Department of Photonics Engineering, Technical University of Denmark, Frederiksborgvej 399, DK-4000, Roskilde, Denmark.
Cariology and Endodontics, Department of Odontology, Faculty of Health and Medical Sciences, University of Copenhagen, Nørre Allé 20, DK-2200, Copenhagen N, Denmark.
Sci Rep. 2018 Nov 5;8(1):16360. doi: 10.1038/s41598-018-34340-8.
The overuse of antibiotics is accelerating the bacterial resistance, and therefore there is a need to reduce the amount of antibiotics used for treatment. Here, we demonstrate in vitro that specific wavelengths in a narrow range around 296 nm are able to eradicate bacteria in the biofilm state (grown for 24 hours) more effectively, than antibiotics and the combination of irradiation and antibiotics is even better, introducing a novel concept light assisted antibiotics. The investigated wavelength range was 249 nm to 338 nm with an approximate step of 5 nm. The novel concept that consists of a UV irradiation treatment followed by a tobramycin treatment can significantly reduce the amount of antibiotics needed for eradicating mature bacterial biofilms. The efficiency of the proposed light assisted antibiotics method was compared to combinatory antibiotic treatment and highly concentrated antibiotic monotherapy. The eradication efficacies, on mature biofilms, achieved by light assisted antibiotic and by the antibiotic monotherapy at approximately 10-fold higher concentration, were equivalent. The present achievement could motivate the development of light assisted antibiotic treatments for treating infections.
抗生素的过度使用正在加速细菌耐药性的产生,因此需要减少抗生素的使用量。在这里,我们在体外证明了在 296nm 左右的窄范围内的特定波长比抗生素更有效地消灭生物膜状态下的细菌(培养 24 小时),而辐照和抗生素的组合甚至更好,引入了一种新的光辅助抗生素概念。研究的波长范围为 249nm 至 338nm,近似步长为 5nm。由 UV 辐照处理后再进行妥布霉素处理组成的新概念可以显著减少消灭成熟细菌生物膜所需的抗生素用量。将所提出的光辅助抗生素方法的效率与组合抗生素治疗和高浓度抗生素单药治疗进行了比较。在成熟生物膜上,光辅助抗生素和抗生素单药治疗(浓度约高 10 倍)的清除效率相当。这一成就可能会激励开发用于治疗感染的光辅助抗生素治疗方法。