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Comparison of the effect of ethanol and potassium iodide in antibacterial photodynamic therapy on gram negative pathogens

Year 2021, Volume: 7 Issue: 4, 348 - 355, 04.07.2021
https://doi.org/10.18621/eurj.736340

Abstract

Objectives: Antibiotics is the most common treatment for bacterial infections. However, bacteria can change their genetic material, develop antibiotic resistance and cannot be treated. This brings the need for new treatment methods. Antibacterial Photodynamic Therapy is becoming a promising approach to treat bacterial infections. It is based on the use of photosensitizer to be activated by light with an appropriate wavelength and it will result in reactive oxygen species which are responsible for the destruction of pathogens. In this study, Antibacterial Photodynamic Therapy was examined for the treatment of Pseudomonas aeruginosa with the help of ethanol and potassium iodide.


Methods: The effect of Chlorin e6-based photoinactivation was studied on Multidrug resistant P. aeruginosa upon irradiation with 655-nm diode laser. Then ethanol and potassium iodide was added to the mechanism separately to increase the efficacy of photoinactivation. After each application, serial dilution method was used for the determination of viable cells.


Results:
Outcomes showed that only Antibacterial Photodynamic Therapy causes a mortality rate of 75%. Addition of ethanol causes a mortality rate of 93% and addition of potassium iodide causes a mortality rate of 99.9% with less amount of Chlorin e6 and light dose.


Conclusions:
Chlorin-e6 based photoinactivation did not provide high mortality rate on P. aeruginosa. The use of ethanol and potassium iodide increased the effect of photoinactivation. The highest mortality rate was obtained with potassium iodide. It was understood that potassium iodide was a better concomitant agent to increase the bactericidal effect of Antibacterial Photodynamic Therapy on P. aeruginosa.

Supporting Institution

İzmir Katip Çelebi University Scientific Research Projects

Project Number

2015-ÖNP-MÜMF-0017

Thanks

The authors thank Nesrin Horzum Polat, Fatma İbiş and Nur Çobanoğlu for their help and valuable opinions.

