PMID- 35423227 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20231108 IS - 2046-2069 (Electronic) IS - 2046-2069 (Linking) VI - 11 IP - 13 DP - 2021 Feb 10 TI - Photosensitizer-loaded hydrogels for photodynamic inactivation of multirestistant bacteria in wounds. PG - 7600-7609 LID - 10.1039/d0ra09786a [doi] AB - Photodynamic treatment is a promising tool for the therapy of multidrug-resistant bacteria. In this study, we highlight photosensitizer-loaded hydrogels as an application system for infected wounds. The poly(ethylene glycol) diacrylate-based and electron beam-polymerized hydrogels were mechanically stable and transparent. They were loaded with two photoactive, porphyrin-based drugs - tetrakis(1 methylpyridinium-4-yl)porphyrin p-toluenesulfonate (TMPyP) and tetrahydroporphyrin - p toluenesulfonate (THPTS). The hydrogels released a sufficient amount of the photosensitizers (up to 300 mumol l(-1)), relevant for efficiency. The antimicrobial effectivity of loaded hydrogels was investigated in a tissue-like system as well as in a liquid system against a multiresistant Escherichia coli. In both systems, light induced eradication was possible. In contrast, hydrogels alone showed only minor antimicrobial activity. Furthermore, the loaded hydrogels were successfully tested against seven multidrug-resistant bacterial strains, namely Enterococcus faecium, Staphylococcus aureus, Klebsiella pneumonia, Acinetobacter baumannii, Pseudomonas aeruginosa, Escherichia coli and Achromobacter xylosoxidans. The eradication of these pathogens, except A. xylosoxidans, was successfully demonstrated. In general, TMPyP-loaded hydrogels were more effective than THPTS-loaded ones. Nevertheless, both photosensitizers displayed effectivity against all investigated bacteria strains. Taken together, our data demonstrate that photosensitizer-loaded hydrogels are a promising new tool to improve the treatment of wounds infected with problematic bacterial pathogens. CI - This journal is (c) The Royal Society of Chemistry. FAU - Glass, Sarah AU - Glass S AD - Leibniz Institute of Surface Engineering (IOM) Permoserstrasse 15 D-04318 Leipzig Germany agnes.schulze@iom-leipzig.de. FAU - Kuhnert, Mathias AU - Kuhnert M AD - Leibniz Institute of Surface Engineering (IOM) Permoserstrasse 15 D-04318 Leipzig Germany agnes.schulze@iom-leipzig.de. FAU - Lippmann, Norman AU - Lippmann N AD - Institute of Medical Microbiology and Epidemiology of Infectious Diseases, University Hospital Leipzig Liebigstrasse 21 D-04103 Leipzig Germany. FAU - Zimmer, Joanne AU - Zimmer J AUID- ORCID: 0000-0001-7298-4625 AD - Leibniz Institute of Surface Engineering (IOM) Permoserstrasse 15 D-04318 Leipzig Germany agnes.schulze@iom-leipzig.de. FAU - Werdehausen, Robert AU - Werdehausen R AD - Department of Anesthesiology and Intensive Care Medicine, University Hospital Leipzig Liebigstrasse 20 D-04103 Leipzig Germany. FAU - Abel, Bernd AU - Abel B AUID- ORCID: 0000-0001-6032-1680 AD - Leibniz Institute of Surface Engineering (IOM) Permoserstrasse 15 D-04318 Leipzig Germany agnes.schulze@iom-leipzig.de. FAU - Eulenburg, Volker AU - Eulenburg V AUID- ORCID: 0000-0002-4878-5746 AD - Department of Anesthesiology and Intensive Care Medicine, University Hospital Leipzig Liebigstrasse 20 D-04103 Leipzig Germany. FAU - Schulze, Agnes AU - Schulze A AUID- ORCID: 0000-0003-1316-1367 AD - Leibniz Institute of Surface Engineering (IOM) Permoserstrasse 15 D-04318 Leipzig Germany agnes.schulze@iom-leipzig.de. LA - eng PT - Journal Article DEP - 20210217 PL - England TA - RSC Adv JT - RSC advances JID - 101581657 PMC - PMC8694937 COIS- There are no conflicts to declare. EDAT- 2021/02/17 00:00 MHDA- 2021/02/17 00:01 PMCR- 2021/02/17 CRDT- 2022/04/15 05:25 PHST- 2020/11/18 00:00 [received] PHST- 2021/02/10 00:00 [accepted] PHST- 2022/04/15 05:25 [entrez] PHST- 2021/02/17 00:00 [pubmed] PHST- 2021/02/17 00:01 [medline] PHST- 2021/02/17 00:00 [pmc-release] AID - d0ra09786a [pii] AID - 10.1039/d0ra09786a [doi] PST - epublish SO - RSC Adv. 2021 Feb 17;11(13):7600-7609. doi: 10.1039/d0ra09786a. eCollection 2021 Feb 10.