Anionic hexadeca-carboxylate tetrapyrazinoporphyrazine: synthesis and in vitro photodynamic studies of a water-soluble, non-aggregating photosensitizer

Photodynamic activity of hexadeca-carboxylate tetrapyrazinoporphyrazine is largely influenced by intracellular pH and its interaction with serum proteins.

Polystyrene Nanofiber Materials for Visible-Light-Driven Dual Antibacterial Action via Simultaneous Photogeneration of NO and O2((1)Δg)

This contribution reports on the preparation, characterization, and biological evaluation of electrospun polystyrene nanofiber materials engineered with a covalently grafted NO photodonor and ionically entangled tetracationic porphyrin and phthalocyanine photosensitizers. These photofunctional materials exhibit an effective and simultaneous photogeneration of two antibacterial species such as nitric oxide (NO) and singlet oxygen, O2((1)Δg) under illumination with visible light, as demonstrated by their direct detection using amperometric and time-resolved spectroscopic techniques. Dual-mode photoantibacterial action is demonstrated by antibacterial tests carried out on Escherichia coli.

Anion exchange nanofiber materials activated by daylight with a dual antibacterial effect

Anion exchange polystyrene nanofiber materials (AE) were prepared by electrospinning followed by two-step functionalization of the nanofiber surface by chlorosulfonic acid and ethylendiamine. The photoactive character of these materials was introduced through adsorption of the tetra-anionic 5,10,15,20-tetrakis-(4-sulfonatophenyl)porphyrin photosensitizer (TPPS-AE) on the nanofiber surface or by encapsulation of the nonpolar 5,10,15,20-tetraphenylporphyrin photosensitizer (AE(TPP)) into the nanofibers. Anion exchange nanofiber materials with porphyrins are characterized by a high ion-exchange capacity, photogeneration of singlet oxygen O2((1)Δg), and singlet oxygen-sensitized delayed fluorescence. Due to the photogeneration of cytotoxic O2((1)Δg), the nanofibers exhibited oxidation of the external substrates in aqueous solution and an efficient antibacterial effect when activated by simulated daylight. Adsorption of both TPPS and I(-) on the surface of AE led to the formation of more efficient I-TPPS-AE materials. Rapid photooxidation of I(-) by O2((1)Δg), and the formation of another cytotoxic species, I3(-), on the surface of the nanofibers were responsible for the increased antibacterial properties of I-TPPS-AE and the prolonged antibacterial effect in the dark.

Superhydrophilic polystyrene nanofiber materials generating O2((1)Δ(g)): postprocessing surface modifications toward efficient antibacterial effect

The surfaces of electrospun polystyrene (PS) nanofiber materials with encapsulated 1% w/w 5,10,15,20-tetraphenylporphyrin (TPP) photosensitizer were modified through sulfonation, radio frequency (RF) oxygen plasma treatment, and polydopamine coating. The nanofiber materials exhibited efficient photogeneration of singlet oxygen. The postprocessing modifications strongly increased the wettability of the pristine hydrophobic PS nanofibers without causing damage to the nanofibers, leakage of the photosensitizer, or any substantial change in the oxygen permeability of the inner bulk of the polymer nanofiber. The increase in the surface wettability yielded a significant increase in the photo-oxidation of external polar substrates and in the antibacterial activity of the nanofibers in aqueous surroundings. The results reveal the crucial role played by surface hydrophilicity/wettability in achieving the efficient photo-oxidation of a chemical substrate/biological target at the surface of a material generating O2((1)Δg) with a short diffusion length.

Polystyrene nanofiber materials modified with an externally bound porphyrin photosensitizer

Polystyrene ion-exchange nanofiber materials with large surface areas and adsorption capacities were prepared by electrospinning followed by the sulfonation and adsorption of a cationic 5,10,15,20-tetrakis(1-methylpyridinium-4-yl)porphyrin (TMPyP) photosensitizer on the nanofiber surfaces. The morphology, structure, and photophysical properties of these nanofiber materials were characterized by microscopic methods and steady-state and time-resolved fluorescence and absorption spectroscopies. The externally bound TMPyP can be excited by visible light to form triplet states and singlet oxygen O2((1)Δg) and singlet oxygen-sensitized delayed fluorescence (SODF). The photophysical properties of the nanofibers were strongly dependent on the amount of bound TMPyP molecules and their organization on the nanofiber surfaces. The nanofibers demonstrated photooxidative activity toward inorganic and organic molecules and antibacterial activity against E. coli due to the sensitized formation of O2((1)Δg) that is an effective oxidation/cytotoxic agent. The nanofiber materials also adsorbed heavy metal cations (Pb(2+)) and removed them from the water environment.

