Antimicrobial Resistance: Is There a 'Light' at the End of the Tunnel?

Leon G Leanse1,2, Sanjay Marasini3, Carolina Dos Anjos2

  • 1Health and Sports Sciences Hub, University of Gibraltar, Europa Point Campus, Gibraltar GX11 1AA, Gibraltar.

PubMed

Insights

Antimicrobial resistance (AMR) is a growing global threat. Light-based therapies like antimicrobial photodynamic therapy (aPDT) show promise in combating drug-resistant infections with minimal resistance development.

Area of Science:

  • Microbiology and Infectious Diseases
  • Biomedical Engineering
  • Photomedicine

Background:

  • Rising antimicrobial resistance (AMR) poses a critical global health threat, exacerbated by multidrug-resistant organisms (MDROs).
  • The COVID-19 pandemic has intensified the challenge of MDRO infections, straining healthcare systems worldwide.
  • Light-based therapeutic approaches have a long history of investigation for treating both cancer and infectious diseases.

Purpose of the Study:

  • To elucidate the diverse mechanisms underlying antimicrobial resistance (AMR), encompassing intrinsic, phenotypic, and acquired resistance.
  • To review various light-based therapeutic modalities, including antimicrobial photodynamic therapy (aPDT), antimicrobial blue light (aBL), and ultraviolet (UV) light.
  • To assess the clinical feasibility and integration requirements for light-based therapies as alternatives or adjuncts to conventional antimicrobials.

Main Methods:

  • Comprehensive literature review of antimicrobial resistance mechanisms.
  • Analysis of existing research on light-based therapies (aPDT, aBL, UV light) for antimicrobial applications.
  • Evaluation of clinical translation challenges and requirements for light-based interventions.

Main Results:

  • Light-based approaches demonstrate effective pathogen killing irrespective of AMR status.
  • These therapies are associated with a low propensity for resistance development compared to conventional antibiotics.
  • Various light-based methods offer potential as standalone or complementary treatments against resistant microbes.

Conclusions:

  • Light-based therapies represent a promising strategy to combat the escalating crisis of antimicrobial resistance.
  • Further research and clinical evaluation are necessary to facilitate the integration of aPDT, aBL, and UV light into standard medical practice.
  • These modalities offer a viable path to overcome infections caused by multidrug-resistant organisms (MDROs).

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