Antimicrobial photodynamic therapy reduces gene expression of Candida albicans in biofilms

Cláudia Carolina Jordão1, Tábata Viana de Sousa1, Marlise Inêz Klein1

  • 1Department of Dental Materials and Prosthodontics, School of Dentistry at Araraquara, Univ Estadual Paulista - UNESP, Rua Humaitá, 1680, 14801-903, Araraquara, SP, Brazil.

Insights

Antimicrobial photodynamic therapy (aPDT) using Photodithazine® (PDZ) or Curcumin (CUR) reduced the expression of key Candida albicans genes. This aPDT approach effectively down-regulates genes involved in adhesion, biofilm formation, and oxidative stress response.

Area of Science:

  • Microbiology
  • Biochemistry
  • Photomedicine

Background:

  • Candida albicans is an opportunistic fungal pathogen known for its ability to form biofilms and cause persistent infections.
  • Antimicrobial photodynamic therapy (aPDT) is a promising alternative to conventional antimicrobial treatments, utilizing photosensitizers and light to generate reactive oxygen species.
  • Understanding the molecular mechanisms of aPDT, particularly its impact on fungal gene expression, is crucial for optimizing its therapeutic efficacy.

Purpose of the Study:

  • To investigate the effect of aPDT-induced oxidative stress on the expression of specific Candida albicans genes.
  • To evaluate the influence of different photosensitizing agents (Photodithazine® and Curcumin) and light doses on gene expression.
  • To assess changes in genes related to adhesion (ALS1, HWP1) and oxidative stress response (CAP1, CAT1, SOD1).

Main Methods:

  • aPDT was administered using Photodithazine® (PDZ) or Curcumin (CUR) at varying concentrations combined with LED light.
  • Gene expression levels were quantified using Reverse Transcription-Quantitative Polymerase Chain Reaction (RT-qPCR).
  • Statistical analysis was performed using Analysis of Variance (ANOVA) and Tukey's post-test.

Main Results:

  • aPDT with PDZ (200 mg/L) or CUR (80 μM) significantly reduced the expression of ALS1, HWP1, CAP1, CAT1, and SOD1 genes.
  • Lower concentrations of PDZ (100 mg/L) and CUR (40 μM) with specific light doses also led to down-regulation of several target genes.
  • LED light alone, without photosensitizers, also induced a reduction in the expression of ALS1, CAP1, CAT1, and SOD1 genes.

Conclusions:

  • aPDT mediated by LED-activated PDZ and CUR effectively reduces the expression of key virulence-associated genes in Candida albicans.
  • The study demonstrates that aPDT can modulate fungal gene expression, offering a potential strategy to combat C. albicans infections.
  • These findings support the potential of aPDT as an adjunctive therapy for managing Candida infections by targeting essential fungal pathways.