Journal of Antimicrobial Chemotherapy, Vol 42, 13-28, Copyright © 1998 by The British Society for Antimicrobial Chemotherapy
M Wainwright
Whereas the photodynamic therapy (PDT) of cancer has recently shown rapid
clinical acceptance, photodynamic antimicrobial chemotherapy (PACT)--which
predates the related cancer regimen--is not widely appreciated. Like PDT,
PACT utilizes photosensitizers and visible or ultraviolet light in order to
give a phototoxic response, normally via oxidative damage. Currently, the
major use of PACT is in the disinfection of blood products, particularly
for viral inactivation, although more clinically-based protocols are being
developed, e.g. in the treatment of oral infection. The technique has been
shown to be effective in vitro against bacteria (including drug-resistant
strains), yeasts, viruses and parasites. A wide range of photosensitizers,
both natural and synthetic, is available with differing physicochemical
make- up and light-absorption properties. PACT is proposed as a potential,
low-cost approach to the treatment of locally occurring infection.
REVIEWS
Photodynamic antimicrobial chemotherapy (PACT)
Department of Chemistry, University of Central Lancashire, Preston, UK. M.Wainwright@UCLAN.ac.uk
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