Organo‐Ptii Complexes for Potent Photodynamic Inactivation of Multi‐Drug Resistant Bacteria and the Influence of Configuration

Abstract PtII based organometallic photosensitizers (PSs) have emerged as novel potent photodynamic inactivation (PDI) reagents through their enhanced intersystem crossing (ISC) processes. Currently, few PtII PSs have been investigated as antibacterial materials, with relatively poor performances reported and with structure‐activity relationships not well described. Herein, a pair of configurational isomers are reported of Bis‐BODIPY (4,4‐difluoro‐boradizaindacene) embedded PtII PSs. The cis‐isomer (cis‐BBP) displayed enhanced 1O2 generation and better bacterial membrane anchoring capability as compared to the trans‐isomer (trans‐BBP). The effective PDI concentrations (efficiency > 99.9%) for cis‐BBP in Acinetobacter baumannii (multi‐drug resistant (MDR)) and Staphylococcus aureus are 400 nM (12 J cm−2) and 100 nM (18 J cm−2), respectively; corresponding concentrations and light doses for trans‐BBP in the two bacteria are 2.50 µM (30 J cm−2) and 1.50 µM (18 J cm−2), respectively. The 50% and 90% minimum inhibitory concentration (MIC50 and MIC90) ratio of trans‐BBP to cis‐BBP is 22.22 and 24.02 in A. baumannii (MDR); 21.29 and 22.36 in methicillin resistant S. aureus (MRSA), respectively. Furthermore, cis‐BBP displays superior in vivo antibacterial performance, with acceptable dark and photoinduced cytotoxicity. These results demonstrate cis‐BBP is a robust light‐assisted antibacterial reagent at sub‐micromolecular concentrations. More importantly, configuration of PtII PSs should be an important issue to be considered in further PDI reagents design.


Introduction
[5][6][7] Despite effective treatment regimens, the concern of promoting bacterial resistance during long-term use of antibiotics remains.][31][32][33][34][35][36] Heavy metal centers (Pt and Ru) in organometallic PSs have been documented to facilitate intersystem crossing (ISC) processes, leading to enhanced ROS production. [37,38]In addition, Pt II PSs exhibited merit of facile photophysical properties tuning by simply coordination with suitable ligands.[41][42] Whereas, the use of Pt II PSs (typically in form of metallacycles and metallacages) for antibacterial purposes remains in its infancy.For instance, Sun and coworkers reported a metallacycle-based supramolecular PSs system for image-guided photodynamic inactivation of Escherichia coli (∼30% efficacy) and Staphylococcus aureus (≈70% efficacy) with 450 nm light irradiation (36 J cm −2 ) at a concentration of ≈2 μM. [42]45][46] In order to achieve membrane targeting, a sophisticated fabrication process is typically required for Pt II PSs.Niu and coworkers synthesized a bacterial membrane-anchoring PS by decoration of organo-Pt II metallacycle with tobacco mosaic virus coat protein and TAT peptide.The resulting complex exhibited an efficient inactivation performance towards E. coli (96.3% efficacy) and S. aureus (70% efficacy) under light irradiation (22.5 J cm −2 ) at a concentration of ≈40 μM. [39]Up until now, antibacterial performance of Pt II PSs have not been comparable to that of organic PSs (which are effectively antibacterial in sub-micromolecular concentrations).Therefore, organometallic PSs with potent activity against antibiotic resistant bacteria are in high demand.
The configuration of Pt II determines its anticancer and antibacterial performance, as demonstrated by the classical cisand trans-platin due to their different abilities of biomolecular interactions. [47,48]It has not been addressed whether this phenomenon also exist in Pt II based PSs in bacterial PDI.Herein, we synthesized two Pt II based organometallic PSs (cis-BBP and trans-BBP) by attaching a BODIPY-pyridine segment to a cis-and trans-Pt II precursor, respectively.cis-BBP exhibited superior singlet oxygen generation efficiency and bacterial membrane intercalation ability over the counter-part trans-BBP.Correspondingly, cis-BBP exhibited remarkable PDI efficiency (> 99.9%) in MDR A. baumannii (≈400 nM, 12 J cm −2 ) and S. aureus (≈100 nM, 18 J cm −2 ).In the case of trans-BBP, 6 and 15-fold of concentration and higher light doses (30 J cm −2 for MDR A. baumannii) were required to achieve the same effect.To the best of our knowledge, cis-BBP is the first organo-Pt II broad-spectrum antibacterial PS effective at sub-micromolecular concentrations.Furthermore, we demonstrate for the first time that the configuration of the Pt II center in organometallic PS largely influences the antibacterial efficiency (Scheme 1).

