Nitrogen Functionalities of Amino-Functionalized Nitrogen-Doped Graphene Quantum Dots for Highly Efficient Enhancement of Antimicrobial Therapy to Eliminate Methicillin-Resistant Staphylococcus aureus and Utilization as a Contrast Agent

There is an urgent need for materials that can efficiently generate reactive oxygen species (ROS) and be used in photodynamic therapy (PDT) as two-photon imaging contrast probes. In this study, graphene quantum dots (GQDs) were subjected to amino group functionalization and nitrogen doping (amino-N-GQDs) via annealing and hydrothermal ammonia autoclave treatments. The synthesized dots could serve as a photosensitizer in PDT and generate more ROS than conventional GQDs under 60-s low-energy (fixed output power: 0.07 W·cm−2) excitation exerted by a 670-nm continuous-wave laser. The generated ROS were used to completely eliminate a multidrug-resistant strain of methicillin-resistant Staphylococcus aureus (MRSA), a Gram-positive bacterium. Compared with conventional GQDs, the amino-N-GQDs had superior optical properties, including stronger absorption, higher quantum yield (0.34), stronger luminescence, and high stability under exposure. The high photostability and intrinsic luminescence of amino-N-GQDs contribute to their suitability as contrast probes for use in biomedical imaging, in addition to their bacteria tracking and localization abilities. Herein, the dual-modality amino-N-GQDs in PDT easily eliminated multidrug-resistant bacteria, ultimately revealing their potential for use in future clinical applications.


Introduction
Materials that are primarily based on graphene have exceptional chemical stability and mechanical, thermal, and electronic properties. Thus, these materials have great potential for use in nanodevices. However, currently available graphene-based materials produced by typical physical and chemical routes, including micromechanical cleavage, reduction in exfoliated graphene oxide, and solvothermal synthesis, are generally micrometer-sized graphene sheets, limiting their direct applications in nanodevices [1]. As a result, there is an urgent need to develop effective routes for cutting large graphene sheets into nanometersized pieces with a well-confined shape, such as graphene nanoribbons and graphene quantum dots (GQDs) [2]. GQDs are a novel class of carbon materials that are smaller than 10 nm. They were first reported in a 2004 study where single-walled carbon nanotubes were purified through preparative electrophoresis [3]. GQDs have become increasingly crucial members of the nanocarbon family owing to their benignity, abundance, and low cost. Carbon is usually black and has been recently thought to have weak fluorescence and low solubility in water [4]. As GQDs exhibit strong fluorescence, they have attracted considerable attention, attaining the moniker "fluorescent carbons" [5]. Compared with conventional organic dyes, photoluminescent GQDs possess superior properties, such as aqueous solubility, easy functionalization, high resistance to photobleaching, excellent chemical inertness, high biocompatibility, and low toxicity [6]. Consequently, their potential for use in biological labeling, bioimaging, and drug delivery has been widely explored. GQDs have been found to emit visible to near-infrared (NIR) photoluminescence (PL) under light excitation, which is of particular interest. NIR PL emissions from GQDs excited using NIR light are particularly critical for bionanotechnology applications due to body tissue transparency in the NIR window for water [7]. PL emissions from GQDs can be efficiently quenched using electron acceptors or donor molecules in solution, which reveal the excellent electron acceptance and donation abilities of photoexcited GQDs. Owing to their notable photoinduced electron transfer properties, GQDs may be suitable for use in photovoltaic devices and light energy conversion, among other applications [8]. GQDs are also promising nanoprobes for sensitive detection [9].
Doping is crucial for semiconductors as it can considerably change the carrier density of a material and, thus, completely alter its intrinsic electrical and optical properties [10,11]. Nitrogen (N) doping or functionalization of GQDs is an extremely helpful method for altering the intrinsic properties of GQDs. N atoms, with atomic sizes comparable to those of carbon atoms, have five valence electrons and are highly accepting of electrons; thus, they provide the adjacent carbon atoms in graphene with a comparatively high level of positive charge density. In molecular systems with an sp 2 bond, carbon can be replaced with nitrogen, which can enable the formation of heterocyclic aromatic compounds. The inherent features of materials that are based on carbon, including their electronic characteristics and local and surface chemical features, can be effectively modified by atom doping. Natom doping of GQDs (size < 10 nm), which exhibit notable quantum confinement and edge effects, results in the modulation of the dots' chemical composition and bandgap. Because the properties of N-doped GQDs (N-GQDs) can be modulated, these dots should exhibit improved electrochemical, electrocatalytic, and photochemical activity and possess tunable luminescence, which is critical for optoelectronic and bioimaging applications [12]. Accordingly, chemical doping can be considered an effective approach for tailoring the optical, chemical, and electronic properties of graphene. GQDs subjected to amino group functionalization and nitrogen doping (amino-N-GQDs) have electronic properties strongly influenced by chemical modifications that enable strong electron donation in primary amine molecules (a phenomenon referred to as amino group functionalization) [13]. When amino-N-GQDs undergo singlet-triplet splitting, the corresponding intersystem crossing is sufficiently efficient to compete with internal conversion between multiplicity-identical states, which results in simultaneous PL and the creation of reactive oxygen species (ROS) involved in photodynamic therapy (PDT) [14].
In PDT, ROS are formed when molecular oxygen reacts with a photoexcited photosensitizer (PS) exposed to a suitable wavelength of light source and energy [15]. Photosensitized reactions involving oxygen are categorized as type I or II. A light-sensitized (excited) PS can directly react with a suitable substrate (unsaturated lipids, proteins, or nucleic acids) to produce unstable radicals through proton or electron transfer (type I reaction), leading to oxygenated products in the presence of oxygen, such as a superoxide anion radical (O 2 − ), hydroxyl radicals (OH.), or hydrogen peroxide (H 2 O 2 ). Then, they react with molecular oxygen to form singlet oxygen ( 1 O 2 ) through energy transfer (type II reaction) [16]. Cells or bacteria can be irreversibly damaged when ROS undergo oxidative reactions with adjacent biological substrates. In addition to the application of conventional and newly synthesized PSs, the use of materials for PDT is a potentially favorable approach for improving the efficacy of therapy. However, because materials are used in combination with PSs, some studies have reported the induction of PDT mechanisms [11,14]. Few studies have directly employed amino-N-GQDs as PSs for ROS generation in PDT [11,14]. Accordingly, in the present study, amino-N-GQDs were employed in PDT as PSs to eliminate a multidrug-resistant (MDR) strain of methicillin-resistant Staphylococcus aureus (MRSA), a Gram-positive bacterium, using a 670-nm continuous-wave laser. A low concentration (0.5 µg·mL −1 ) of amino-N-GQDs and a photoexcitation time of 60 s with an energy irradiation dose of 0.07 W·cm −2 were found to result in the elimination of all bacteria [17,18]. However, using GQDs instead of amino-N-GQDs in the same treatment resulted in 37% bacterial elimination. The properties of the PL (Em: 696 nm)-optimal irradiation penetration, low energy absorption, and slight scattering-emitted in the NIR region revealed that the derived amino-N-GQDs are promising contrast probes for tracking and localizing amino-N-GQD-treated bacteria and could provide further information regarding the status of the irradiated bacteria. The combination of dual-modality PDT, a contrast agent, and amino-N-GQDs was determined to be promising for eliminating and tracking MDR bacteria.

