Department of Dermatology, Nanfang Hospital, Southern Medical University, 1838 North Avenue, Guangzhou, 510515, China.
Division of Infectious Diseases, Rhode Island Hospital, Warren Alpert Medical School of Brown University, Providence, RI, USA.
BMC Microbiol. 2020 Jul 6;20(1):196. doi: 10.1186/s12866-020-01882-9.
New therapeutics are urgently needed for infectious diseases, especially for the fungal infection like Fonsecaea monophora. Photodynamic therapy has been showing antimicrobial activity on some pathogens. The combination of antimicrobial medicines and photodynamic therapy (PDT) might be a practical approach. However, whether the treatment of PDT could do benefits to the host immunity remains poorly documented.
In this study, Galleria mellonella larvae were employed as a model organism to evaluate the activity of PDT, and also to investigate the regulation of humoral immunity by PDT. Photosensitizer 5-aminolevulinic acid (ALA) was applied to the G. mellonella infection model. It was found that ALA-mediated PDT was non-toxic to G. mellonella, and could extend the median survival of infected larvae from 3 days to 5.5 days. We observed that larval hemocytes inhibited the growth of Candida albicans and Staphylococcus aureus, without any contribution by ALA-PDT. Furthermore, the application of ALA-PDT demonstrated the immunomodulation of larval innate immunity as increased hemocyte density counting, cell morphological transformation, and sensitivity to pathogens.
G. mellonella could be considered as a useful model to study the immunoregulation of PDT. This model revealed that ALA-PDT positively defense against infections through inducing humoral immune responses of larvae.
迫切需要针对传染病的新疗法,特别是针对匐枝根霉等真菌感染。光动力疗法已显示出对一些病原体的抗菌活性。抗菌药物与光动力疗法(PDT)的联合应用可能是一种实用的方法。然而,PDT 治疗是否对宿主免疫有益仍缺乏记录。
本研究采用家蚕幼虫作为模型生物来评估 PDT 的活性,并研究 PDT 对体液免疫的调节作用。光敏剂 5-氨基酮戊酸(ALA)被应用于家蚕感染模型。结果表明,ALA 介导的 PDT 对家蚕无毒,可将感染幼虫的中位存活时间从 3 天延长至 5.5 天。我们观察到幼虫血细胞抑制白色念珠菌和金黄色葡萄球菌的生长,而 ALA-PDT 没有任何作用。此外,ALA-PDT 的应用显示了幼虫先天免疫的免疫调节作用,表现为血细胞密度计数增加、细胞形态转化和对病原体的敏感性增加。
家蚕可被视为研究 PDT 免疫调节的有用模型。该模型表明,ALA-PDT 通过诱导幼虫的体液免疫反应,对感染产生积极的防御作用。