Ariane
Felgenträger
*a,
Tim
Maisch
a,
Andreas
Späth
b,
Josef A.
Schröder
c and
Wolfgang
Bäumler
a
aDepartment of Dermatology, Regensburg University Hospital, Franz-Josef-Strauss-Allee 11, 93053 Regensburg, Germany. E-mail: ariane.felgentraeger@klinik.uni-regensburg.de
bDepartment of Organic Chemistry, University of Regensburg, Universitätsstrasse 31, 93053 Regensburg, Germany
cDepartment of Pathology/Central EM-Lab, Regensburg University Hospital, Franz-Josef-Strauss-Allee 11, 93053 Regensburg, Germany
First published on 26th August 2014
Surfaces can be coated with photosensitizer molecules, which generate singlet oxygen (1O2) when the surface is exposed to light. 1O2 may diffuse from the coating and has the potential to kill microorganisms present on the surface. In the present study a derivative of the meso-tetraphenylporphyrin (TPP) was immobilized onto polyurethane (PU) after being sprayed and polymerized as a thin layer onto poly-methylmethacrylate (PMMA). PU is gas permeable and thus a sufficient amount of oxygen reaches the photosensitizer in this coating. The surface generation of 1O2 and its diffusion were investigated by detecting its luminescence at 1270 nm and a tri-iodide assay. Antimicrobial photodynamic surface effects were tested on Staphylococcus aureus. The spectrally resolved detection of 1O2 luminescence yielded a clear peak at 1275 nm. The time-resolved luminescence showed multi-exponential decay, revealing rise and decay times in the range of 5–2 × 102 μs. The photodynamic inactivation of S. aureus was monitored at different photosensitizer concentrations and radiant exposures of light. A photodynamic killing of >99.9% (>3log10-steps) was achieved within an irradiation time of 30 min. The photodynamic killing on the bioactive surface confirmed the antimicrobial effect of 1O2 that was generated in the PU-coating and reached the bacteria by diffusion.
In contrast to the well-known PDI, the PS molecules are not attached to the microorganisms but are located in the coating. Thus, the diffusion of ROS is required to accomplish the killing of microorganisms on such self-disinfecting surfaces. Among the ROS 1O2 should play a major role due to its chemical and physical features. Being a neutral molecule, 1O2 is – contrary to other ROS – assumed to show normal diffusion in air, and the lifetime of 1O2 is, besides its spontaneous decay, limited by collisions and reactions with air molecules.
In 1986 Dahl et al. already described a method to investigate the toxicity of diffusing 1O2 using spatial separation of PS and bacteria.10 The half-life of 1O2 was determined by changing the distance between the site of 1O2 generation and the position of the bacteria by measuring the bacteria killing of 1O2. These experiments yielded a half-life for 1O2 of 24 ± 6 ms and confirmed findings of the 1O2 decay time in the range of milliseconds 35–86 ms detected in water-saturated air at 5 °C with 1 atm pressure.11 The generated 1O2 molecules reached a pathogen by diffusion, and the diffusion length of biologically relevant action was limited by the lifetime of 1O2. These studies provided insight into an interesting field of antimicrobial PDI, where PS and pathogens were separated during the PDI process.
PDI of bacteria without direct contact between PS and microorganisms offers many fields of application. Antibacterial surfaces which work with the PDI principle are of great interest due to their preventive character for infections.12–14 Such surfaces may help to reduce the transmission of pathogens like multi-resistant microorganisms, which is a great issue in hospital hygiene.1 Since the photodynamic process of such surfaces does not necessarily lead to PS consumption, self-disinfecting coatings could offer a long-term and constant prevention of microorganism settlement and growth on any surface.15
It was already shown that polymerisation of a PS prevents oligomerisation and thus self-quenching of 1O2 that improved both 1O2 formation and photostability of the PS.16 We present herein a new polymeric surface that contains the functionalized porphyrin TPP (Fig. 2) using the polymerization technique of isocyanate/polyol to polyurethane. TPP shows a sufficient quantum yield for 1O2 generation of 0.62 in CCl4 and 0.68 in toluene, respectively.17 Characterizing TPP–OH linked in the PU polymer required the detection of the 1O2 generation that is performed directly via its luminescence at 1270 nm.
The decay time of 1O2 in air was estimated to be in the range of milliseconds.10,11 Due to the very long lifetime of 1O2, indirect methods like the formation of tri-iodide18 or a phototoxic assay with microorganisms are suitable to detect 1O2 that escaped the surface coating by diffusion. 1O2 molecules, which decayed inside the polymeric surface coating, can be detected by its luminescence. Additionally, the structure of the PU surface was investigated using transmission electron microscopy.
