Skip to main content
Erschienen in: Graefe's Archive for Clinical and Experimental Ophthalmology 2/2013

01.02.2013 | Basic Science

Comparison of UVA- and UVA/riboflavin-induced growth inhibition of Acanthamoeba Castellanii

verfasst von: Karim Makdoumi, Anders Bäckman, Jes Mortensen, Anders Magnuson, Sven Crafoord

Erschienen in: Graefe's Archive for Clinical and Experimental Ophthalmology | Ausgabe 2/2013

Einloggen, um Zugang zu erhalten

Abstract

Purpose

To investigate whether ultraviolet light (UVA) at 365 nm can inhibit/eliminate Acanthamoeba growth and if riboflavin would potentiate such an association.

Methods

Acanthamoeba castellanii in a fluid medium with a concentration of approximately 1.7 × 104 protozoa/ml were prepared with (0.01 %) and without riboflavin. Exposure of UVA (dose 5.475 J/cm2) took place twice, with each illumination period followed by culturing of 10 μl in peptone yeast-extract glucose (PYG) medium for 7 days. Every suspension prepared had a non-exposed control solution. Determination of Acanthamoeba was conducted daily, by count in Burker chamber days 4 through 7 after exposure. Statistical analysis was done by repeated-measurement ANOVA and post-hoc analysis for unpaired samples.

Results

The exposure of ultraviolet light resulted in an inhibited growth of Acanthamoeba compared to the non-exposed solutions, with a statistically significant reduction over time (p = 0.0003). The addition of riboflavin did not amplify the effect, and there were no tendencies for an interaction effect between UVA and riboflavin.