Virucidal nanofiber textiles based on photosensitized production of singlet oxygen

Novel biomaterials based on hydrophilic polycaprolactone and polyurethane (Tecophilic®) nanofibers with an encapsulated 5,10,5,20-tetraphenylporphyrin photosensitizer were prepared by electrospinning. The doped nanofiber textiles efficiently photo-generate O₂(¹Δ_g), which oxidize external chemical and biological substrates/targets. Strong photo-virucidal effects toward non-enveloped polyomaviruses and enveloped baculoviruses were observed on the surface of these textiles. The photo-virucidal effect was confirmed by a decrease in virus infectivity. In contrast, no virucidal effect was detected in the absence of light and/or the encapsulated photosensitizer.

Host-guest complexes of anionic porphyrin sensitizers with cyclodextrins

The photodynamic sensitizers zinc(II)- and palladium(II)-5,10,15,20-tetrakis(4-sulfonatophenyl)porphyrins and 5,10,15,20-tetrakis(4-carboxyphenyl)porphyrin form 1:1 and/or 1:2 supramolecular complexes with native cyclodextrins (CD) and 2-hydroxypropyl cyclodextrins (hpCD) in aqueous neutral solutions. The formation of these assemblies causes a bathochromic shift of the porphyrin Soret band in the UV-vis spectra and a red shift of the fluorescence emission bands. The binding constants span over three orders of magnitude, from 8.1 × 102 M −1 to 5.4 × 105 M −1 (or 1.1 × 106 M −2) depending on the size of the CD cavity and on the functionalization by adding 2-hydroxypropyl groups. The highest binding constants were obtained for hpβCD and hpγCD. The Nuclear Overhauser spectroscopy signals (ROESY) revealed three binding modes: i) inclusion of the porphyrin 4-sulfonatophenyl or 4-carboxyphenyl groups via the secondary face of βCD and hpβCD with sulfonic or carboxylic groups oriented towards the primary hydroxyl groups. ii) inclusion of the porphyrin groups via the primary face of γCD and hpγCD. iii) non-specific binding of the porphyrin monomers or aggregates on the cyclodextrin exterior. The inclusion host-guest complexation via i) or ii) does not influence the inherent photophysical properties of the monomeric porphyrins such as the quantum yields of fluorescence, the triplet states, and the singlet oxygen formation. Due to the deaggregation effect of cyclodextrins, the inclusion complexes remain efficient supramolecular sensitizers of singlet oxygen even under conditions of extensive aggregation in aqueous solutions.

[Maïa trapeziometacarpal implant for treatment of advanced osteoarthritis of the basal joint of the thumb]

PURPOSE OF THE STUDY

Osteoarthritis of the thumb's basal joint is a frequent and, in some cases, very painful condition that usually affects middle-aged and elderly women. Several surgical procedures have been proposed for severe carpometacarpal (CMC) joint arthritis; of these, joint replacement has proved to be an effective approach to its treatment. The aim of this study is to present the outcomes of the total non-cemented trapeziometacarpal implant Maďa in the treatment of more advanced stages of this disease.

MATERIAL AND METHODS

Thirty-six total trapeziometacarpal joint replacements in 34 patients treated in 2008 for advanced CMC arthritis (Eaton and Littler stages III and IV) were evaluated. Indications for surgery after failure of conservative treatment included: pain, reduced grip and pinch strength and restricted range of thumb motion, all of them interfering with daily activities. The average follow-up time was 42 months, with a minimum of 37 months.

RESULTS

At the final follow-up, thumb opposition to the base of the little finger was present in all patients. The average grip strength of the hand increased from 15.8 kg pre-operatively to 26.8 kg post-operatively. The average key pinch strength increased from 2.7 kg to 5.7 kg and the average tip pinch strength from 2.3 kg to 4.9 kg. All patients reported substantial pain relief. The average VAS values were 8.4 points before surgery and 0.4 points at 3 years after surgery. Pre- and post-operative DASH scores were 71.7 and 22.5, respectively. One patient had aseptic cup loosening that required revision surgery. No signs of implant loosening in any other patient were shown by radiographic studies at the final follow-up. One patient sustained a traumatic implant dislocation that was treated by open reduction.

DISCUSSION

Total replacement of the CMC joint is a method with functional outcomes comparable with or better than other surgical procedures. Rapid post-surgery recovery is its clear advantage. The implant provides good stability and no prolonged immobilisation is needed.

CONCLUSIONS

In our group, total arthroplasty of the thumb CMC joint provided pain relief, improved thumb motion and pinch strength. At present, CMC joint arthroplasty is recommended to elderly patients with symptoms of advanced arthritis (stage III or early stage IV) refractory to conservative treatment or to well-informed younger persons accepting reduced demands on the treated hand's activities.