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Enzymatic and mechanical disruption before successive photodynamic therapy targets the extracellular matrix of Candida albicans

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Autor(es):
Bellini, Amanda ; Dias, Luana Mendonca ; Abreu-Pereira, Cesar Augusto ; Gorayb-Pereira, Ana Luiza ; Klein, Marlise Inez ; Pavarina, Ana Claudia
Número total de Autores: 6
Tipo de documento: Artigo Científico
Fonte: Photodiagnosis and Photodynamic Therapy; v. 56, p. 13-pg., 2025-12-01.
Resumo

Objective To evaluate whether pretreatment strategies targeting the extracellular matrix (ECM), such as DNase I and low-frequency ultrasound, enhance the efficacy of successive antimicrobial photodynamic therapy (aPDT) against Candida albicans biofilms and to assess the effects on biofilm components. Methods Forty-eight-hour C. albicans (ATCC 90028) biofilms were treated under four conditions: (I) aPDT [Photodithazine (PDZ) (25 mg/L) for 20 min + Light-Emitting Diode (LED) (660 nm, 18 J/cm(2))], (II) DNase+aPDT [5 min with 20 U/mL DNase (Dn) I before aPDT], (III) sonication+aPDT [So, 7 W, 170-190 J before aPDT], (IV) Dn+So+aPDT. Ten successive aPDT applications were performed. Colony-forming units per milliliter (CFU/mL) was assessed after each application. After applications 1, 5, and 10, total and insoluble dry weight, soluble/insoluble proteins, water-soluble polysaccharides (WSP), alkali-soluble polysaccharides (ASP), and extracellular DNA (eDNA) were quantified. Biofilm architecture was analyzed by scanning electron microscopy (SEM). Results All groups showed significant CFU/mL reduction after ten aPDT applications compared to untreated control: aPDT (5.7 log(1)(0)), Dn+aPDT (5.5 log(1)(0)), So+aPDT (5.3 log(1)(0)), Dn+So+aPDT (5.3 log(1)(0)) (p < 0.05). Insoluble proteins decreased after the first application (46%), and soluble proteins after the fifth and tenth (45%; p <= 0.032). WSP and eDNA were significantly reduced (p <= 0.047). No significant differences were observed for total/insoluble dry weight, proteins, and ASP. SEM revealed wall deformities and fewer clusters. Conclusion Successive aPDT applications reduced CFU/mL, WSP, and eDNA in C. albicans biofilms regardless of pretreatment strategy. (AU)

Processo FAPESP: 13/07276-1 - CEPOF - Centro de Pesquisa em Óptica e Fotônica
Beneficiário:Vanderlei Salvador Bagnato
Modalidade de apoio: Auxílio à Pesquisa - Centros de Pesquisa, Inovação e Difusão - CEPIDs
Processo FAPESP: 24/00741-5 - Utilização da Zerumbona para potencializar a inativação fotodinâmica do biofilme de CANDIDA ALBICANS: avaliação em isolados clínicos resistentes ao fluconazol e em modelo murino de candidíase oral
Beneficiário:Ana Cláudia Pavarina
Modalidade de apoio: Auxílio à Pesquisa - Regular