# An immune-mediated effect of the antibiotic cefiderocol on LPS-induced acute lung injury

**Authors:** Min Hao, Ying Li, Yingmin Bi, Shuang Liu, Mohan Ju

PMC · DOI: 10.1128/aac.01634-25 · Antimicrobial Agents and Chemotherapy · 2026-02-18

## TL;DR

This study shows that the antibiotic cefiderocol can reduce lung injury caused by inflammation and cell death, acting like a protective agent in a mouse model.

## Contribution

The novel contribution is the discovery of cefiderocol's immune-modulatory and anti-ferroptotic effects in acute lung injury.

## Key findings

- Cefiderocol pretreatment reduced lung tissue damage and pro-inflammatory cytokines in LPS-induced ALI.
- The drug's protective effect was comparable to ferrostatin-1, a known ferroptosis inhibitor.
- Cefiderocol's efficacy suggests a role in modulating ferroptosis and inflammation in lung injury.

## Abstract

This study examines the immune-modulatory effects of cefiderocol in a murine model of lipopolysaccharide (LPS)-induced acute lung injury (ALI). Cefiderocol pretreatment significantly reduced lung tissue damage, lowered pro-inflammatory cytokines, and decreased ferroptosis markers. Its protective effect was comparable to that of the ferroptosis inhibitor ferrostatin-1, while cefepime showed limited efficacy. These findings suggest that cefiderocol has an immuno-mediated role in LPS-induced ALI, potentially by modulating ferroptosis and inflammation, warranting further investigation for sepsis-related complications.

This study examines the immune-modulatory effects of cefiderocol in a murine model of LPS-induced acute lung injury (ALI). Cefiderocol pretreatment significantly reduced lung tissue damage, lowered pro-inflammatory cytokines, and decreased ferroptosis markers. Its protective effect was comparable to that of the ferroptosis inhibitor ferrostatin-1, while cefepime showed limited efficacy. These findings suggest that cefiderocol has an immuno-mediated role in LPS-induced ALI, potentially by modulating ferroptosis and inflammation, warranting further investigation for sepsis-related complications.

## Linked entities

- **Chemicals:** cefiderocol (PubChem CID 77843966), ferrostatin-1 (PubChem CID 4068248), cefepime (PubChem CID 5479537)
- **Diseases:** acute lung injury (MONDO:0006502)

## Full-text entities

- **Diseases:** sepsis (MESH:D018805), inflammation (MESH:D007249), ALI (MESH:D055371), lung tissue damage (MESH:D055370)
- **Chemicals:** LPS (MESH:D008070), ferrostatin-1 (MESH:C573944), Cefiderocol (MESH:C000612166), cefepime (MESH:D000077723)
- **Species:** Mus musculus (house mouse, species) [taxon 10090]

## Full text

_Full body text omitted from this summary view._ Fetch the complete paper as Markdown: https://tomesphere.com/paper/PMC13041387/full.md

## Figures

1 figure with captions in the complete paper: https://tomesphere.com/paper/PMC13041387/full.md

## References

17 references — full list in the complete paper: https://tomesphere.com/paper/PMC13041387/full.md

---
Source: https://tomesphere.com/paper/PMC13041387