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. 2021 Oct 27;20(11):1497–1545. doi: 10.1007/s43630-021-00102-1

Table 4.

Chemical properties and biological activity of photosensitizers used in vivo/ex vivo pre-clinical studies for treatment of infections by Gram-positive bacteria

# Structure Model Results
1

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ZnPc-(Lys)5 (PS26)

Charge: 0 to + 5 (pH dependent)

MW = 1272 Da

In vivo: Sprague–Dawley rats with wound infected by S. aureus

Xen29 [159]

Outcome: 0.7 log CFU reduction

[PS]: 1 µM

Light dose: 15 J/cm2 (LED λ = 680 nm)

2

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Arg–Arg–ArgPc (PS27)

Charge: 0 to + 6

MW = 1924 Da

In vivo: adult KM mice infected by S. aureus [160]

Outcome: 1.6 log CFU reduction

[PS]: 50 µM

Light dose: 30 J/cm2 (500 W halogen lamp with filter λ > 610 nm)

3

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RLP068 (PS28)

Charge: + 4

MW = 1257 Da

In vivo: BALB⁄c mice with wound infected by MRSA ATCC 43300 [161]

Outcome: ~ 3 log CFU reduction in 2nd day after treatment

[PS]: 2 mM

Light dose: 60 J/cm2 (Laser λ = 698 nm)

4

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Sinoporphyrin sodium (PS29)

Charge: − 4

MW = 1231 Da

In vivo: female BALB/c mice (5–6 weeks) with burn wound infection by MDR S. aureus ATCC 29213 [162]

Outcome: 1 log CFU reduction in 1st and 2nd days; 3 log in in 3rd day after treatment

[PS]: 20 µM

Light dose: 50 J/cm2 (Laser λ = 635 nm)

5

5-ALA: protoporphyrin IX precursor (PS9a)

Charge: 0

MW = 131 Da

In vivo: male C57BL/ksj db/db mice with ulcers infected with S. aureus MRSA ATCC 33591 [163]

Outcome: 2 log CFU reduction, 7 days after treatment

[PS]: 200 mg/kg (1.5 mmol/kg)

Light dose: 50 J/cm2 (LED λ = 410 nm)

6 In vivo: Sprague–Dawley rats CD osteomyelitis model with S. aureus Xen29 [164]

Outcome: qualitative inhibition of biofilm formation in bone

[PS]: 300 mg/kg (2.3 mmol/kg)

Light dose: 75 J/cm2 (LEDs λ = 640 ± 40 nm)

7

Chlorin e6 (PS7)

Charge: − 3

MW = 597 Da

In vivo: male BALB/c mice (6 weeks) with subcutaneous infection by S. aureus NCTC8532 [165]

Outcome: complete reduction of infection after 5 days

[PS]: 10 mg/kg (16 µmol/kg)

Light dose: 100 J/cm2 (Laser λ = 664 nm)

8

Chlorin e6- polyethylenimine conjugate (PS30)

Charge: positive

MW = 10,000–25,000 Da

In vivo: female BALB/c mice wound infected with MRSA Xen31 [166]

Outcome: 2.7 log CFU reduction

[PS]: 400 µM

Light dose: 360 J/cm2 (Light λ = 660 ± 15 nm)

9

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Photogem (PS31)

Charge: − 2 to − 12

MW = n.d.

In vivo: Mongolian Gerbils with otitis caused by S. pneumonia ATCC 27336 [167]

Outcome: complete reduction of S. pneumonia in 87.5% of infections

[PS]: 1 mg/ml (20 μl)

Light dose: n.d. total energy: 90 J (Laser λ = 632 nm)

10

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PTMPP (PS32)

Charge: + 3

MW = 663 Da

In vivo: male BALB/c with third degree burns infected with S. aureus 8325–4 [168]

Outcome: 1.7 log CFU reduction (7th day)

[PS]: 500 µM

Light dose: 210 J/cm2

(Light λ = 635 ± 15 nm)

11

Indocyanine green (PS33)

Charge: − 2

MW = 775 Da

In vivo: rat abrasion wound model infected with MDR S. aureus (clinical isolate) [169]

Outcome: 1 log CFU reduction

[PS]: 1.2 mM

Light dose: 450 J/cm2

(Laser λ = 808 nm)

12

Hypericin (in nanoparticle formulation) (PS12)

Charge: 0

MW = 504 Da

In vivo: female Wistar rats with wounds infected by

MRSA ATCC 6538 [170]

Outcome: disappearance of infection 10 days after treatment

[PS]: 0.124 μM

Light dose: 23.5 J/cm2 (Halogen lamps 20 W)

13

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Y1 (PS34)

Charge: − 1

MW = 432 Da

In vivo: adult male ICR mice with skin infection by MRSA [171]

Outcome: 3 log CFU reduction (7th day)

[PS]: 2.5 µM

Light dose: 30 J/cm2 (laser λ = 532 nm)

14

Curcumin (PS14)

Charge: 0

MW = 368 Da

In vivo: female Balb/C mice infected in the right ear with S. aureus ATCC 43300 [172]

Outcome: 2 log CFU reduction on the draining lymph node 72 h after treatment

[PS]: 40 mM

Light dose: 54 J/cm2

(Light λ = 450 ± 20 nm)

15 In vivo: male Wistar rats with infection by S. aureus ATCC 25923 [173]

Outcome: 2 log CFU reduction after treatment

[PS]: 1.5% gel (60 µl)

Light dose: 60 J/cm2 (light λ = 450 ± 30 nm)

16

Methylene blue (PS18)

Charge: + 1

MW = 284 Da

Ex vivo: human skin infected with MRSA ATCC 33592 [174]

Outcome: 5.1 log CFU reduction (immediately); 5.9 log reduction (after 24 h)

[PS]: 31 µM

Light dose: 96 J/cm2 (laser λ = 670 nm)

17

SAPYR (PS16)

Charge: + 1

MW = 272 Da

Ex vivo: human skin colonized by S. aureus MRSA ATCC BAA-44 [175]

Outcome: 4 log CFU reduction

[PS]: 100 µM

Light dose: 60 J/cm2 (light λ = 380–480 nm)

18

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SACUR-3 (PS35)

Charge: + 4

MW = 517 Da

Ex vivo: porcine skin infected with S. aureus ATCC 25923 [176]

Outcome: 2 log CFU reduction

[PS]: 100 μM

Light dose: 34 J/cm2 (LED λ = 435 ± 10 nm)