PMID- 24067444 OWN - NLM STAT- MEDLINE DCOM- 20140917 LR - 20240413 IS - 2150-5608 (Electronic) IS - 2150-5594 (Print) IS - 2150-5594 (Linking) VI - 4 IP - 8 DP - 2013 Nov 15 TI - Can biowarfare agents be defeated with light? PG - 796-825 LID - 10.4161/viru.26475 [doi] AB - Biological warfare and bioterrorism is an unpleasant fact of 21st century life. Highly infectious and profoundly virulent diseases may be caused in combat personnel or in civilian populations by the appropriate dissemination of viruses, bacteria, spores, fungi, or toxins. Dissemination may be airborne, waterborne, or by contamination of food or surfaces. Countermeasures may be directed toward destroying or neutralizing the agents outside the body before infection has taken place, by destroying the agents once they have entered the body before the disease has fully developed, or by immunizing susceptible populations against the effects. A range of light-based technologies may have a role to play in biodefense countermeasures. Germicidal UV (UVC) is exceptionally active in destroying a wide range of viruses and microbial cells, and recent data suggests that UVC has high selectivity over host mammalian cells and tissues. Two UVA mediated approaches may also have roles to play; one where UVA is combined with titanium dioxide nanoparticles in a process called photocatalysis, and a second where UVA is combined with psoralens (PUVA) to produce "killed but metabolically active" microbial cells that may be particularly suitable for vaccines. Many microbial cells are surprisingly sensitive to blue light alone, and blue light can effectively destroy bacteria, fungi, and Bacillus spores and can treat wound infections. The combination of photosensitizing dyes such as porphyrins or phenothiaziniums and red light is called photodynamic therapy (PDT) or photoinactivation, and this approach cannot only kill bacteria, spores, and fungi, but also inactivate viruses and toxins. Many reports have highlighted the ability of PDT to treat infections and stimulate the host immune system. Finally pulsed (femtosecond) high power lasers have been used to inactivate pathogens with some degree of selectivity. We have pointed to some of the ways light-based technology may be used to defeat biological warfare in the future. FAU - Vatansever, Fatma AU - Vatansever F AD - Wellman Center for Photomedicine; Massachusetts General Hospital; Boston MA USA; Harvard Medical School; Department of Dermatology; Boston, MA USA. FAU - Ferraresi, Cleber AU - Ferraresi C AD - Wellman Center for Photomedicine; Massachusetts General Hospital; Boston MA USA; Laboratory of Electro-thermo-phototherapy; Department of Physical Therapy; Federal University of Sao Carlos; Sao Paulo, Brazil; Post-Graduation Program in Biotechnology; Federal University of Sao Carlos; Sao Paulo, Brazil; Optics Group; Physics Institute of Sao Carlos; University of Sao Paulo; Sao Carlos, Brazil. FAU - de Sousa, Marcelo Victor Pires AU - de Sousa MV AD - Wellman Center for Photomedicine; Massachusetts General Hospital; Boston MA USA; Laboratory of Radiation Dosimetry and Medical Physics; Institute of Physics, Sao Paulo University, Sao Paulo, Brazil. FAU - Yin, Rui AU - Yin R AD - Wellman Center for Photomedicine; Massachusetts General Hospital; Boston MA USA; Harvard Medical School; Department of Dermatology; Boston, MA USA; Department of Dermatology; Southwest Hospital; Third Military Medical University; Chongqing, PR China. FAU - Rineh, Ardeshir AU - Rineh A AD - Wellman Center for Photomedicine; Massachusetts General Hospital; Boston MA USA; School of Chemistry; University of Wollongong; Wollongong, NSW Australia. FAU - Sharma, Sulbha K AU - Sharma SK AD - Wellman Center for Photomedicine; Massachusetts General Hospital; Boston MA USA; Raja Ramanna Centre for Advanced Technology; Indore, India. FAU - Hamblin, Michael R AU - Hamblin MR AD - Wellman Center for Photomedicine; Massachusetts General Hospital; Boston MA USA; Harvard Medical School; Department of Dermatology; Boston, MA USA; Harvard-MIT Division of Health Sciences and Technology; Cambridge, MA USA. LA - eng GR - R01 AI050875/AI/NIAID NIH HHS/United States GR - R01AI050875/AI/NIAID NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Review DEP - 20130925 PL - United States TA - Virulence JT - Virulence JID - 101531386 RN - 0 (Biological Warfare Agents) RN - 0 (Photosensitizing Agents) RN - 0 (Toxins, Biological) SB - IM MH - Bacteria/*radiation effects MH - *Biological Warfare Agents MH - Fungi/physiology/*radiation effects MH - Humans MH - *Light MH - Microbial Viability/radiation effects MH - Photochemotherapy/methods MH - Photosensitizing Agents/pharmacology/radiation effects MH - Toxins, Biological/*radiation effects/toxicity MH - *Ultraviolet Rays MH - Viruses/*radiation effects PMC - PMC3925713 OTO - NOTNLM OT - UV dosimeters OT - bioterrorism OT - biowarfare OT - blue light inactivation OT - germicidal ultraviolet OT - microbial cells OT - photo inactivation OT - photocatalysis OT - photocatalytic inactivation OT - photodynamic therapy OT - psorales OT - titanium dioxide OT - ultraviolet light EDAT- 2013/09/27 06:00 MHDA- 2014/09/18 06:00 PMCR- 2013/09/25 CRDT- 2013/09/27 06:00 PHST- 2013/09/27 06:00 [entrez] PHST- 2013/09/27 06:00 [pubmed] PHST- 2014/09/18 06:00 [medline] PHST- 2013/09/25 00:00 [pmc-release] AID - 26475 [pii] AID - 2012VIRULENCE0118R [pii] AID - 10.4161/viru.26475 [doi] PST - ppublish SO - Virulence. 2013 Nov 15;4(8):796-825. doi: 10.4161/viru.26475. Epub 2013 Sep 25.