2021
DOI: 10.3390/pharmaceutics13121995
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Antimicrobial Photodynamic Therapy: Latest Developments with a Focus on Combinatory Strategies

Abstract: Antimicrobial photodynamic therapy (aPDT) has become a fundamental tool in modern therapeutics, notably due to the expanding versatility of photosensitizers (PSs) and the numerous possibilities to combine aPDT with other antimicrobial treatments to combat localized infections. After revisiting the basic principles of aPDT, this review first highlights the current state of the art of curative or preventive aPDT applications with relevant clinical trials. In addition, the most recent developments in photochemist… Show more

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Cited by 68 publications
(69 citation statements)
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“…In this sense, antimicrobial photodynamic inactivation (PDI) has been projected as a promising therapy to eradicate pathogens [ 12 ]. This approach is founded on the addition of a photosensitizer (PS) that binds selectively to microbial cells.…”
Section: Introductionmentioning
confidence: 99%
See 1 more Smart Citation
“…In this sense, antimicrobial photodynamic inactivation (PDI) has been projected as a promising therapy to eradicate pathogens [ 12 ]. This approach is founded on the addition of a photosensitizer (PS) that binds selectively to microbial cells.…”
Section: Introductionmentioning
confidence: 99%
“…These characteristics limit the complete application of these PSs in PDI. Therefore, the substitution in the periphery of the macrocycle by groups that allows for the improvement of the interaction with biological media is a promising alternative for medical applications [ 12 , 19 ]. Another possibility is to obtain conjugated polymers formed by repeating porphyrin units [ 20 , 21 ].…”
Section: Introductionmentioning
confidence: 99%
“…PDT has been used in combination with several non-invasive therapeutic approaches with additive and synergistic efficacy and enhancement of outcomes in most studies conducted in vitro, as well as in preclinical and clinical applications [ 71 ]. In this regard, studies and applications have been reported for aPDT in combination with antibiotic chemotherapy [ 72 ] PTT [ 73 ], MHT [ 74 ], CAP [ 75 , 76 ], and endodontic debridement [ 77 ].…”
Section: Combination Therapies With Antimicrobial Photodynamic Therapymentioning
confidence: 99%
“…Also, the self-aggregation of PS in an aqueous medium may decrease the efficacy of PDT treatment. This issue leads to the lower production of ROS [ 9 , 10 ]. In this regard, various nanotechnology platforms have been developed to overcome these limitations [ 11 13 ].…”
Section: Introductionmentioning
confidence: 99%