Safety Evaluation of a 405-nm LED Device for Direct Antimicrobial Treatment of the Murine Brain

Comp Med. 2019 Aug 1;69(4):283-290. doi: 10.30802/AALAS-CM-18-000126. Epub 2019 Aug 6.

Abstract

Antimicrobial resistance is a growing problem in human medicine that extends to biomedical research. Compared with chemical-based therapies, light-based therapies present an alternative to traditional pharmaceuticals and are less vulnerable to acquired bacterial resistance. Due to immunologic privilege and relative tissue sensitivity to topical antibiotics, the brain poses a unique set of difficulties with regard to antimicrobial therapy. This study focused on 405-nm 'true violet' light-which has been shown to kill multiple clinically relevant bacterial species in vitro yet leave mammalian cells unscathed-and its effect on the murine brain. We built a 405-nm LED array, validated its power and efficacy against a clinical bacterial isolate in vitro, and then, at the time of craniotomy, treated mice with various doses of 405-nm light (36, 45, and 54 J/cm²). The selected doses caused no behavioral derangements postoperatively or any observable brain pathology as determined postmortem by histologic evaluation and immunofluorescence staining for caspase 3 and glial fibrillary acidic protein, markers of apoptosis and necrosis. True-violet light devices may present an inexpensive refinement to current practices for maintaining open craniotomy sites or reducing bacterial loads in contaminated surgical sites.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Anti-Infective Agents / therapeutic use
  • Bacterial Load / drug effects*
  • Brain / drug effects*
  • Craniotomy / methods
  • Disease Models, Animal*
  • Equipment Design
  • Mice
  • Mice, Inbred C57BL
  • Phototherapy / instrumentation*
  • Surgical Wound Infection / prevention & control

Substances

  • Anti-Infective Agents