Furthermore, any PS leaking into surrounding H2O was proved in a defined time range before testing the potential antibacterial properties against Staphylococcus aureus, which was placed as a H2O-based bacterial suspension on the surface. The photodynamic killing efficacy was investigated for different PS concentration in PU and different irradiation times.
M = 630.74 g mol−1; – 1H-NMR (400 MHz; CDCl3): δ [ppm] = 8.88 (d, J = 4.8 Hz, 2H); 8.85 (d, J = 6.2 Hz, 6H) 8.22 (dd, J = 1.6 Hz, J = 7.8 Hz, 6H), 8.08 (m, 2H), 7.76 (m, 9H), 7.20 (d, J = 8.4 Hz, 2H); – 13C-NMR (75 MHz, CDCl3): δ [ppm] = 155.4 (1C), 142.2 (3C), 135.7 (2C), 134.6 (6C), 131.1 (1C), 127.7 (2C), 126.7 (9C), 120.1 (8C), 113.7 (8C); – MS (ES-MS): m/z (%) = 631.3 (100, MH+);
In order to produce the sandwich-samples, after the spraying of PU onto PMMA, a second PMMA-plate was immediately added to the surface before the drying process of the sample.
50 μL of a S. aureus suspension was dropped on the PU-surface with and without TPP–OH and dried for 1.5 h under a laminar flow. Each drop has a radius of about 0.5 cm and therefore covered an area of A ≈ 0.8 cm2. The cell number per area was in the range of 6.3 × 106–6.3 × 107 CFU cm−2.
Samples were irradiated using the Waldmann PIB 3000 at a maximal light intensity of 50 mW cm−2 at the level of the irradiated samples. Two different irradiation times (10 and 30 min) with PS concentrations of 0, 1 × 10−4 M, and 2 × 10−4 M were used.
After irradiation, the bacteria were swapped with a sterile cotton bud and were diluted in 1 mL MH-broth. Bacteria were serially 10-fold diluted in MH-broth and plated on MH-Agar using the Miles, Misra & Irwin method.21 After growing at 37 °C for 24 h the colony forming units (CFU) were counted. The results are shown as medians, including the 25% and 75% percentiles and the maximal and minimal value, calculated from the values of at least four independent experiments, each performed in triplicate. The results are presented in a box-and-whisker plot. To calculate the killing efficacy in log10-steps for each condition (no imbedded PS, 10−4 M, 2 × 10−4 M) the respective dark control was used as reference. An efficacy of bacteria killing of 99.9% (3log10-steps) is considered as biologically relevant antimicrobial activity according to the guidelines of hand hygiene.22
Direct detection of the weak 1O2 luminescence as described in23,24 was done by time-resolved measurements using an interference filter with a maximal transmission at 1270 nm and a spectral width of FWHM = 30 nm using a liquid nitrogen cooled infrared-sensitive photomultiplier tube (PMT, R5509-42, Hamamatsu Photonics Deutschland GmbH, Herrsching, Germany). To achieve spectral resolution, the luminescence was measured at different wavelengths using different interference filters in the range of 1100–1400 nm (FWHM ≈ 10 nm). The resulting values were fitted with Lorentz-shaped function yielding a maximum at λ = 1275 nm.
Considering no energy back-transfer from 1O2 to the PS, the luminescence intensity is then given by equation
![]() | (1) |
In water the reaction of 1O2 and the iodine anion results in the formation of tri-iodide I3−. During this process hydrogen peroxide, H2O2, is generated which can react further with I−.
An overall volume of 3 mL KI with a concentration of 0.12 M in H2O was filled in a glass surrounding a polymer plate. In the case of the PMMA polymer plates with PU-coating the photoactive side was turned upside. The samples were irradiated for 0, 5, 10, 15, and 30 min and after each time point 2 mL of the solution was spectrally recorded, in order to monitor the formation of tri-iodide I3− at 287 nm and 350.5 nm. After absorption spectroscopy the solution was filled back into the glass for further irradiation and monitoring steps.