Conclusions

The antiprotozoal effect of the UVA wavelength, utilized in CXL, is solely mediated by ultraviolet light, and riboflavin does not seem to amplify the antimicrobial efficacy.
Literatur
1.
Zurück zum Zitat Yaeger RG (1996) Protozoa: structure, classification, growth, and development. In: Baron S (ed) Medical microbiology. The University of Texas Medical Branch at Galveston, Galveston Yaeger RG (1996) Protozoa: structure, classification, growth, and development. In: Baron S (ed) Medical microbiology. The University of Texas Medical Branch at Galveston, Galveston
2.
Zurück zum Zitat Visvesvara GS, Moura H, Schuster FL (2007) Pathogenic and opportunistic free-living amoebae: Acanthamoeba spp., Balamuthia mandrillaris, Naegleria fowleri, and Sappinia diploidea. FEMS Immunol Med Microbiol 50:1–26PubMedCrossRef Visvesvara GS, Moura H, Schuster FL (2007) Pathogenic and opportunistic free-living amoebae: Acanthamoeba spp., Balamuthia mandrillaris, Naegleria fowleri, and Sappinia diploidea. FEMS Immunol Med Microbiol 50:1–26PubMedCrossRef
3.
Zurück zum Zitat Marciano-Cabral F, Cabral G (2003) Acanthamoeba spp. as agents of disease in humans. Clin Microbiol Rev 16:273–307PubMedCrossRef Marciano-Cabral F, Cabral G (2003) Acanthamoeba spp. as agents of disease in humans. Clin Microbiol Rev 16:273–307PubMedCrossRef
4.
Zurück zum Zitat Brindley N, Matin A, Khan NA (2009) Acanthamoeba castellanii: high antibody prevalence in racially and ethnically diverse populations. Exp Parasitol 121:254–256PubMedCrossRef Brindley N, Matin A, Khan NA (2009) Acanthamoeba castellanii: high antibody prevalence in racially and ethnically diverse populations. Exp Parasitol 121:254–256PubMedCrossRef
5.
Zurück zum Zitat Alizadeh H, Apte S, El-Agha MS, Li L, Hurt M, Howard K, Cavanagh HD, McCulley JP, Niederkorn JY (2001) Tear IgA and serum IgG antibodies against Acanthamoeba in patients with Acanthamoeba keratitis. Cornea 20:622–627PubMedCrossRef Alizadeh H, Apte S, El-Agha MS, Li L, Hurt M, Howard K, Cavanagh HD, McCulley JP, Niederkorn JY (2001) Tear IgA and serum IgG antibodies against Acanthamoeba in patients with Acanthamoeba keratitis. Cornea 20:622–627PubMedCrossRef
6.
Zurück zum Zitat Khan NA (2006) Acanthamoeba: biology and increasing importance in human health. FEMS Microbiol Rev 30:564–595PubMedCrossRef Khan NA (2006) Acanthamoeba: biology and increasing importance in human health. FEMS Microbiol Rev 30:564–595PubMedCrossRef
7.
Zurück zum Zitat Kohsler M, Leitner B, Blaschitz M, Michel R, Aspock H, Walochnik J (2006) ITS1 sequence variabilities correlate with 18S rDNA sequence types in the genus Acanthamoeba (Protozoa: Amoebozoa). Parasitol Res 98:86–93PubMedCrossRef Kohsler M, Leitner B, Blaschitz M, Michel R, Aspock H, Walochnik J (2006) ITS1 sequence variabilities correlate with 18S rDNA sequence types in the genus Acanthamoeba (Protozoa: Amoebozoa). Parasitol Res 98:86–93PubMedCrossRef
8.
Zurück zum Zitat Nuprasert W, Putaporntip C, Pariyakanok L, Jongwutiwes S (2010) Identification of a novel t17 genotype of acanthamoeba from environmental isolates and t10 genotype causing keratitis in Thailand. J Clin Microbiol 48:4636–4640PubMedCrossRef Nuprasert W, Putaporntip C, Pariyakanok L, Jongwutiwes S (2010) Identification of a novel t17 genotype of acanthamoeba from environmental isolates and t10 genotype causing keratitis in Thailand. J Clin Microbiol 48:4636–4640PubMedCrossRef
9.
Zurück zum Zitat Seal DV (2003) Acanthamoeba keratitis update-incidence, molecular epidemiology and new drugs for treatment. Eye (Lond) 17:893–905CrossRef Seal DV (2003) Acanthamoeba keratitis update-incidence, molecular epidemiology and new drugs for treatment. Eye (Lond) 17:893–905CrossRef
10.
Zurück zum Zitat Ku JY, Chan FM, Beckingsale P (2009) Acanthamoeba keratitis cluster: an increase in Acanthamoeba keratitis in Australia. Clin Experiment Ophthalmol 37:181–190PubMedCrossRef Ku JY, Chan FM, Beckingsale P (2009) Acanthamoeba keratitis cluster: an increase in Acanthamoeba keratitis in Australia. Clin Experiment Ophthalmol 37:181–190PubMedCrossRef
11.
Zurück zum Zitat Thebpatiphat N, Hammersmith KM, Rocha FN, Rapuano CJ, Ayres BD, Laibson PR, Eagle RC Jr, Cohen EJ (2007) Acanthamoeba keratitis: a parasite on the rise. Cornea 26:701–706PubMedCrossRef Thebpatiphat N, Hammersmith KM, Rocha FN, Rapuano CJ, Ayres BD, Laibson PR, Eagle RC Jr, Cohen EJ (2007) Acanthamoeba keratitis: a parasite on the rise. Cornea 26:701–706PubMedCrossRef
