Open Access Article
Anja
Eichner
*a,
Anita
Gollmer
a,
Andreas
Späth
b,
Wolfgang
Bäumler
a,
Johannes
Regensburger
a,
Burkhard
König
b and
Tim
Maisch
a
aDepartment of Dermatology, Regensburg University Hospital, 93053 Regensburg, Germany. E-mail: anja.eichner@klinik.uni-regensburg.de
bDepartment of Organic Chemistry, University of Regensburg, 93053 Regensburg, Germany
First published on 11th November 2014
Highly resistant endospores may cause severe problems in medicine as well as in the food and packaging industries. We found that bacterial endospores can be inactivated quickly with reactive oxygen species (ROS) that were generated by a new generation of flavin photosensitizers. Flavins like the natural compound vitamin B2 are already known to produce ROS but they show a poor antimicrobial photodynamic killing efficacy due to the lack of positive charges. Therefore we synthesized new flavin photosensitizers that have one (FLASH-01a) or eight (FLASH-07a) positive charges and can hence attach to the negatively charged surface of endospores. In this study we used standardized Bacillus atrophaeus endospores (ATCC 9372) as a biological surrogate model for a proof-of-concept study of photodynamic inactivation experiments using FLASH-01a and FLASH-07a. After incubation of spores with different flavin concentrations, the flavin derivatives were excited with blue light at a light dose of 70 J cm−2. The inactivation of spores was investigated either in suspension or after attachment to polyethylene terephthalate (PET) surfaces. Incubation of spores suspended in Millipore water with 4 mM FLASH-01a for 10 seconds and irradiation with blue light for 10 seconds caused a biologically relevant decrease of spore survival of 3.5 log10 orders. Using FLASH-07a under the same conditions we achieved a decrease of 4.4 log10 orders. Immobilized spores on PET surfaces were efficiently killed with 7.0 log10 orders using 8 mM FLASH-07a. The total treatment time (incubation + irradiation) was as short as 20 seconds. The results of this study show evidence that endospores can be fastly and effectively inactivated with new generations of flavin photosensitizers that may be useful for industrial or medical applications in the future.
Exposed to unfavorable conditions, some bacterial species produce spores which are highly resistant against a variety of stress factors including biocides, UV and gamma radiation, wet and dry heat, oxidizing agents, desiccation and even toxic chemicals.4,5 To date, only strong chemical or physical agents (e.g. peracetic acid, hypochlorite solution, chlorine dioxide, formaldehyde gas) show a satisfactory result in spore decontamination.6–9 However, these measures show harmful potential to humans in particular when the used chemicals remain in the food or beverage product or on the surface of the food package. Moreover, chemical approaches for spore decontamination (e.g. hydrogen peroxide vapor) are highly intensive in consumption of water or other resources and are harmful for the environment.
Alternatively, the photodynamic inactivation (PDI) of microorganisms presents several positive aspects regarding the killing efficacy of microorganisms. PDI has been independent of the resistance pattern of microorganisms so far, PDI can be applied for various microorganisms, and PDI show no selection of photo-resistant cells.10 The photodynamic principle is based on the concept that visible light, oxygen and a non-toxic dye (known as a photosensitizer) generate reactive oxygen species, which cause massive oxidative stress and lethal damage to the microorganisms.11–14 For sufficient inactivation it is necessary that photosensitizers have at least one positive charge to attach to the negatively charged cell wall of bacteria or the surface of spores.15,16 The photodynamic approach shows very good results in killing of different types of bacteria.17–20 Recently we showed that PDI is able to kill bacterial suspensions of Bacillus atrophaeus, Staphylococcus aureus and Escherichia coli completely within milliseconds (flashes of intense pulse light) after a 10 second incubation time period.13 In contrast, the inactivation of bacterial endospores should be more difficult because of the multi-layered and robust composition of the spore's coat. Long incubation or very long irradiation times are generally needed for sufficient inactivation of bacterial endospores with PDI. Demidova et al. achieved a biologically relevant decrease (>5 log10 orders) of Bacillus spores with 3 hour incubation and a 100–200 second irradiation period at least.14
Typical photosensitizer classes (e.g. porphyrins, phenothiazines, phthalocyanins) with different properties are known, but these photosensitizers have disadvantages when used in the photodynamic approach. Porphyrins show toxic effects without light or have only a poor spore killing efficacy (e.g. amine-modified protoporphyrin IX21 or a tricationic porphyrin Tri-Py+-Me-PF22). Thus, we searched for non-toxic and food-safe photosensitizers, which can be safely applied especially in food and food processing without environmental hazards. In this study we considered vitamins like riboflavin which are known as potential photosensitizers.23 Riboflavin is a natural compound and shows a ability to generate singlet oxygen,24–26 but unfortunately it has a very low killing efficacy against bacteria due to the lack of one positive charge.27,28 By chemical modification we created new flavin photosensitizers with different numbers of positive charges.