Transmission electron microscopy (TEM) was performed to understand the microscopic composition, such as roughness, constancy of thickness or the properties of the contact area of the PU-coating (containing TPP–OH) with the PMMA material. Fig. 3A shows a surface probe with a 1000-fold magnification. Because the samples contained no contrasting heavy atoms, TEM imaging revealed a homogenous texture of the PU- and PMMA-layer. The PMMA part showed a periodical-like structure that might be caused by the cutting of samples with a microtome. The cutting was performed perpendicular to the periodical-like structure. The images indicated a very tight and precise contact area between the PU-coating and PMMA with a thickness of the PU-coating of ≈30 μm. The images also showed a few round empty areas disseminated in the PU-coating (Fig. 3B) but not in PMMA. These structures were considered air bubbles, which might occur due to the airbrushing of the fluid PU-varnish onto the PMMA material. Diffusion of 1O2 in these air bubbles might affect the decay time of 1O2 in PU because 1O2 decay time in the bubbles should differ from decay time in the PU material.10,11
The data of the absorption spectra of TPP–OH doped into PU were compared to data of the porphyrin TPP in solution found in the literature. Brückner et al. reported a maximum absorption coefficient of TPP in chloroform (CHCl3) at a wavelength of S (Soret) = 416 nm (Q1 = 515 nm, Q2 = 550 nm, Q3 = 593 nm, Q4 = 646 nm),27 which was confirmed by Korinek et al.28 in air-saturated acetone. The absorption spectrum of TPP–OH linked in the PU-polymer was detected by subtraction of the PU–PMMA absorption spectrum without the PS (blank). The main absorption bands of TPP–OH in the PU-polymer were detected at S (Soret) = 420 nm, Q1 = 516 nm, Q2 = 551 nm, Q3 = 592 nm, Q4 = 647 nm (Fig. 4B). Therefore, the determined maxima of the absorption intensity are in good agreement with the maxima of TPP in solution. Our measurements revealed no spectral shift of the Soret band which would indicate porphyrin–porphyrin aggregation during the preparation of the PU-coating. Aggregation could result in a loss of the ability to generate 1O2.29–31 Nonetheless, polymerization of TPP–OH in PU can result in decreased degrees of freedom for the vibrational bands of the PS, resulting in more narrow absorption bands.
The embedded hydrophobic TPP–OH with a concentration of 10−4 M showed no leaking into the aqueous surrounding (data not provided). By applying 70% EtOH for 48 h, a leakage of TPP–OH into the supernatant was detected by monitoring the characteristic TPP–OH absorption intensity peak at 420 nm. TPP–OH molecules, which escaped from the PU-coated surface into EtOH, are most likely molecules that were not sufficiently linked to PU (un-polymerized fraction). As a consequence they were flushed out due to the long contact with EtOH. However, this leakage effect should be put into perspective. The transmission value at 420 nm for this experiment was (88 ± 2)%. With an absorption cross section (σ) of 10−16 cm2, which is a reasonable value for porphyrins at 420 nm, a PS concentration of ≈2 μM in the EtOH supernatant can be estimated. When disinfecting a surface with EtOH solutions, EtOH is in contact with the surface only for a rather short time, usually several tens of seconds. Calculating with an effective disinfection and estimating a contact time of ≈1 min, the 48 h-experiment equals ≈2880 disinfection treatments, resulting in a considerably low release of PS during the contact with EtOH of less than 1 min.
The laser irradiation (10000 laser pulses, λ = 420 nm) of TPP–OH (10−4 M) yielded a maximum of the integrated luminescence of 1O2 at 1275 nm (Fig. 5A). In combination with a time-resolved measurement at 1270 nm (Fig. 5B), the generation of 1O2 was directly proven (1O2 fingerprint).34
Without knowing the oxygen concentration in the surface coating, it was nonetheless difficult to interpret the 1O2 luminescence signals with regard to the assignment of rise and decay times to either the PS triplet state decay or the decay of 1O2 to its ground state.35,36
The high intensity of the luminescence signal should enable a rather accurate determination of the rise and decay time of the signal applying the standard model and eqn (1).37,38 However, the detected luminescence signal offered more than one decay time that hampered the evaluation of the luminescence signal using eqn (1). The application of such a fit (Fig. 5B, red) resulted in a clear deviation from the measured data. The luminescence signal can be discussed as follows.