12.
Zurück zum Zitat Dart JK, Saw VP, Kilvington S (2009) Acanthamoeba keratitis: diagnosis and treatment update 2009. Am J Ophthalmol 148:487–499PubMedCrossRef Dart JK, Saw VP, Kilvington S (2009) Acanthamoeba keratitis: diagnosis and treatment update 2009. Am J Ophthalmol 148:487–499PubMedCrossRef
13.
Zurück zum Zitat Sun X, Zhang Y, Li R, Wang Z, Luo S, Gao M, Deng S, Chen W, Jin X (2006) Acanthamoeba keratitis: clinical characteristics and management. Ophthalmology 113:412–416PubMedCrossRef Sun X, Zhang Y, Li R, Wang Z, Luo S, Gao M, Deng S, Chen W, Jin X (2006) Acanthamoeba keratitis: clinical characteristics and management. Ophthalmology 113:412–416PubMedCrossRef
14.
Zurück zum Zitat Illingworth CD, Cook SD, Karabatsas CH, Easty DL (1995) Acanthamoeba keratitis: risk factors and outcome. Br J Ophthalmol 79:1078–1082PubMedCrossRef Illingworth CD, Cook SD, Karabatsas CH, Easty DL (1995) Acanthamoeba keratitis: risk factors and outcome. Br J Ophthalmol 79:1078–1082PubMedCrossRef
15.
Zurück zum Zitat Butler TK, Males JJ, Robinson LP, Wechsler AW, Sutton GL, Cheng J, Taylor P, McClellan K (2005) Six-year review of Acanthamoeba keratitis in New South Wales, Australia: 1997–2002. Clin Experiment Ophthalmol 33:41–46PubMedCrossRef Butler TK, Males JJ, Robinson LP, Wechsler AW, Sutton GL, Cheng J, Taylor P, McClellan K (2005) Six-year review of Acanthamoeba keratitis in New South Wales, Australia: 1997–2002. Clin Experiment Ophthalmol 33:41–46PubMedCrossRef
16.
18.
Zurück zum Zitat Iovieno A, Ledee DR, Miller D, Alfonso EC (2010) Detection of bacterial endosymbionts in clinical acanthamoeba isolates. Ophthalmology 117:445–452PubMedCrossRef Iovieno A, Ledee DR, Miller D, Alfonso EC (2010) Detection of bacterial endosymbionts in clinical acanthamoeba isolates. Ophthalmology 117:445–452PubMedCrossRef
19.
Zurück zum Zitat Fritsche TR, Gautom RK, Seyedirashti S, Bergeron DL, Lindquist TD (1993) Occurrence of bacterial endosymbionts in Acanthamoeba spp. isolated from corneal and environmental specimens and contact lenses. J Clin Microbiol 31:1122–1126PubMed Fritsche TR, Gautom RK, Seyedirashti S, Bergeron DL, Lindquist TD (1993) Occurrence of bacterial endosymbionts in Acanthamoeba spp. isolated from corneal and environmental specimens and contact lenses. J Clin Microbiol 31:1122–1126PubMed
20.
Zurück zum Zitat Horn M, Wagner M (2004) Bacterial endosymbionts of free-living amoebae. J Eukaryot Microbiol 51:509–514PubMedCrossRef Horn M, Wagner M (2004) Bacterial endosymbionts of free-living amoebae. J Eukaryot Microbiol 51:509–514PubMedCrossRef
21.
Zurück zum Zitat Paterson GN, Rittig M, Siddiqui R, Khan NA (2011) Is Acanthamoeba pathogenicity associated with intracellular bacteria? Exp Parasitol 129:207–210PubMedCrossRef Paterson GN, Rittig M, Siddiqui R, Khan NA (2011) Is Acanthamoeba pathogenicity associated with intracellular bacteria? Exp Parasitol 129:207–210PubMedCrossRef
22.
Zurück zum Zitat Martins SA, Combs JC, Noguera G, Camacho W, Wittmann P, Walther R, Cano M, Dick J, Behrens A (2008) Antimicrobial efficacy of riboflavin/UVA combination (365 nm) in vitro for bacterial and fungal isolates: a potential new treatment for infectious keratitis. Invest Ophthalmol Vis Sci 49:3402–3408PubMedCrossRef Martins SA, Combs JC, Noguera G, Camacho W, Wittmann P, Walther R, Cano M, Dick J, Behrens A (2008) Antimicrobial efficacy of riboflavin/UVA combination (365 nm) in vitro for bacterial and fungal isolates: a potential new treatment for infectious keratitis. Invest Ophthalmol Vis Sci 49:3402–3408PubMedCrossRef
23.
Zurück zum Zitat Schrier A, Greebel G, Attia H, Trokel S, Smith EF (2009) In vitro antimicrobial efficacy of riboflavin and ultraviolet light on Staphylococcus aureus, methicillin-resistant Staphylococcus aureus, and Pseudomonas aeruginosa. J Refract Surg 25:S799–S802PubMedCrossRef Schrier A, Greebel G, Attia H, Trokel S, Smith EF (2009) In vitro antimicrobial efficacy of riboflavin and ultraviolet light on Staphylococcus aureus, methicillin-resistant Staphylococcus aureus, and Pseudomonas aeruginosa. J Refract Surg 25:S799–S802PubMedCrossRef
24.
