RESUMO
The antimicrobial multidrug resistance (AMR) of pathogenic bacteria towards currently used antibiotics has a remarkable impact on the quality and prolongation of human lives. An effective strategy to fight AMR is the method PhotoDynamic Therapy (PDT). PDT is based on a joint action of a photosensitizer, oxygen, and light within a specific spectrum. This results in the generation of singlet oxygen and other reactive oxygen species that can inactivate the pathogenic cells without further regrowth. This study presents the efficacy of a new Pd(II)- versus Zn(II)-phthalocyanine complexes with peripheral positions of methylpyridiloxy substitution groups (pPdPc and ZnPcMe) towards Gram-negative bacteria Aeromonas hydrophila (A.hydrophila). Zn(II)-phthalocyanine, ZnPcMe was used as a reference compound for in vitro studies, bacause it is well-known with a high photodynamic inactivation ability for different pathogenic microorganisms. The studied new isolates of A.hydrophila were antibiotic-resistant (R) and sensitive (S) strains. The photoinactivation results showed a full effect with 8 µM pPdPc for S strain and with 5 µM ZnPcMe for both R and S strains. Comparison between both new isolates of A.hydrophila (S and R) suggests that the uptakes and more likely photoinactivation efficacy of the applied phthalocyanines are independent of the drug sensitivity of the studied strains.
RESUMO
INTRODUCTION: Photodynamic therapy is a topical treatment of pathogens that involves the use of a photoactive dye (photosensitizer), which is non-toxic when not exposed to light and activated by light of a specific wavelength in the presence of oxygen. The highly cytotoxic oxygen species generated by the induced photophysical processes inactivate the pathogenic cells. The PURPOSE of this study was to present a new method we developed for photodynamic disinfection of prostheses and impressions in prosthetic dentistry and to assess its effectiveness in comparison with some conventional methods of disinfection. MATERIALS AND METHODS: The method was developed on the basis of series of experimental studies (30 experiments for each type of disinfectant, 30 controls with no disinfection for each material, and 30 direct cultures of each test microorganism--MRSA, P. aeruginosa and C. albicans) using standard test specimens made of prosthesis plastic and impression materials. RESULTS: The new method of photodynamic disinfection with GaPc1 as photosensitizer was 100% efficient in C-silicones, A-silicones and polyethers, but not in alginates (40%). To plastics the photodynamic method shows the same efficiency as the conventional disinfectants of hypochlorite solutions and denture cleansing tablets (100% effect). CONCLUSION: The method of photodynamic disinfection we developed is a good therapeutic choice against orally transmitted diseases in prosthetic dentistry.
