Zhou You, Deng Wenmin, Mo Mulan, Luo Dexu, Liu Houhe, Jiang Yuan, Chen Wenjie, Xu Chuanshan
Key Laboratory of Molecular Target & Clinical Pharmacology and the State & National Medical Products Administration Key Laboratory of Respiratory Disease, School of Pharmaceutical Sciences, The Fifth Affiliated Hospital, Guangzhou Medical University, Guangzhou, China.
Department of Clinical Pharmacy, The People's Hospital of Dianbai District, Maoming, China.
Front Med (Lausanne). 2021 Sep 13;8:729300. doi: 10.3389/fmed.2021.729300. eCollection 2021.
Bacterial infections are common diseases causing tremendous deaths in clinical settings. It has been a big challenge to human beings because of the antibiotics abuse and the newly emerging microbes. Photodynamic therapy (PDT) is a reactive oxygen species-based therapeutic technique through light-activated photosensitizer (PS). Recent studies have highlighted the potential of PDT as an alternative method of antibacterial treatment for its broad applicability and high efficiency. However, there are some shortcomings due to the low selectivity and specificity of PS. Growing evidence has shown that drug delivery nanoplatforms have unique advantages in enhancing therapeutic efficacy of drugs. Particularly, stimuli-responsive nanoplatforms, as a promising delivery system, provide great opportunities for the effective delivery of PS. In the present mini-review, we briefly introduced the unique microenvironment in bacterial infection tissues and the application of PDT on bacterial infections. Then we review the stimuli-responsive nanoplatforms (including pH-, enzymes-, redox-, magnetic-, and electric-) used in PDT against bacterial infections. Lastly, some perspectives have also been proposed to further promote the future developments of antibacterial PDT.
细菌感染是临床环境中导致大量死亡的常见疾病。由于抗生素滥用和新出现的微生物,它一直是人类面临的一大挑战。光动力疗法(PDT)是一种基于活性氧的治疗技术,通过光激活光敏剂(PS)发挥作用。最近的研究强调了PDT作为一种抗菌治疗替代方法的潜力,因为它具有广泛的适用性和高效率。然而,由于光敏剂的低选择性和特异性,存在一些缺点。越来越多的证据表明,药物递送纳米平台在提高药物治疗效果方面具有独特优势。特别是,刺激响应性纳米平台作为一种有前途的递送系统,为光敏剂的有效递送提供了巨大机遇。在本综述中,我们简要介绍了细菌感染组织中的独特微环境以及光动力疗法在细菌感染中的应用。然后,我们综述了用于光动力疗法对抗细菌感染的刺激响应性纳米平台(包括pH、酶、氧化还原、磁性和电响应性纳米平台)。最后,还提出了一些观点,以进一步推动抗菌光动力疗法的未来发展。