Photodynamic inactivation of KPC-producing Klebsiella pneumoniae difficult-to-treat resistance (DTR) by a cationic porphyrin

IF 3.9 2区 生物学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY
Alysson Benite de Freitas , Hanstter Hallison Alves Rezende , Guilherme Rocha Lino de Souza , Pablo José Gonçalves
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引用次数: 0

Abstract

The global rise of difficult-to-treat resistance (DTR) bacteria, such as Klebsiella pneumoniae carbapenemase-producing Klebsiella pneumoniae (KPC-Kp), poses a critical challenge in controlling infections and curbing the spread of antimicrobial resistance genes. Antimicrobial photodynamic inactivation (aPDI) offers a promising alternative to traditional antimicrobials by effectively targeting extensively drug-resistant pathogens and mitigating antimicrobial resistance. This study investigated the in vitro photodynamic efficacy of the cationic porphyrin 5,10,15,20-tetrakis(1-methylpyridinium-4-yl)porphyrin (TMPyP) against planktonic cultures of KPC-Kp. The minimum effective concentration (MEC) of TMPyP for significant photodynamic activity was determined to be 0.8 μM under an irradiance of 314 ± 11 mW/cm2, delivering a total light dose of 189 J/cm2. At the same concentration, bacterial suspensions exposed to a lower irradiance of 107 ± 7 mW/cm2 achieved a > 99.997 % reduction in viability with a lethal light dose of 51.4 J/cm2. Scanning electron microscopy (SEM) revealed oxidative damage to the bacterial cell wall induced by aPDI. Hemolysis assays confirmed the safety of TMPyP, with no significant cytotoxicity or photocytotoxicity observed, and a selectivity index (SI) greater than 8, indicating a favorable therapeutic window. These findings underscore the potential of TMPyP-based aPDI as a therapeutic strategy to combat KPC-Kp infections. Further studies are warranted to explore its clinical applications and optimize treatment protocols for DTR bacterial infections.
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来源期刊
CiteScore
12.10
自引率
1.90%
发文量
161
审稿时长
37 days
期刊介绍: The Journal of Photochemistry and Photobiology B: Biology provides a forum for the publication of papers relating to the various aspects of photobiology, as well as a means for communication in this multidisciplinary field. The scope includes: - Bioluminescence - Chronobiology - DNA repair - Environmental photobiology - Nanotechnology in photobiology - Photocarcinogenesis - Photochemistry of biomolecules - Photodynamic therapy - Photomedicine - Photomorphogenesis - Photomovement - Photoreception - Photosensitization - Photosynthesis - Phototechnology - Spectroscopy of biological systems - UV and visible radiation effects and vision.
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