Zurück zum Zitat Makdoumi K, Backman A, Mortensen J, Crafoord S (2010) Evaluation of antibacterial efficacy of photo-activated riboflavin using ultraviolet light (UVA). Graefes Arch Clin Exp Ophthalmol 248:207–212PubMedCrossRef Makdoumi K, Backman A, Mortensen J, Crafoord S (2010) Evaluation of antibacterial efficacy of photo-activated riboflavin using ultraviolet light (UVA). Graefes Arch Clin Exp Ophthalmol 248:207–212PubMedCrossRef
25.
Zurück zum Zitat Iseli HP, Thiel MA, Hafezi F, Kampmeier J, Seiler T (2008) Ultraviolet A/riboflavin corneal cross-linking for infectious keratitis associated with corneal melts. Cornea 27:590–594PubMedCrossRef Iseli HP, Thiel MA, Hafezi F, Kampmeier J, Seiler T (2008) Ultraviolet A/riboflavin corneal cross-linking for infectious keratitis associated with corneal melts. Cornea 27:590–594PubMedCrossRef
26.
Zurück zum Zitat Micelli Ferrari T, Leozappa M, Lorusso M, Epifani E, Micelli Ferrari L (2009) Escherichia coli keratitis treated with ultraviolet A/riboflavin corneal cross-linking: a case report. Eur J Ophthalmol 19:295–297PubMed Micelli Ferrari T, Leozappa M, Lorusso M, Epifani E, Micelli Ferrari L (2009) Escherichia coli keratitis treated with ultraviolet A/riboflavin corneal cross-linking: a case report. Eur J Ophthalmol 19:295–297PubMed
27.
Zurück zum Zitat Moren H, Malmsjo M, Mortensen J, Ohrstrom A (2010) Riboflavin and ultraviolet a collagen crosslinking of the cornea for the treatment of keratitis. Cornea 29:102–104PubMedCrossRef Moren H, Malmsjo M, Mortensen J, Ohrstrom A (2010) Riboflavin and ultraviolet a collagen crosslinking of the cornea for the treatment of keratitis. Cornea 29:102–104PubMedCrossRef
28.
Zurück zum Zitat Makdoumi K, Mortensen J, Crafoord S (2010) Infectious keratitis treated with corneal crosslinking. Cornea 29:1353–1358PubMedCrossRef Makdoumi K, Mortensen J, Crafoord S (2010) Infectious keratitis treated with corneal crosslinking. Cornea 29:1353–1358PubMedCrossRef
29.
Zurück zum Zitat Al-Sabai N, Koppen C, Tassignon MJ (2010) UVA/riboflavin crosslinking as treatment for corneal melting. Bull Soc Belge Ophtalmol 315:13–17PubMed Al-Sabai N, Koppen C, Tassignon MJ (2010) UVA/riboflavin crosslinking as treatment for corneal melting. Bull Soc Belge Ophtalmol 315:13–17PubMed
30.
Zurück zum Zitat Wollensak G, Spoerl E, Seiler T (2003) Riboflavin/ultraviolet-a-induced collagen crosslinking for the treatment of keratoconus. Am J Ophthalmol 135:620–627PubMedCrossRef Wollensak G, Spoerl E, Seiler T (2003) Riboflavin/ultraviolet-a-induced collagen crosslinking for the treatment of keratoconus. Am J Ophthalmol 135:620–627PubMedCrossRef
31.
Zurück zum Zitat Sauer A, Letscher-Bru V, Speeg-Schatz C, Touboul D, Colin J, Candolfi E, Bourcier T (2010) In vitro efficacy of antifungal treatment using riboflavin/UV-A (365 nm) combination and amphotericin B. Invest Ophthalmol Vis Sci 51:3950–3953PubMedCrossRef Sauer A, Letscher-Bru V, Speeg-Schatz C, Touboul D, Colin J, Candolfi E, Bourcier T (2010) In vitro efficacy of antifungal treatment using riboflavin/UV-A (365 nm) combination and amphotericin B. Invest Ophthalmol Vis Sci 51:3950–3953PubMedCrossRef
32.
Zurück zum Zitat Khan YA, Kashiwabuchi RT, Martins SA, Castro-Combs JM, Kalyani S, Stanley P, Flikier D, Behrens A (2011) Riboflavin and ultraviolet light A therapy as an adjuvant treatment for medically refractive Acanthamoeba keratitis: report of 3 cases. Ophthalmology 118:324–331PubMedCrossRef Khan YA, Kashiwabuchi RT, Martins SA, Castro-Combs JM, Kalyani S, Stanley P, Flikier D, Behrens A (2011) Riboflavin and ultraviolet light A therapy as an adjuvant treatment for medically refractive Acanthamoeba keratitis: report of 3 cases. Ophthalmology 118:324–331PubMedCrossRef
33.
Zurück zum Zitat Garduno-Vieyra L, Gonzalez-Sanchez CR, Hernandez-Da Mota SE (2011) Ultraviolet-a light and riboflavin therapy for acanthamoeba keratitis: a case report. Case Report Ophthalmol 2:291–295PubMed Garduno-Vieyra L, Gonzalez-Sanchez CR, Hernandez-Da Mota SE (2011) Ultraviolet-a light and riboflavin therapy for acanthamoeba keratitis: a case report. Case Report Ophthalmol 2:291–295PubMed
34.
Zurück zum Zitat Hijnen WA, Beerendonk EF, Medema GJ (2006) Inactivation credit of UV radiation for viruses, bacteria and protozoan (oo)cysts in water: a review. Water Res 40:3–22PubMedCrossRef Hijnen WA, Beerendonk EF, Medema GJ (2006) Inactivation credit of UV radiation for viruses, bacteria and protozoan (oo)cysts in water: a review. Water Res 40:3–22PubMedCrossRef
