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Wang X, Pang L, Yang S, Zou L, Zhang Y, Zhao T. Plasma-induced destruction of Candida albicans cell wall components: A reactive molecular dynamics simulation. Biochem Biophys Res Commun 2021; 576:53-58. [PMID: 34481235 DOI: 10.1016/j.bbrc.2021.08.093] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2021] [Accepted: 08/29/2021] [Indexed: 11/19/2022]
Abstract
Cold atmospheric plasma (CAP) has attracted significant attention and has been widely used to inactivate pathogens based on its excellent effect; however, the mechanisms underlying the interactions between plasma-generated species and organisms have not yet been fully elucidated. In this paper, the interactions of reactive oxygen plasma species (O, OH and H2O2) with chitin polymer (the skeletal component of the Candida albicans cell wall) were investigated by means of reactive molecular dynamics simulations from a microscopic point of view. Our simulations show that O and OH species can break important structural bonds (e.g., N-H bonds, O-H bonds and C-H bonds) of chitin. This is followed by a cascade of bond cleavage and double bond formation events. This simulation study aimed to improve the understanding of the micromechanism of plasma-inactivated Candida albicans at the atomic level.
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Affiliation(s)
- Xiaolong Wang
- School of Electrical Engineering, Shandong University, Jinan, 250061, People's Republic of China
| | - Long Pang
- School of Electrical Engineering, Shandong University, Jinan, 250061, People's Republic of China
| | - Shuhui Yang
- State Grid Yantai Power Supply Company, Yantai, 264000, People's Republic of China
| | - Liang Zou
- School of Electrical Engineering, Shandong University, Jinan, 250061, People's Republic of China
| | - Yuantao Zhang
- School of Electrical Engineering, Shandong University, Jinan, 250061, People's Republic of China
| | - Tong Zhao
- School of Electrical Engineering, Shandong University, Jinan, 250061, People's Republic of China.
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Jungbauer G, Moser D, Müller S, Pfister W, Sculean A, Eick S. The Antimicrobial Effect of Cold Atmospheric Plasma against Dental Pathogens-A Systematic Review of In-Vitro Studies. Antibiotics (Basel) 2021; 10:211. [PMID: 33672690 PMCID: PMC7924351 DOI: 10.3390/antibiotics10020211] [Citation(s) in RCA: 20] [Impact Index Per Article: 6.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2021] [Revised: 02/16/2021] [Accepted: 02/18/2021] [Indexed: 12/14/2022] Open
Abstract
Interest in the application of cold atmospheric plasma (CAP) in the medical field has been increasing. Indications in dentistry are surface modifications and antimicrobial interventions. The antimicrobial effect of CAP is mainly attributed to the generation of reactive oxygen and reactive nitrogen species. The aim of this article is to systematically review the available evidence from in-vitro studies on the antimicrobial effect of CAP on dental pathogens. A database search was performed (PubMed, Embase, Scopus). Data concerning the device parameters, experimental set-ups and microbial cultivation were extracted. The quality of the studies was evaluated using a newly designed assessment tool. 55 studies were included (quality score 31-92%). The reduction factors varied strongly among the publications although clusters could be identified between groups of set pathogen, working gases, and treatment time intervals. A time-dependent increase of the antimicrobial effect was observed throughout the studies. CAP may be a promising alternative for antimicrobial treatment in a clinically feasible application time. The introduced standardized protocol is able to compare the outcome and quality of in-vitro studies. Further studies, including multi-species biofilm models, are needed to specify the application parameters of CAP before CAP should be tested in randomized clinical trials.
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Affiliation(s)
- Gert Jungbauer
- Department of Periodontology, School of Dental Medicine, University of Bern, 3010 Bern, Switzerland; (D.M.); (A.S.); (S.E.)
| | - Dominick Moser
- Department of Periodontology, School of Dental Medicine, University of Bern, 3010 Bern, Switzerland; (D.M.); (A.S.); (S.E.)
| | - Steffen Müller
- Department of Cranio-Maxillofacial Surgery, Hospital of the University of Regensburg, 93053 Regensburg, Germany;
| | - Wolfgang Pfister
- Department of Hospital Hygiene, Sophien- und Hufeland-Klinikum Weimar, 99425 Weimar, Germany;
| | - Anton Sculean
- Department of Periodontology, School of Dental Medicine, University of Bern, 3010 Bern, Switzerland; (D.M.); (A.S.); (S.E.)
| | - Sigrun Eick
- Department of Periodontology, School of Dental Medicine, University of Bern, 3010 Bern, Switzerland; (D.M.); (A.S.); (S.E.)