References

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  • 2. Blair JM, Webber MA, Baylay AJ, Ogbolu DO, Piddock LJ. Molecular mechanisms of antibiotic resistance. Nat Rev Microbiol 2015;13:42-51.
  • 3. Park JH, Moon YH, Bang IS, Kim YC, Kim SA, Ahn SG, et al. Antimicrobial effect of photodynamic therapy using a highly pure chlorin e6. Lasers Med Sci 2010;25:705-10.
  • 4. Liu Y, Qin R, Zaat SA, Breukink E, Heger M. Antibacterial photodynamic therapy: overview of a promising approach to fight antibiotic-resistant bacterial infections. J Clin Transl Sci 2015;1:140.
  • 5. Nagata JY, Hioka N, Kimura E, Batistela VR, Terada RSS, Graciano AX, et al. Antibacterial photodynamic therapy for dental caries: evaluation of the photosensitizers used and light source properties. Photodiagnosis Photodyn Ther 2012;9:122-31.
  • 6. Sies H. Oxidative stress: a concept in redox biology and medicine. Redox Biol 2015;4:180-3.
  • 7. Repetto M, Boveris A, Semprine J. Lipid peroxidation: chemical mechanism, biological implications and analytical determination. In: Lipid Peroxidation, Catala A, ed. IntechOpen 2012;1:3-30.
  • 8. Kostenich GA, Zhuravkin IN, Zhavrid EA. Experimental grounds for using chlorin ρ6 in the photodynamic therapy of malignant tumors. J Photochem Photobiol B 1994;22:211-7.
  • 9. Ryu AR, Wang YY, Lee MY. Differential protein expression associated with photodynamic therapy using chlorin e6. Mol Cell Toxicol 2014;10:423-31.
  • 10. Park H, Na K. Conjugation of the photosensitizer Chlorin e6 to pluronic F127 for enhanced cellular internalization for photodynamic therapy. Biomaterials 2013;34:6992-7000.
  • 11. Topaloğlu Avşar N, Bakay E, Kolkıran A. Photodynamic action of chlorin e6 against methicillin resistant staphylococcus aureus with the aid of ethanol. Arch Clin Exp Med 2020;5:100-5.
  • 12. Niemz MH. Laser-Tissue Interactions: Fundamentals and Applications. Springer International Publishing, Berlin, 2019:15-18.
  • 13. Topaloglu N, Özdemir M, Çevik ZBY. Comparative analysis of the light parameters of red and near-infrared diode lasers to induce photobiomodulation on fibroblasts and keratinocytes: an in vitro study. Photodermatol Photoimmunol Photomed 2021;37:253-62.
  • 14. Chatterjee I, Somerville GA, Heilmann C, Sahl HG, Maurer HH, Herrmann M. Very low ethanol concentrations affect the viability and growth recovery in poststationary-phase Staphylococcus aureus populations. Appl Environ Microbiol 2006;72:2627-36.
  • 15. George S, Kishen A. Photophysical, photochemical, and photobiological characterization of methylene blue formulations for light-activated root canal disinfection. J Biomed Opt 2007;12:034029.
  • 16. Vecchio D, Gupta A, Huang L, Landi G, Avci P, Rodas A, et al. Bacterial photodynamic inactivation mediated by methylene blue and red light is enhanced by synergistic effect of potassium iodide. Antimicrob Agents Chemother 2015;59:5203-12.
  • 17. Wen X, Zhang X, Szewczyk G, El-Hussein A, Huang YY, Sarna T, et al. Potassium iodide potentiates antimicrobial photodynamic inactivation mediated by rose bengal in in vitro and in vivo studies. Antimicrob Agents Chemother 2017;61:e00467-17.
  • 18. Huang L, Szewczyk G, Sarna T, Hamblin MR. Potassium iodide potentiates broad-spectrum antimicrobial photodynamic inactivation using Photofrin. ACS Infect Dis 2017;3:320-8.
  • 19. Huang L, El-Hussein A, Xuan W, Hamblin MR. Potentiation by potassium iodide reveals that the anionic porphyrin TPPS4 is a surprisingly effective photosensitizer for antimicrobial photodynamic inactivation. J Photochem Photobiol B 2018;178:277-86.
  • 20. Ghaffari S, Sarp ASK, Ruhi MK, Gulsoy M. A comparative analysis of aPDI effect of phenothiazinium dyes in presence of inorganic salt as potentiator. Proc. SPIE 10479, Light-Based Diagnosis and Treatment of Infectious Diseases, 2018:1047914.
  • 21. Sperandio F, Huang YY, Hamblin MR. Antimicrobial photodynamic therapy to kill Gram-negative bacteria. Recent Pat Antiinfect Drug Discov 2013;8:108-20.
  • 22. Topaloglu N, Gulsoy M, Yuksel S. Antimicrobial photodynamic therapy of resistant bacterial strains by indocyanine green and 809-nm diode laser. Photomed Laser Surg 2013;31:155-62.
  • 23. Topaloglu N, Guney M, Aysan N, Gulsoy M, Yuksel S. The role of reactive oxygen species in the antibacterial photodynamic treatment: photoinactivation vs proliferation. Lett Appl Microbiol 2016;62:230-6.
  • 24. George S, Kishen A. Advanced noninvasive light-activated disinfection: assessment of cytotoxicity on fibroblast versus antimicrobial activity against Enterococcus faecalis. J Endod 2007;33:599-602.
  • 25. Malik Z, Hanania J, Nitzan Y. New trends in photobiology bactericidal effects of photoactivated porphyrins--An alternative approach to antimicrobial drugs. J Photochem Photobiol B 1990;5:281-93.
  • 26. Nitzan Y, Gutterman M, Malik Z, Ehrenberg B. Inactivation of gram‐negative bacteria by photosensitized porphyrins. Photochem Photobiol 1992;55:89-96.
  • 27. Malik Z, Ladan H, Nitzan Y. Photodynamic inactivation of gram-negative bacteria: problems and possible solutions. J Photochem Photobiol B 1992;14:262-6.
  • 28. Hancock RE. The bacterial outer membrane as a drug barrier. Trends Microbiol 1997;5:37-42.
  • 29. Prochnow EP, Martins MR, Campagnolo CB, Santos RC, Villetti MA, Kantorski KZ. Antimicrobial photodynamic effect of phenothiazinic photosensitizers in formulations with ethanol on Pseudomonas aeruginosa biofilms. Photodiagnosis Photodyn Ther 2016;13:291-6.
  • 30. McDonnell G, Russell AD. Antiseptics and disinfectants: activity, action, and resistance. Clin Microbiol Rev 1999;12:147-79.
  • 31. Costa RO, Macedo PMD, Carvalhal A, Bernardes-Engemann AR. Use of potassium iodide in dermatology: updates on an old drug. An Bras Dermatol 2013;88:396-402.
  • 32. Agazzi ML, Ballatore MB, Reynoso E, Quiroga, ED, Durantini EN. Synthesis, spectroscopic properties and photodynamic activity of two cationic BODIPY derivatives with application in the photoinactivation of microorganisms. Eur J Med Chem 2017;126:110-21.
  • 33. Zhang Y, Dai T, Wang M, Vecchio D, Chiang LY, Hamblin MR. Potentiation of antimicrobial photodynamic inactivation mediated by a cationic fullerene by added iodide: in vitro and in vivo studies. Nanomedicine 2015;10:603-14.
Year 2021, Volume: 7 Issue: 4, 348 - 355, 04.07.2021
https://doi.org/10.18621/eurj.736340