Spores of the non-pathogenic Gram-positive bacterium Bacillus atrophaeus were chosen as surrogate spores in our study as Sagripanti et al. clearly established that B. subtilis, B. cereus, and B. anthracis show similar or comparable sensitivity to chemical disinfectants.27 Furthermore Sagripanti and colleagues concluded that decontamination and sterilization data obtained with non-pathogenic spore simulants can be safely extrapolated to virulent spores of other Bacillus species.27 Thus, the main goal of our investigations was a proof-of-concept study that provides evidence for fast and effective inactivation of B. atrophaeus spores in vitro while attached to food-related packaging surfaces using newly developed flavin photosensitizers.
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The tip of the lamp was fixed on a tripod, the lamp power was measured using a thermal sensor (model 30A-P-SH, Ophir Spiricon Europe Inc., Darmstadt, Germany) and a Nova power meter (Ophir Spiricon Europe Inc., Darmstadt, Germany). The emitted spectrum of the light source was recorded with a spectrometer (270M, Jobin Yvon Inc., Longjumeau, France) with 300 grid-lines per mm and a spectral resolution of approximately 0.4 nm. The detection range was 300 to 1000 nm. The recorded spectral data were corrected regarding the spectral sensitivity of the spectrometer. The emission spectrum of the OmniCure light source was normalized to its corresponding maximum at 436 nm. The absorption spectrum of 50 μM FLASH-07a was measured in distilled water with a Beckman DU460 spectrophotometer (Beckman Coulter Biomedical Inc., Munich, Germany). The absorption spectra of both flavin derivatives are the same within experimental accuracy. The difference of the molecular weights is caused by different chemical side chains that do not affect the absorption characteristics of the flavin core structure. The absorption peaks of both flavin derivatives are at 371 nm and 443 nm, respectively. The spectral overlap of 50 μM of FLASH-07a absorption and emission of the OmniCure light source is 61.5%; the absorption of our new flavin photosensitizer matches closely with the emission spectrum of the light source (Fig. 1).
pH values of both photosensitizers dissolved in distilled water were measured at different concentrations (8 mM, 1 mM, 50 μM). The determined pH values of FLASH-01a were 5.4 ± 0.1 (8 mM), 6.0 ± 0.1 (1 mM) and 6.8 ± 0.1 (50 μM), pH values of FLASH-07a were 4.4 ± 0.1 (8 mM), 5.3 ± 0.1 (1 mM) and 6.5 ± 0.1 (50 μM), respectively. The chemical structures of riboflavin and both flavin photosensitizers are depicted in Fig. 2.
000 rpm (Eppendorf Centrifuge 5415R, rotor F45-24-11). Spore samples were routinely fixed in 0.1 M cacodylate-buffered Karnovsky solution (2.5% glutaraldehyde and 2% paraformaldehyde; overnight; room temperature) and postfixed for 2 h in 1% osmium tetroxide at pH 7.3. The samples were dehydrated in graded ethanol solutions and embedded in EmBed-812 epoxy resin (all reagents from Science Services, Munich, Germany). After 48 h heat polymerisation at 60 °C, semi-thin sections (0.8 μm) were cut from epon blocks and stained with toluidine blue/basic fuchsin. Ultrathin sections (80 nm) were cut with a diamond knife on a Reichert Ultracut S microtome and double contrasted with aqueous 2% uranyl acetate and lead citrate solutions for 10 min each. The sections were examined on a LEO912AB transmission electron microscope (Zeiss Inc., Oberkochen, Germany) operating at 100 kV. Images were recorded using OSIS-Software iTEM (Olympus Soft Imaging Solutions Inc., Münster, Germany).