Syntheses and Structural Characterization
The synthetic route for cis-BBP and trans-BBP together with Pt II complexes without BODIPY (cis-BBP and trans-BBP) are shown in Figure 1.The pyridine-bearing ligand 1 was synthesized using pentamethyl-BODIPY as a starting material followed by a reported Pd catalyzed C( sp 3 )-H activation on BODIPY. [49]he obtained pyridine attached BODIPY was then coordinated with silver nitrate activated cisplatin and transplatin to yield cis-BBP (18.10%) and trans-BBP (24.30%), respectively.The control complexes cis-BBP and trans-BBP were synthesized by coordination between pyridine and silver nitrate activated cisplatin and transplatin, respectively.The yields for cis-BBP and trans-BBP were 68.70% and 73.00%, respectively.The detailed characterizations, including 1 H NMR, 13 C NMR and highresolution mass spectra are shown in the supporting information (Figure S22-S33, Supporting Information).Cisplatin showed a slightly lower-fielded proton  (coordinated NH 3 ) compared to that of transplation. [50]The  of NH 3 in cis-BBP and trans-BBP was 4.73 and 4.62 ppm in deuterated DMSO (2.50 ppm as reference).The proton  of methylene bridge (CH 2 ) of cis-BBP and trans-BBP was 4.47 and 4.56 ppm (in deuterated DMSO), respectively (Figure S1, Supporting Information).Correspondingly, the proton  of NH 3 of cis-BBP and trans-BBP was 4.73 and 4.62 ppm (in deuterated DMSO), respectively.The similar tendency of proton  pattern coordinated NH 3 suggests the desired configuration of synthesized Pt II complexes.The photostability and chemical stability of synthesized complexes in physical environment was characterized by fluorescent spectroscopy and HPLC (Figure S2-S4, Supporting Information).