35.
Zurück zum Zitat Sokmen M, Degerli S, Aslan A (2008) Photocatalytic disinfection of Giardia intestinalis and Acanthamoeba castellani cysts in water. Exp Parasitol 119:44–48PubMedCrossRef Sokmen M, Degerli S, Aslan A (2008) Photocatalytic disinfection of Giardia intestinalis and Acanthamoeba castellani cysts in water. Exp Parasitol 119:44–48PubMedCrossRef
36.
Zurück zum Zitat Del Buey MA, Cristobal JA, Casas P, Goni P, Clavel A, Minguez E, Lanchares E, Garcia A, Calvo B (2012) Evaluation of in vitro efficacy of combined riboflavin and ultraviolet a for acanthamoeba isolates. Am J Ophthalmol 153:399–404PubMedCrossRef Del Buey MA, Cristobal JA, Casas P, Goni P, Clavel A, Minguez E, Lanchares E, Garcia A, Calvo B (2012) Evaluation of in vitro efficacy of combined riboflavin and ultraviolet a for acanthamoeba isolates. Am J Ophthalmol 153:399–404PubMedCrossRef
37.
Zurück zum Zitat Kashiwabuchi RT, Carvalho FR, Khan YA, de Freitas D, Foronda AS, Hirai FE, Campos MS, McDonnell PJ (2011) Assessing efficacy of combined riboflavin and UV-A light (365 nm) treatment of Acanthamoeba trophozoites. Invest Ophthalmol Vis Sci 52:9333–9338PubMedCrossRef Kashiwabuchi RT, Carvalho FR, Khan YA, de Freitas D, Foronda AS, Hirai FE, Campos MS, McDonnell PJ (2011) Assessing efficacy of combined riboflavin and UV-A light (365 nm) treatment of Acanthamoeba trophozoites. Invest Ophthalmol Vis Sci 52:9333–9338PubMedCrossRef
38.
Zurück zum Zitat Marschner S, Goodrich R (2011) Pathogen reduction technology treatment of platelets, plasma and whole blood using riboflavin and UV light. Transfus Med Hemother 38:8–18PubMedCrossRef Marschner S, Goodrich R (2011) Pathogen reduction technology treatment of platelets, plasma and whole blood using riboflavin and UV light. Transfus Med Hemother 38:8–18PubMedCrossRef
39.
Zurück zum Zitat Mattana A, Biancu G, Alberti L, Accardo A, Delogu G, Fiori PL, Cappuccinelli P (2004) In vitro evaluation of the effectiveness of the macrolide rokitamycin and chlorpromazine against Acanthamoeba castellanii. Antimicrob Agents Chemother 48:4520–4527PubMedCrossRef Mattana A, Biancu G, Alberti L, Accardo A, Delogu G, Fiori PL, Cappuccinelli P (2004) In vitro evaluation of the effectiveness of the macrolide rokitamycin and chlorpromazine against Acanthamoeba castellanii. Antimicrob Agents Chemother 48:4520–4527PubMedCrossRef
40.
Zurück zum Zitat Cariello AJ, de Souza GF, Foronda AS, Yu MC, Hofling-Lima AL, de Oliveira MG (2010) In vitro amoebicidal activity of S-nitrosoglutathione and S-nitroso-N-acetylcysteine against trophozoites of Acanthamoeba castellanii. J Antimicrob Chemother 65:588–591PubMedCrossRef Cariello AJ, de Souza GF, Foronda AS, Yu MC, Hofling-Lima AL, de Oliveira MG (2010) In vitro amoebicidal activity of S-nitrosoglutathione and S-nitroso-N-acetylcysteine against trophozoites of Acanthamoeba castellanii. J Antimicrob Chemother 65:588–591PubMedCrossRef
41.
Zurück zum Zitat Beattie TK, Seal DV, Tomlinson A, McFadyen AK, Grimason AM (2003) Determination of amoebicidal activities of multipurpose contact lens solutions by using a most probable number enumeration technique. J Clin Microbiol 41:2992–3000PubMedCrossRef Beattie TK, Seal DV, Tomlinson A, McFadyen AK, Grimason AM (2003) Determination of amoebicidal activities of multipurpose contact lens solutions by using a most probable number enumeration technique. J Clin Microbiol 41:2992–3000PubMedCrossRef
42.
Zurück zum Zitat Oldenburg CE, Keenan JD, Cevallos V, Chan MF, Acharya NR, Gaynor BD, McLeod SD, Esterberg EJ, Porco TC, Lietman TM (2011) Microbiological cure times in acanthamoeba keratitis. Eye (Lond) 25:1155–1160CrossRef Oldenburg CE, Keenan JD, Cevallos V, Chan MF, Acharya NR, Gaynor BD, McLeod SD, Esterberg EJ, Porco TC, Lietman TM (2011) Microbiological cure times in acanthamoeba keratitis. Eye (Lond) 25:1155–1160CrossRef
Metadaten
Titel
Comparison of UVA- and UVA/riboflavin-induced growth inhibition of Acanthamoeba Castellanii
verfasst von
Karim Makdoumi
Anders Bäckman
Jes Mortensen
Anders Magnuson
Sven Crafoord
Publikationsdatum
01.02.2013
Verlag
Springer-Verlag
Erschienen in
Graefe's Archive for Clinical and Experimental Ophthalmology / Ausgabe 2/2013
Print ISSN: 0721-832X
Elektronische ISSN: 1435-702X
DOI
https://doi.org/10.1007/s00417-012-2176-4

