key: cord-0002581-dzu93rua authors: Sun, Der-Shan; Kau, Jyh-Hwa; Huang, Hsin-Hsien; Tseng, Yao-Hsuan; Wu, Wen-Shiang; Chang, Hsin-Hou title: Antibacterial Properties of Visible-Light-Responsive Carbon-Containing Titanium Dioxide Photocatalytic Nanoparticles against Anthrax date: 2016-12-09 journal: Nanomaterials (Basel) DOI: 10.3390/nano6120237 sha: 43918c75d7b7d3f9402b1342dfea1e19eb2bd909 doc_id: 2581 cord_uid: dzu93rua The bactericidal activity of conventional titanium dioxide (TiO(2)) photocatalyst is effective only on irradiation by ultraviolet light, which restricts the applications of TiO(2) for use in living environments. Recently, carbon-containing TiO(2) nanoparticles [TiO(2)(C) NP] were found to be a visible-light-responsive photocatalyst (VLRP), which displayed significantly enhanced antibacterial properties under visible light illumination. However, whether TiO(2)(C) NPs exert antibacterial properties against Bacillus anthracis remains elusive. Here, we evaluated these VLRP NPs in the reduction of anthrax-induced pathogenesis. Bacteria-killing experiments indicated that a significantly higher proportion (40%–60%) of all tested Bacillus species, including B. subtilis, B. cereus, B. thuringiensis, and B. anthracis, were considerably eliminated by TiO(2)(C) NPs. Toxin inactivation analysis further suggested that the TiO(2)(C) NPs efficiently detoxify approximately 90% of tested anthrax lethal toxin, a major virulence factor of anthrax. Notably, macrophage clearance experiments further suggested that, even under suboptimal conditions without considerable bacterial killing, the TiO(2)(C) NP-mediated photocatalysis still exhibited antibacterial properties through the reduction of bacterial resistance against macrophage killing. Our results collectively suggested that TiO(2)(C) NP is a conceptually feasible anti-anthrax material, and the relevant technologies described herein may be useful in the development of new strategies against anthrax. Anthrax is a life-threatening infectious disease that spreads through contact with spores of the Gram-positive bacterium Bacillus anthracis through skin contact (generally with infected animal products), inhalation, or ingestion [1] . Approximately 2000 to 20,000 cases occur worldwide annually [2] , mostly in Africa and central and south Asia [3] . Anthrax spores have been developed as a biological weapon by several countries [4] [5] [6] . The 2001 US anthrax letter attacks further evidenced an emerging terrorist threat, leading to renewed attention to the importance of prophylaxis, prevention, and handling procedures for anthrax [7] . Agents commonly cited to inactivate anthrax spores include formaldehyde, hypochlorite solutions, chlorine dioxide, and radiation [8] . However, most of these agents are harmful to humans, limiting their use in public environments. Therefore, a safer disinfection technique that can exert a sustainable antimicrobial effect in human living environments is highly desirable. Photocatalytic titanium dioxide (TiO 2 ) substrates have been demonstrated to eliminate organic compounds and to function as disinfectants [9] . On stimulation by ultraviolet (UV) light irradiation, the photon energy excites valance electrons and generates pairs of electrons and holes (electron vacancy in the valence band) that diffuse and become trapped on the TiO 2 surfaces. These excited electrons and holes have strong reducing and oxidizing activities and react with atmospheric water and oxygen to yield reactive oxygen species (ROS) such as hydrogen peroxide (H 2 O 2 ), hydroxyl radicals ( • OH), and superoxide anions (O 2 − ) [10] , which are extremely reactive on contact with organic compounds, and have been shown to operate in concert to attack polyunsaturated phospholipids and DNA in bacteria [9, 11] . The oxidation of bacterial cell components such as lipids and DNA might therefore result in subsequent bacterial cell death [9] . Consequently, the TiO 2 photocatalytic process is a conceptually feasible disinfectant technology. The TiO 2 photocatalyst, however, is effective only on irradiation with UV light at the necessary levels, which can induce severe damage to human eyes and skin [12] [13] [14] [15] . This greatly restricts the potential applications of the photocatalyst for use in human living environments. To solve this problem, impurity doping of TiO 2 with different elements has been used, including carbon, sulfur, nitrogen, and silver, resulting in excitation wavelength shifts from the UV to visible-light [16] [17] [18] [19] [20] [21] [22] [23] [24] [25] . Simultaneously, the proper amount of impurity doping of TiO 2 may also reduce the recombination rates of electron and hole pairs. Previously, we reported visible-light-responsive photocatalyst (VLRP) films, which offered a complementary and possibly alternative approach for meeting this need to control the spread of anthrax [24] . However, these VLRP films must be precoated on the surfaces of particular objects, whereas photocatalytic NPs do not, and as such may have broader applications. To solve this problem, the anti-anthrax properties of VLRP carbon-containing titanium dioxide [TiO 2 (C)] nanoparticles [TiO 2 (C) NPs; C200 NPs] [17] were evaluated in this study. The visible-light-responsive photocatalytic activity of C200 NPs has been respectively validated by degradation of methylene blue in liquid phase, oxidation of NO in gas phase, and sterilization in these works under visible light illumination [17, 19, [26] [27] [28] . The existence of carbonaceous species on TiO 2 surface was analyzed by X-ray photoelectron spectroscopy (XPS) and diffuse reflectance infrared Fourier transform spectra. The effect of carbonaceous species on physical properties was observed on UV-visible absorption spectra, photoluminescence spectroscopy, and Raman spectroscopy as shown in our