Viscous methylene blue formulation for antimicrobial photodynamic therapy in dentistry

Abstract Antimicrobial photodynamic therapy (aPDT) is a promising strategy to combat resistant microbial strains. However, despite its high in vitro efficacy, clinical outcomes often fall short, largely due to insufficient retention of the photosensitizer (PS) at the target site. Factors such as sal...

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Main Authors: Carolina Montovam Monteiro, José Marcelo Lacerda Alves Gonçalves, Gabriela Benedito Machado, Orlando Chiarelli-Neto, Renato Araújo Prates, Céline Frochot, Christiane Pavani
Format: Article
Language:English
Published: Nature Portfolio 2025-05-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-025-98568-x
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author Carolina Montovam Monteiro
José Marcelo Lacerda Alves Gonçalves
Gabriela Benedito Machado
Orlando Chiarelli-Neto
Renato Araújo Prates
Céline Frochot
Christiane Pavani
author_facet Carolina Montovam Monteiro
José Marcelo Lacerda Alves Gonçalves
Gabriela Benedito Machado
Orlando Chiarelli-Neto
Renato Araújo Prates
Céline Frochot
Christiane Pavani
author_sort Carolina Montovam Monteiro
collection DOAJ
description Abstract Antimicrobial photodynamic therapy (aPDT) is a promising strategy to combat resistant microbial strains. However, despite its high in vitro efficacy, clinical outcomes often fall short, largely due to insufficient retention of the photosensitizer (PS) at the target site. Factors such as salivary flow and PS aggregation significantly hinder the effectiveness of aPDT. This study presents the development of a high-viscosity methylene blue (MB) formulation tailored for dental aPDT applications. The increased viscosity aims to enhance PS retention at the treatment site, while carefully selected components address MB aggregation, ultimately improving the clinical efficacy of the therapy. Key formulation strategies included the incorporation of a surfactant, anionic polymers, an acidic pH, and reduced MB concentrations to effectively mitigate aggregation. Stability testing demonstrated that the formulation preserved its organoleptic properties, pH, and MB content over 1 year. Although the formulation exhibited lower MB uptake in Candida albicans biofilms compared to aqueous MB, this did not compromise its antimicrobial activity. In vitro aPDT assays showed comparable efficacy between MB in water and the high-viscosity formulation. These findings highlight the potential of the developed viscous MB formulation to enhance the practicality and clinical success of aPDT in dentistry, without compromising its therapeutic effectiveness.
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spelling doaj-art-beb1e9d7e1ff48f99c7f1f924a1be2c02025-08-20T03:53:11ZengNature PortfolioScientific Reports2045-23222025-05-0115111310.1038/s41598-025-98568-xViscous methylene blue formulation for antimicrobial photodynamic therapy in dentistryCarolina Montovam Monteiro0José Marcelo Lacerda Alves Gonçalves1Gabriela Benedito Machado2Orlando Chiarelli-Neto3Renato Araújo Prates4Céline Frochot5Christiane Pavani6Biophotonics Medicine Postgraduate Program, Universidade Nove de JulhoBiophotonics Medicine Postgraduate Program, Universidade Nove de JulhoBiophotonics Medicine Postgraduate Program, Universidade Nove de JulhoCentro Universitário do Espírito SantoBiophotonics Medicine Postgraduate Program, Universidade Nove de JulhoCNRS, Université de LorraineBiophotonics Medicine Postgraduate Program, Universidade Nove de JulhoAbstract Antimicrobial photodynamic therapy (aPDT) is a promising strategy to combat resistant microbial strains. However, despite its high in vitro efficacy, clinical outcomes often fall short, largely due to insufficient retention of the photosensitizer (PS) at the target site. Factors such as salivary flow and PS aggregation significantly hinder the effectiveness of aPDT. This study presents the development of a high-viscosity methylene blue (MB) formulation tailored for dental aPDT applications. The increased viscosity aims to enhance PS retention at the treatment site, while carefully selected components address MB aggregation, ultimately improving the clinical efficacy of the therapy. Key formulation strategies included the incorporation of a surfactant, anionic polymers, an acidic pH, and reduced MB concentrations to effectively mitigate aggregation. Stability testing demonstrated that the formulation preserved its organoleptic properties, pH, and MB content over 1 year. Although the formulation exhibited lower MB uptake in Candida albicans biofilms compared to aqueous MB, this did not compromise its antimicrobial activity. In vitro aPDT assays showed comparable efficacy between MB in water and the high-viscosity formulation. These findings highlight the potential of the developed viscous MB formulation to enhance the practicality and clinical success of aPDT in dentistry, without compromising its therapeutic effectiveness.https://doi.org/10.1038/s41598-025-98568-xPhotochemotherapyMethylene BlueMetachromacyAggregationBiofilmCandida albicans
spellingShingle Carolina Montovam Monteiro
José Marcelo Lacerda Alves Gonçalves
Gabriela Benedito Machado
Orlando Chiarelli-Neto
Renato Araújo Prates
Céline Frochot
Christiane Pavani
Viscous methylene blue formulation for antimicrobial photodynamic therapy in dentistry
Scientific Reports
Photochemotherapy
Methylene Blue
Metachromacy
Aggregation
Biofilm
Candida albicans
title Viscous methylene blue formulation for antimicrobial photodynamic therapy in dentistry
title_full Viscous methylene blue formulation for antimicrobial photodynamic therapy in dentistry
title_fullStr Viscous methylene blue formulation for antimicrobial photodynamic therapy in dentistry
title_full_unstemmed Viscous methylene blue formulation for antimicrobial photodynamic therapy in dentistry
title_short Viscous methylene blue formulation for antimicrobial photodynamic therapy in dentistry
title_sort viscous methylene blue formulation for antimicrobial photodynamic therapy in dentistry
topic Photochemotherapy
Methylene Blue
Metachromacy
Aggregation
Biofilm
Candida albicans
url https://doi.org/10.1038/s41598-025-98568-x
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