Journal of Primeasia
Integrative Disciplinary Research | Online ISSN 3064-9870 | Print ISSN 3069-4353
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Journal of Primeasia

Volume 6 Number 1 2025

Article Contents

RESEARCH ARTICLE   (Open Access)
Contents Vol 6 (1)

Integrating Clinical Data and Molecular Profiling to Predict Antibiotic-Induced Anaphylaxis: A Comparative Study of Ceftriaxone and Meropenem

Md. Robiul Islam1*, Most Farhana Akter1, Md Abu Bakar Siddique2, Tufael3, Amena Khatun Manica4

+ Author Affiliations

Journal of Primeasia 6 (1) 1-11 https://doi.org/10.25163/primeasia.6110446

Submitted: 31 August 2025 Revised: 15 November 2025  Published: 22 November 2025 

Abstract

Background: Antibiotic-associated allergies and anaphylaxis remain a major yet preventable threat in modern medicine, often linked to inappropriate prescribing or overuse. Among β-lactam antibiotics, Ceftriaxone has been frequently reported as a leading cause of severe allergic reactions, but the underlying molecular risk factors are still poorly understood.

Objective: This study aimed to identify antibiotic-related medication errors and elucidate molecular interactions contributing to hypersensitivity, focusing on Ceftriaxone and Meropenem.

Methods: Clinical pharmacovigilance data were retrieved from the WHO VigiBase to identify antibiotics most commonly associated with anaphylaxis. Molecular docking was performed using AutoDock Vina (PyRx 0.8) to evaluate drug interactions with the IL4Rα receptor, a key mediator of allergic immune responses. Pharmacokinetic and toxicity profiles were assessed via SwissADME and ProTox-II, while protein–ligand stability was examined using iMODS.

Results: Ceftriaxone demonstrated a stronger binding affinity (-8.2 kcal/mol) to IL4Rα compared to Meropenem (-6.2 kcal/mol), forming multiple stabilizing hydrogen bonds and π-sulfur interactions. Despite its potent interaction, Ceftriaxone exhibited high polarity and poor oral bioavailability, which may influence its systemic allergenic potential. Both drugs were predicted to have low toxicity risks, and iMODS analysis confirmed complex stability. Overall, integrating clinical and molecular analyses provides valuable insight into antibiotic-induced hypersensitivity mechanisms.

Conclusion: These findings support the potential use of IL4Rα molecular profiling as a predictive tool for identifying allergy-prone antibiotics, enabling safer, precision-based prescribing.

Keywords: Antibiotic allergy, Ceftriaxone, Meropenem, IL4Rα, Molecular docking

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