Graphene Quantum Dots in Bacterial Cellulose Hydrogels for Visible Light-Activated Antibiofilm and Angiogenesis in Infection Management

A novel bacterial cellulose (BC)-based composite hydrogel with graphene quantum dots (BC-GQDs) was developed for photodynamic therapy using blue and green light (BC-GQD_blue and BC-GQD_green) to target pathogenic bacterial biofilms. This approach aims to address complications in treating nosocomial infections and combating multi-drug-resistant organisms. Short-term illumination (30 min) of both BC-GQD samples led to singlet oxygen production and a reduction in pathogenic biofilms. Significant antibiofilm activity (>50% reduction) was achieved against Staphylococcus aureus and Escherichia coli with BC-GQD_green, and against Pseudomonas aeruginosa with BC-GQD_blue. Atomic force microscopy images revealed a substantial decrease in biofilm mass, accompanied by changes in surface roughness and area, further confirming the antibiofilm efficacy of BC-GQDs under blue and green light, without any observed chemical alterations. Additionally, the biocompatibility of BC-GQDs was demonstrated with human gingival fibroblasts (HGFs). For the first time, in vitro studies explored the visible light-induced potential of BC-GQD composites to promote wound healing processes, showing increased migratory potential and the upregulation of eNOS and MMP9 gene expressions in HGFs. Chemical characterization revealed a 70 nm upshift in the photoluminescence emission spectra compared to the excitation wavelength. These novel photoactive BC-GQD hydrogel composites show great promise as effective agents for wound healing regeneration and infection management.