Intracellular antimicrobial photodynamic therapy: a novel technique for efficient eradication of pathogenic bacteria

Faina Nakonechny1, Michael A Firer, Yeshayahu Nitzan

  • 1Department of Chemical Engineering and Biotechnology, Ariel University Center of Samaria, Ariel, Israel.

Insights

Chemiluminescent photodynamic antimicrobial therapy (CPAT) uses luminol light to activate photosensitizers, offering a novel approach to combat antibiotic-resistant bacteria, especially for internal infections.

Area of Science:

  • Microbiology
  • Biochemistry
  • Medical Science

Background:

  • Antibiotic resistance is a growing global health threat.
  • Photodynamic antimicrobial chemotherapy (PACT) is an alternative therapy using photosensitizers (PS) activated by light.
  • Limited light penetration restricts PACT to superficial infections.

Purpose of the Study:

  • To explore chemiluminescent photodynamic antimicrobial therapy (CPAT) as a novel antimicrobial approach.
  • To evaluate CPAT's efficacy using luminol-generated light to excite photosensitizers.
  • To compare CPAT with traditional PACT for bacterial inhibition.

Main Methods:

  • Investigated free and liposome-encapsulated photosensitizers (methylene blue, toluidine blue).
  • Excited photosensitizers using either external white light (PACT) or luminol chemiluminescence (CPAT).
  • Assessed the impact on Staphylococcus aureus and Escherichia coli growth.

Main Results:

  • PACT demonstrated slightly superior performance over CPAT for both free and encapsulated PS.
  • CPAT achieved a three-log reduction in Staphylococcus aureus growth.
  • CPAT resulted in a two-log reduction in Escherichia coli growth.

Conclusions:

  • Chemiluminescent photodynamic antimicrobial therapy (CPAT) presents a promising alternative for treating bacterial infections.
  • CPAT may be particularly effective for internal infections inaccessible to conventional PACT.
  • Further research into CPAT could lead to novel antimicrobial strategies against resistant bacteria.

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