Candida albicans BIOFILM DEVELOPMENT IN VITRO FOR PHOTODYNAMIC THERAPY STUDY / Desenvolvimento de biofilme formado por Candida albicans in vitro para estudo do efeito fotodinâmico

AUTOR(ES)
DATA DE PUBLICAÇÃO

2009

RESUMO

Photodynamic therapy (PDT) is a phototherapy based on the use of a photosensitizer (PS) in the presence of low intensity light with resonant wavelength of absorption of the PS and biological systems that can raise awareness, generating reactive oxygen species. Studies show that PDT has a lethal effect on Candida albicans. The biofilm formed by C. albicans is the cause of infections associated with medical devices such as catheters, with a proven resistance to antifungal agents, and the removal of the catheter colonized almost always is necessary. However, few studies in literature report the behavior and response of biofilm organized by C. albicans against PDT. The aims of this study were to develop a methodology for in vitro biofilm formation of C. albicans, evaluate the sensitivity of the biofilm of C. albicans to antimicrobial photodynamic therapy using PS as the methylene blue (MB) and hypocrellin B: La+3 (HBLa+3) and analyze the biofilm by Optical Coherence Tomography (OCT). For biofilm formation, discs were made from elastomeric silicone catheters. The PS were dissolved in solution of PBS, and the MB had two different concentrations tested in the biofilm: 100M and 1mM; HBLa+3 only one of 10M. The irradiation of both dyes with the microorganism was done by two different LEDs, one with red emission at = 630nm ± 20nm and the other one blue emission at = 460nm ± 30nm. We performed a curve of survival fraction versus time of irradiation of each sample with biofilm and suspension of the microorganism in the yeast form to verify the susceptibility of the front PDT. The yeast showed 100% reduction using both PS, but at different times of irradiation (30s to HBLa+3 and 6 min for the MB at 100M). When the therapy was applied in biofilm, the MB 100M did not show any significant reduction, while at concentration of 1mM was reduced by 100% after 6 min of irradiation. The HBLa+3 biofilm group showed a lower reduction in the concentration of 10M in biofilm (less than 1 log reduction). OCT was performed for visualization and measurement of the thickness of the biofilm formed. The composition of the extracellular matrix of the biofilm polymer hindered the diffusion of PS inside, requiring higher concentrations of MB to disseminate it and to obtain satisfactory reduction for PDT. HBLa+3 group, in higher concentration, formed aggregates difficulting its use for PDT. We conclude that the organism C. albicans was organized in biofilms in a standardized way using elastomeric discs from catheters and the OCT showed that the biofilm measured 110m at thickness, showing an optical change when subjected to the PDT with MB 1mM.

ASSUNTO(S)

biofilme oct. biofilme candida candida pdt pdt oct.

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