Theoretical Prediction of Photochemical Properties of Synthesized Complexes
Cis-BBP and trans-BBP displayed UV-vis and fluorescent emission profile resembles that of regular BODIPY (Figure 2a,b).The absorption and fluorescent emission maxima centered at 500 nm and 520 nm for cis-BBP and 503 nm and 520 nm for trans-BBP, respectively.This slightly different absorption maxima for cis-BBP and trans-BBP suggested that coordination with different configurations of Pt II center subtly influence the electronic transitions of the complexes.In addition, the fluorescent quantum yields for cis-BBP and trans-BBP were determined to be 34.25% and 79.74% in water using Rhodamine B (96%) as reference.
The frontier molecular orbital amplitude plots revealed the LU-MOs was located at the Pt II -pyridinium segments and HOMOs was located in the BODIPY segments in both synthesized Pt II PSs.The calculated HOMO-LUMO energy gaps for cis-BBP and trans-BBP were 1.860 and 1.958 eV, respectively (Figure 2c).The slightly different energy gaps were believed to be due to different configurations of the Pt II center.This might explain the slightly different absorption maxima of the two PSs.Photo-assisted 1 O 2 production efficiency of cis-BBP, trans-BBP and Rose-Bengal (RB) were characterized using the corresponding sensor 9,10-Anthracenediyl-bis(methylene)dimalonic acid (ABDA). [51,52]As shown in Figure 2d, light irradiation until 5 min did not cause obvious absorbance reduction at 378 nm of ABDA.Whereas cis/trans-BBP and RB resulted in absorbance reduction of ABDA at 378 nm in a time-dependent manner under light irradiation within 5 min, indicating generation of 1 O 2 .The absorbance reduction of ABDA in the presence of RB upon exposed to light irradiation for 5 min was less significant comparing to that of both synthesized Pt II complexes (≈67% absorbance reduction of ABDA versus ≈80% absorbance reduction for synthesized PSs).Upon light irradiation for 1 min, cis-BBP caused ≈42% reduction of ABDA absorbance at 378 nm, whereas the corresponding value for trans-BBP was ≈20%.The unequal absorbance persisted until light irradiation for 4 min, when the two Pt II complexes caused a similar ≈71% absorbance reduction of ABDA.When light irradiation time amounted to 5 min, 1 O 2 generation efficiency (Φ) for cis-BBP and trans-BBP was calculated to be 74.22% and 44.64% according to the below equation, respectively.
Where Φ RB stands for the quantum efficiency of 1 O 2 of standard reference Rhodamine B. K and K RB stand for the decomposition rate of ABDA in the presence of Pt-complexes and Rhodamine B, respectively.A and A RB stand for the absorbance at 378 nm of ABDA in the presence of Pt-complexes and Rhodamine B at the time point light irradiation for 5 min.The detailed UV-vis spectra of ABDA itself and in the presence of three compounds under light after time-dependent light irradiation are shown in Figure S5 (Supporting Information).
In order to explain the enhanced 1 O 2 generation yield for cis-BBP, theoretical calculations were performed (Figure 2e,f).The oscillator factors (f), vertical excited energies, wavelengths, together with spin orbit coupling constants between the lowest singlet exited (S 1 ) and different triplet states for both cis-BBP and trans-BBP are shown in Table S1-S3 (Supporting Information).For cis-BBP, the maxima f was calculated to be 0.0334 corresponding to S 0 -S 10 transition with excitation wavelength of 514.77 nm.This matched the UV-vis absorption maxima with a wavelength of 500 nm.According to the Kasha rule, it was reasonable to conclude that cis-BBP would undergo a quick internal conversion (IC) process to yield the lowest locally-excited (LE) state S 1 after excitation. [53]The spin-orbit coupling constant between the lowest singlet excited state (S 1 ) to different triplet states ( S1-T1 ,  S1-T2 , and  S1-T3) was calculated to be 60.66, 9.03, and 27.47 cm −1 , respectively.The corresponding energy band gap between singlet and triplet states (ΔE S1-T1 , ΔE S1-T2 , and ΔE S1-T3 ) were calculated to be 0.070, 0.001, and −0.091 eV, respectively.The negative ΔE S1-T3 suggested a higher energy of theT 3 state, and the intersystem crossing (ISC) would therefore be forbidden.The pathway of S 1 to T 1 constituted the dominant ISC route to yield 1 O 2 considering the high spin-orbit coupling constant (Figure 2e).In the case of trans-BBP, excitation to S 7 (estimated wavelength of 540.87 nm) was likely to happen (maximum f of 0.1146).And the high excited state transformed to the lowest S 1 state through a quick IC process.The  S1-T1 ,  S1-T2 ,  S1-T1 , and  S1-T4 was calculated to be 4.66, 3.68, 15.92, and 18.99 cm −1 , respectively.The ΔE S1-T1 , ΔE S1-T2 , ΔE S1-T3 , and ΔE S1-T4 was calculated to be 0.127, 0.128, 0.011, and 0.014 eV (Figure 2f).The likely ISC pathway was S 1 -T 4 according to the description of rate for ISC (k isc ): where,  ST and ΔE ST stands for spin-orbit coupling constant and energy gap between singlet and triplet states. [54]Therefore, these theoretical calculated results explained the relatively high efficiency of sensitizing 3 O 2 to yield 1 O 2 of cis-BBP as compared to trans-BBP.

Bacterial Membrane Anchoring Capability
Owing to the photoluminescent properties of the photosensitizers, we employed confocal laser scanning microscopy (CLSM) to investigate the interactions between cis-BBP and trans-BBP, and multi-drug resistant Acinetobacter baumannii (a gram-negative bacteria) and MRSA (a gram-positive bacteria).We used 4′,6diamidino-2-phenylindole (DAPI) to stain the bacterial DNA (green false color).The false red color emission from cis-BBP was mainly MRSA (Figure 3g-i).In contrast, DAPI stained the interior area of MDR A. baumannii and MRSA.This suggested cis-BBP acted as an effectively bacterial membrane anchoring photosensitizer.In contrast, when using trans-BBP a large portion of red-green false color overlay could be observed in both bacterial species (Figure 3d-f,j-l).This indicated trans-BBP might not be a promising bacterial membrane anchoring agent comparing to cis-BBP.The DIC photos of stained bacteria were shown in Figure S6 (Supporting Information).Furthermore,  potentials of MDR A. baumannii and MRSA were measured to be −14.97± 1.68 and −15.50 ± 2.12 mV, respectively.The  potentials of the two bacterial species in the presence of 2.00 μg mL −1 cis-BBP in-creased20 to −1.69 ± 0.65 and −3.53 ± 1.88 mV for MDR A. baumannii and MRSA.The corresponding values in the presence of 2.00 μg mL −1 trans-BBP were −9.32 ± 0.67 and −8.76 ± 0.71 mV, respectively (Table S4, Supporting Information).This further indicated that cis-BBP could more efficiently bind to bacterial membrane.