(i) The luminescence photons which are detected using the photomultiplier may originate from 1O2 molecules decaying in different micro-environments like air bubbles in the PU-coating as shown by TEM imaging (Fig. 3B). Assuming a reasonably homogeneous PS distribution in the PU-coating, 1O2 was homogeneously generated in PU-coating. With respect to a typical diffusion constant of oxygen in polymer materials in the order of ≈10−7 cm2 s−1 and a 1O2 lifetime of ≈100 μs, a diffusion length of 1O2 of less than 100 nm was calculated.31,35,39
Dependence of the oxygen solubility on the free volume was shown by Boersma et al. on glassy polymers40 and might lead to multi-exponential decay manner of the detected luminescence signals of 1O2 due to different sizes of free volume, like air bubbles. In contrast to that, Clough et al. state that 1O2 itself has an intrinsic decay time within a polymer and thus exhibits first-order decay kinetics, whereas the excited triplet-T1-state decays in non-first-order kinetics.35
(ii) We investigated a new model by using a simpler approach (macroscopic model) that might help to understand the decay of 1O2 measured. The PU–PMMA surface is an already complex system with the two different boundary layers, PMMA and air. 1O2 was exclusively generated by TPP–OH in the PU-coating and can diffuse inside the PU-coating, into PMMA or into air to an unknown extent. Diffusion of 1O2 molecules is terminated by collision with any other molecules in PMMA, PU-coating or air molecules which defines its decay. The shape of the 1O2 luminescence signals confirmed this assumption showing different decay times, of which one part showed a fairly long decay time (see Fig. 5B). The decaying part finally disappears in the noise of the photomultiplier and its detection is further limited by the time resolution of the herein presented experimental setup. Although the whole decaying part cannot be resolved completely in time, its presence might affect the different decay times in PU, PMMA, and air by overlay of such different luminescence sources. Thus, the 1O2 luminescence might be considered to be composed of spatially separated photon emission sources (PMMA, PU, air), each being more or less dominant and influencing to a certain extent rise and decay of the other luminescence signals generated at different sites.
To check the impact of 1O2 diffusion on the luminescence signal, the diffusion of 1O2 into surrounding air was almost inhibited by a sandwich-like structure (Fig. 6). Now, the TPP–OH containing PU-coating was attached on both sides of PMMA, exhibiting the same thickness compared to the original samples. Upon irradiation, 1O2 was generated in the PU-coating and diffused inside PU, or escaped to PMMA. Due to the size of the sandwich polymer plate, the contact area of the PU-coating with surrounding air was APU–air = 8 × 10−2 cm2 and the contact area of PU with PMMA was APU–PMMA = 32 cm2. Thus, the amount of 1O2 molecules that still diffuses into air was considered negligible in the PU-sandwich structures. The sandwich polymer plate was irradiated as indicated by the arrow through the separate layers (Fig. 6). Assuming the same amount of O2 dissolved in the PU-coating of the sandwich-probes due to the same material properties, the deactivation of the excited PS triplet-T1-states should exhibit the same decay pattern compared to the original probes. However, the time-resolved luminescence signal was substantially changed.
First of all, the long decay time of the detected luminescence disappeared (Fig. 5 and 7) in the sandwich structure indicating that this signal correlated with 1O2 decaying in air. We conclude that a part of the 1O2 molecules diffused into air after excitation of the PU-coating (normal probes, PMMA coated with PU). This provides evidence that 1O2 can escape the PU-coating and have the potential to kill microorganisms, which are located on that surface.
Surprisingly, the experiments with these sandwich structures showed a considerable shortening of both, rise and decay time of the 1O2 luminescence (Fig. 7). At the moment, the shortening of both times is difficult to explain, in particular because the assignment of the rise and decay times of the luminescence signal to either the triplet T1 state or singlet oxygen decay is not clear.
In the case of the surface coating system (Fig. 5), our detection system should have detected a superposition of luminescence signals that originate from three different environments, PMMA, PU, and air. The photosensitizer is located in PU only and hence the photosensitizer triplet T1 state is quenched by oxygen in PU. After excitation in PU, singlet oxygen may diffuse into PMMA or air depending on the respective diffusion coefficient. Thus, we have the triplet T1 decay time of our photosensitizer in PU for given oxygen concentration in PU and potentially three different decay times of singlet oxygen molecules to a different extent in PU, PMMA, and air.
We assume that singlet oxygen can easily escape into air for our normal probes (PMMA coated with PU) due to the high diffusion coefficient of oxygen in air. In the case of the sandwich structure, diffusion of singlet oxygen is hampered by the second PMMA plate and singlet oxygen may remain in the PU layer for longer times. We tentatively assume that this may lead to more self-quenching of singlet oxygen by the photosensitizer that affects the decay time of singlet oxygen.
Therefore, the effective photodynamic killing of S. aureus applied on the PU-coating, which contained 1 × 10−4 M or 2 × 10−4 M of TPP–OH, was investigated. After applying S. aureus onto the PU surface, the area of interest was irradiated consequently. Therefore, two different irradiation times (10 min, 30 min) were used with a constant intensity of 50 mW cm−2 (Waldmann PIB 3000). For each condition, dark and light controls were monitored, using the dark control (PU without PS) as reference.