For incubation with 100 μL FLASH-07a for 60 seconds, the cells were seeded into 96-well microtiter plates (10
000 cells per well) and were incubated at 37 °C and 5% CO2 overnight. On the next day, cells were incubated with different concentrations of FLASH-07a (final concentrations 0/2/4/8 mM). FLASH-07a was dissolved in DMEM medium (Dulbecco's Modified Eagle Medium, PAN Biotech Inc., Aidenbach, Germany) without serum and phenol red. The photosensitizer was used as an irradiated (7 W cm−2, 10 seconds) or non-irradiated solution to see whether the decomposition compounds of FLASH-07a show a toxic effect against the keratinocytes. After incubation, the flavin solution was removed from each well, cells were washed two times to remove all PS solution and were incubated with 100 μL fresh dermal cell basal medium overnight at 37 °C and 5% CO2. Control cells were not incubated with FLASH-07a. To evaluate the effects of incubation with irradiated and non-irradiated FLASH-07a on NHEK cells, the cell viability was directly estimated by the 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyl-tetrazolium bromide (MTT) test as described by Mosmann.34
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| Fig. 3 Photosensitized inactivation of B. atrophaeus spores in vitro. Survival of B. atrophaeus spores incubated with flavin derivatives FLASH-01a (Fig. 3A) or FLASH-07a (Fig. 3B) for 10 seconds in the dark followed by irradiation with 7 W cm−2 light for 10 seconds (grey boxes). Box–whisker plots represent the median including the interquartile range and the whiskers. Controls: spores alone (white box, 0 mM FLASH, reference control) or incubated with the flavin photosensitizer only (white box, 4 mM FLASH, dark control), but not irradiated. Black dots represent outliers calculated with Prism 6 for Windows (GraphPad Software Inc., San Diego, CA, USA) that were not included in the calculations. The black line within the boxes represents the median of at least three independent experiments. Values below the red dotted horizontal line represent >99.9% efficacy of spore killing which was referred to untreated controls (= Baseline). | ||
To estimate the photostability of the flavin derivatives, 50 μL of each sample (4 mM) was irradiated for 10 seconds with an intensity of 7 W cm−2. Both photosensitizers showed a decrease of the absorption maxima (Table 1).
| FLASH-01a | Maximum 371 nm | Maximum 443 nm |
|---|---|---|
| Before irradiation | 100 | 100 |
| After irradiation | 89 | 94 |
| FLASH-07a | Maximum 371 nm | Maximum 443 nm |
|---|---|---|
| Before irradiation | 100 | 100 |
| After irradiation | 93 | 92 |
Using FLASH-07a, a concentration of 2 mM achieved no biologically relevant spore killing (2.6 log10 orders; Fig. 3B). Again, an increase in the photosensitizer concentration from 2 to 4 mM FLASH-07a demonstrated an enhanced spore killing efficacy of 4.4 log10 orders upon light activation. Irradiation of the spores in the presence of 4 mM FLASH-01a or FLASH-07a resulted in an increasing spore reduction rate with regard to their charge numbers: 3.5 (FLASH-01a, one positive charge) < 4.4 (FLASH-07a, eight positive charges) log10 orders. Thus, an increasing number of positive charges of the flavin derivatives obviously enhanced the photodynamic spore killing efficacy when the highest flavin concentration of 4 mM was used.
All spore samples that were incubated with the highest concentrations of the flavin derivatives but without any irradiation (dark control) or irradiation only (light control) exhibited normal spore germination and the following bacterial growth, demonstrating that the maximal applied light dose of 70 J cm−2 alone as well as the photosensitizers alone (8 mM) had no toxic effects against spores and bacteria.
First of all, the sporicidal effect of FLASH-01a was tested with concentrations of up to 8 mM. The data indicate that Bacillus spores were effectively killed depending on the flavin concentration. There was a considerable reduction of CFU of >3 log10 orders when a FLASH-01a concentration of 4 mM was used. On changing the flavin concentration of FLASH-01a to 8 mM we could detect only a moderate increase of the spore killing efficacy (≤4 log10 orders) (data not shown).
In Germany, the VDMA (German Engineering Federation) states that a minimum of 4 log10 orders is required for disinfection of packaging substrates and/or product pipelines.36 Incubation of Bacillus spores for 10 seconds with 4 mM of FLASH-07a caused a biologically relevant decrease of 6.7 log10 orders upon irradiation with 70 J cm−2 which is in line with the VDMA statement. Incubation with 8 mM of FLASH-07a showed the highest decrease in spore survival of 7.0 log10 orders equivalent to high level disinfection.37 All spore samples that were irradiated only (= light control) or were incubated with 8 mM FLASH-07a only (= dark control) exhibited unaffected germination and bacterial growth after incubation at 37 °C compared to the untreated controls (no light, no photosensitizer = reference control) demonstrating that the maximal applied radiant exposure of 70 J cm−2 and a maximal concentration of 8 mM showed no toxic effects (Fig. 5). Additionally we could not detect any macroscopic alteration of the PET surface properties after the photodynamic treatment (data not shown).