Weitere Artikel der Ausgabe 2/2013

Graefe's Archive for Clinical and Experimental Ophthalmology 2/2013 Zur Ausgabe

Neu im Fachgebiet Augenheilkunde

Ophthalmika in der Schwangerschaft

Die Verwendung von Ophthalmika in der Schwangerschaft und Stillzeit stellt immer eine Off-label-Anwendung dar. Ein Einsatz von Arzneimitteln muss daher besonders sorgfältig auf sein Risiko-Nutzen-Verhältnis bewertet werden. In der vorliegenden …

Operative Therapie und Keimnachweis bei endogener Endophthalmitis

Vitrektomie Originalie

Die endogene Endophthalmitis ist eine hämatogen fortgeleitete, bakterielle oder fungale Infektion, die über choroidale oder retinale Gefäße in den Augapfel eingeschwemmt wird [ 1 – 3 ]. Von dort infiltrieren die Keime in die Netzhaut, den …

Bakterielle endogene Endophthalmitis

Vitrektomie Leitthema

Eine endogene Endophthalmitis stellt einen ophthalmologischen Notfall dar, der umgehender Diagnostik und Therapie bedarf. Es sollte mit geeigneten Methoden, wie beispielsweise dem Freiburger Endophthalmitis-Set, ein Keimnachweis erfolgen. Bei der …

So erreichen Sie eine bestmögliche Wundheilung der Kornea

Die bestmögliche Wundheilung der Kornea, insbesondere ohne die Ausbildung von lichtstreuenden Narben, ist oberstes Gebot, um einer dauerhaften Schädigung der Hornhaut frühzeitig entgegenzuwirken und die Funktion des Auges zu erhalten.   

Update Augenheilkunde

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.