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2015 ; 16
(9
): 20417-30
Nephropedia Template TP
gab.com Text
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English Wikipedia
Photodynamic and Antibiotic Therapy in Combination to Fight Biofilms and
Resistant Surface Bacterial Infections
#MMPMID26343645
Barra F
; Roscetto E
; Soriano AA
; Vollaro A
; Postiglione I
; Pierantoni GM
; Palumbo G
; Catania MR
Int J Mol Sci
2015[Aug]; 16
(9
): 20417-30
PMID26343645
show ga
Although photodynamic therapy (PDT), a therapeutic approach that involves a
photosensitizer, light and O?, has been principally considered for the treatment
of specific types of cancers, other applications exist, including the treatment
of infections. Unfortunately, PDT does not always guarantee full success since it
exerts lethal effects only in cells that have taken up a sufficient amount of
photosensitizer and have been exposed to adequate light doses, conditions that
are not always achieved. Based on our previous experience on the combination
PDT/chemotherapy, we have explored the possibility of fighting bacteria that
commonly crowd infected surfaces by combining PDT with an antibiotic, which
normally does not harm the strain at low concentrations. To this purpose, we
employed 5-aminolevulinic acid (5-ALA), a pro-drug that, once absorbed by
proliferating bacteria, is converted into the natural photosensitizer
Protoporphyrin IX (PpIX), followed by Gentamicin. Photoactivation generates
reactive oxygen species (ROS) which damage or kill the cell, while Gentamicin,
even at low doses, ends the work. Our experiments, in combination, have been
highly successful against biofilms produced by several Gram positive bacteria
(i.e., Staphylococcus aureus, Staphylococcus epidermidis, etc.). This original
approach points to potentially new and wide applications in the therapy of
infections of superficial wounds and sores.