{"title":"Extracorporeal near-infrared-activated antimicrobial photodynamic therapy for pneumonia using an ICG-polymer formulation.","authors":"Lorraine Gabriele Fiuza, Isabelle Almeida de Lima, Fernanda Alves, Michelle Barreto Requena, Vadila Giovana Guerra, Layla Pires, Cristina Kurachi, Natalia Mayumi Inada, Vanderlei Salvador Bagnato","doi":"10.1117/1.BIOS.3.3.035002","DOIUrl":null,"url":null,"abstract":"<p><strong>Significance: </strong>Pneumonia remains a global health challenge, exacerbated by antimicrobial resistance, which limits the effectiveness of conventional treatments. Antimicrobial photodynamic therapy (aPDT) has emerged as a promising alternative for lower respiratory infections; however, its <i>in vivo</i> performance is hindered by lung surfactant, which traps photosensitizers and reduces their ability to reach bacterial targets.</p><p><strong>Aim: </strong>To address this limitation, recent studies demonstrated that combining indocyanine green (ICG) with the polymer Gantrez AN-139 enhances photodynamic activity even in the presence of lung surfactants.</p><p><strong>Approach: </strong>We assessed the therapeutic potential of this formulation in a murine pneumonia model using pulmonary delivery followed by 808 nm infrared irradiation.</p><p><strong>Results: </strong>Nebulization of <math><mrow><mn>200</mn> <mtext> </mtext> <mi>μ</mi> <mi>M</mi></mrow> </math> ICG with 4% Gantrez AN-139 and irradiation at <math><mrow><mn>120</mn> <mtext> </mtext> <mi>J</mi> <mo>/</mo> <msup><mi>cm</mi> <mn>2</mn></msup> </mrow> </math> yielded the best results, reducing bacterial load by up to <math><mrow><mn>3</mn> <mtext> </mtext> <msub><mrow><mi>log</mi></mrow> <mrow><mn>10</mn></mrow> </msub> </mrow> </math> and improving survival to 80%, compared with 40% in controls.</p><p><strong>Conclusion: </strong>These findings validate the formulation and the procedure for further animal studies.</p>","PeriodicalId":519981,"journal":{"name":"Biophotonics discovery","volume":"3 3","pages":"035002"},"PeriodicalIF":0.0000,"publicationDate":"2026-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13557454/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Biophotonics discovery","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1117/1.BIOS.3.3.035002","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2026/7/1 0:00:00","PubModel":"eCollection","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
Significance: Pneumonia remains a global health challenge, exacerbated by antimicrobial resistance, which limits the effectiveness of conventional treatments. Antimicrobial photodynamic therapy (aPDT) has emerged as a promising alternative for lower respiratory infections; however, its in vivo performance is hindered by lung surfactant, which traps photosensitizers and reduces their ability to reach bacterial targets.
Aim: To address this limitation, recent studies demonstrated that combining indocyanine green (ICG) with the polymer Gantrez AN-139 enhances photodynamic activity even in the presence of lung surfactants.
Approach: We assessed the therapeutic potential of this formulation in a murine pneumonia model using pulmonary delivery followed by 808 nm infrared irradiation.
Results: Nebulization of ICG with 4% Gantrez AN-139 and irradiation at yielded the best results, reducing bacterial load by up to and improving survival to 80%, compared with 40% in controls.
Conclusion: These findings validate the formulation and the procedure for further animal studies.