First the recovery efficiency was measured to determine the range of viable S. aureus applied on the surface after the drying process. A loss of only 20% of S. aureus (≈0.1log10 steps) was counted after the swabbing procedure when compared to the initial number of bacteria in suspension (data not provided). This resulted in a reproducible correlation between the used swabbing method and the recovery efficiency. The herein presented S. aureus recovery data are in line with previously published results on a porcine skin model using the same bacteria species and applying three swabbing steps.41 Furthermore, no dark toxicity towards S. aureus was detected on the PU-coating.
Irradiation of TPP–OH in the PU-coating for 10 min and 50 mW cm−2 did not exhibit noteworthy killing effects against S. aureus within the experimental accuracy of 0.5log10-steps (data not provided). However, Fig. 8 shows the reduction of applied S. aureus for the irradiation time of 30 min. A phototoxic effect was clearly demonstrated on the PU surface containing TPP–OH. The killing efficacy of 0.7log10-steps (80%) with a PS concentration of 10−4 M was determined, but is not considered biologically relevant. However, a concentration of 2 × 10−4 M yielded a reduction of 3.2log10-steps (99.937%). Irradiation of 30 min of PU-samples without TPP–OH (light control) resulted in a reduction of 0.3log10-steps (50%) which is considered as no effect within experimental accuracy. This study clearly demonstrated a dependency of the killing efficacy on the PS concentration and the irradiation time. The photodynamic killing efficacy is comparable to already reported efficacies.42–44 In our study strict exclusion of PS leakage in the aqueous surrounding was confirmed.
It has to be noted that the herein presented phototoxicity experiments were not the main issue of this study, but supported the conclusion based on the luminescence experiments that 1O2 diffuses from the surface material into air leading to oxidative damage of bacteria. A study will be conducted in the near future to optimize the light source and the applied PS, which should be photostable for long times and consistently generate 1O2 to a high extent.
In order to investigate 1O2 diffusion into air using an indirect method, a chemical trap of 1O2 was applied. A reaction with a solution of potassium iodide leads to the formation of tri-iodide which can be detected via absorption spectroscopy. This reaction can be used to detect the presence of 1O2 and allows its quantification. This method, however, is also sensitive for H2O2, as can be seen from the reaction scheme (vide supra).25,28
For increasing irradiation time (light dose up to 90 J cm−2) the formation of tri-iodide was detected by monitoring the typical maxima of the absorption intensity for tri-iodide at 287 nm and 350.5 nm (Fig. 9). The Fig. 9 inset shows a linear correlation between the applied light dose and the total percentage of absorption at 350.5 nm. In our measurements also the irradiation of PU-coating on PMMA without PS led to the formation of tri-iodide, though to a much lower extent. Since 1O2 generation in these probes was not detected with the direct spectroscopic method, we consider an additional ROS has been formed during irradiation. EPR-detection already showed that the irradiation of PU generated H2O2 that additionally offers materials with long-lasting antibacterial properties.31 In our case, the presence of another ROS clearly impeded the detection of 1O2 diffusion into air with the used indirect methods. Therefore, 1O2 or H2O2 quenchers and ROS scavengers will be used in future experiments to exclude certain reaction pathways and give a clear evidence of the involved reactive species.
That diffusion was confirmed by using indirect methods, like bacteria killing and the formation of tri-iodide. However, the light assisted generation of other ROS on the surface of the PU-coating cannot be ruled out. The determination of the reduction of bacteria on the surface is a clear proof of the generation of 1O2 and other ROS that are able to escape the surface. We showed that photokilling of S. aureus on the surface with an efficiency of >99.9% was possible with the given properties. The photokilling effectiveness of the PU-coated surfaces depended on the irradiation time and the concentration of the PS.
The first results of the present photoactive surfaces are promising, and therefore it is an important goal for the near future to optimize the photodynamic effect by selection of a PS with a sufficient 1O2 generation, the optimal PS concentration, irradiation time, and irradiation power. Reports on bacterial cell numbers on surface hospitals reveal a rather low number of colony forming units (CFU) per area. Rutala et al. mention bacterial densities between 4–7 CFU cm−2, encountered on hospital surfaces of rooms occupied by patients with S. aureus infections.45 Since microorganism photokilling on the surface is a continuous procedure, depending on light availability, it is worth mentioning that the definition of killing efficacy should be reconsidered and redefined and might not be compared to the method of photokilling in solution.
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