most important antioxidant. GSH scavenges free radicals in the body through the oxidative dehydrogenation of sulfhydryl (-SH) in the molecular structure (Aldini, et al., 2018). In this study, the content of glutathione was significantly reduced, indicating that the gill tissue contains a lot of free radicals and peroxidation products. These oxidation products exceed the regulating ability of GSH, and GSH forms GSSG after the oxidative dehydrogenation of the -SH group. Suggesting that the overall content of GSH has decreased (Moreno-Sanchez, et al., 2018). Superoxide dismutase (SOD) maintains the oxidation balance in the body by converting superoxide free radicals into hydrogen peroxide, and is a ubiquitous antioxidant enzyme (Sakamoto and Imai, 2017). Generally speaking, strength of the antioxidant ability in the organism can be judged by the content of SOD (Qu, et al., 2019). MDA is the final product of lipid peroxidation. It can not only affect the function of mitochondria but also aggravate the damage of cell membrane (Tsikas, 2017). MDA accumulates in a time-dependent manner under oxidative stress (Wang, et al., 2020c). According to the results of Fig. 5, the MDA content caused by the MIX group increased significantly. Combined with Fig. 4, it can be concluded that the MIX group has a synergistic effect to some extent, causing more serious damage. Similar results have been found in some literature (Aderemi, et al., 2018). Zhao et al. found that the combined use of antibiotics and pesticides aggravated the oxidative stress of the carp spleen and damaged the immune system (Zhao, et al., 2020c). In addition to fish, pesticides and antibiotics can also affect the behavior of shrimp, inhibit neuro enzyme activity and induce oxidative stress (Huynh, et al., 2010). CMN can cause oxidative stress in zebrafish gills and produce a dose-dependent DNA damage response (Paravani, et al., 2019). The oxidative stress index of zebrafish increased 14 days after exposure to SMZ, and the cell membrane was damaged (Tokanova, et al., 2021). These studies confirm that our evidence is reliable.
The Nrf2-Keap1 signaling pathway is the main antioxidant pathway in the body, which can resist the damage caused by toxic substances to the body (Casalino, et al., 2007). And maintain the body's oxidative balance (Copple, et al., 2008). Normally, when the body is subjected to oxidative stress, the Nrf2-Keap1 signaling pathway is activated and Nrf2 is released into the nucleus (Qiu, et al., 2020). Further promote the production of antioxidant products and induce antioxidant reactions (Kaspar, et al., 2009; Zhong, et al., 2015). Studies have shown that when Nrf2 is activated, it can promote the expression of NQO1 and HO-1 (Chen, et al., 2020b; Kaspar and Jaiswal, 2010). However, in the results of this study, it was found that the Nrf2-Keap1 signaling pathway was inhibited (Fig. 6G). This may be due to the combined toxicity of SMZ and CMN beyond the body's own regulatory capacity. The Nrf2 pathway has a certain protective ability to the human body, but this protective effect is very limited. The protective effect of the Nrf2 pathway depends on the dose of toxic substances and the exposure time to organisms (Zhou, et al., 2020). The gill is the first organ of the fish that encounters the external environment. Long-term exposure to poisons puts the gill tissue in a continuous stress state, produces excessive free radicals and inhibits the Nrf2-Keap1 signaling pathway (David, et al., 2017). In the study of Wang et al. also found that antibiotics can inhibit the expression of zebrafish gills antioxidant-related genes (Wang, et al., 2020a). When the antioxidant products in the body try to restore the oxidative balance and fail, inflammation and apoptosis are triggered (Chi, et al., 2021; Wang, et al., 2020b).
