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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">bioph</journal-id><journal-title-group><journal-title xml:lang="ru">Biomedical Photonics</journal-title><trans-title-group xml:lang="en"><trans-title>Biomedical Photonics</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2413-9432</issn><publisher><publisher-name>Non-profit partnership for development of domestic photodynamic therapy and photodiagnosis</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.24931/2413-9432-2026-15-3-39-56</article-id><article-id custom-type="elpub" pub-id-type="custom">bioph-804</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ОБЗОРЫ ЛИТЕРАТУРЫ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>LITERATURE REVIEWS</subject></subj-group></article-categories><title-group><article-title>Потенциал эндогенных фотосенсибилизаторов в фотодинамической терапии микобактериальных инфекций</article-title><trans-title-group xml:lang="en"><trans-title>Potential of endogenous photosensitizers in photodynamic therapy of mycobacterial infections</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Шлеева</surname><given-names>М. О.</given-names></name><name name-style="western" xml:lang="en"><surname>Shleeva</surname><given-names>M. O.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Москва</p></bio><bio xml:lang="en"><p>Moscow</p></bio><email xlink:type="simple">mshleeva@inbi.ras.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Багаева</surname><given-names>Д. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Bagaeva</surname><given-names>D. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Москва</p></bio><bio xml:lang="en"><p>Moscow</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Касаткина</surname><given-names>С. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Kasatkina</surname><given-names>S. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Москва</p></bio><bio xml:lang="en"><p>Moscow</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Капрельянц</surname><given-names>А. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Kaprelyants</surname><given-names>A. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Москва</p></bio><bio xml:lang="en"><p>Moscow</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Савицкий</surname><given-names>А. П.</given-names></name><name name-style="western" xml:lang="en"><surname>Savitsky</surname><given-names>A. P.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Москва</p></bio><bio xml:lang="en"><p>Moscow</p></bio><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Институт биохимии им. А.Н. Баха, Федеральный исследовательский центр «Фундаментальные основы биотехнологии» Российской академии наук</institution><country>Россия</country></aff><aff xml:lang="en"><institution>A.N. Bach Institute of Biochemistry, Federal Research Centre ‘Fundamentals of Biotechnology’ of the Russian Academy of Sciences</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2026</year></pub-date><pub-date pub-type="epub"><day>09</day><month>10</month><year>2026</year></pub-date><volume>15</volume><issue>3</issue><fpage>39</fpage><lpage>56</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Шлеева М.О., Багаева Д.И., Касаткина С.И., Капрельянц А.С., Савицкий А.П., 2026</copyright-statement><copyright-year>2026</copyright-year><copyright-holder xml:lang="ru">Шлеева М.О., Багаева Д.И., Касаткина С.И., Капрельянц А.С., Савицкий А.П.</copyright-holder><copyright-holder xml:lang="en">Shleeva M.O., Bagaeva D.I., Kasatkina S.I., Kaprelyants A.S., Savitsky A.P.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.pdt-journal.com/jour/article/view/804">https://www.pdt-journal.com/jour/article/view/804</self-uri><abstract><p>В обзоре рассматриваются современные подходы к антибактериальной фотодинамической терапии (аФДТ), основанные на использовании эндогенных фотосенсибилизаторов (ФС) – тетрапиррольных соединений, накапливающихся в бактериальных клетках при переходе в покоящееся состояние или при добавлении в среду выращивания предшественника синтеза тетрапирролов (5-аминолевулиновая кислота). Актуальность проблемы обусловлена ростом лекарственной устойчивости Mycobacterium tuberculosis и способностью патогена персистировать в организме хозяина, формируя фенотипическую толерантность к антибиотикам, что диктует необходимость альтернативных методов лечения. Особое внимание уделено механизмам накопления порфиринов и их метилированных производных (включая тетраметиловый эфир копропорфирина и Zn-порфирины) в различных моделях покоящихся клеток микобактерий. Экспериментально доказано, что эти соединения не только являются маркерами покоящегося состояния, но и служат эффективными эндогенными ФС, обеспечивающими селективную инактивацию патогена при облучении светом соответствующих длин волн. В работе систематизированы данные о ферментативных мишенях тетрапиррольного метаболизма (сирогемсинтаза CysG, феррохелатаза HemH, копропорфириноген III оксидаза HemN, копропорфирин метилтрансфераза CPmtA), модуляция активности которых позволяет индуцировать накопление флуоресцирующих интермедиатов и повышать фоточувствительность бактерий. Обсуждаются результаты экспериментальных исследований по фотодинамической инактивации как активно растущих, так и персистирующих форм микобактерий in vitro, а также внутри инфицированных макрофагов. Рассмотрены перспективы использования эндогенных ФС для борьбы с лекарственно-устойчивыми формами патогенов, возможности комбинирования аФДТ с существующими противотуберкулёзными режимами лечения и необходимость дальнейшего изучения накопления порфиринов in vivo. Обзор подчёркивает потенциал аФДТ как альтернативной стратегии, направленной на эрадикацию персистирующих форм микобактерий, что особенно важно в условиях глобальной угрозы туберкулёза с множественной лекарственной устойчивостью.</p></abstract><trans-abstract xml:lang="en"><p>This review examines current approaches to antibacterial photodynamic therapy (aPDT) based on the use of endogenous photosensitizers (PS) – tetrapyrrole compounds that accumulate in bacterial cells upon transition to a dormant state or upon addition of the tetrapyrrole synthesis precursor (5-aminolevulinic acid) to the growth medium. The relevance of the problem is driven by the increasing drug resistance of Mycobacterium tuberculosis and the pathogen’s ability to persist within the host, developing phenotypic tolerance to antibiotics. Particular attention is paid to the mechanisms of porphyrin accumulation and their methylated derivatives (including tetramethyl ester of coproporphyrin and Zn-porphyrins) in dormant mycobacterial cells. It is demonstrated that these compounds not only serve as markers of the dormant state but also act as effective endogenous PS, enabling selective pathogen inactivation upon irradiation with light of appropriate wavelengths. The review systematizes data on enzymatic targets of tetrapyrrole metabolism (siroheme synthase CysG, ferrochelatase HemH, coproporphyrinogen III oxidase HemN, and coproporphyrin methyltransferase CPmtA), whose activity modulation allows induction of fluorescent intermediate accumulation and enhancement of bacterial photosensitivity. Experimental results on photodynamic inactivation of both actively growing and persisting forms of mycobacteria in vitro, as well as inside infected macrophages, are discussed. The prospects of using endogenous PS to combat drug-resistant forms of pathogens, the potential for combining aPDT with existing anti-tuberculosis regimens, and the need for further investigation of porphyrin accumulation in in vivo models are considered. The review highlights the potential of aPDT as an alternative strategy aimed at eradicating persisting forms of mycobacteria, which is particularly important in the context of the global threat of multidrug-resistant tuberculosis.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>микобактерия</kwd><kwd>туберкулез</kwd><kwd>микобактериоз</kwd><kwd>антибактериальная фотодинамическая терапия (аФДТ)</kwd><kwd>порфирин</kwd><kwd>флавин</kwd><kwd>фотосенсибилизатор</kwd></kwd-group><kwd-group xml:lang="en"><kwd>mycobacterium</kwd><kwd>tuberculosis</kwd><kwd>mycobacteriosis</kwd><kwd>antibacterial photodynamic therapy (aPDT)</kwd><kwd>porphyrin</kwd><kwd>flavin</kwd><kwd>photosensitizer</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Global tuberculosis report 2024. Geneva: World Health Organization. – 2024. 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