previous works [26] [27] [28] . In addition, we have further demonstrated that C200 NPs exert superior Escherichia coli killing properties under visible light illumination when compared to anatase TiO 2 NPs [17, 19] . These results collectively suggested that the C200 NPs exhibit a photocatalytic property under visible light illumination. However, whether C200 NPs can eliminate spore-forming bacteria such as Bacillus species has remained uncertain. Therefore, the visible-light-responsive C200 NP-mediated anti-anthrax property was evaluated. The potential applications are discussed herein. Detailed physical properties of UV-responsive pure TiO 2 (TiO 2 ; UV100 TiO 2 ) and carboncontaining TiO 2 (C200) NPs have been characterized in our previous work [17, 26, 27] . In the present study, scanning electron microscopy and UV-Vis absorption analyses of the newly prepared C200 NPs were performed ( Figure 1 ). We found that both TiO 2 and C200 displayed nanoscale structures ( Figure 1A ,B), and that an increased content of carbon ( Figure 1C ) and C200 displayed considerable redshift absorbance compared with TiO 2 NPs ( Figure 1D ), indicating absorbance in the visible light range (wavelength > 380 nm). The UV-Visible diffuse reflectance spectra were converted by instrument software to absorbance values, F(R), based on the Kubelka-Munk theory. In the C200 sample, a sharp edge extending to approximately 438 nm and corresponding to a band gap of approximately 2.83 eV was observed, as indicated in one of our previous reports [27] . Nanomaterials 2016, 6, 237 3 of 12 sample, a sharp edge extending to approximately 438 nm and corresponding to a band gap of approximately 2.83 eV was observed, as indicated in one of our previous reports [27] . Scanning electron microscopy and ultraviolet-visible (UV-Vis) absorption spectrum analyses. Scanning electron microscopy (A, B), X-ray photoelectron spectroscopy (XPS) analysis for the 1s atomic orbital of carbon (C) and UV-Vis absorption spectra (D) of UV100 TiO2 and C200 NPs used in this study. The C200 sample absorbed light extending into the visible (>380 nm) region. The antibacterial properties of C200 NPs have been demonstrated [17] ; however, whether C200 can also functionally eliminate spore-forming bacteria such as B. anthracis and B. subtilis remains to be further elucidated. Because B. anthracis is hazardous to humans, before analysis using B. anthracis, we employed B. subtilis as a surrogate. To obtain dose-dependent and kinetic data for B. subtilis with C200 NPs, we further analyzed the effects of illumination by visible light at various time points and at various distances (5 cm, 15 cm, and with different illumination intensities of 3 × 10 4 and 5 × 10 2 lux (lumen/m 2 ); Figure 2A ). The results indicated that C200 substrates can inactivate B. subtilis in half an hour when exposed to various degrees of illumination by visible light ( Figure 2B ). The bacteria-killing efficiency in the C200 groups was significantly higher than in the respective UV100 TiO2 groups (Figure 2A ,B; ** P < 0.01, * P < 0.05). Dose-dependent (A) and kinetic (B) analyses of the bactericidal activity of UV100 TiO2 and C200 NPs against B. subtilis after visible-light illumination. Illumination was carried out either at different light densities (at distances of 5 cm, 10 cm and 15 cm with respective illumination intensities of 3 × 10 4 , 1.2 × 10 3 and 3 × 10 2 lux) for 30 min (A) or at a light density of 3 × 10 4 lux (90 mW/cm 2 ) for different periods (B). Under each illumination condition, the surviving bacteria in the UV100 TiO2 groups were normalized to 100%. * P < 0.05 and ** P < 0.01 compared with the respective UV100 TiO2 groups. n = 6, three experiments with two replicates. Photocatalyst-mediated killing was performed to determine the antibacterial and antispore effects of photocatalysis on B. cereus, B. thuringiensis, and B. anthracis. Compared with UV100 TiO2, we found that C200 NPs exhibited higher visible-light-responsive antibacterial properties to kill B. Scanning electron microscopy (A,B), X-ray photoelectron spectroscopy (XPS) analysis for the 1s atomic orbital of carbon (C) and UV-Vis absorption spectra (D) of UV100 TiO 2 and C200 NPs used in this study. The C200 sample absorbed light extending into the visible (>380 nm) region. The antibacterial properties of C200 NPs have been demonstrated [17] ; however, whether C200 can also functionally eliminate spore-forming bacteria such as B. anthracis and B. subtilis remains to be further elucidated. Because B. anthracis is hazardous to humans, before analysis using B. anthracis, we employed B. subtilis as a surrogate. To obtain dose-dependent and kinetic data for B. subtilis with C200 NPs, we further analyzed the effects of illumination by visible light at various time points and at various distances (5 cm, 15 cm, and with different illumination intensities of 3 × 10 4 and 5 × 10 2 lux (lumen/m 2 ); Figure 2A ). The results indicated that C200 substrates can inactivate B. subtilis in half an hour when exposed to various degrees of illumination by visible light ( Figure 2B ). The bacteria-killing efficiency in the C200 groups was significantly higher than in the respective UV100 TiO 2 groups (Figure 2A ,B; ** P < 0.01, * P < 0.05). The antibacterial properties of C200 NPs have been demonstrated [17] ; however, whether C200 can also functionally eliminate spore-forming bacteria such as B. anthracis and B. subtilis remains to be further elucidated. Because B. anthracis is hazardous to humans, before analysis using B. anthracis, we employed B. subtilis as a surrogate. To obtain dose-dependent and kinetic data for B. subtilis with C200 NPs, we further analyzed the effects of illumination by visible light at various time points and at various distances (5 cm, 15 cm, and with different illumination intensities