Bacterial Membrane Binding Mechanism
Isothermal titration calorimetry (ITC) assay revealed detailed binding mechanisms of Pt II complexes towards both bacterial membranes.The negative enthalpy change (ΔH b ) of Pt II complexes in MDR A. baumannii (−3.89 ± 0.055 kcal mol −1 for cis-BBP and −0.98 ± 0.013 kcal mol −1 for trans-BBP) and MRSA (−3.17 ± 0.044 kcal mol −1 for cis-BBP and −1.76 ± 0.035 kcal mol −1 for trans-BBP) suggested electrostatic interactions and hydrogen bonding contributed to bacterial binding (Figure 4; Table S5, Supporting Information). [24]The more negative ΔH b suggested more pronounced electrostatic and hydrogen bonding interactions of cis-BBP in individual bacterial species.In addition, positive entropy change (ΔS b ) suggested hydrophobic interactions also contributed to PtII complexes to bacterial membrane (Table S5, Supporting Information). [24]The detailed TΔS b values of Pt II complexes on MDR A. baumannii (4.59 kcal/mol for cis-BBP and 7.36 kcal mol −1 for trans-BBP) and MRSA (5.19 kcal mol −1 for cis-BBP and 6.26 kcal mol −1 for trans-BBP) indicated hydrophobic interactions are dominating interactions between trans-BBP and both bacteria strains.

