Phenylalanine-Arginine-b-Naphthylamide Enhances the Photobactericidal Effect of Methylene Blue on Pseudomonas aeruginosa

Lixia He, Shanlin Yang, Weijun Xuan, Xiumei Zhen, Qi Qi, Yongqi Qi, Qingxiang Li, Meixia Du, Michael R. Hamblin, Liyi Huang

Research output: Contribution to journalArticlepeer-review

Abstract

Objective: To investigate the effectiveness, dosing sequence, concentration, and mechanism of antimicrobial photodynamic inactivation (aPDI) using methylene blue (MB) plus phenylalanine-arginine-b-naphthylamide (PAbN) against Pseudomonas aeruginosa. Methods: P. aeruginosa bacterial suspension was incubated with MB for different times (5–240 min), and then, 10 J/cm2 red light was irradiated. The efflux pump inhibitor (EPI) PAbN (10–100 lg/mL) was combined with MB (1–20 lM) in different sequences (PAbN-first, PAbN+MB, PAbN-after). Colony-forming units were then determined by serial dilution. Results: Using MB 10 lM plus 10 J/cm2, the killing effect of MB-aPDI on P. aeruginosa increased first and then decreased with longer incubation time. The killing effect of MB+PAbN-aPDI on P. aeruginosa was better than that of MB-aPDI (p < 0.05) by up to 2 logs. PAbN-first had the best killing effect, whereas PAbN-after had the worst killing effect. The killing effect increased with PAbN concentration and at 100 lg/mL reached 5.1 logs. Conclusions: The EPI PAbN enhanced the bactericidal effect of MB-aPDI on P. aeruginosa, especially when added before MB. It is proposed that MB is a substrate of the resistance-nodulation-division family efflux pump.

Original languageEnglish
Pages (from-to)569-575
Number of pages7
JournalPhotobiomodulation, Photomedicine, and Laser Surgery
Volume41
Issue number10
DOIs
Publication statusPublished - 1 Oct 2023

Keywords

  • Pseudomonas aeruginosa
  • antimicrobial photodynamic inactivation
  • efflux pump inhibitor
  • methylene blue
  • phenylalanine-arginine-b-naphthylamide
  • resistance-nodulation-division family efflux pump

ASJC Scopus subject areas

  • Radiology, Nuclear Medicine and Imaging
  • Biomedical Engineering

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