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 language | English |
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Pages (from-to) | 569-575 |
Number of pages | 7 |
Journal | Photobiomodulation, Photomedicine, and Laser Surgery |
Volume | 41 |
Issue number | 10 |
DOIs | |
Publication status | Published - 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