In Vitro Photo-assisted Antibacterial Activity
It has previously been reported that antibacterial PSs with membrane anchoring capability generally display promising antibacterial activity. [46]We first investigated the light-assisted bacterial antimicrobial activity of the synthesized PSs by scanning electronic microscopy (SEM).As shown in Figure 4a MDR A. baumannii has a smooth surface without treatment with cis-BBP.
After light irradiation in the presence of cis-BBP, obvious damage to the cellular membrane and bacterial cell lysis could be seen (Figure 5b).S. aureus underwent substantial cell lysis after light irradiation, potentially suggesting more severe damage to the bacterial cell wall (Figure 5c,d).
Encourage by these results, further testing of antibacterial activity of both PSs on MDR A. baumannii and MRSA was performed.The best MDR A. baumannii bactericidal activity was 47.98% (Figure 6a; Table S6, Supporting Information) for cis-BBP with a final concentration of 0.40 μg mL −1 (≈400 nM) and incubation for 5 mins without light irradiation.Comparable MDR A. baumannii bactericidal activity in the presence of trans-BBP (49.35% and 48.14%,Table S7, Supporting Information) was achieved with final concentrations of 1.00 and 1.50 μg mL −1 (> 2.50 folds concentration comparing that of cis-BBP) after 5 mins incubation, respectively (Table S7, Supporting Information).Upon incubation with higher concentrations of trans-BBP (2.00 and 2.50 μg mL −1 ) for 5 min, the bactericidal activity was 53.31 and 59.51%, respectively (Table S7, Supporting Information).The similar dark MDR A. baumannii bactericidal activity obtained with more diluted dispersion of cis-BBP suggests that bacterial membrane anchoring could be one of the determining mechanisms in bacterial killing even in dark conditions.
Upon light irradiation in the same condition (concentration of Pt-complexes of 0.40 μg mL −1 ), cis-BBP exhibited robust anti-MDR A. baumannii activity against trans-BBP (Figure 6a,b).The CFU remaining (in form of log10) in the presence of cis-BBP gradually dropped to −4 (antibacterial activity of ≈99.99%) with increasing light irradiation time dose from 6 to 30 J cm −2 (Figure 5a).Limited bactericidal activity was observed without light irradiation.In the case of trans-BBP, the minimum CFU remaining (in form of log10) was −0.6 (≈antibacterial activity of ≈74.89%, Figure 6b).Comprehensive light assisted bactericidal activity in varied complex concentration and light irradiation dose was evaluated.Cis-BBP exhibited limited anti-MDR A. baumannii activity with a treatment of light irradiation at 0.05 μg mL −1 concentrations (maxima efficiency was 58.01% at a light dose of 30 J cm −2 , Figure S7 and Table S8, Supporting Information).When concentrations reached 0.10 μg mL −1 (≈100 nM), more efficient bactericidal activity was achieved using light irradiation doses of 12, 18, 24, and 30 J cm −2 (corresponding efficiency was 92.29%, 94.50%, 96.35%, and 97.79%, Table S8, Supporting Information).In the presence of 0.20 μg mL −1 (≈200 nM), > 99% of bacteria were killed with a light irradiation dose of 24 and 30 J cm −2 (99.40% and 99.63%, respectively).In order to reach similar bactericidal activity (99.29%), a higher concentration of trans-BBP (2.50 μg mL −1 , ≈2.50 μM) was required under higher light irradiation (30 J cm −2 , Figure S8 and Table S9,   Supporting Information).In lower concentrations (2.00, 1.50, and 1.00 μg mL −1 ), trans-BBP displayed inferior light-assisted antibacterial activity comparing to that of cis-BBP (Figure S8 and Table S9, Supporting Information).As discussed above, we believe both 1 O 2 generation and bacterial membrane anchoring capability could explain these different PDI performances.Photographs of MDR A. baumannii colonies reflected the antibacterial activity of cis-BBP and trans-BBP in dark and light irradiation (Figure S9, Supporting Information).In contrast, Pt II complexes without BODIPY, namely cis-BPP and trans-BPP showed minimal antibacterial activity against MDR A. baumannii without light irradiation (below 10% at the highest concentration after incubation for 5 min, Figure S10 and S11, Supporting Information).Under light irradiation (30 J cm −2 ), both control complexes displayed some anti-MDR A. baumannii activity at the corresponding highest concentrations (cis-BPP ≈62% and trans-BPP ≈53%, Figure S10 and S11, Supporting Information).The improved antibacterial activity of cis-BPP and trans-BPP under light irradiation suggested that the two control Pt II complexes might have some 1 O 2 generating capability.
In addition to MDR A. baumannii, the bactericidal activity of Pt-complexes on gram positive MRSA was investigated.As shown in Figure 6c, cis-BBP displayed moderate anti MRSA activity without light irradiation (maxima bacterial killing efficiency of 42.08% with incubation at highest concentrations of 0.25 μg mL −1 for 5 min, Figure 6c; Table S10, Supporting Information).Similar dark antibacterial activity against MRSA was obtained using high concentrations of trans-BBP (1.00, 1.50, and 2.00 μg mL −1 , Table S11, Supporting Information).Relatively low concentrations of trans-BBP (0.50 μg mL −1 , ≈500 nM) yielded lower anti-MRSA activity (29.34% after 5 min incubation, Figure S12 and Table S11, Supporting Information).The highest MRSA bactericidal activity (47.96%) of trans-BBP were obtained at the highest tested concentration of 2.00 μg mL −1 (8-fold higher concentration comparing to that of cis-BBP) after incubation for 5 min.Compared to MDR A. baumannii, MRSA was more sensitive towards treatment of cis-BBP under white light irradiation due to its different membrane structure. [55]Similarly, the cis-BBP exhibited more powerful light assisted antibacterial capability in contrast to trans-BBP.0.25 μg mL −1 of cis-BBP and light dose of 30 J cm −2 could result nearly 100% MRSA killing (CFU remaining (in form of log10) of −7, Figure 6c).Under the identical condition, trans-BBP only caused CFU remaining of −0.6 (antibacterial activity of ≈74.89%, Figure 6d).More detailed photoassisted antibacterial performance was evaluated.Upon white light irradiation for 1 min (6 J cm −2 ), >99% MRSA was killed in the presence of cis-BBP (final concentrations of 0.15, 0.20, and 0.25 μg mL −1 , Figure S13 and Table S12, Supporting Information).With prolonged light irradiation (5 min), the MRSA bactericidal activity reached 99.30% even in the presence of only 0.05 μg mL −1 (≈50 nM) of cis-BBP.Nearly 100% bacterial killing were observed in the presence of 0.25 μg mL −1 (≈250 nM) of cis-BBP with light doses of 24 and 30 J cm −2 .More concentrated trans-BBP (1.50 and 2.00 μg mL −1 , ≈1.50 and 2.00 μM) was required for efficient MRSA killing (> 99%) under white light irradiation for at least 1 min (Figure S12 and Table S13, Supporting Information).Diluted trans-BBP yielded reduced anti-MRSA bactericidal activity in a light irradiation time-dependent manner (38.86 to 74.48% and 86.78% to 96.71% in the presence of 0.50 and 1.00 μg mL −1 , respectively, Table S13, Supporting Information).Photographs of MRSA colonies in the presence of cis-BBP and trans-BBP in dark environment and light irradiation revealed a similar of antibacterial activity (Figure S14, Supporting Information).The anti-MRSA activity of cis-BPP and trans-BPP resembles that of MDR A. baumannii (maximum killing effect of ≈10% in dark and ≈54% under light irradiation in highest concentration and longest incubation time, Figure S15 and S16, Supporting Information).cis-BBP displayed lower 50% minimum inhibitory concentration (MIC 50 ) comparing to trans-BBP in MDR A. baumannii 1 and MRSA at experimental light irradiation doses (Table 1).The values of cis-BBP ranged from 0.095 μg mL −1 to 0.048 μg mL −1 and 0.031 μg mL −1 to 0.025 μg mL −1 with increasing light dose from 6 J cm −2 to 30 J cm −2 for A. baumannii and MRSA, respectively.The corresponding values of trans-BBP ranged from 1.60 μg mL −1 to 0.70 μg mL −1 and 0.66 μg mL −1 to 0.43 μg mL −1 in the identical light doses for A. baumannii and MRSA, respectively.The lowest MIC 50 ratio between trans-BBP and cis-BBP for MDR A. baumannii was 14.58 (30 J cm −2 ) and the highest 22.22 (12 J cm −2 , Table S14, Supporting Information).In the case of MRSA, the corresponding lowest ratio was 17.20 (30 J cm −2 ) and highest 21.29 (6 J cm −2 , Table S14, Supporting Information).The light assisted MIC 90 values of cis-BBP and trans-BBP also reduced with increasing light dose for A. baumannii and MRSA (Table 1).The lowest values of cis-BBP for A. baumannii and MRSA were 0.088 μg mL −1 and 0.045 μg mL −1 , respectively.The corresponding values of trans-BBP for A. baumannii and MRSA were 1.32 μg mL −1 and 0.84 μg mL −1 , respectively.Similarly, the lowest MIC 90 ratio between trans-BBP and cis-BBP for A. baumannii was 15.00 (30 J cm −2 ) and the highest 24.02 (12 J cm −2 , Table S15, Supporting Information).As for MRSA, the corresponding ratios were 18.67 (30 J cm −2 ) and 22.36 (6 J cm −2 , Table S15, Supporting Information), respectively.The lower concentrations for efficient bacteria killing (>99%) combined with a high MIC 50 /MIC 90 ratio reflected cis-BBP as generally more potent in photo-assisted antibacterial activity in both gram-negative and gram-positive bacteria as compared to its trans-isomer.These results might suggest cis-configurated isomers of organo-Pt II complexes to be displaying enhanced photodynamic inactivation efficiency towards bacteria as compared to trans-isomers, because of better photo-assisted ROS generating and bacterial membrane locating capability of the cis-isomer.

