Silver nanoparticles (AgNPs) are among the most widely used nanoparticulate materials for antimicrobial applications. The innate antibacterial properties of AgNPs are closely associated with the release of silver ions (Ag+) and the generation of reactive oxygen species (ROS). Multiple reports have elaborated on the synergistic effect against bacteria by combining photosensitizers with AgNPs (PS-AgNPs). This combination allows for the light-activated generation of Ag+ and ROS from PS-AgNPs. This is an efficient and controlled approach for the effective elimination of pathogens and associated biofilms. This review summarizes the design and synthetic strategies to produce PS-AgNPs reported in the literature. First, we explore multiple bacterial cell death mechanisms associated with AgNPs and possible pathways for resistance against AgNPs and Ag+. The next sections summarize the recent findings on the design and application of PS-AgNPs for the inactivation of resistant and non-resistant bacterial strains as well as the elimination and inhibition of biofilms. Finally, the review describes major outcomes in the field and provides a perspective on the future applications of this burgeoning area of research.
Keywords: antibiofilm agents; light activated antibacterials; photodynamic inactivation; photosensitizers; silver nanoparticles.