Extracorporeal near-infrared-activated antimicrobial photodynamic therapy for pneumonia using an ICG-polymer formulation.

Biophotonics discovery Pub Date : 2026-08-13 eCollection Date: 2026-07-01 DOI:10.1117/1.BIOS.3.3.035002
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
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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 200    μ M ICG with 4% Gantrez AN-139 and irradiation at 120    J / cm 2 yielded the best results, reducing bacterial load by up to 3   log 10 and improving survival to 80%, compared with 40% in controls.

Conclusion: These findings validate the formulation and the procedure for further animal studies.

体外近红外激活抗菌光动力治疗肺炎使用icg聚合物配方。
意义:肺炎仍然是一项全球健康挑战,抗菌素耐药性限制了常规治疗的有效性,加剧了这一挑战。抗菌光动力疗法(aPDT)已成为下呼吸道感染的一种有希望的替代疗法;然而,其在体内的表现受到肺表面活性剂的阻碍,它会捕获光敏剂并降低其到达细菌目标的能力。目的:为了解决这一限制,最近的研究表明,将吲哚菁绿(ICG)与聚合物Gantrez AN-139结合,即使在肺表面活性剂存在的情况下,也能增强光动力活性。方法:我们评估了该制剂在小鼠肺炎模型中的治疗潜力,采用肺给药后808 nm红外照射。结果:2% Gantrez AN-139的200 μ M ICG雾化和120 J / cm2的辐照效果最好,细菌负荷减少高达3 log 10,存活率提高到80%,而对照组为40%。结论:这些发现验证了配方和进一步动物实验的程序。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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