of 3 × 10 4 and 5 × 10 2 lux (lumen/m 2 ); Figure 2A ). The results indicated that C200 substrates can inactivate B. subtilis in half an hour when exposed to various degrees of illumination by visible light ( Figure 2B ). The bacteria-killing efficiency in the C200 groups was significantly higher than in the respective UV100 TiO2 groups (Figure 2A ,B; ** P < 0.01, * P < 0.05). Dose-dependent (A) and kinetic (B) analyses of the bactericidal activity of UV100 TiO2 and C200 NPs against B. subtilis after visible-light illumination. Illumination was carried out either at different light densities (at distances of 5 cm, 10 cm and 15 cm with respective illumination intensities of 3 × 10 4 , 1.2 × 10 3 and 3 × 10 2 lux) for 30 min (A) or at a light density of 3 × 10 4 lux (90 mW/cm 2 ) for different periods (B). Under each illumination condition, the surviving bacteria in the UV100 TiO2 groups were normalized to 100%. * P < 0.05 and ** P < 0.01 compared with the respective UV100 TiO2 groups. n = 6, three experiments with two replicates. Photocatalyst-mediated killing was performed to determine the antibacterial and antispore effects of photocatalysis on B. cereus, B. thuringiensis, and B. anthracis. Compared with UV100 TiO2, we found that C200 NPs exhibited higher visible-light-responsive antibacterial properties to kill B. Dose-dependent (A) and kinetic (B) analyses of the bactericidal activity of UV100 TiO 2 and C200 NPs against B. subtilis after visible-light illumination. Illumination was carried out either at different light densities (at distances of 5 cm, 10 cm and 15 cm with respective illumination intensities of 3 × 10 4 , 1.2 × 10 3 and 3 × 10 2 lux) for 30 min (A) or at a light density of 3 × 10 4 lux (90 mW/cm 2 ) for different periods (B). Under each illumination condition, the surviving bacteria in the UV100 TiO 2 groups were normalized to 100%. * P < 0.05 and ** P < 0.01 compared with the respective UV100 TiO 2 groups. n = 6, three experiments with two replicates. Photocatalyst-mediated killing was performed to determine the antibacterial and antispore effects of photocatalysis on B. cereus, B. thuringiensis, and B. anthracis. Compared with UV100 TiO 2 , we found that C200 NPs exhibited higher visible-light-responsive antibacterial properties to kill B. cereus, B. thuringiensis, and B. anthracis vegetative bacteria ( Figure 3A , * P < 0.05, ** P < 0.01). Consistent with the antibacterial experiment, in the spore analysis, C200 also exhibited a superior visible-light-responsive antispore activity compared with the UV100 TiO 2 NPs, although this activity was less efficient (20%-30% killing/inactivation) ( Figure 3B , * P < 0.05) compared with the results obtained in vegetative bacteria experiments ( Figure 3A ). we found that C200 NPs exhibited higher visible-light-responsive antibacterial properties to kill B. cereus, B. thuringiensis, and B. anthracis vegetative bacteria ( Figure 3A , * P < 0.05, ** P < 0.01). Consistent with the antibacterial experiment, in the spore analysis, C200 also exhibited a superior visible-light-responsive antispore activity compared with the UV100 TiO2 NPs, although this activity was less efficient (20%-30% killing/inactivation) ( Figure 3B , * P < 0.05) compared with the results obtained in vegetative bacteria experiments ( Figure 3A) . anthracis were photocatalyzed using UV100 TiO2 and C200 NPs, respectively. All vegetative bacteria (A) or spores (B) in the UV100 TiO2 groups were normalized to 100%. The relative percentages of surviving pathogens in the C200 groups are shown. The illumination intensity was 3 × 10 4 lux (90 mW/cm 2 ), and the reaction time was 30 min. * P < 0.05 and ** P < 0.01 compared with respective UV100 TiO2 groups. n = 6, three experiments with two replicates. Anthrax lethal toxin (LT), which is composed of two protein components-a protective antigen (PA; cell receptor binding) and a lethal factor (LF; metalloprotease of cellular mitogen-activated protein kinase kinase (MAPKKs, MEKs))-is one of the major virulence factors of B. anthracis [29] . Anthrax LT can be detected in culture media and spores of B. anthracis. Treatments of LT can lead to the death of macrophage cells in vitro [30] and lead to mortality in rodents [24, [31] [32] [33] [34] [35] . To investigate whether photocatalysis can inactivate the protein components and detoxicate the anthrax toxin, LT was subjected to visible-light-activated photocatalysis on UV100 TiO2 and C200 NPs. As expected, C200 NP-mediated photocatalysis markedly reduced the potency of LT to induce cell death of macrophage J774A.1 cells, when compared with UV100 TiO2 groups ( Figure 4 ). These results suggested that treatment with visible-light-responsive C200-mediated photocatalysis of particular objects not only eliminates the bacteria but also reduces the toxicity of LT. 1 cells were treated with LT with or without UV100 TiO2 and C200 photocatalysis for 3 h, and surviving cells of untreated groups were adjusted to 100%. Columns designated UV TiO2 or C200 represent that LT was pretreated with photocatalysis by using UV100 TiO2 or C200 NPs, respectively, Figure 3 . Antibacterial properties of C200 NPs against vegetative bacteria and spores of Bacillus species. Bacteria B. subtilis, B. thuringiensis, B. cereus, and B. anthracis were photocatalyzed using UV100 TiO 2 and C200 NPs, respectively. All vegetative bacteria (A) or spores (B) in the UV100 TiO 2 groups were normalized to 100%. The relative percentages of surviving pathogens in the C200 groups are shown. The illumination intensity was 3 × 10 4 lux (90 mW/cm 2 ), and the reaction time was 30 min. * P < 0.05 and ** P < 0.01 compared with respective UV100 TiO 2 groups. n = 6, three experiments with two replicates. Anthrax lethal toxin (LT), which is composed of two protein components-a protective antigen (PA; cell receptor binding) and