TNF-α is an inflammatory cytokine produced by macrophages or monocytes during acute inflammation. It can induce tissue damage by inducing the production of ROS, and induce cell necrosis and apoptosis(Balkwill, 2006). Studies have demonstrated a critical role in NF-κB signaling pathway in mice induced inflammation (Peng-Yu, et al., 2019). From our test results, it was found that the protein expression level of NF-κB related molecules increased (Fig. 7) and the high expression of TNF-α (Fig. 6D), which proved that the combined exposure of SMZ and CMN can activate the NF-κB signaling pathway and Cause inflammation. Many studies have shown that antibiotics or pesticides can cause oxidative stress and inflammation in healthy organisms. Gentamicin can cause severe nephrotoxicity by inducing oxidative stress and inflammation (Ince, et al., 2020). Dietary exposure to CMN changes the lipid homeostasis and energy metabolism in the salmon liver (Fuller, et al., 2021). Oxidative stress can have a cascade reaction with NF-κB, which in turn triggers inflammation (Wang, et al., 2017). Pesticides can amplify the inflammatory response by increasing the levels of iNOS and Cyclooxygenase-2 (COX-2) (Cupic Miladinovic, et al., 2021). The iNOS/NF-κB cascade reaction produces peroxynitrate, which in turn increases the toxicity of pesticides (Chi, et al., 2018). Combined with the results of this study, the content of iNOS in the MIX group was significantly increased (Fig. 6E), and the combined toxicity enhancement of SMZ and CMN may be achieved through the cascade reaction of iNOS and NF-κB.
Studies have shown that environmental pollutants can activate cell apoptosis through the NF-κB signaling pathway (Arab-Nozari, et al., 2020; Chen, et al., 2020a). Bcl-2 family of proteins are key regulators of apoptosis, which plays a crucial role in maintaining the homeostasis (Siddiqui, et al., 2015). Among them, the pro-apoptotic proteins Bax and Bak can initiate the caspase cascade reaction, which is the programmed cell death (Edlich, 2018). The caspase cascade can activate the mitochondrial stress pathway (Guo, et al., 2019). When cytochrome c in the mitochondria is released and interacts with Apaf-1, Caspase-9 will be activated and works. Caspase-3 is located downstream of the entire caspase cascade, acting as an effector of the reaction and a target for cell lysis (Fan, et al., 2005). Therefore, in apoptosis caused by common environmental pollutants, the up-regulation of caspase family proteins and the down-regulation of Bcl-2 proteins can be seen (Wang, et al., 2017). Similar results can be discovered in this study (Fig. 8), indicating that CMN and/or SMZ exposure caused cell apoptosis in the gill tissue. We have observed that when SMZ and CMN are used in combination, the degree of change in apoptosis indicators is more pronounced than when used alone. Studies have shown that environmental toxins can also activate cell apoptosis through oxidative stress (Zhang, et al., 2021). It is known that sulfa drugs can induce the production of ROS by accumulating corresponding metabolites, and then activate cell apoptosis and necrosis (Elzagallaai, et al., 2020). These indicate that SMZ may induce apoptosis through oxidative stress. CMN can cause apoptosis and affect the cell cycle through the selective toxicity of enantiomers (Ji, et al., 2021). In summary, the increase in the expression level of apoptosis indicators in the MIX group was accomplished in different ways. Apoptosis caused by CMN and SMZ may be induced through different pathways, and the results are finally presented in the increased apoptosis data.
A large number of studies have proved that pesticides and antibiotics can induce cell apoptosis through the mitochondrial pathway (Javed, et al., 2020; Zhao, et al., 2020a; Zhao, et al., 2020b). The mitochondrial pathway is one of the classic apoptosis pathways. Maintaining the permeability of the mitochondrial membrane requires maintaining the dynamic balance between Bax and Bcl-2 (Zhao, et al., 2018). In this study, the dynamic balance of Bax and Bcl-2 in the combination group was severely disrupted, and Bax/Bcl-2 expression level was 5.02 times that of the control group. In summary, the combined exposure of SMZ and CMN may induce apoptosis by activating the mitochondrial pathway, and after activation, the caspase family executes apoptosis signals. This conclusion is consistent with some reports in the literature (Arslan, et al., 2017).