Abstract

Project Number

2015-ÖNP-MÜMF-0017

References

  • 1. Dhar AD. Overview of Bacterial Skin Infections. Merck Manual available at: www.merckmanuals.com/home/skin-disorders/bacterial-skin-infections/overview-of-bacterial-skin-infections. Accessed July 20, 2018.
  • 2. Blair JM, Webber MA, Baylay AJ, Ogbolu DO, Piddock LJ. Molecular mechanisms of antibiotic resistance. Nat Rev Microbiol 2015;13:42-51.
  • 3. Park JH, Moon YH, Bang IS, Kim YC, Kim SA, Ahn SG, et al. Antimicrobial effect of photodynamic therapy using a highly pure chlorin e6. Lasers Med Sci 2010;25:705-10.
  • 4. Liu Y, Qin R, Zaat SA, Breukink E, Heger M. Antibacterial photodynamic therapy: overview of a promising approach to fight antibiotic-resistant bacterial infections. J Clin Transl Sci 2015;1:140.
  • 5. Nagata JY, Hioka N, Kimura E, Batistela VR, Terada RSS, Graciano AX, et al. Antibacterial photodynamic therapy for dental caries: evaluation of the photosensitizers used and light source properties. Photodiagnosis Photodyn Ther 2012;9:122-31.
  • 6. Sies H. Oxidative stress: a concept in redox biology and medicine. Redox Biol 2015;4:180-3.
  • 7. Repetto M, Boveris A, Semprine J. Lipid peroxidation: chemical mechanism, biological implications and analytical determination. In: Lipid Peroxidation, Catala A, ed. IntechOpen 2012;1:3-30.
  • 8. Kostenich GA, Zhuravkin IN, Zhavrid EA. Experimental grounds for using chlorin ρ6 in the photodynamic therapy of malignant tumors. J Photochem Photobiol B 1994;22:211-7.
  • 9. Ryu AR, Wang YY, Lee MY. Differential protein expression associated with photodynamic therapy using chlorin e6. Mol Cell Toxicol 2014;10:423-31.
  • 10. Park H, Na K. Conjugation of the photosensitizer Chlorin e6 to pluronic F127 for enhanced cellular internalization for photodynamic therapy. Biomaterials 2013;34:6992-7000.
  • 11. Topaloğlu Avşar N, Bakay E, Kolkıran A. Photodynamic action of chlorin e6 against methicillin resistant staphylococcus aureus with the aid of ethanol. Arch Clin Exp Med 2020;5:100-5.
  • 12. Niemz MH. Laser-Tissue Interactions: Fundamentals and Applications. Springer International Publishing, Berlin, 2019:15-18.
  • 13. Topaloglu N, Özdemir M, Çevik ZBY. Comparative analysis of the light parameters of red and near-infrared diode lasers to induce photobiomodulation on fibroblasts and keratinocytes: an in vitro study. Photodermatol Photoimmunol Photomed 2021;37:253-62.
  • 14. Chatterjee I, Somerville GA, Heilmann C, Sahl HG, Maurer HH, Herrmann M. Very low ethanol concentrations affect the viability and growth recovery in poststationary-phase Staphylococcus aureus populations. Appl Environ Microbiol 2006;72:2627-36.
  • 15. George S, Kishen A. Photophysical, photochemical, and photobiological characterization of methylene blue formulations for light-activated root canal disinfection. J Biomed Opt 2007;12:034029.
  • 16. Vecchio D, Gupta A, Huang L, Landi G, Avci P, Rodas A, et al. Bacterial photodynamic inactivation mediated by methylene blue and red light is enhanced by synergistic effect of potassium iodide. Antimicrob Agents Chemother 2015;59:5203-12.
  • 17. Wen X, Zhang X, Szewczyk G, El-Hussein A, Huang YY, Sarna T, et al. Potassium iodide potentiates antimicrobial photodynamic inactivation mediated by rose bengal in in vitro and in vivo studies. Antimicrob Agents Chemother 2017;61:e00467-17.
  • 18. Huang L, Szewczyk G, Sarna T, Hamblin MR. Potassium iodide potentiates broad-spectrum antimicrobial photodynamic inactivation using Photofrin. ACS Infect Dis 2017;3:320-8.
