Department of Dental Materials and Prosthodontics, São Paulo State University (Unesp), School of Dentistry, Araraquara, Rua Humaitá, 1680, 14801-903, Araraquara, SP, Brazil.
Department of Physiology and Pathology, São Paulo State University (Unesp), School of Dentistry, Araraquara, Rua Humaitá, 1680, 14801-903, Araraquara, SP, Brazil.
Photodiagnosis Photodyn Ther. 2019 Sep;27:402-407. doi: 10.1016/j.pdpdt.2019.06.010. Epub 2019 Jul 5.
Antimicrobial photodynamic therapy (aPDT) has been considered an alternative therapeutic modality for the treatment of Candida infections. However, most studies are focused mainly on microorganism's inactivation efficiency. Here, we evaluated the efficacy of aPDT mediated by chloro-aluminum phthalocyanine encapsulated in cationic nanoemulsions (ClAlP-NE) to treat oral candidiasis in vivo and its effect on the adhesion and biofilm formation of Candida albicans.
For this, mice were immunosuppressed and inoculated with C. albicans to produce oral candidiasis. aPDT and Nystatin were applied for 5 successive sessions. Next, the microbiological evaluation was determined (CFU/ml) and the analyses of virulence factors (adhesion capacity and biofilm formation) were performed. Data were analyzed by Two-way ANOVA (α = 0.05).
aPDT was as effective as Nystatin reducing 1.4 and 2.0 log of the cell viability (p ≤ 0.0001), respectively. Both treatments reduced the adhesion capacity and biofilm formation of C. albicans (p ≤ 0.0001) CONCLUSION: : ClAlP-NE-mediated aPDT was effective in reducing the virulence factors of C. albicans and also to treat induced oral candidiasis in mice.
抗菌光动力疗法(aPDT)已被认为是治疗念珠菌感染的一种替代治疗方法。然而,大多数研究主要集中在微生物的失活动力学上。在这里,我们评估了包裹在阳离子纳米乳液中的氯-铝酞菁介导的 aPDT(ClAlP-NE)在体内治疗口腔念珠菌病及其对白色念珠菌黏附与生物膜形成的影响。
为此,对免疫抑制的小鼠进行接种以产生口腔念珠菌病。应用 aPDT 和制霉菌素进行 5 次连续治疗。然后,对微生物学评估(CFU/ml)和毒力因子(黏附能力和生物膜形成)进行分析。采用双因素方差分析(α=0.05)进行数据分析。
aPDT 与制霉菌素一样有效,分别减少了 1.4 和 2.0 个对数的细胞活力(p≤0.0001)。两种治疗方法均降低了白色念珠菌的黏附能力和生物膜形成(p≤0.0001)。
ClAlP-NE 介导的 aPDT 可有效降低白色念珠菌的毒力因子,还可治疗小鼠诱导的口腔念珠菌病。