In Vivo Photo-Assisted Antibacterial Activity
Based on the above in vitro antibacterial activity of both PSs, we further tested their in vivo antibacterial effects.5 weeks male ICR mice with MSRA-triggered skin infections (bacterial dispersion using OD 600 nm = 0.5) were used as in vivo models.The dark groups referred to those with addition of 0.9% NaCl (control), cis-BBP and trans-BBP (50 μL, 0.10 μg mL −1 ) in the wound without light irradiation, respectively.The light groups referred to the corresponding additions as in the dark groups but with addition of light irradiation of 30 J cm −2 .As shown in Figure 7a,b, the dark control group exhibited least wound recovery (21.53±4.36%wound surface area remaining on the 14th day of the experiment).In contrast, the corresponding wound remaining ratio of light control was 16.69±2.14%,indicating slightly effect of accelerating wound recovery.In the presence of trans-BBP, the corresponding ratio was 16.32±1.63%(dark) and 14.99±1.55%(light), respectively.The most effective wound healing was observed in the presence of cis-BBP (9.01±0.42% in dark and 5.27±0.44%under light irradiation, Table S16, Supporting Information, respectively.)This indicated a potent wound recovery performance of cis-BBP under light irradiation.In addition, the hematoxylin and eosin (H&E) stained tissue histology of the infected wound and adjacent tissues on 7th day of exhibited wide spread of immunogenic cells, indicating occurrence of inflammatory response (Figure 7c).On 14th day, immunogenic cells could still be observed in dark control, light control and trans-BBP dark groups, but almost not seen in the rest three groups.To note, fibroblast was seen in both Pt II treatment groups (dark and light).Follicle has shown up in trans-BBP dark, cis-BBP dark and light groups.Collagen was found in cis-BBP light group.Furthermore, we evaluated the expression of inflammatory and angiogenesis related biomarkers (CD68, CD163 and VEGF).As shown in Figure 7d; Figure S17 (Supporting Information), treatment of cis-BBP with light irradiation caused least expression of pro-inflammatory biomarker (CD68) on 7th and 14th days.The most pronounced expression of anti-inflammatory biomarker (CD163) was found in cis-BBP with light irradiation on 7th day.On 14th day, CD163 was less expressed in cis-BBP light group, which might suggest finish of the inflammatory reaction (Figure 7d and Figure S17, Supporting Information).Blood vessels started to form in the presence of Pt II complexes on 7th day as characterized by VEGF expression (Figure 7d; Figure S17, Supporting Information).Taken together, these results reflected the cis-isomer as being more capable of in vivo antibacterial activity and effective in improving healing of infected wound.To the best of our knowledge, cis-BBP is the first organo-Pt II photosensitizer with membrane anchoring capability effective against both gram-negative gram-positive bacteria at sub-micromolar concentrations (Table S17, Supporting Information).

