Potential of photodynamic therapy in treatment of fungal infections of the mouth. Design and characterisation of a mucoadhesive patch containing toluidine blue O

Donnelly, Ryan F.; McCarron, Paul A.; Tunney, Michael; Woolfson, A. David

doi:10.1016/j.jphotobiol.2006.07.011

Cited by 158 publications

(127 citation statements)

References 37 publications

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“…[17][18][19][20][21][22][23][24] The results of the present investigation demonstrated significant reduction of CFU/mL of C. albicans from tongues of mice after 400, 500, and 1000 mg/L of Photogem associated with LED light (305 J/cm 2 ) (455 and 630 nm). There is only one report describing a dose-dependent photoeradication of C. albicans in an immunodeficient murine model.…”

Section: Discussionsupporting

confidence: 53%

“…20,37 Moreover, on epithelial surfaces C. albicans grows as a biofilm, 38 which is less susceptible to PDT than its planktonic counterpart. 24,28 It has been suggested that incomplete kill of PDT on biofilms might be because of the failure of PS and light penetration into the inner regions of the biofilm. 39,40 Thus, in comparison with these in vitro studies, the higher PS concentrations and light fluence required for photoinactivation in the present investigation may be explained by the physiological responses of C. albicans to the in vivo environment.…”

Section: Discussionmentioning

confidence: 99%

“…are susceptible to photoinactivation. [17][18][19][20][21][22][23][24] Usually, dyes (toluidine blue and methylene blue) and porphyrins are used as PS combined with red laser light. However, light sources with simpler technology and lower cost than lasers, such as light-emitting diodes (LED), have been successfully applied in PDT.…”

mentioning

confidence: 99%

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Susceptibility of Candida albicans to photodynamic therapy in a murine model of oral candidosis

Mima

Pavarina

Dovigo

et al. 2010

Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, an

141

130

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Objective. In vivo studies of antimicrobial PDT in animal models of oral candidosis are scarce and the association of porphyrin and LED light has not been evaluated for in vivo photoinactivation of Candida. In this study the effectiveness of photodynamic therapy (PDT) on the inactivation of Candida albicans in vivo was evaluated. Study design. Seventy-one 6-week-old female Swiss mice were immunosuppressed, provided tetracycline to their drinking water, then orally swabbed with a suspension of C. albicans (10 7 CFU/mL). Four days after oral inoculation, PDT was performed on the dorsum of the tongue after topical administration of Photogem at 400, 500, or 1000 mg/L and followed 30 minutes later by illumination with LED light (305 J/cm 2 ) at 455 or 630 nm (n ϭ 5 each). After swabbing to recover yeast from the tongue, the number of surviving yeast cells was determined (CFU/mL) and analyzed by ANOVA and Holm-Sidak tests (P Ͻ .05). Animals were humanely killed, and the tongues surgically removed and processed for histological evaluation of presence of yeast and inflammatory reaction. Results. PDT resulted in a significant reduction in C. albicans recovered from the tongue (P Ͻ .001) when compared with mice from the positive control group. There was no difference between the concentrations of Photogem and LED light wavelengths used. Histological evaluation of the tongue revealed that PDT causes no significant adverse effects to the local mucosa. Conclusion. PDT promoted significant reduction in the viability of C. albicans biofilm without harming the tongue tissue.

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Section: Discussionsupporting

confidence: 53%

Section: Discussionmentioning

confidence: 99%

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Susceptibility of Candida albicans to photodynamic therapy in a murine model of oral candidosis

Mima

Pavarina

Dovigo

et al. 2010

Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, an

141

130

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“…Although photodynamic therapy (PDT) is currently being applied in cancer cell elimination (Allison & Sibata, 2010;Ericson et al, 2008), more attention has been paid to its application in antimicrobial treatment (Wood et al, 2006;Donnelly et al, 2007;Maisch, 2007). Due to the growing number of antibiotic-resistant micro-organisms, research is focusing on PDT as an alternative chemotherapy modality (Garcez et al, 2010;Kharkwal et al, 2011).…”

Section: Introductionmentioning

confidence: 99%

Antimicrobial photodynamic therapy using visible light plus water-filtered infrared-A (wIRA)