  • 19. Huang L, El-Hussein A, Xuan W, Hamblin MR. Potentiation by potassium iodide reveals that the anionic porphyrin TPPS4 is a surprisingly effective photosensitizer for antimicrobial photodynamic inactivation. J Photochem Photobiol B 2018;178:277-86.
  • 20. Ghaffari S, Sarp ASK, Ruhi MK, Gulsoy M. A comparative analysis of aPDI effect of phenothiazinium dyes in presence of inorganic salt as potentiator. Proc. SPIE 10479, Light-Based Diagnosis and Treatment of Infectious Diseases, 2018:1047914.
  • 21. Sperandio F, Huang YY, Hamblin MR. Antimicrobial photodynamic therapy to kill Gram-negative bacteria. Recent Pat Antiinfect Drug Discov 2013;8:108-20.
  • 22. Topaloglu N, Gulsoy M, Yuksel S. Antimicrobial photodynamic therapy of resistant bacterial strains by indocyanine green and 809-nm diode laser. Photomed Laser Surg 2013;31:155-62.
  • 23. Topaloglu N, Guney M, Aysan N, Gulsoy M, Yuksel S. The role of reactive oxygen species in the antibacterial photodynamic treatment: photoinactivation vs proliferation. Lett Appl Microbiol 2016;62:230-6.
  • 24. George S, Kishen A. Advanced noninvasive light-activated disinfection: assessment of cytotoxicity on fibroblast versus antimicrobial activity against Enterococcus faecalis. J Endod 2007;33:599-602.
  • 25. Malik Z, Hanania J, Nitzan Y. New trends in photobiology bactericidal effects of photoactivated porphyrins--An alternative approach to antimicrobial drugs. J Photochem Photobiol B 1990;5:281-93.
  • 26. Nitzan Y, Gutterman M, Malik Z, Ehrenberg B. Inactivation of gram‐negative bacteria by photosensitized porphyrins. Photochem Photobiol 1992;55:89-96.
  • 27. Malik Z, Ladan H, Nitzan Y. Photodynamic inactivation of gram-negative bacteria: problems and possible solutions. J Photochem Photobiol B 1992;14:262-6.
  • 28. Hancock RE. The bacterial outer membrane as a drug barrier. Trends Microbiol 1997;5:37-42.
  • 29. Prochnow EP, Martins MR, Campagnolo CB, Santos RC, Villetti MA, Kantorski KZ. Antimicrobial photodynamic effect of phenothiazinic photosensitizers in formulations with ethanol on Pseudomonas aeruginosa biofilms. Photodiagnosis Photodyn Ther 2016;13:291-6.
  • 30. McDonnell G, Russell AD. Antiseptics and disinfectants: activity, action, and resistance. Clin Microbiol Rev 1999;12:147-79.
  • 31. Costa RO, Macedo PMD, Carvalhal A, Bernardes-Engemann AR. Use of potassium iodide in dermatology: updates on an old drug. An Bras Dermatol 2013;88:396-402.
  • 32. Agazzi ML, Ballatore MB, Reynoso E, Quiroga, ED, Durantini EN. Synthesis, spectroscopic properties and photodynamic activity of two cationic BODIPY derivatives with application in the photoinactivation of microorganisms. Eur J Med Chem 2017;126:110-21.
  • 33. Zhang Y, Dai T, Wang M, Vecchio D, Chiang LY, Hamblin MR. Potentiation of antimicrobial photodynamic inactivation mediated by a cationic fullerene by added iodide: in vitro and in vivo studies. Nanomedicine 2015;10:603-14.
There are 33 citations in total.

Details

Primary Language English
Subjects Infectious Diseases, Medical Microbiology
Journal Section Original Articles
Authors

Nermin Topaloğlu Avşar 0000-0001-7001-8327

Melike Çağan 0000-0002-0616-6488

Emel Bakay This is me 0000-0002-3042-810X

Aziz Kolkıran 0000-0002-7440-5428

Project Number 2015-ÖNP-MÜMF-0017
Publication Date July 4, 2021
Submission Date May 15, 2020
Acceptance Date March 24, 2021
Published in Issue Year 2021 Volume: 7 Issue: 4

Cite

AMA Topaloğlu Avşar N, Çağan M, Bakay E, Kolkıran A. Comparison of the effect of ethanol and potassium iodide in antibacterial photodynamic therapy on gram negative pathogens. Eur Res J. July 2021;7(4):348-355. doi:10.18621/eurj.736340

e-ISSN: 2149-3189 


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