4.7 Article

Antimicrobial Blue Light Inactivation of Gram-Negative Pathogens in Biofilms: In Vitro and In Vivo Studies

Journal

JOURNAL OF INFECTIOUS DISEASES
Volume 213, Issue 9, Pages 1380-1387

Publisher

OXFORD UNIV PRESS INC
DOI: 10.1093/infdis/jiw070

Keywords

antimicrobial blue light; biofilm; Pseudomonas aeruginosa; Acinetobacter baumannii; endogenous porphyrins; burn wound; mouse model; bioluminescence imaging; HPLC; TUNEL assay

Funding

  1. Center for Integration of Medicine and Innovative Technology under US Army Medical Research Acquisition Activity [14-1894]
  2. National Institutes of Health [1R21AI109172]
  3. American Society for Laser Medicine and Surgery [BS.S02.15]

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Background. Biofilms affect >80% bacterial infections in human and are usually difficult to eradicate because of their inherent drug resistance. Methods. We investigated the effectiveness of antimicrobial blue light (aBL) (wavelength, 415 nm) for inactivatingAcinetobacter baumannii orPseudomonas aeruginosa biofilms in 96-well microplates or infected mouse burn wounds. Results. In vitro, in 96-well microplates, exposure of 24-hour-old and 72-hour-oldA. baumannii biofilms to 432 J/cm(2) aBL resulted in inactivation of 3.59 log(10) and 3.18 log(10) colony-forming units (CFU), respectively. ForP. aeruginosa biofilms, similar levels of inactivation-3.02 log(10) and 3.12 log(10) CFU, respectively-were achieved. In mouse burn wounds infected with 5 x 10(6) CFU ofA. baumannii, approximately 360 J/cm(2) and 540 J/cm(2) aBL was required to inactivate 3 log(10) CFU in biofilms when delivered 24 and 48 hours, respectively, after bacterial inoculation. High-performance liquid chromatography analysis revealed the presence of endogenous porphyrins in bothA. baumannii andP. aeruginosa. TUNEL assay detected no apoptotic cells in aBL-irradiated mouse skin at up to 24 hours after aBL exposure (540 J/cm(2)). Conclusions. aBL has antimicrobial activity in biofilms ofA. baumannii andP. aeruginosa and is a potential therapeutic approach for biofilm-related infections.

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