a lethal factor (LF; metalloprotease of cellular mitogen-activated protein kinase kinase (MAPKKs, MEKs))-is one of the major virulence factors of B. anthracis [29] . Anthrax LT can be detected in culture media and spores of B. anthracis. Treatments of LT can lead to the death of macrophage cells in vitro [30] and lead to mortality in rodents [24, [31] [32] [33] [34] [35] . To investigate whether photocatalysis can inactivate the protein components and detoxicate the anthrax toxin, LT was subjected to visible-light-activated photocatalysis on UV100 TiO 2 and C200 NPs. As expected, C200 NP-mediated photocatalysis markedly reduced the potency of LT to induce cell death of macrophage J774A.1 cells, when compared with UV100 TiO 2 groups (Figure 4) . These results suggested that treatment with visible-light-responsive C200-mediated photocatalysis of particular objects not only eliminates the bacteria but also reduces the toxicity of LT. Figure 3A , * P < 0.05, ** P < 0.01). Consistent with the antibacterial experiment, in the spore analysis, C200 also exhibited a superior visible-lightresponsive antispore activity compared with the UV100 TiO2 NPs, although this activity was less efficient (20%-30% killing/inactivation) ( Figure 3B , * P < 0.05) compared with the results obtained in vegetative bacteria experiments ( Figure 3A) . Anthrax lethal toxin (LT), which is composed of two protein components-a protective antigen (PA; cell receptor binding) and a lethal factor (LF; metalloprotease of cellular mitogen-activated protein kinase kinase (MAPKKs, MEKs))-is one of the major virulence factors of B. anthracis [29] . Anthrax LT can be detected in culture media and spores of B. anthracis. Treatments of LT can lead to the death of macrophage cells in vitro [30] and lead to mortality in rodents [24, [31] [32] [33] [34] [35] . To investigate whether photocatalysis can inactivate the protein components and detoxicate the anthrax toxin, LT was subjected to visible-light-activated photocatalysis on UV100 TiO2 and C200 NPs. As expected, C200 NP-mediated photocatalysis markedly reduced the potency of LT to induce cell death of macrophage J774A.1 cells, when compared with UV100 TiO2 groups ( Figure 4) . These results suggested that treatment with visible-light-responsive C200-mediated photocatalysis of particular objects not only eliminates the bacteria but also reduces the toxicity of LT. 1 cells were treated with LT with or without UV100 TiO2 and C200 photocatalysis for 3 h, and surviving cells of untreated groups were adjusted to 100%. Columns designated UV TiO2 or C200 represent that LT was pretreated with photocatalysis by using UV100 TiO2 or C200 NPs, respectively, before being treated with J774A.1 cells. ** P < 0.01, compared with all other groups treated with LT (with or without additional treatments). n = 6, three experiments with two replicates. 1 cells were treated with LT with or without UV100 TiO 2 and C200 photocatalysis for 3 h, and surviving cells of untreated groups were adjusted to 100%. Columns designated UV TiO 2 or C200 represent that LT was pretreated with photocatalysis by using UV100 TiO 2 or C200 NPs, respectively, before being treated with J774A.1 cells. ** P < 0.01, compared with all other groups treated with LT (with or without additional treatments). n = 6, three experiments with two replicates. Our previous reports suggest that VLRP-mediated photocatalysis can injure bacteria [17] [18] [19] 24, 25] and lead to faster clearance of bacteria by phagocytes [24] . To investigate whether photocatalysis might injure the bacterium and make it more vulnerable to phagocyte-mediated killing, B. subtilis was used as a surrogate for B. anthracis to treat macrophage J774A.1 cells. To avoid a biased condition, we applied a subbacterial killing condition (3 × 10 4 for 5 min), under which bacterial survival could not be considerably suppressed ( Figure 2B ). The analysis results revealed that B. subtilis in groups without antibacterial photocatalytic properties (i.e., UV100 TiO 2 groups and C200 dark groups; Figure 2 ) tended to have a low reduction rate (killing by macrophages) after being engulfed by the phagocytes (Figure 5 ). By contrast, the levels of surviving bacteria of macrophage-engulfed B. subtilis were markedly suppressed 8 h after ingestion, only in C200 groups with visible-light illumination ( Figure 5 , C200 light group). These results suggested that the C200-mediated photocatalysis also induced damage in bacterial cells that could be repaired after plating ( Figure 2B , 5 min group, not significant reduction), but resulted in a relatively vulnerable phenotype when encountering phagocytes ( Figure 5 , C200 light 8 h group). This suggested that, although the bacteria may not efficiently be killed when a subantibacterial dose of photocatalysis is applied, the bacteria that survive the photocatalysis are still more easily secured and eliminated by phagocytes in the immune system. In other words, the C200-mediated photocatalysis exhibits a protective effect against contaminated bacteria even under subbacterial killing conditions. Nanomaterials 2016, 6, 237 5 of 12 Our previous reports suggest that VLRP-mediated photocatalysis can injure bacteria [17] [18] [19] 24, 25] and lead to faster clearance of bacteria by phagocytes [24] . To investigate whether photocatalysis might injure the bacterium and make it more vulnerable to phagocyte-mediated killing, B. subtilis was used as a surrogate for B. anthracis to treat macrophage J774A.1 cells. To avoid a biased condition, we applied a subbacterial killing condition (3 × 10 4 for 5 min), under which bacterial survival could not be considerably suppressed ( Figure 2B ). The analysis results revealed that B. subtilis in groups without antibacterial photocatalytic properties (i.e., UV100 TiO2 groups and C200 dark groups; Figure 2 ) tended to have a low reduction rate (killing by macrophages) after being engulfed by the phagocytes (Figure 5 ). By contrast, the levels of surviving bacteria of macrophageengulfed B. subtilis were markedly suppressed 8 h after ingestion, only in C200 groups with visiblelight illumination ( Figure 5, C200 light group) . These results suggested that the C200-mediated photocatalysis also induced damage in bacterial cells that could be repaired after plating ( Figure 2B , 5 min group, not significant reduction), but resulted in a relatively vulnerable phenotype when encountering phagocytes ( Figure 5 , C200 light 8 h group). This suggested that, although the bacteria may not efficiently be killed when a subantibacterial dose of photocatalysis is applied, the bacteria that survive the photocatalysis are still more easily secured and eliminated by phagocytes in the immune system. In other words, the C200-mediated photocatalysis exhibits a protective effect against contaminated bacteria even under subbacterial killing conditions. Disinfection is a vital method for controlling numerous pathogens in the sterilization of critical instruments, water treatment, food production, and hospital environments. Traditional chemicalbased disinfectants, such as alcohols, aldehydes, iodine, phenols, and chlorine, have been used for centuries in environmental cleaning [18] . Among these, agents and methods such as formaldehyde, hypochlorite solutions, chlorine dioxide, and radiation have been used to inactivate anthrax spores [8] . Although these methods may be effective, they have drawbacks. Many of these disinfectants are volatile, and their byproducts can be toxic and carcinogenic to humans. The establishment and development of novel anti-anthrax strategies are necessary. Compared with chemical disinfectants, the TiO2 photocatalyst is safe, nontoxic, and produces no hazardous byproducts [36, 37] . Utilization of the excellent photocatalytic antibacterial effect of TiO2 appears to be a conceptually feasible technology for solving the aforementioned problem of chemical disinfectants. However, traditional antibacterial TiO2 photocatalysts are activated by UV irradiation, which is hazardous to humans [12, 13, 18] . The UV-responsive TiO2 photocatalysts are therefore unsuitable for application in indoor environments. By contrast, visible-light-activated TiO2 Columns designated UV TiO 2 and C200 represent that anthrax spores were pretreated with photocatalysis by using UV100 TiO 2 and C200 NPs, respectively. * P < 0.05, compared with all other groups under the 8 h treatment condition. n = 6, three experiments with two replicates. Disinfection is a vital method for controlling numerous pathogens in the sterilization of critical instruments, water treatment, food production, and hospital environments. Traditional chemical-based disinfectants, such as alcohols, aldehydes, iodine, phenols, and chlorine, have been used for centuries in environmental cleaning [18] . Among these, agents and methods such as formaldehyde, hypochlorite solutions, chlorine dioxide, and radiation have been used to inactivate anthrax spores [8] . Although these methods may be effective, they have drawbacks. Many of these disinfectants are volatile, and their byproducts can be toxic and carcinogenic to humans. The establishment and development of novel anti-anthrax strategies are necessary. Compared with chemical disinfectants, the TiO 2 photocatalyst is safe, nontoxic, and produces no hazardous byproducts [36, 37] . Utilization of the excellent photocatalytic antibacterial effect of TiO 2 appears to be a conceptually feasible technology for solving the aforementioned problem of chemical disinfectants. However, traditional antibacterial TiO 2 photocatalysts are activated by UV irradiation, which is hazardous to humans [12, 13, 18] . The UV-responsive TiO 2 photocatalysts are therefore unsuitable for application in indoor environments. By contrast, visible-light-activated TiO 2 photocatalytic NPs exhibit at least four advantages. First, compared with UV-responsive materials, visible-light-activated TiO 2 photocatalysts offer potential for use as a disinfectant in human living environments such as indoor spaces and public areas. Second, because TiO 2 is a chemically stable and inert material, it can continuously exert antimicrobial action when illuminated by light. Third, the bactericidal activity can be switched on and off or modulated by controlling the light intensity. Fourth, the transportability of NPs offers greater adjustability. Because of these advantages, visible-light-activated photocatalytic NPs might be used complementarily with existing disinfection technologies against anthrax. Emerging nanomaterials and particular NPs have been implicated as having tremendous potential applications in environmental and disinfection use [38] . We previously demonstrated that photocatalytic films can eliminate vegetative bacteria and spores of anthrax [24] . However, compared with nanostructured films, which have to be precoated at the surfaces of particular objects, NPs frequently show superior portability [39] . For example, VLRP NPs can theoretically be easier to spread into a dead corner of spore-contamination-suspected objects, houses, territorial waters, and even aerosol spaces, when compared with VLRP films. Therefore, in the present study, visible-light-responsive C200 NPs were used. For toxicity consideration, previous studies have shown that TiO 2 NPs are generally considered safe for skin contact or even ingestion by healthy animals [40] [41] [42] . However, inhalation of TiO 2 NPs can be toxic to the lungs [42] . As a result, in a real setting, aerosol TiO 2 NPs should be avoided unless the nearby persons are provided with appropriate certified masks (e.g., N95) and/or air cleaning and filtering equipment. A pioneering work