Phenalen-1-one-Mediated Antimicrobial Photodynamic Therapy: Antimicrobial Efficacy in a Periodontal Biofilm Model and Flow Cytometric Evaluation of Cytoplasmic Membrane Damage.
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Cieplik F
Department of Conservative Dentistry and Periodontology, University Medical Center Regensburg, Regensburg, Germany.
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Steinwachs VS
Department of Conservative Dentistry and Periodontology, University Medical Center Regensburg, Regensburg, Germany.
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Muehler D
Department of Conservative Dentistry and Periodontology, University Medical Center Regensburg, Regensburg, Germany.
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Hiller KA
Department of Conservative Dentistry and Periodontology, University Medical Center Regensburg, Regensburg, Germany.
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Thurnheer T
Division of Oral Microbiology and Immunology, Clinic of Preventive Dentistry, Periodontology and Cariology, Center of Dental Medicine, University of Zurich, Zurich, Switzerland.
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Belibasakis GN
Division of Oral Diseases, Department of Dental Medicine, Karolinska Institutet, Solna, Sweden.
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Buchalla W
Department of Conservative Dentistry and Periodontology, University Medical Center Regensburg, Regensburg, Germany.
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Maisch T
Department of Dermatology, University Medical Center Regensburg, Regensburg, Germany.
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Published in:
- Frontiers in microbiology. - 2018
English
In light of increasing resistance toward conventional antibiotics and antiseptics, antimicrobial photodynamic therapy (aPDT) may be a valuable alternative, especially for use in dentistry. In this regard, photosensitizers (PS) based on a phenalen-1-one structure seem to be especially favorable due to their high singlet oxygen quantum yield. However, the actual target structures of phenalen-1-one-mediated aPDT are still unclear. The aim of the present study was to investigate the antimicrobial efficacy of aPDT mediated by phenalen-1-one derivatives SAPYR and SAGUA for inactivation of a polymicrobial biofilm consisting of three putative periodontal pathogens in vitro and to get first insights in the mechanism of action of phenalen-1-one-mediated aPDT by assessing damage of cytoplasmic membranes. aPDT with SAPYR exhibited identical antimicrobial efficacy as compared to chlorhexidine (CHX) [4.4-6.1 log10 reduction of colony forming units (CFUs) depending on bacterial species] while aPDT with SAGUA was less effective (2.0-2.8 log10). Flow cytometric analysis combined with propidium iodide (PI) staining revealed no damage of cytoplasmic membranes after aPDT with both phenalen-1-one derivatives, which was confirmed by spectroscopic measurements for release of nucleic acids after treatment. Spectrophotometric PS-uptake measurements showed no uptake of SAPYR by bacterial cells. Despite the inability to pinpoint the actual target of phenalen-1-one-mediated aPDT, this study shows the high antimicrobial potential of phenalen-1-on mediated aPDT (especially when using SAPYR) and represents a first step for getting insights in the mechanism and damage patterns of aPDT with this class of PS.
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Open access status
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gold
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https://sonar.ch/global/documents/195291
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