Application of photodynamic therapy with led and methylene blue in streptococcus mutans in the presence of glucose- in vitro study

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2017
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Lasers in Surgery and Medicine
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Background: Streptococcus mutans is a microorganism associated with tooth decay; many genes that express adhesion, biofilm formation, extracellular polysaccharide, carbohydrate uptake and acid tolerance regulate its cariogenic properties. S. mutans inhabits a complex biofilm and it produces a large amount of exopolysaccharides to promote adhesion and enabling transport pumps. Photodynamic therapy involves the use of a photosensitizer (PS), which is absorbed by specific cells followed by irradiation with visible light, resulting in cell death. The aim of this study was to investigate antimicrobial photodynamic therapy on Streptococcus mutans in the presence of glucose. Study: Streptococcus mutans was grown in brain heart infusion (BHI) at 37 8C for 48 h. Inocula were prepared with pure colonies, which were suspended in phosphate buffered saline (PBS) with and without 50mM glucose. One-hundred micromolar methylene blue was used as photosensitizer and the experiments were performed with groups (control, irradiated with LED, FS without irradiation, and PDT 30, 60, and 120 s). Colony form units were counted and statistically analyzed (oneway ANOVA and Tukey 5%). Results: The irradiation as well as the photosensitizer in the dark did not cause cell death. In contrast, in experiments without glucose, PDT caused cell death proportional the amount of light used. The more light, the higher the inactivation of S. mutans and after 2 min a reduction of 7 orders of magnitude (100%) was observed. In experiments with glucose cell death was observed even increasing the radiant exposure. Conclusion: We concluded that PDT is a viable solution for inactivation of S. mutans in suspension, and that the presence of glucose activates efflux pumps in the bacterial cell wall, and it drastically reduces the effect of PDT.

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LEAL, CINTIA; ALVARENGA, LETICIA; SILVA, TAMIRES; BUSSADORI, SANDRA; KATO, ILKA; RIBEIRO, MARTHA; PRATES, RENATO. Application of photodynamic therapy with led and methylene blue in streptococcus mutans in the presence of glucose- in vitro study. Lasers in Surgery and Medicine, v. 49, n. S28, p. 47-47, 2017. DOI: 10.1002/lsm.22650. Disponível em: http://repositorio.ipen.br/handle/123456789/27823. Acesso em: 24 Apr 2024.
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