demonstrated that supplements with various types of NPs, including TiO 2 NPs, may reduce the growth of Escherichia coli and B. anthracis in bacterial culture [43] ; however, it showed that the growth retardation effect was due to the presence of excessive NPs in the culture medium rather than bacterial killing. In addition, the photocatalytic effect of TiO 2 NPs on B. anthracis has not yet been reported. Therefore, to determine a more efficient way to eliminate the contaminated pathogenic bacteria, relevant verifications that involve using photocatalytic NPs are necessary. Carbon-containing titanium dioxide C200 NPs exhibit considerably superior photocatalytic properties under visible-light illumination compared with UV100 TiO 2 NPs [17, 19, 24, [26] [27] [28] . However, whether C200 NPs can eliminate spore-forming bacteria such as Bacillus species has remained elusive. Therefore, in the present study, we demonstrated that visible-light-responsive C200 NP-mediated photocatalysis can eliminate considerable levels of both vegetative bacteria and spores of Bacillus species, including B. subtilis, B. cereus, B. thuringiensis, and B. anthracis. The analysis data suggested that C200 NPs are useful for eliminating contamination of these spore-forming bacteria. Notably, in agreement with our previous findings [24] , our data suggest that C200-mediated photocatalysis somehow injures the bacteria even under suboptimal antibacterial conditions, thus leading to faster clearance of the photocatalyzed bacteria by phagocytes ( Figure 5 ). This suggests that C200 can still exert anti-anthrax properties even at a subantibacterial level. Visible-light-responsive carbon-containing mixed phase TiO 2 nanoparticles [TiO 2 (C) NPs; C200 NPs] were prepared using a modified sol-gel method as previously described [17, 26, 27] . A measured quantity of tetrabutyl orthotitanate (50 mmol) was slowly introduced into 90 mL of anhydrate ethanol and 20 mL of deionized (DI) water in a 250 mL flask. After complete dissolution, 4 mL of nitric acid was added to catalyze the hydrolysis and condensation reactions. The mixed solution was uniformly agitated at 500 rpm for 3 h, producing a precipitate of titanium hydroxide. After drying at 110 • C, the dried powder was calcined in air at 200 • C for 5 h and designated as C200 [17, 24, 26, 27] . Details of preparing the production of C200, including structural properties and the sizes of primary particles, were reported in our earlier work [27] . The surface of C200 was found to contain unique anatase/rutile mixed crystalline phases that exhibit strong visible-light absorption and photocatalytic effects [22, 23] . The carbonaceous species on TiO 2 (C) NPs exist in an amorphous form, as observed in Raman spectra [26] [27] [28] . One commercially available TiO 2 NP (UV100, Sachtleben, Germany) that can exert photocatalytic properties only when illuminated by UV light was used for comparison. Because C200 samples often aggregate into larger clusters because of surface charges, in Van der Waals interactions, we dispersed the aggregates by using sonication (Transsonic Digital TP680DH, Elma Schmidbauer, Singen, Germany) before the bacteria-killing or bacteria-photocatalyst interaction experiments. The UV-Vis absorption spectra were recorded on a Hitachi 3300H spectrophotometer (Hitachi Taiwan, Taipei, Taiwan) [24, 44] . Particle size and morphology were determined using a transmission electron microscope (Philips Tecnai F20 G2 FEI-TEM, Philips Taiwan, Taipei, Taiwan) and a scanning electron microscope (JEM-3010, JEOL, Tokyo, Japan) [17, 21] . Material compositions were determined using X-ray photoelectron spectroscopy (Perkin Elmer SSI-M probe XPS system and S4800, Waltham, MA, USA). Bacterial culture and maintenance were conducted according to previously described methods [24] . B. anthracis (ATCC 14186) containing both pXO1 and pXO2 plasmids to express functional LT and edema toxin (ET) was grown on blood agar plates (BAPs) and maintained in brain-heart infusion broth (BHIB) (Sigma-Aldrich, St. Louis, MO, USA) using previously described methods [17, 24, [30] [31] [32] [33] [34] [45] [46] [47] . B. cereus (ATCC 13061) and B. thuringiensis (ATCC 35646) were maintained and cultured in BAPs or BHIB at 30 • C, and B. subtilis (ATCC 39090) was maintained and cultured in trypticase soy agar or broth (Sigma-Aldrich, St. Louis, MO, USA) at 37 • C [24, 48] . Bacterial strains were stored in a 50% culture medium and 50% glycerol solution at −80 • C before use. To reactivate bacteria from frozen stock, 25 µL of bacterial stock solution was transferred to a test tube containing 5 mL of a freshly prepared culture medium and then incubated at 30 • C or 37 • C under agitation overnight (16-18 h) . Spores of B. anthracis were prepared as previously described [24, 49, 50] . Overnight BHIB cultures of B. anthracis were diluted to approximately 10 7 colony-forming units (CFU)/mL in phosphate-buffered saline, and 0.1-mL aliquots were inoculated onto blood agar plates. The agar plates were incubated at 25-37 • C until 90%-99% phase-bright spores were observed using phase-contrast light microscopy. Spores were harvested and washed with cold sterile DI water as previously described [49] and stored in the freezer at −20 • C for up to 1 mol. The quality of spores was determined by two complementary criteria previously established for validating the presence of dormant spores [50] . The criteria consisted of evaluating (i) the absence of vegetative cells (rods) determined through microscopic examination as described, and (ii) the survival of spores in hydrochloric acid (2.5 N) . Spore preparations of B. subtilis, B. cereus, and B. thuringiensis were conducted following the same protocol. In this study, bacterial concentrations were either determined using the standard plating method or inferred from