When irradiated with appropriate light, photosensitizers transfer (i) charge to biomolecules or (ii) energy to molecular oxygen generating reactive oxygen species like hydroxyl radicals, super oxide anions or highly reactive singlet oxygen. The new flavin photosensitizers effectively generate singlet oxygen (ΦΔ FLASH-01a = 0.75; ΦΔ FLASH-07a = 0.78). In view of the high quantum yields, singlet oxygen is considered the most important species in PDI. To effectively destroy microorganisms, viruses and spores via PDI, singlet oxygen has to be generated near the cell wall, virus capsule or spore coat because of the short lifetime of a few microseconds (e.g. 3.5 μs in water41) and the small diffusion length (<1 μm).42 Despite sufficient singlet oxygen generation, riboflavin shows a poor antibacterial killing efficacy.43,44 This is because riboflavin is an uncharged molecule and cannot attach well to the negatively charged surface of microorganisms. Thus, an efficient photosensitizer should be positively charged to allow the attachment to negatively charged cell walls. For this reason we added one (FLASH-01a) or eight (FLASH-07a) positive charges to riboflavin to create our new positively charged flavin photosensitizers.
The new flavin derivatives especially the chemical core groups used here in this study for the first time are all from natural origin. It is commonly accepted that the first step of flavin degradation occurs via lumiflavin and in succession lumichrom.45 Both are omnipresent in nature and do not have toxic potential. From this point of view, many different fragments can arise upon flavin irradiation that is not specifically defined. There are also several possible points of bond breaks that are competing with each other and that can also happen simultaneously. During disintegration of the chromophore, oxidation and hydrolysis processes also take place and contribute to the formation of a variety of compounds. Due to the daily consumption of such compounds derived from food (e.g. in milk46), the toxicity of these compounds originating from flavin degradation under natural, heat or lightning conditions should be negligible.
In the present study we focused on the inactivation of bacterial endospores because they show a high intrinsic resistance to many chemical and physical stress factors. In 2001, contaminated letters with B. anthracis spores caused massive security and bioterrorism threats in the United States. The possible use of such biological weapons by terrorists is a leading cause of concern all over the world. Thus, studies of fast and effective inactivation of spores reinforce the application of PDI in military and national security.47 It is known that the surface of Bacillus spores is negatively charged when the pH value is above 4.5.48 In our experiments we used flavin–water solutions with a pH range of 5.3–6.8 ± 0.1 (FLASH-01a) and 4.4–6.5 ± 0.1 (FLASH-07a) expecting that positively charged flavin photosensitizers attach well to the negatively charged spore surface. In line with this fact, we could effectively kill B. atrophaeus endospores in vitro as well as on PET surfaces probably due to the perfect attachment of the photosensitizer to the spore surface.
Different approaches have been used to inactivate bacterial endospores. Physical49,50 or chemical51,52 approaches show several disadvantages regarding safety, energy consumption and environmental hazard. For example, Dauphin et al. used gamma irradiation for B. anthracis spore inactivation to achieve 6 log10 orders of spore killing.53 However, this approach represents a good killing efficacy against spores on inert surfaces, but needs higher safety precautions since gamma irradiation is very harmful to humans and leads to DNA damage with possible consequences like cancer. PDI-mediated killing of microorganisms and spores could be a worthwhile alternative. So far, PDI showed moderate results in spore decontamination when porphyrins or phenothiazines were used as the corresponding photosensitizers. Banerjee et al. demonstrated that 20 μg mL−1meso-tetra-(N-methyl-4-pyridyl)-porphine (TMPyP) incubated with Bacillus spores and irradiated for 30 min caused only a 2.8 log10 reduction in spore survival.21 Using toluidine blue (TBO), tri- or tetra-cationic porphyrins and an incubation time of 3 h, the irradiation time could be diminished to 1 minute reaching a 3–3.6 log10 reduction of Bacillus spores.54 An interesting result in spore killing (>5 log10 steps) was achieved by Demidova et al. when using TBO or new methylene blue N for inactivation of B. cereus endospores.14 To achieve an efficient sporicidal effect, incubation times of up to 3 hours of the photosensitizer were necessary followed by irradiation times of a minimum of 100 seconds.14 In contrast to that, the use of FLASH-07a yielded a 4.4 log10 reduction of B. atrophaeus spores in vitro within an irradiation time of 10 seconds. Only 10 seconds for incubation and only 10 seconds for irradiation with 7 W cm−2 light were necessary to achieve sporicidal effects without washing the flavin–spore solution. In view of the high light intensity, a heating effect that might contribute to the spore killing efficacy and thus micro modifications of the PET surface cannot be fully excluded. Furthermore, we did not recognize any shielding effects of the tested photosensitizers although the flavin concentration was 4 mM for in vitro experiments. This is in contrast to Demidova and colleagues. They reported that washing of a B. atrophaeus TBO mix achieved a better result in spore killing.14 These differences may be due to the different experimental setups and the different absorption of the used photosensitizers.
