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Updated: May 26, 2026

Rose Bengal-Mediated Photodynamic Therapy to Inhibit Candida albicans
Published on: March 24, 2022
Photodynamic inactivation for controlling Candida albicans infections
Fernanda Pereira Gonzales1, Tim Maisch
1Department of Dermatology, University Hospital Regensburg, Regensburg, Germany.
Abstract:
Antimicrobial photodynamic therapy (APDT) combines a non-toxic dye, termed photosensitizer, which is activated by visible light of appropriate wavelength which will produce reactive oxygen species (ROS). These ROS will react with cellular components inducing oxidative processes, leading to cell death. A wide range of microorganisms, have already showed susceptibility to APDT. Therefore, this treatment might consist in an alternative for the management of fungal infections that is mainly caused by biofilms, since they respond poorly to conventional antibiotics and may play a role in persistent infections. Biofilms are the leading cause of microbial infections in humans, thus representing a serious problem in health care. Candida albicans is the main type of fungi able to form biofilms, which cause superficial skin and mucous membrane infections as well as deep-seated mycoses, particularly in immunocompromised patients. In these patients, invasive infections are often associated with high morbidity and mortality. Furthermore, the increase in antifungal resistance has decreased the efficacy of conventional therapies. Treatments are time-consuming and thus demanding on health care budgets. Additionally, current antifungal drugs only have a limited spectrum of action and toxicity. The use of APDT as an antimicrobial topical agent against superficial and cutaneous diseases represents an effective method for eliminating microorganisms.
Insights
Antimicrobial photodynamic therapy (APDT) offers a novel approach to combat fungal infections, particularly those caused by biofilms. This light-activated therapy generates reactive oxygen species (ROS) to effectively kill microorganisms.
Area of Science:
- Microbiology
- Biochemistry
- Photomedicine
Background:
- Biofilms are a major cause of persistent microbial infections, notoriously resistant to conventional antibiotics.
- Candida albicans biofilms cause significant superficial and invasive mycoses, especially in immunocompromised individuals.
- Rising antifungal resistance and drug limitations necessitate alternative therapeutic strategies.
Purpose of the Study:
- To explore the potential of Antimicrobial Photodynamic Therapy (APDT) as an alternative treatment for fungal infections.
- To investigate APDT's efficacy against biofilms, particularly those formed by Candida albicans.
- To address the limitations of current antifungal therapies, including resistance, toxicity, and narrow spectrum of action.
Main Methods:
- APDT utilizes a photosensitizer dye activated by visible light to produce reactive oxygen species (ROS).
- ROS induce oxidative stress, leading to microbial cell death.
- The study evaluates APDT's susceptibility across a range of microorganisms, with a focus on fungal biofilms.
Main Results:
- APDT has demonstrated susceptibility in a wide array of microorganisms.
- The therapy effectively targets microbial cellular components through ROS-induced oxidative processes.
- APDT shows promise as a topical antimicrobial agent for superficial and cutaneous diseases.
Conclusions:
- Antimicrobial photodynamic therapy presents a viable alternative for managing fungal infections, especially those involving biofilms.
- APDT offers an effective method for eliminating microorganisms, addressing limitations of current antifungal treatments.
- This therapy holds potential for treating superficial and cutaneous fungal diseases, improving patient outcomes.
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