optical density readings at 600 nm (OD600). For each Bacillus species, a factor for converting the OD600 values of the bacterial culture to concentration (CFU/mL) was calculated as follows. A fresh bacterial culture was diluted by factors of 10 −1 to 10 −7 , and the OD600 of these dilutions was measured. The bacterial concentrations of these dilutions were determined using the standard plating method. To determine the bactericidal effects of the TiO 2 -related substrates, 200 µL of bacterial overnight culture was transferred into 5 mL of a culture medium and incubated at 37 • C until an OD600 of 0.3-0.6 (log phase) was reached. The bacterial concentrations were calculated using the previously determined conversion factor for the bacteria, and the cultures were diluted to 1 × 10 5 CFU/mL with the culture medium. The bacterial cultures (2.5 × 10 4 CFU) were mixed with the TiO 2 or C200 NPs (200 µg/mL in 150 µL of normal saline) using a 200 µL pipetman and placed onto a 24-well cell culture dish. Photocatalytic reactions were carried out using an incandescent lamp (Classictone incandescent lamp, 60 W, Philips Taiwan, Taipei, Taiwan). A light meter (model LX-102, Lutron Electronic Enterprises, Taipei, Taiwan) was used to record the illumination density. In the dose-dependent experiments, illumination was carried out for 5 min at distances of 5, 10 and 15 cm from the lamp, corresponding to illumination densities of 3 × 10 4 , 1.2 × 10 3 and 3 × 10 2 lux (lumen/m 2 ) (equivalent to 90, 30 and 10 mW/cm 2 ), respectively. In the kinetic analysis experiments, illumination was carried out for 1, 5, 10, 20 and 30 min at a distance of 5 cm, corresponding to an illumination density of 3 × 10 4 lux (90 mW/cm 2 ). Unless specified, illumination was carried out in a 4 • C cold room to prevent overheating of the photocatalyst-containing solution. After illumination, the levels of surviving bacteria were determined using a standard plating method immediately after bacterial collection. In the spore experiments, 1 × 10 4 CFU (1 × 10 5 CFU/mL in 100 µL) was used, and the procedures followed the same protocols as those in the live bacteria experiments. Cytotoxicity of anthrax LT was measured following previously described methods [30, 45] . Anthrax LT is composed of two protein components, a PA (cell receptor-binding) and an LF (metalloprotease). The PA and LF were purified from B. anthracis (ATCC 14186) culture supernatants, as previously described [24, [30] [31] [32] [33] [34] 45, 47] . The culture supernatants were filter-sterilized by being passed through a 0.22-mm filter (Millipore, Bedford, MA, USA) and concentrated using the Minitan Ultrafiltration System (Millipore, Bedford, MA, USA). Protease inhibitor phenylmethylsulfonyl fluoride 0.1 mM (Sigma-Aldrich, St. Louis, MO, USA) [51, 52] was added to prevent toxin degradation. Ammonium sulfate was added to 75% to precipitate the protein; and the protein was collected and suspended in 20 mM tris(hydroxymethyl)aminomethane HCl (Tris-HCl) pH 8.0, and extensively dialyzed against the same buffer. The purification was further performed using fast protein liquid chromatography Mono Q anion exchange (Pharmacia, Piscataway, NJ, USA) with a 20 mM Tris-HCl pH 8.0 buffer and linear 0-400 mM NaCl gradient elution over 40 min. The PA was eluted at 130-140 mM NaCl, and the LF was eluted at 250-270 mM NaCl. Lipopolysaccharide (LPS) contamination was monitored using a Limulus Amoebocyte Lysate QCL-1000 kit (Lonza, Walkersville, MD, USA) [31, 35, 53] . Batches of purified LT with an LPS contamination level of less than 1 EU/mg of LT were used [31] . The LT solution was mixed with the TiO 2 or C200 nanoparticles (200 µg/mL in 150 µL of normal saline) by using a 200 µL pipetman and placed onto a 24-well cell culture dish. After inactivation in visible-light illumination for 30 min (3 × 10 4 lux; 90 mW/cm 2 ), the LT (LF:PA = 1:5) was ready for use. Cytotoxic doses of LT (10 mg/L) [30] , with or without pretreatment of photocatalytic inactivation using pure TiO 2 and C200 NPs, was used to treat mouse macrophage J774A.1 cells. Three hours after the LT treatments, the cell viability of J774A.1 cells was measured using a WST-1 kit (Roche, Mannheim, Germany) [30, 53, 54] , following manufacturer instructions. B. subtilis was dissolved in normal saline (100 µL, 1 × 10 5 CFU/mL) and then incubated with TiO 2 and C200 NPs. The bacterial cultures (2.5 × 10 4 CFU) were mixed with TiO 2 or C200 NPs (200 µg/mL in 150 µL of normal saline) using a 200 µL pipetman and placed onto a 24-well cell culture dish. The bacterium-photocatalyst mixtures were then illuminated with visible light (Classictone incandescent lamp, 60 W, Philips; 90 mW/cm 2 ; lamp target distance 10 cm) for 30 min in 24-well plates. After illumination, the bacteria-containing solutions (85 µL) were recovered from the 24-well plates. The bacterial solution was then added into one well of a six-well cell culture dish containing confluent murine macrophage J774A.1 cells (1 × 10 6 cells/well; MOI: 0.1 bacteria/cell). After phagocytosis was carried out for 1 h, the culture medium was removed, and 200 µL of a cell lysis buffer (100 mM Tris-HCl [pH 7.4], 10 mM MgCl 2 , 100 mM NaCl, 0.2% sucrose, 0.5% Triton X-100) modified from that described in previous literature [55, 56] was then added to release the cell-engulfed or cell-bound bacteria. A serum-free and antibiotic-free cell culture medium (Dulbecco's modified Eagle's medium) was used in this analysis. The means, standard deviations, and statistics for the quantifiable data were calculated using Microsoft Office Excel 2003 (Microsoft, Redmond, WA, USA), SigmaPlot 10 (Systat Software, San Jose, CA, USA), and SPSS Statistics for Windows, Version 19.0 (IBM, Armonk, NY, USA). Significance of the data was examined using one-way ANOVA followed by the post hoc Bonferroni-corrected