Abstract
Photodynamic therapy (PDT) is a technique that involves the activation of photosensitizers by light in the presence of oxygen, resulting in the production of reactive radicals that are capable of inducing cell death. The present study evaluated the susceptibility of Streptococcus mutans and Lactobacillus acidophilus to PDT grown as multi-species in the biofilm phase versus in dentine carious lesions. A brain-heart infusion culture medium supplemented with 1 % glucose, 2 % sucrose, and 1 % young primary culture of L. acidophilus 108 CFU/mL and S. mutans 108 CFU/mL was used to develop multi-species biofilms and to induce caries on human dentine slabs. Five different concentrations of curcumin (0.75, 1.5, 3.0, 4.0, and 5.0 g/L) were used associated with 5.7 J/cm2 light emission diode. Four different groups were analyzed L−D− (control group), L−D+ (drug group), L+D− (light group), and L+D+ (PDT group). ANOVA/Tukey’s tests were conducted to compare groups. A significant reduction (p <0.05) in cell viability was observed in the biofilm phase following photosensitization with all curcumin concentrations tested. To achieve significant bacterial reduction (p <0.05) in carious dentine, it was necessary to utilize 5.0 g/L of curcumin in association with blue light. No significant reduction was found for L−D+, supporting the absence of the drug’s dark toxicity. S. mutans and L. acidophilus were susceptible to curcumin in the presence of blue light. However, due to light penetration and drug diffusion difficulties, these microorganisms within dentine carious lesions were less affected than they were in the biofilm phase.
Similar content being viewed by others
References
Costerton JW, Stewart PS, Greenberg EP (1999) Bacterial biofilms: a common cause of persistent infections. Science 284:1318–1322
Marsh PD, Bradshaw DJ (1997) Physiological approaches to the control of oral biofilms. Adv Dent Res 11:176–185
Davey ME, O’Toole GA (2000) Microbial biofilms: from ecology to molecular genetics. Microbiol Mol Biol Rev 64:847–867
Svensäter G, Borgström M, Bowden GH, Edwardsson S (2003) The acid-tolerant microbiota associated with plaque from initial caries and healthy tooth surfaces. Caries Res 37:395–403
Zaygorodniy AV, Rohanizadeh R, Swain MV (2008) Ultrastructure of the dentine carious lesions. Arch Oral Biol 53:124–132
Leksell E, Ridell K, Cvek M, Mejáre I (1994) Pulp exposure after stepwise excavation of deep carious lesions in young posterior permanent teeth. Endod Dent Traumatol 12:192–196
Banerjee A, Watson TF, Kidd EAM (2000) Dentine caries excavation: a review of current clinical techniques. Br Dent J 188:476–482
Kidd EAM, Ricketts DNT, Beighton D (1996) Criteria for caries removal at the enamel-dentine junction: clinical and microbiological study. Br Dent J 180:287–291
Williams JA, Pearson GJ, Colles MJ, Wilson M (2004) The photoactivated antibacterial action of toluidine blue O in a collagen matrix and carious dentine. Caries Res 38:530–536
Burns T, Wilson M, Pearson GJ (1995) Effect of dentine and collagen on the lethal photosensitization of Streptococcus mutans. Caries Res 29:192–197
O'neill JF, Hope CK, Wilson M (2002) Oral bacteria in multi-species biofilms can be killed by red light in the presence of toluidine blue. Lasers Surg Med 31:86–90
Al-Watban FA, Zhang XY (2005) Photodynamic therapy of human undifferentiated thyroid carcinoma-bearing nude mice using topical 5-aminolevulinic acid. Photomed Laser Surg 23:206–211
Zanin IC, Goncalves RB, Junior AB, Hope CK, Pratten J (2005) Susceptibility of Streptococcus mutans biofilms to photodynamic therapy: an in vitro study. J Antimicrob Chemother 56:324–330
Zanin ICJ, Lobo MM, Rodrigues LKA, Pimenta LAF, Höfling JF, Gonçalves RB (2006) Photosensitization of in vitro biofilms by toluidine blue O combined with a light-emitting diode. Eur J Oral Sci 114:64–69
Giusti JS, Santos-Pinto L, Pizzolito AC, Helmerson K, Carvalho-Filho E, Kurachi C, Bagnato VS (2008) Antimicrobial photodynamic action on dentine using a light-emitting diode light source. Photomed Laser Surg 26:279–285
Lima JP, Sampaio de Melo MA, Borges FM, Teixeira AH, Steiner-Oliveira C, Nobre Dos Santos M, Rodrigues LK, Zanin IC (2009) Evaluation of the antimicrobial effect of photodynamic antimicrobial therapy in an in situ model of dentin caries. Eur J Oral Sci 117:568–574
