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Antimicrobial photodynamic therapy (aPDT) has emerged as a promising alternative
against topical infections, but its effectiveness is often limited by poor retention and
rapid dispersion of photosensitizers (PSs) at the site of infection. In this study, hybrid
thermosensitive hydrogels were developed based on poloxamer (Pluronic® F127,
20% w/v) and incorporating the phenothiazinium PS 1,9-dimethylmethylene blue
(DMMB, 30 μM). To modulate physicochemical and mechanical properties, additional
polymers were incorporated at 0.5% (w/v), including hydroxypropyl methylcellulose
(HPMC 10 and HPMC 90), hydroxyethyl cellulose (HEC 90), alginate (AG), and
xanthan gum (XG). The formulations exhibited suitable pH values (5-6) and preserved
the characteristic absorption profile of DMMB over 30 days, indicating high
photochemical stability. Rheological analysis revealed predominantly elastic behavior
photochemical stability. Rheological analysis revealed predominantly elastic behavior
-thinning properties, favorable for topical application and in situ
gelation. Scanning electron microscopy revealed dense, interconnected
microstructures, while FTIR analysis confirmed that interactions between components
were primarily physical, driven by hydrogen bonding rather than chemical modification.
Photodynamic assays against Candida auris demonstrated a pronounced lightdependent
antifungal effect. Control groups (light alone and dark conditions) showed
no significant reduction in fungal growth, confirming the specificity of aPDT. Upon
irradiation (662 ± 15 nm, 30 J/cm²), all DMMB-loaded hydrogels promoted a timedependent
decrease in fungal viability, with near-complete inhibition after prolonged
exposure. Cellulose-based formulations (HPMC and HEC) showed superior antifungal
performance, whereas alginate- and xanthan-based systems exhibited reduced
efficacy, likely due to differences in matrix organization affecting PS diffusion and
availability. Overall, these findings demonstrate that DMMB-loaded thermosensitive
hydrogels (PL 20% w/v + polymers 0.5% w/v) represent a promising strategy for
enhancing topical aPDT, providing improved retention, controlled release, and
effective antifungal activity against Candida auris.
This work was supported by Conselho Nac. Des. Cient. Tecnológico (CNPq, Universal
# 420645/2023-3) and by São Paulo Research Foundation (FAPESP # 2021/14119-
6).
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