Al‐Ahmad

Tennert

Karygianni

et al. 2013

Journal of Medical Microbiology

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The aim of this study was to investigate the effectiveness of antimicrobial photodynamic therapy (APDT) using visible light together with water-filtered infrared-A (VIS+wIRA) to eradicate single species of planktonic bacteria and micro-organisms during initial oral bacterial colonization in situ. A broadband VIS+wIRA radiator with a water-filtered spectrum in the range 580-1400 nm was used for irradiation. Toluidine blue (TB) was utilized as a photosensitizer at concentrations of 5, 10, 25 and 50 mg ml "1 . The unweighted (absolute) irradiance was 200 mW cm "2 and it was applied for 1 min. Planktonic cultures of Streptococcus mutans and Enterococcus faecalis were treated with APDT. Salivary bacteria harvested by centrifugation of native human saliva were also tested. In addition, initial bacterial colonization of bovine enamel slabs carried in the mouths of six healthy volunteers was treated in the same way. Up to 2 log 10 of S. mutans and E. faecalis were killed by APDT. Salivary bacteria were eliminated to a higher extent of 3.7-5 log 10 . All TB concentrations tested proved to be highly effective. The killing rate of bacteria in the initial oral bacterial colonization was significant (P50.004) at all tested TB concentrations, despite the interindividual variations found among study participants. This study has shown that APDT in combination with TB and VIS+wIRA is a promising method for killing bacteria during initial oral colonization. Taking the healing effects of wIRA on human tissue into consideration, this technique could be helpful in the treatment of peri-implantitis and periodontitis. INTRODUCTIONAlthough photodynamic therapy (PDT) is currently being applied in cancer cell elimination (Allison & Sibata, 2010;Ericson et al., 2008), more attention has been paid to its application in antimicrobial treatment (Wood et al., 2006;Donnelly et al., 2007;Maisch, 2007). Due to the growing number of antibiotic-resistant micro-organisms, research is focusing on PDT as an alternative chemotherapy modality (Garcez et al., 2010;Kharkwal et al., 2011). Since PDT causes damage to different parts of microbial cells and affects different interaction pathways in the micro-organisms, the development of antibiotic resistance against PDT can be excluded (Wainwright et al., 2010).PDT impresses with its excellent target-cell specificity and high efficiency. The photodynamic effect requires a photosensitizer, suitable light and oxygen. The photosensitizer can be transferred to the high-energy triplet state and reacts with oxygen, producing singlet oxygen and other radical species which themselves cause increased target cell damage (Konopka & Goslinski, 2007). The photosensitizer should be non-toxic and show antimicrobial activity only after activation by illumination. In addition it should not be bio-destructible. Light sources used in PDT should produce low-power visible light at a specific wavelength (or range of wavelengths) which itself does not harm human tissues in the absence of the photosensitizer. Additionally, light s...

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“…22,23 PDT represents an alternative antibacterial, antifungal, and antiviral treatment for drug-resistant organisms. [24][25][26][27][28] It is not likely that bacteria would develop a resistance to the cytotoxic action of singlet oxygen or free radicals. 24 PDT might be an excellent alternative to decrease the population of cariogenic microorganisms and to control dental caries.…”

mentioning

confidence: 99%

Photodynamic Effects of Curcumin Against Cariogenic Pathogens

Araújo

Fontana

Bagnato

et al. 2012

Photomedicine and Laser Surgery

101

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Background data: The presence of Streptococcus mutans and Lactobacillus acidophilus in dental structure is an indicator of a cariogenic biofilm. Photodynamic therapy is a technique that involves the activation of photosensitizers by light in the presence of oxygen, resulting in the production of reactive radicals capable of inducing cell death. Reduction of bacteria levels can provide additional means of preventing dental caries. Objective: The present study evaluated the susceptibility of planktonic cultures of S. mutans (ATCC 25175) and L. acidophilus (ATCC-IAL-523) from the Adolfo Lutz Institute (IAL) to photodynamic therapy after sensitization with curcumin and exposure to blue light at 450 nm. Methods: Bacterial suspensions of S. mutans and L. acidophilus isolated (as single species) and combined (multspecies) were prepared and then evaluated. Four different groups were analyzed: L-D-(control group), L-D + (drug group), L + D-(light group), and L + D + (photodynamic therapy group). Two different concentrations of curcumin were tested (0.75 and 1.5 g/L) associated with a 5.7 J/cm 2 light emission diode. Results: Significant decreases ( p < 0.05) in the viability of S. mutans were only observed when the bacterial suspensions were exposed to both curcumin and light. Then, reductions in viability of up to 99.99% were observed when using 1.5 g/L of the photosensitizer. The susceptibility of L. acidophilus was considerably lower (21% and 37.6%) for both curcumin concentrations. Conclusions: Photodynamic therapy was found to be effective in reducing S. mutans and L. acidophilus on planktonic cultures. No significant reduction was found for L-D + , proving the absence of dark toxicity of the drug.

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Potential of photodynamic therapy in treatment of fungal infections of the mouth. Design and characterisation of a mucoadhesive patch containing toluidine blue O

Cited by 158 publications

References 37 publications

Susceptibility of Candida albicans to photodynamic therapy in a murine model of oral candidosis

Susceptibility of Candida albicans to photodynamic therapy in a murine model of oral candidosis

Antimicrobial photodynamic therapy using visible light plus water-filtered infrared-A (wIRA)

Photodynamic Effects of Curcumin Against Cariogenic Pathogens

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