Melo MAS, de-Paula DM, Lima JPM, Borges FMC, Steiner-Oliveira C, Nobre-dos-Santos M, Zanin ICJ, Barros EB, Rodrigues LKA (2010) In vitro photodynamic antimicrobial chemotherapy in dentin contaminated by cariogenic bacteria. Laser Physics 20:1504–1513
Monteiro-Oliveira MP, Rodrigues LKA, Melo MAS, Nobre-dos-Santos M (2010) Photodynamic therapy effect in carious bovine dentin—an in vitro study. J Oral Laser Applications 10:29–36
Aggarwal BB, Sundaram C, Malani N, Ichikawa H (2007) Curcumin: the Indian solid gold. Adv Exp Med Biol 595:1–75
Haukvik T, Bruzell E, Kristensen S, Tønnesen HH (2010) Photokilling of bacteria by curcumin in selected polyethylene glycol 400 (PEG 400) preparations. Studies on curcumin and curcuminoids, XLI. Pharmazie 65:600–606
Zanin ICJ, Brugnera A Jr, Goncalves RB (2002) In vitro study of bactericidal effect of low level laser therapy in the presence of photosensitizer on cariogenic bacteria. Laser Dent 2:154–161
Williams JA, Pearson GJ, Colles MJ, Wilson M (2003) The effect of variable energy input from a novel light source on the photoactivated bactericidal action of toluidine blue O on Streptococcus mutans. Caries Res 37:190–193
Costa AC, Chibebe Junior J, Pereira CA, Machado AK, Beltrame Junior M, Junqueira JC, Jorge AO (2010) Susceptibility of planktonic cultures of Streptococcus mutans to photodynamic therapy with a light-emitting diode. Braz Oral Res 24:413–418
Bruzell EM, Morisbak E, Tønnessen HH (2005) Studies on curcumin and curcuminoids. XXIX. Photoinduced cytotoxicity of curcumin in selected aqueous preparations. Photochem Photobiol Sci 4:523–530
Park K, Lee JH (2007) Photosensitizer effect of curcumin on UVB-irradiated HaCaT cells through activation of caspase pathways. Oncol Rep 17:537–540
Dovigo LN, Pavarina AC, Carmello JC, Machado AL, Brunetti IL, Bagnato VS (2011) Susceptibility of clinical isolates of Candida to photodynamic effects of curcumin. Lasers Surg Med 43:927–934
Dovigo LN, Pavarina AC, Ribeiro AP, Brunetti IL, Costa CA, Jacomassi DP, Bagnato VS, Kurachi C (2011) Investigation of the photodynamic effects of curcumin against Candida albicans. Photochem Photobiol 87:895–903
Priyadarsini KI (2009) Photophysics, photochemistry and photobiology of curcumin: studies from organic solutions, bio-mimetics and living cells. J Photochem Photobiol C 10:81–95
Haukvik T, Bruzell E, Kristensen S, Tønnesen HH (2011) A screening of curcumin derivatives for antibacterial phototoxic effects studies on curcumin and curcuminoids. XLIII. Pharmazie 66:69–74
Shen L, Ji HF, Zhang HY (2005) A TD-DFT study on triplet excited-state properties of curcumin and its implications in elucidating the photosensitizing mechanisms of the pigment. Chem Phys Lett 409:300–303
Araújo NC, Fontana CR, Gerbi ME, Bagnato VS (2012) Overall-mouth disinfection by photodynamic therapy using curcumin. Photomed Laser Surg 30:96–101
Araújo NC, Fontana CR, Bagnato VS, Gerbi ME (2012) Photodynamic effects of curcumin against cariogenic pathogens. Photomed Laser Surg 30:393–399
Wood S, Metcalf D, Devine D, Robinson C (2006) Erythrosine is a potential photosensitizer for the photodynamic therapy of oral plaque biofilms. J Antimicrob Chemother 57:680–684
Wilson BC, Patterson MS (2008) The physics, biophysics and technology of photodynamic therapy. Phys Med Biol 53:61–109
Nagata JY, Hioka N, Kimura E, Batistela VR, Terada RS, Graciano AX, Baesso ML, Hayacibara MF (2012) Antibacterial photodynamic therapy for dental caries: evaluation of the photosensitizers used and light source properties. Photodiagnosis Photodyn Ther 9:122–131
Acknowledgments
Financial support from the Research Support Foundation of São Paulo State (FAPESP), Studies and Projects Financier (FINEP), and Science and Technology Support Foundation of Pernambuco State (FACEPE) was appreciated. The funders had no role in the study design, data collection and analysis, decision to publish, or preparation of the manuscript.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Araújo, N.C., Fontana, C.R., Bagnato, V.S. et al. Photodynamic antimicrobial therapy of curcumin in biofilms and carious dentine. Lasers Med Sci 29, 629–635 (2014). https://doi.org/10.1007/s10103-013-1369-3
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10103-013-1369-3