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Updated: Jan 21, 2026

Rose Bengal-Mediated Photodynamic Therapy to Inhibit Candida albicans
Published on: March 24, 2022
In vitro photodynamic inactivation effects of hypocrellin B on azole-sensitive and resistant Candida albicans
Asif Jan1, Chengcheng Liu1, Hong Deng2
1Department of Pathogenic Microbiology & Immunology, School of Basic Medical Sciences, Xi'an Jiaotong University Health Science Center, 76 West Yanta Road, Xi'an, 710061, PR China.
Background And Aim:
The extensive use of antifungal drugs has led to resistance from Candida albicans. The search for alternative treatment against drug-resistant C. albicans is highly desirable. Antimicrobial photodynamic therapy (aPDT) is an emerging and promising approach for treating localized and superficial C. albicans infections. The aim of this study was to investigate the photodynamic inactivation (PDI) effects of hypocrellin B (HB) on azole-sensitive and resistant C. albicans in vitro.
Methods:
The PDI efficacies of HB on standard C. albicans strain (ATCC 10231), azole-sensitive clinical isolate of C. albicans, and azole-resistant clinical isolate of C. albicans were assessed. The uptake of HB in C. albicans cells was investigated by confocal laser scanning microscopy (CLSM). The PDI effects on cellular structure and surface characteristics were investigated by transmission electron microscopy (TEM) and scanning electron microscopy (SEM).
Results:
HB exhibited no significant dark toxicity, but inactivated the azole-sensitive and resistant C. albicans in a light-dose and PS concentration-dependent manner. CLSM images indicated that PDI treated C. albicans cells showed stronger fluorescence compared to untreated cells. TEM images suggested that significant damage to the cell wall, membrane, and cytoplasm were induced by HB-mediated PDI. SEM analysis revealed that the surface of C. albicans cells became twisted and ruptured after PDI treatment.
Conclusions:
Azole-sensitive and resistant C. albicans could be effectively inactivated by HB in the presence of light, and HB-mediated aPDT shows promise as an antifungal treatment for C. albicans.
Insights
Hypocrellin B (HB) effectively inactivated azole-sensitive and resistant Candida albicans using antimicrobial photodynamic therapy (aPDT). This light-activated treatment shows promise for combating drug-resistant fungal infections.
Area of Science:
- Microbiology
- Photochemistry
- Medical Mycology
Background:
- Antifungal drug resistance in Candida albicans necessitates novel therapeutic strategies.
- Antimicrobial photodynamic therapy (aPDT) offers a promising alternative for localized C. albicans infections.
Purpose of the Study:
- To evaluate the photodynamic inactivation (PDI) efficacy of hypocrellin B (HB) against azole-sensitive and resistant Candida albicans strains in vitro.
Main Methods:
- Assessed PDI efficacy of HB on standard, azole-sensitive, and azole-resistant C. albicans.
- Investigated HB uptake using confocal laser scanning microscopy (CLSM).
- Examined cellular damage via transmission electron microscopy (TEM) and scanning electron microscopy (SEM).
Main Results:
- HB demonstrated no dark toxicity but inactivated C. albicans in a light-dose and photosensitizer concentration-dependent manner.
- PDI treatment induced significant damage to C. albicans cell walls, membranes, and cytoplasm.
- SEM revealed cell surface twisting and rupture following HB-mediated PDI.
Conclusions:
- Hypocrellin B effectively inactivates both azole-sensitive and resistant C. albicans in the presence of light.
- HB-mediated aPDT presents a potential new antifungal treatment for C. albicans infections.
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