In vivo Biocompatibility
Both complexes displayed no observable 24 h dark toxicity in mouse fibroblast L929 cell line at the concentration range of 0.01 to 0.40 μg mL −1 .Upon light irradiation for 5 min (30 J cm −2 ), both the complexes displayed no photo cytotoxicity below 0.05 μg mL −1 (Figure S18, Supporting Information).Further increasing concentration to 0.40 μg mL −1 caused certain photocytotoxicity (cell viability of ≈60%, Figure S18, Supporting Information).Despite the cellular photo-cytotoxicity, the cis-BBP was more efficient in bacterial killing when same concentration and light dose was applied.Besides, application of Pt II PSs caused no obvious body weight and blood parameters changes during the therapy process (Figure S19 and S20, Supporting Information).Moreover, histological analysis revealed no histopathological lesions and abnormalities of major organs (Figure S21, Supporting Information).These results suggested acceptable biocompatibilities of synthesized Pt II PSs.

Conclusion
In conclusion, the synthesized cis-BBP exhibited more pronounced singlet oxygen production efficiency over the configurational isomer trans-BBP.As suggested by theoretical calculations, the cis-BBP had comparable ΔE ST and enhanced  ST as compared to trans-BBP, which allowed the occurrence of efficient ISC.In addition, cis-BBP was more prone to anchor to the membrane of both MDR A. baumannii (gram-negative) and S. aureus (gram-positive) over trans-BBP.Correspondingly, cis-BBP displayed more efficient in vitro and in vivo antibacterial activity as compared to trans-BBP, requiring low concentrations and light dose.In addition, cis-BBP is the first Pt II based PS that achieve efficient bactericidal activity (>99.9% in both gramnegative and gram-positive bacteria) in sub-micromolar concentration using relatively low light dose (maximum 30 J cm −2 ) with acceptable cytotoxicity.Comparing to previously reported organo-Pt II PSs, an overall more than 100 times antibacterial activity was obtained for S. aureus (Table S16, Supporting Information). [45]hese results suggested cis-BBP is a potent Pt II PSs with apparent broad-spectrum antibacterial activity.More importantly we have demonstrated the cis/trans configuration of Pt II photosensitizer played significant impact on the antibacterial performance for the first time.We believe this is an important proof of concept for designing potent antibacterial photosensitizers in future.

