ACS Infectious Diseases · 2020 · 45 citations · 57 references
Life SciencesInfectious DiseasesMicrobiologyAntimicrobial ResistanceBiophotonicsMedical MicrobiologyAntibacterial ResistanceAntibiotic ResistanceAntimicrobial BiomaterialsBacterial BiofilmsNanomedicinePhotodynamic TherapyAntibacterial NanomaterialsAntimicrobial NanomaterialsAntimicrobial Photodynamic TherapyDrug-resistant PathogensMultidrug-resistant OrganismsMultidrug-resistant PathogensPhotodynamic Antimicrobial TherapyPolymer Nanoparticles
Photodynamic inactivation (PDI) protocols using photoactive metallated porphyrin-doped conjugated polymer nanoparticles (CPNs) and blue light were developed to eliminate multidrug-resistant pathogens. CPNs-PDI protocols using varying particle concentrations and irradiation doses were tested against nine pathogenic bacterial strains including antibiotic-resistant bacteria of the ESKAPE (Enterococcus faecium, Staphylococcus aureus, Klebsiella pneumoniae, Acinetobacter baumannii, Pseudomonas aeruginosa, and Enterobacter species) pathogens group. The bactericidal effect was achieved in methicillin-resistant Staphylococus aureus (S. aureus) strains using low light doses (9.6–14.4 J/cm2), while Gram-negative bacteria required a higher light dose (28.8 J/cm2). The bacteria–CPN interaction was studied through flow cytometry, taking advantage of the intrinsic CPN fluorescence, demonstrating that CPNs efficiently bind to the bacterial envelope. Finally, the performance of CPNs-PDI was explored in biofilms; good antibiofilm ability and almost complete eradication were observed for S. aureus and Escherichia coli biofilms, respectively, using confocal microscopy. Overall, we demonstrated that CPNs-PDI is an efficient tool not only to kill superbugs as sessile cells but also to disrupt and eradicate biofilms of highly relevant pathogenic bacterial species.
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