氨基酮戊酸光动力疗法对浮游表皮葡萄球菌抑制作用的体外研究  

Inhibition of Staphylococcus epidermidis planktonic cells by 5-aminolevulinic acid-based photodynamictherapy

作　　者：李欣[1] 王宏伟 王秀丽 张玲琳 

机构地区：[1]安徽医科大学上海皮肤病性病临床学院,上海200050 [2]上海市皮肤病医院

出　　处：《中华皮肤科杂志》2012年第8期557-560,共4页Chinese Journal of Dermatology

基　　金：上海市级医院临床科研资源共享平台项目（SHDC12007704）

摘　　要：目的观察氨基酮戊酸光动力疗法（ALA-PDT）对浮游表皮葡萄球菌的影响，探讨ALA最适浓度和最佳孵育时间。方法实验分3组，第1组，50mmol/LALA与细菌37℃避光孵育3、5、8、12、16、18、20、24h；第2组，不同浓度ALA（10、20、30、40、50mmol／L）与细菌37℃避光孵育16h；第3组，单纯胰蛋白胨大豆肉汤培养基（TSB）（不加ALA）与细菌37℃避光孵育24h。3个组均通过激光共聚焦显微镜（CLSM）检测不同时间点原卟啉Ⅸ（PpⅨ）的荧光强度并做定量分析。同时对第1组进行不同剂量（30、50、70、90、100J/cm^2）红光照射，第2组用100J／cm2红光照射，第3组不照光，同时设不同剂量红光照射对照组。采用菌落计数法分析ALA-PDT对浮游表皮葡萄球菌的影响。结果第1组，CLSM下均观察到砖红色荧光，荧光强度随着孵育时间的延长而逐渐增强，孵育16、18、20、24h的荧光强度明显高于3、5、8、12h（P〈0．05）；第2组，荧光强度随着ALA浓度的增加而增强，50mmol／LALA组荧光强度明显高于10、20、30、40mmoULALA组（P〈0．05）；第3组，未见砖红色荧光。前两组经红光照射后发现，随着ALA浓度和光剂量的增加，存活的细菌数逐渐减少，当ALA为50mmoYL、光剂量为100J／cm^2时，细菌生长受到抑制。结论ALA-PDT对浮游表皮葡萄球菌有明显抑制作用，最适治疗参数为50mmol／LALA、孵育16h，光照剂量100J／cm^2。Objective To observe the effect of 5-aminolevulinic acid-based photodynamic therapy （ALA-PDT） on S. epidermidis planktonic ceils, and to determine the optimal concentration and incubation time of ALA. Methods Some S. epidermidis planktonic cells were divided into 3 groups to be incubated with ALA at 50 mmol/L for different durations （3, 5, 8, 12, 16, 18, 20 and 24 hours） at 37 ℃ in dark room （group 1 ）, with ALA at various concentrations （10, 20, 30, 40 and 50 retool/L） for 16 hours at 37 ℃ in dark room （group 2）, and with fresh trypticase soya broth （TSB） solution for 24 hours at 37 ℃ in dark room （group 3） , respectively. Confocal laser scanning microscopy （CLSM） was used to measure the fluorescence intensity of protoporphyrin IX （PplX） in bacterial suspensions at different time points. Additionally, some S. epiderraidis planktonic cells in group 1 were irradiated with red light at 30, 50, 70, 90 and 100 J/cm2 after incubation with ALA at 50 mmol/L for 16 hours, some in group 2 were irradiated with red light at 100 J/cm2 after incubation with ALA for 16 hours, those cells in group 3 received no irradiation （blank control group）, and some S. epidermidis planktonic ceils receiving only irradiation and no pretreatment with ALA served as the laser control group; subsequently, the bacterial suspension was inoculated onto trypticase soy agar （TSA） followed by the calculation of colony forming units （CFUs） of S. epiderraidis. Results Brick red fluorescence was observed by CLSM in S. epidermidis planktonic cells in group 1 and 2, but not in those in group 3, and the fluorescence intensity was enhanced with the increase in incubation time and concentration of ALA. In detail, the fluorescence intensity was significantly higher in planktonic S. epidermidis cells after 16-, 18-, 20- and 24-hour incubation than in those after 3-, 5-, 8- and 12-hour incubation with ALA at 50 mmol/L （all P 〈 0.05）, and higher in those incubated with ALA at 50 mmol/L than in those wit

关 键 词：氨基酮戊酸 光化学疗法 葡萄球菌 表皮 

分 类 号：R753[医药卫生—皮肤病学与性病学]