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An S, Evans JL, Hamlet S, Love RM. Incorporation of antimicrobial agents in denture base resin: A systematic review. J Prosthet Dent 2020; 126:188-195. [PMID: 32800329 DOI: 10.1016/j.prosdent.2020.03.033] [Citation(s) in RCA: 24] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2019] [Revised: 03/26/2020] [Accepted: 03/27/2020] [Indexed: 12/12/2022]
Abstract
STATEMENT OF PROBLEM Denture base resins (DBRs), such as polymethyl methacrylate, are commonly used in the fabrication of removable dentures because of their physical, mechanical, and esthetic properties. However, the denture base acts as a substrate for microorganism adherence and biofilm formation, which may lead to denture stomatitis and be further complicated by fungal infections, of especial importance with geriatric and immunosuppressed patients. Therefore, methods to enhance the antimicrobial property of DBRs will be beneficial. PURPOSE The purpose of this systematic review was to evaluate the literature on the antimicrobial activity of DBRs incorporating antimicrobial agents or materials. MATERIAL AND METHODS A search of English peer-reviewed literature up to February 2019 reporting on antimicrobial activity of DBRs with respect to antimicrobial agents or materials, antimicrobial test effects and methods, and conclusion or knowledge gaps was conducted by using Embase, Google Scholar, PubMed, and Web of Science databases. Search terms included denture base resin and antibacterial, denture base resin and antifungal, and denture base resin and antimicrobial. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines were applied for subsequent data analysis. RESULTS Of 2536 identified articles, 28 met the inclusion criteria for the systematic review. Antimicrobial materials were divided into 3 groups: antimicrobial monomer or copolymer, phytochemical or phytomedical components, and other compounds. Strategies on how to incorporate these substances into DBRs and their impact on the reduction and prevention of the growth of microorganisms were identified. CONCLUSIONS Although many efforts have been made to improve the antimicrobial ability of DBRs, this systematic review found that the effectiveness of incorporating of antimicrobial agents into DBRs has not been demonstrated conclusively.
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Affiliation(s)
- Steve An
- Lecturer, School of Dentistry and Oral Health, Griffith University, Gold Coast, Queensland, Australia.
| | - Jane L Evans
- Associate Professor, School of Dentistry and Oral Health, Griffith University, Gold Coast, Queensland, Australia
| | - Stephen Hamlet
- Senior Research Fellow, School of Dentistry and Oral Health, Griffith University, Gold Coast, Queensland, Australia
| | - Robert M Love
- Professor, School of Dentistry and Oral Health, Griffith University, Gold Coast, Queensland, Australia
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The repetitive use of non-thermal dielectric barrier discharge plasma boosts cutaneous microcirculatory effects. Microvasc Res 2016; 106:8-13. [PMID: 26944583 DOI: 10.1016/j.mvr.2016.02.008] [Citation(s) in RCA: 40] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/23/2016] [Revised: 02/27/2016] [Accepted: 02/27/2016] [Indexed: 11/21/2022]
Abstract
BACKGROUND Non-thermal atmospheric plasma has proven its benefits in sterilization, cauterization and even in cancer reduction. Furthermore, physical plasma generated by dielectric barrier discharge (DBD) promotes wound healing in vivo and angiogenesis in vitro. Moreover, cutaneous blood flow and oxygen saturation can be improved in human skin. These effects are mostly explained by reactive oxygen species (ROS), but electric fields, currents and ultraviolet radiation may also have an impact on cells in the treated area. Usually, single session application is used. The aim of this study was to evaluate the effects of the repetitive use of cold atmospheric plasma (rCAP) on cutaneous microcirculation. HYPOTHESIS The repetitive use of non-thermal atmospheric plasma boosts cutaneous microcirculation effects. METHODS Microcirculatory data was assessed at a defined skin area of the radial forearm of 20 healthy volunteers (17 males, 3 females; mean age 39.1±14.8years; BMI 26.4±4.6kg/m(2)). Microcirculatory measurements were performed under standardized conditions using a combined laser Doppler and photospectrometry system. After baseline measurement, CAP was applied by a DBD plasma device for 90s and cutaneous microcirculation was assessed for 10min. Afterwards, a second session of CAP application was performed and microcirculation was measured for another 10min. Then, the third application was made and another 20min of microcirculatory parameters were assessed. RESULTS Tissue oxygen saturation and postcapillary venous filling pressure significantly increased after the first application and returned to baseline values within 10min after treatment. After the second and third applications, both parameters increased significantly vs. baseline until the end of the 40-minute measuring period. Cutaneous blood flow was significantly enhanced for 1min after the first application, with no significant differences found during the remainder of the observation period. The second application improved and prolonged the effect significantly until 7min and the third application until 13min. CONCLUSION These data indicate that the repetitive use of non-thermal atmospheric plasma boosts and prolongs cutaneous microcirculation and might therefore be a potential tool to promote wound healing.