Experimental Section
Materials and Methods: All chemicals were purchased from Macklin Inc. and Sinopharm, and used without further purification.Milli-Q water (18.2MΩ) was provided by Direct-Q water purification system (Millipore Corporation). 1 H and 13 C NMR spectra were recorded on Agilent DD2 (300 MHz) and Avance 600 spectrometers.Chemical shifts were reported in parts per million referenced with respect to residual solvent CDCl 3 = 7.27 ppm, for 1 H NMR and CDCl 3 = 77.0ppm for 13 C NMR. UV-vis and fluorescence spectra were recorded using Perkin Elmer Lamda 650 and Itachi F-7000 spectrometers.High-resolution mass spectra were recorded on Bruker Dalton maXis spectrometer with Electrospray ionization source.Confocal laser scanning microscopy images was obtained using Carl-Zeiss LSM 880NLO with excitation wavelength of 488 nm.SEM images of bacteria was obtained on Itachi FESEM (S-4800II).potential of bacteria before and after treated with cis-BBP and trans-BBP was collected using Malvern ZEN 3690.Pentamethyl-BODIPY was synthesized according to literature using 2,4-dimethylpyrole acetyl chloride as starting materials. [56]Compound 1 was synthesized according to literature using pentamethyl-BODIPY as starting material through an established Pd(OAc) 2 catalyzed C(sp 3 )-H direct arylation process. [49]The 1 H NMR, 13 C NMR and high-resolution data of the two compounds were identical with literature. [49]The clinical A. baumannii strain AB43 was isolated from the affiliated hospital of Yangzhou University in Jiangsu, China.The species was identified using Gram stain, 16S RNA sequencing, and the VITEK-2 system (bioMerieux, Marcy l'Etoile, France) in the clinical microbiology laboratory.Methicillin-resistant Staphylococcus aureus (MRSA) was purchased from MINGZHOUBIO with strain no. of ATCC43300.

Figure 2 .
Figure 2. a) and b) Absorption and fluorescent emission spectra of cis-BBP and trans-BBP.c) Frontier molecular orbital amplitude plots and electronic properties of cis-BBP and trans-BBP.d) Time dependent 1 O 2 generation ability of RB, cis-BBP and trans-BBP [2.5 μM] tested using ABDA [50 μM] as an indicator under white light irradiation (100 mW cm −2 ).e) and f) Energy level diagrams and calculated  ST between different singlet-triplet channels for cis-BBP and trans-BBP.

Figure 3 .
Figure 3. CLSM images of MDR A. baumannii and MRSA stained with PSs and DAPI.a) MDR A. baumannii stained with cis-BBP shown in red-false color.b) MDR A. baumannii stained with DAPI shown in green-false color.c) merge of (a) and (b).d) MDR A. baumannii stained with trans-BBP shown in red-false color.e) MDR A. baumannii stained with DAPI shown in green-false color.f) merge of (d) and (e).g) S. aureus stained with cis-BBP shown in red-false color.h) S. aureus stained with DAPI shown in green-false color.i) merge of (g) and (h).j) S. aureus stained with trans-BBP shown in red-false color.k) MDR A. baumannii stained with DAPI shown in green-false color.(l) merge of (j) and (k).Excitation wavelengths for PSs and DAPI were 488 and 405 nm, respectively.[PSs] = 3.00 μg mL −1 , [DAPI] = 3.30 μg mL −1 , scale bar = 1 μm.

Figure 4 .
Figure 4. ITC titration data of cis-BBP a) and trans-BBP b) treated MDR A. baumannii, and cis-BBP c) and trans-BBP d) treated MRSA.

Figure 5 .
Figure 5. Morphology of MDR A. baumannii in the absence of cis-BBP a) and in the presence of cis-BBP after light irradiation b).Morphology of S. aureus in the absence of cis-BBP c) and in the presence of cis-BBP after light irradiation for d).[cis-BBP] = 0.40 μg mL −1 , light dose 30 J cm −2 .

Figure 6 .
Figure 6.Antibacterial activity of cis-BBP and trans-BBP in dark and under light irradiation with different concentrations over time.Incubation timedependent MDR A. baumannii bactericidal activity of cis-BBP a) and trans-BBP (b) in dark and under light irradiation.[Pt II complexes] = 0.40 mg mL −1 .Incubation time-dependent MRSA bactericidal activity of cis-BBP c) and trans-BBP d) in dark and under light irradiation.[Pt II complexes] = 0.25 mg mL −1 .