In vitro study: methylene blue-based antibacterial photodynamic inactivation of Pseudomonas aeruginosa

Laiq Zada1,2, Shahzad Anwar3, Sana Imtiaz2

  • 1Applied Environmental and Geo-Microbiology Lab, Department of Microbiology, Quaid-i-Azam University, Islamabad, 45320, Pakistan.

Insights

Methylene blue combined with a 635-nm diode laser shows potent antibacterial effects against drug-resistant Pseudomonas aeruginosa. This photodynamic therapy offers a promising alternative to antibiotics for treating severe skin infections.

Area of Science:

  • Photomedicine
  • Antimicrobial photodynamic therapy (aPDT)
  • Bacteriology

Background:

  • Pseudomonas aeruginosa is a highly antibiotic-resistant opportunistic pathogen causing severe skin infections, particularly in immunocompromised individuals.
  • Current treatments for P. aeruginosa infections are challenged by the pathogen's extensive drug resistance.
  • Novel therapeutic strategies are urgently needed to combat multidrug-resistant bacterial infections.

Purpose of the Study:

  • To evaluate the in vitro antibacterial activity of methylene blue (MB) combined with a 635-nm diode laser against Pseudomonas aeruginosa.
  • To determine optimal power and energy densities of the 635-nm diode laser for effective P. aeruginosa inhibition.
  • To assess the photodynamic inactivation of P. aeruginosa using MB and laser irradiation.

Main Methods:

  • In vitro susceptibility testing of P. aeruginosa to various concentrations of methylene blue and 635-nm diode laser irradiation (250 mW/cm² and 300 mW/cm²).
  • Quantification of bacterial viability using colony-forming unit (CFU)/ml counts.
  • Assessment of bacterial elimination via fluorescence spectroscopy, optical density measurements, and confocal microscopy.

Main Results:

  • Significant reductions in P. aeruginosa CFU/ml were observed with increasing energy densities, reaching up to 4.32-log₁₀ at 90-108 J/cm² with 300 mW/cm² irradiation.
  • Methylene blue-induced photodynamic therapy (aPDT) demonstrated superior bacterial elimination compared to MB or laser light alone.
  • Fluorescence imaging confirmed effective bacterial photo-destruction and elimination.

Conclusions:

  • Methylene blue-mediated aPDT is a highly effective strategy for inhibiting antibiotic-resistant Pseudomonas aeruginosa in vitro.
  • This approach presents a viable alternative to conventional antibiotics for treating challenging bacterial skin infections.
  • Further research into aPDT could lead to new treatments for multidrug-resistant pathogens.

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