Alves et al. showed that an increase of the positive charge number of cationic porphyrins directly correlates with a improved killing efficacy of Gram-negative bacteria.30 They used 7 types of porphyrins with different charge numbers (1–4 positive charges) and charge distributions as well as different structures regarding the meso-substituent groups. They demonstrated that porphyrins with three or four positive charges showed the highest log10 reduction (>7 log10 orders) against Enterococcus faecalis and Escherichia coli. In our study, we used two flavin photosensitizers with different charge numbers (one, FLASH-01a; eight FLASH-07a). In line with results of Alves et al. we also observed that the increase of positive charges of the flavin molecules leads to a more effective spore killing in vitro. The reason for this phenomenon may be the number of multiple positive charges of the photosensitizer which might improve the attachment to the negatively charged spore surface.
In general, spores appear in the whole environment on inert and living surfaces with limited water resources. Spores are able to adhere to surfaces much better than their natural counterpart55 and this is a major problem not only in the medical field but also in the food and beverage industries.56 Contamination of industrial products or packaging pipelines with bacterial endospores is greatly feared because spores will germinate when the conditions will be favorable and the bacteria will then cause serious foodborne diseases. Actually, several groups used foodborne bacteria like Staphylococcus aureus, Listeria monocytogenes and Bacillus cereus as a model organism to test the photodynamic approach in vitro, in special formulations/coatings, on packaging materials or on spices and meat.57–60 The photodynamic killing efficacy differed from 2 to 7 log10 orders using chlorophyllin (porphyrin) or curcumin as the corresponding photosensitizers. Our new riboflavin derivatives are also from natural origin and we investigated the sporicidal potential of the flavin photosensitizer FLASH-07a against B. atrophaeus endospores which were dried on the PET material which is often used for food and beverage packaging. There exist several approaches to decontaminate inert surfaces from bacterial endospores. Li et al. showed a fumigation approach with chlorine dioxide gas to decontaminate different surfaces which were contaminated with B. subtilis var. niger spores (actual name: B. atrophaeus).6 The log10 reduction of viable spores greatly differed from 1.8 to 6.6 depending on the used surface (cotton cloth: 1.8; glass: 6.6). To obtain these results they treated the material coupons for 3 h in a chamber which contained approximately 0.08% chlorine dioxide gas.6 Rogers et al. demonstrated a 6–8 log10 reduction of B. subtilis spores immobilized on 7 different indoor surface materials.7 They used formaldehyde gas for spore killing with a spore-gas contact time of 10 hours. Udompijitkul et al. investigated the efficacy of common disinfectants (e.g. 70% ethanol) against Clostridium perfringens spores attached to stainless steel.61 Although they used germinated spores for their experiments, they only achieved a spore inactivation of 1.5–2.7 log10 orders. Approaches to inactivate bacterial endospores attached to surfaces showed either a good efficacy when long treatment times were used or the spore killing efficacy was not biologically relevant. In contrast, our experiments demonstrated that PDI mediated killing of dried endospores is fast and effective at the same time. We only needed a total treatment time of 20 seconds (10 second incubation, 10 second irradiation) to obtain 7 log10 orders killing efficacy against spores attached to food related surfaces.
We also tested the cell toxicity of FLASH-07a against normal human epidermal keratinocytes (nHEKs). In cell culture experiments we focused on FLASH-07a because this derivative was the most efficient photosensitizer against spores in vitro and dried on PET surfaces. In view of the high polarity (eightfold charged) and the high concentrations used in the experiments (up to 8 mM), the decrease of nHEK viability of maximal 12.4% in comparison with untreated cells was remarkably small. After incubation the FLASH-07a solution was removed and cells were washed two times with medium. This procedure immediately dilutes the high concentrations in the experiment to an extent which do not affect the keratinocytes. In addition, we recently showed that photodynamic experiments on human keratinocytes with flavin concentrations of up to 500 μM have no effect on the cell viability of nHEKS.29
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