test. The probability of type 1 error α = 0.05 was recognized to be the threshold of statistical significance. In the present study, we demonstrated that C200 NPs are conceptually feasible nanomaterials for eliminating the vegetative cells and spores of B. anthracis. In particular, C200-mediated photocatalysis exhibits a protective effect against the bacteria, even under suboptimal conditions. Our results collectively suggest that C200 NPs and the extended concepts and technologies described in this report are useful for the development of new strategies against anthrax. Anthrax in humans and animals Anthrax: A disease of biowarfare and public health importance Human anthrax as a re-emerging disease The history of biological warfare. Human experimentation, modern nightmares and lone madmen in the twentieth century Biological warfare and bioterrorism: A historical review Updated recommendations for management Responding to an emerging threat Inactivation of bacillus anthracis spores Bactericidal activity of photocatalytic TiO 2 reaction: Toward an understanding of its killing mechanism Electrochemical photolysis of water at a semiconductor electrode Photo-irradiated titanium dioxide catalyzes site specific DNA damage via generation of hydrogen peroxide Biogenesis of pigment granules: A sensitive way to regulate melanocyte function Animals under the sun: Effects of ultraviolet radiation on mammalian skin Ocular phototoxicity Nanodiamonds protect skin from ultraviolet b-induced damage in mice Visible light responsive core-shell structured In 2 O 3 @CaIn 2 O 4 photocatalyst with superior bactericidal property and biocompatibility The effects of the bacterial interaction with visible-light responsive titania photocatalyst on the bactericidal performance Bactericidal effects and mechanisms of visible light-responsive titanium dioxide photocatalysts on pathogenic bacteria Visible light responsive photocatalyst induces progressive and apical-terminus preferential damages on Escherichia coli surfaces Antibacterial performance of nanoscaled visible-light responsive platinum-containing titania photocatalyst in vitro and in vivo Antibacterial property of Ag nanoparticle-impregnated N-doped titania films under visible light Visible-light-induced bactericidal activity of a nitrogen-doped titanium photocatalyst against human pathogens Bactericidal performance of visible-light responsive titania photocatalyst with silver nanostructures Role of visible light-activated photocatalyst on the reduction of anthrax spore-induced mortality in mice The use of nanoscale visible light-responsive photocatalyst TiO 2 -Pt for the elimination of soil-borne pathogens Visible-light-responsive nano-TiO 2 with mixed crystal lattice and its photocatalytic activity Observation of carbon-containing nanostructured mixed titania phases for visible-light photocatalysts Photoactivities of the visible-light-activated mixed-phase carbon-containing titanium dioxide: The effect of carbon incorporation The ins and outs of anthrax toxin Sublethal doses of anthrax lethal toxin on the suppression of macrophage phagocytosis Acquired coagulant factor VIII deficiency induced by bacillus anthracis lethal toxin in mice Suppressive effects of anthrax lethal toxin on megakaryopoiesis Erythrocytic mobilization enhanced by the granulocyte colony-stimulating factor is associated with reduced anthrax-lethal-toxin-induced mortality in mice Erythropoiesis suppression is associated with anthrax lethal toxin-mediated pathogenic progression Activated protein c ameliorates bacillus anthracis lethal toxin-induced lethal pathogenesis in rats Applications of photocatalytic disinfection Titanium dioxide photocatalysis Environmental application of nanotechnology: Air, soil, and water Toxicology and carcinogenesis studies of dietary titanium dioxide-coated mica in male and female fischer 344 rats Effect of ingested titanium dioxide nanoparticles on the digestive gland cell membrane of terrestrial isopods Titanium dioxide nanoparticles: A review of current toxicological data Testing and Eevaluation of Nanoparticle Efficacy on E. Coli, and Bacillus Anthracis Spores. NSTI-Nanotech The influence of nanodiamond on the oxygenation states and micro rheological properties of human red blood cells in vitro Single-step purification of recombinant anthrax lethal factor from periplasm of Escherichia coli Calyculin a sensitive protein phosphatase is required for bacillus anthracis lethal toxin induced cytotoxicity Antiplatelet activities of anthrax lethal toxin are associated with suppressed p42/44 and p38 mitogen-activated protein kinase pathways in the platelets Assessment of heat resistance of bacterial spores from food product isolates by fluorescence monitoring of dipicolinic acid release Difference between the spore sizes of bacillus anthracis and other bacillus species Comparative sporicidal effects of liquid chemical agents Cell adhesion as a novel approach to determining the cellular binding motif on the severe acute respiratory syndrome coronavirus spike protein The integrin α6β1 modulation of PI3K and Cdc42 activities induces dynamic filopodium formation in human platelets Facilitation of cell adhesion by immobilized dengue viral nonstructural protein 1 (NS 1 ): Arginine-glycine-aspartic acid structural mimicry within the dengue viral NS 1 antigen Endothelial cell sensitization by death receptor fractions of an anti-dengue nonstructural protein 1 antibody induced plasma leakage, coagulopathy, and mortality in mice Receptor-mediated endocytosis as a selection force to enrich bacteria expressing rhodostomin on their surface Striking conformational similarities between the transcription promoters of thogoto and influenza a viruses: Evidence for intrastrand base pairing in the 5 promoter arm The following abbreviations are used in this manuscript: