European Journal of Medicinal Chemistry, volume 200, pages 112341
Contemporary approaches and future perspectives of antibacterial photodynamic therapy (aPDT) against methicillin-resistant Staphylococcus aureus (MRSA): A systematic review.
Dharmaratne Priyanga
1
,
Sapugahawatte Dulmini Nanayakkara
2
,
Wang Baiyan
3
,
Chan Chung‐Han
4
,
Lau Kit-Man
5
,
Lau Clara
6
,
FUNG KWOK KIN
7, 8
,
Ng Dennis Kp
9
,
Ip Margaret
10, 11
1
School of Biomedical Sciences, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong (SAR), China. Electronic address: priyanga@cuhk.edu.hk.
|
2
Department of Microbiology, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong (SAR), China. Electronic address: dulmini87@hotmail.com.
|
3
School of Biomedical Sciences, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong (SAR), China. Electronic address: tinawang@cuhk.edu.hk.
|
4
Institute of Chinese Medicine and State Key Laboratory of Research on Bioactivities and Clinical Applications of Medicinal Plants, The Chinese University of Hong Kong, China. Electronic address: benchan99@cuhk.edu.hk.
|
5
Institute of Chinese Medicine and State Key Laboratory of Research on Bioactivities and Clinical Applications of Medicinal Plants, The Chinese University of Hong Kong, China. Electronic address: virginialau@cuhk.edu.hk.
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6
Institute of Chinese Medicine and State Key Laboratory of Research on Bioactivities and Clinical Applications of Medicinal Plants, The Chinese University of Hong Kong, China. Electronic address: claralau@cuhk.edu.hk.
|
7
School of Biomedical Sciences, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong (SAR), China
|
9
Department of Chemistry, Faculty of Science, The Chinese University of Hong Kong, Hong Kong (SAR), China
|
10
Department of Microbiology, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong (SAR), China
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Publication type: Journal Article
Publication date: 2020-08-01
Quartile SCImago
Q1
Quartile WOS
Q1
Impact factor: 6.7
ISSN: 02235234, 17683254
Organic Chemistry
Drug Discovery
General Medicine
Pharmacology
Abstract
The high prevalence of methicillin-resistant Staphylococcus aureus (MRSA) causing skin and soft tissue infections in both the community and healthcare settings challenges the limited options of effective antibiotics and motivates the search for alternative therapeutic solutions, such as antibacterial photodynamic therapy (aPDT). While many publications have described the promising anti-bacterial activities of PDT in vitro, its applications in vivo and in the clinic have been very limited. This limited availability may in part be due to variabilities in the selected photosensitizing agents (PS), the variable testing conditions used to examine anti-bacterial activities and their effectiveness in treating MRSA infections. We thus sought to systematically review and examine the evidence from existing studies on aPDT associated with MRSA and to critically appraise its current state of development and areas to be addressed in future studies. In 2018, we developed and registered a review protocol in the International Prospective Register of Systematic Reviews (PROSPERO) with registration No: CRD42018086736. Three bibliographical databases were consulted (PUBMED, MEDLINE, and EMBASE), and a total of 113 studies were included in this systematic review based on our eligibility criteria. Many variables, such as the use of a wide range of solvents, pre-irradiation times, irradiation times, light sources and light doses, have been used in the methods reported by researchers, which significantly affect the inter-study comparability and results. On another note, new approaches of linking immunoglobulin G (IgG), antibodies, efflux pump inhibitors, and bacteriophages with photosensitizers (PSs) and the incorporation of PSs into nano-scale delivery systems exert a direct effect on improving aPDT. Enhanced activities have also been achieved by optimizing the physicochemical properties of the PSs, such as the introduction of highly lipophilic, poly-cationic and site-specific modifications of the compounds. However, few in vivo studies (n = 17) have been conducted to translate aPDT into preclinical studies. We anticipate that further standardization of the experimental conditions and assessing the efficacy in vivo would allow this technology to be further applied in preclinical trials, so that aPDT would develop to become a sustainable, alternative therapeutic option against MRSA infection in the future.
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Dharmaratne P. et al. Contemporary approaches and future perspectives of antibacterial photodynamic therapy (aPDT) against methicillin-resistant Staphylococcus aureus (MRSA): A systematic review. // European Journal of Medicinal Chemistry. 2020. Vol. 200. p. 112341.
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Dharmaratne P., Sapugahawatte D. N., Wang B., Chan C., Lau K., Lau C., FUNG K. K., Ng D. K., Ip M. Contemporary approaches and future perspectives of antibacterial photodynamic therapy (aPDT) against methicillin-resistant Staphylococcus aureus (MRSA): A systematic review. // European Journal of Medicinal Chemistry. 2020. Vol. 200. p. 112341.
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TY - JOUR
DO - 10.1016/j.ejmech.2020.112341
UR - https://doi.org/10.1016%2Fj.ejmech.2020.112341
TI - Contemporary approaches and future perspectives of antibacterial photodynamic therapy (aPDT) against methicillin-resistant Staphylococcus aureus (MRSA): A systematic review.
T2 - European Journal of Medicinal Chemistry
AU - Dharmaratne, Priyanga
AU - Sapugahawatte, Dulmini Nanayakkara
AU - Wang, Baiyan
AU - Chan, Chung‐Han
AU - Lau, Kit-Man
AU - Lau, Clara
AU - FUNG, KWOK KIN
AU - Ng, Dennis Kp
AU - Ip, Margaret
PY - 2020
DA - 2020/08/01 00:00:00
PB - Elsevier
SP - 112341
VL - 200
SN - 0223-5234
SN - 1768-3254
ER -
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@article{2020_Dharmaratne,
author = {Priyanga Dharmaratne and Dulmini Nanayakkara Sapugahawatte and Baiyan Wang and Chung‐Han Chan and Kit-Man Lau and Clara Lau and KWOK KIN FUNG and Dennis Kp Ng and Margaret Ip},
title = {Contemporary approaches and future perspectives of antibacterial photodynamic therapy (aPDT) against methicillin-resistant Staphylococcus aureus (MRSA): A systematic review.},
journal = {European Journal of Medicinal Chemistry},
year = {2020},
volume = {200},
publisher = {Elsevier},
month = {aug},
url = {https://doi.org/10.1016%2Fj.ejmech.2020.112341},
pages = {112341},
doi = {10.1016/j.ejmech.2020.112341}
}