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Joslin JM, McCall JR, Bzdek JP, Johnson DC, Hybertson BM. Aqueous Plasma Pharmacy: Preparation Methods, Chemistry, and Therapeutic Applications. PLASMA MEDICINE 2016; 6:135-177. [PMID: 28428835 DOI: 10.1615/plasmamed.2016018618] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
Abstract
Plasma pharmacy is a subset of the broader field of plasma medicine. Although not strictly defined, the term aqueous plasma pharmacy (APP) is used to refer to the generation and distribution of reactive plasma-generated species in an aqueous solution followed by subsequent administration for therapeutic benefits. APP attempts to harness the therapeutic effects of plasma-generated oxidant species within aqueous solution in various applications, such as disinfectant solutions, cell proliferation related to wound healing, and cancer treatment. The subsequent use of plasma-generated solutions in the APP approach facilitates the delivery of reactive plasma species to internal locations within the body. Although significant efforts in the field of plasma medicine have concentrated on employing direct plasma plume exposure to cells or tissues, here we focus specifically on plasma discharge in aqueous solution to render the solution biologically active for subsequent application. Methods of plasma discharge in solution are reviewed, along with aqueous plasma chemistry and the applications for APP. The future of the field also is discussed regarding necessary research efforts that will enable commercialization for clinical deployment.
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Affiliation(s)
- Jessica M Joslin
- Symbios Technologies, Inc., 3185 Rampart Road, Bldg. A, Colorado State University Research Innovation Center, Fort Collins, CO 80523
| | - James R McCall
- Symbios Technologies, Inc., 3185 Rampart Road, Bldg. A, Colorado State University Research Innovation Center, Fort Collins, CO 80523
| | - Justin P Bzdek
- Symbios Technologies, Inc., 3185 Rampart Road, Bldg. A, Colorado State University Research Innovation Center, Fort Collins, CO 80523
| | - Derek C Johnson
- Symbios Technologies, Inc., 3185 Rampart Road, Bldg. A, Colorado State University Research Innovation Center, Fort Collins, CO 80523
| | - Brooks M Hybertson
- Symbios Technologies, Inc., 3185 Rampart Road, Bldg. A, Colorado State University Research Innovation Center, Fort Collins, CO 80523.,Department of Medicine, Division of Pulmonary Sciences and Critical Care Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO 80045
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Napp J, Daeschlein G, Napp M, von Podewils S, Gümbel D, Spitzmueller R, Fornaciari P, Hinz P, Jünger M. On the history of plasma treatment and comparison of microbiostatic efficacy of a historical high-frequency plasma device with two modern devices. GMS HYGIENE AND INFECTION CONTROL 2015; 10:Doc08. [PMID: 26124985 PMCID: PMC4459170 DOI: 10.3205/dgkh000251] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Abstract
Background: Cold atmospheric pressure plasma (CAP) with its many bioactive properties has defined a new medical field: the plasma medicine. However, in the related form of high-frequency therapy, CAP was even used briefly a century ago. The aim of this study was to review historic CAP treatments and to obtain data regarding the antimicrobial efficacy of a historical high-frequency plasma device. Methods: First, historic literature regarding the history of CAP treatment was evaluated, because in the modern literature no data were available. Second, the susceptibility of 5 different bacterial wound isolates, cultured on agar, to a historic plasma source (violet wand [VW]) and two modern devices (atmospheric pressure plasma jet [APPJ] and Dielectric Barrier Discharge [DBD]) was analyzed . The obtained inhibition areas (IA) were compared. Results: First, the most convenient popular historical electromedical treatments produced a so-called effluvia by using glass electrodes, related to today’s CAP. Second, all three tested plasma sources showed complete eradication of all tested microbial strains in the treated area. The “historical” cold VW plasma showed antimicrobial effects similar to those of modern APPJ and DBD regarding the diameter of the IA. Conclusion: Some retrograde evidence may be deducted from this, especially for treatment of infectious diseases with historical plasma devices. The underlying technology may serve as model for construction of modern sucessive devices.
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Affiliation(s)
- Judith Napp
- Department of Dermatology, University Medicine, Greifswald, Germany
| | - Georg Daeschlein
- Department of Dermatology, University Medicine, Greifswald, Germany
| | - Matthias Napp
- Department of Trauma Surgery, University Medicine, Greifswald, Germany
| | | | - Denis Gümbel
- Department of Trauma Surgery, University Medicine, Greifswald, Germany
| | - Romy Spitzmueller
- Department of Trauma Surgery, University Medicine, Greifswald, Germany
| | - Paolo Fornaciari
- Clinic of Orthopaedic Surgery, HFR Fribourg - Hôpital cantonal, Fribourg, Switzerland
| | - Peter Hinz
- Department of Trauma Surgery, University Medicine, Greifswald, Germany
| | - Michael Jünger
- Department of Dermatology, University Medicine, Greifswald, Germany
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