Assessing Efficacy of Clinical Disinfectants for Pathogenic Fungi by Single-Cell Raman Microspectroscopy

• Published in: Frontiers in cellular and infection microbiology Vol. 12; p. 772378
• Main Authors: Li, Fan, Ren, Lihui, Chen, Rongze, Sun, Xi, Xu, Jian, Zhu, Pengfei, Yang, Fang
• Format: Journal Article
• Language: English
• Published: Switzerland Frontiers Media S.A 23.02.2022
• Subjects: Candida albicans; Cellular and Infection Microbiology; chlorhexidine gluconate; heavy water; hydrogen peroxide; single-cell technology; sodium hypochlorite; Candida albicans; heavy water; sodium hypochlorite; chlorhexidine gluconate; single-cell technology; hydrogen peroxide
• ISSN: 2235-2988; 2235-2988
• DOI: 10.3389/fcimb.2022.772378

Disinfectants are crucial for root canal therapy (RCT), as metabolism of canal-inhabiting microbes can cause refractory infections. To develop effective yet patient- and environment-friendly disinfectant formulations, we quantitatively assessed the metabolism-inhibiting effects of intracanal disinfectants D O-probed Single-Cell Raman Spectra (SCRS), using ( ) as a pathogen model. For chlorhexidine gluconate (CHX), sodium hypochlorite (NaClO), and hydrogen peroxide (H O ), at their MIC of 4, 168, and 60 μg/ml, respectively, despite the complete growth halt, metabolic activity of individual fungal cells was reduced on average by 0.4%, 93.9%, and 94.1% at 8 h, revealing a "nongrowing but metabolically active" (NGMA) state that may underlie potential refractory infections, particularly for CHX. In contrast, at their Metabolic Activity-based Minimum Inhibitory Concentrations (MIC-MA) of 8, 336, and 120 μg/ml, respectively, metabolic activity of all cells was completely halted throughout 8 h exposure. Moreover, combined use of NaClO+H O (combination at 0.5× MIC-MA each) outperforms solo uses of CHX, NaClO, H O , or other binary combinations. Furthermore, dynamics of SCRS revealed distinct fungicidal mechanisms of CHX, NaClO, H O , and their pairwise combinations. MIC-MA is advantageous in critically assessing antifungal efficacy, and NaClO+H O can potentially serve as a more efficient disinfectant formula for fungal pathogens.