Department of Orthopaedics, Shanghai Key Laboratory for Prevention and Treatment of Bone and Joint Diseases, Shanghai Institute of Traumatology and Orthopaedics, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China.
John A. Paulson School of Engineering and Applied Sciences, Harvard University, Cambridge, Massachusetts 02138, United States.
ACS Nano. 2024 Jun 4;18(22):14085-14122. doi: 10.1021/acsnano.3c12714. Epub 2024 May 22.
Infectious diseases pose a serious threat and a substantial economic burden on global human and public health security, especially with the frequent emergence of multidrug-resistant (MDR) bacteria in clinical settings. In response to this urgent need, various photobased anti-infectious therapies have been reported lately. This Review explores and discusses several photochemical targeted antibacterial therapeutic strategies for addressing bacterial infections regardless of their antibiotic susceptibility. In contrast to conventional photobased therapies, these approaches facilitate precise targeting of pathogenic bacteria and/or infectious microenvironments, effectively minimizing toxicity to mammalian cells and surrounding healthy tissues. The highlighted therapies include photodynamic therapy, photocatalytic therapy, photothermal therapy, endogenous pigments-based photobleaching therapy, and polyphenols-based photo-oxidation therapy. This comprehensive exploration aims to offer updated information to facilitate the development of effective, convenient, safe, and alternative strategies to counter the growing threat of MDR bacteria in the future.
传染病对全球人类和公共卫生安全构成严重威胁和重大经济负担,尤其是临床环境中频繁出现的多药耐药(MDR)细菌。针对这一紧迫需求,最近已经报道了各种基于光的抗感染治疗方法。本综述探讨并讨论了几种光化学靶向抗菌治疗策略,用于解决无论抗生素敏感性如何的细菌感染问题。与传统的基于光的治疗方法相比,这些方法有助于精确靶向致病菌和/或感染微环境,有效降低对哺乳动物细胞和周围健康组织的毒性。强调的治疗方法包括光动力疗法、光催化疗法、光热疗法、内源性色素光漂白疗法和多酚类物质的光氧化疗法。这种全面的探索旨在提供最新信息,以促进开发有效、方便、安全和替代的策略,以应对未来 MDR 细菌日益增长的威胁。