Results and Discussion
The modified Hummers method [19] was employed to prepare a graphene oxide sheet, which was subjected to an ultrasonic shearing reaction to synthesize amino-N-GQDs [20]. The mean lateral size of the amino-N-GQDs was approximately 8.3 nm (Figure S1a), as determined using low-magnification ( Figure 1a) and high-resolution transmission electron microscopy (HR-TEM) images ( Figure 1b). The interlayer spacing of the as-prepared amino-N-GQDs was 0.213 nm, which corresponded to the d-spacing of the {1 − 100} lattice planes of graphene (Figure 1b) [6]. Figure 1c displays the crystallinity analysis-derived X-ray diffraction (XRD) spectrum. The diffraction angle of the amino-N-GQD material was nearly 2θ = 24.3 • , indicating appropriate layer regularity as well as a well-ordered lamellar structure exhibiting a 0.360-nm interlayer distance. The interfringe distances were 0.213 and 0.360 nm, which correspond to the in-plane lattice spacing and basal plane distance of graphite, respectively. The values for amino-N-GQDs are consistent with those reported previously (0.340-0.403 nm) [5]. However, based on the XRD findings, the basal plane was not considerably functionalized. This finding aligns with the theory that, compared with in-plane carbons, graphene has considerably more active edges, and functional groups are present at the amino-N-GQD edges [15]. The large basal spacing of the amino-N-GQDs is due to the accommodation of several oxygen species, such as epoxy, hydroxyl, and amino groups, and alteration of the carbon hexahedron grid plane, resulting in greater graphene layer spacing. Various peaks were present in the UV-vis absorption spectrum of the amino-N-GQDs, specifically at 315 nm (n → π* transition of the C=O shoulder and C-N) and 212 nm (π → π* transition of the aromatic C=C bonds; Figure 1d). The absorption peaks in the spectrum of amino-N-GQDs containing oxygen corresponded to the π electron transition and revealed that the GQDs were successfully doped with N. The crystallinity of the amino-N-GQDs was investigated using Raman spectroscopy. The peak at 1384 cm −1 (D band) was identified to be associated with the vibration of the sp3-carbon atoms in disordered graphite, while the peak at 1606 cm −1 (G band) corresponded with the vibration of the sp2 hybrid carbon atoms. Further, the integrated D to G band intensity ratio (I D /I G ), which indicates the degree of graphitization, was approximately 0.90, indicating that the amino-N-GQDs were highly distorted (Figure 1e) [21]. The I D /I G ratios were used as inputs in the Raman calculations to determine the mean sp 2 domain size of the GQD-based specimens [22]. The estimated size almost matched the one obtained from HR-TEM, although the value obtained from the Raman calculations (~8.0 nm) was slightly lower due to the Raman estimation (Equations (S2) and (S3)) [22]. The exposed functional groups of the amino-N-GQDs were directly analyzed using Fourier-transform infrared The continuous increase in MDR bacterial strains is a serious medical problem due to their ability to develop resistance to antibiotics through different pathways [23]. Because of the growing resistance of the Gram-positive bacteria, MRSA, to conventional antimicrobial agents, it is desirable to develop alternative approaches to eliminate MDR bacterial strains. This study employed an experimental MRSA template. The surface protein, protein A, on the cell wall of MRSA was considered. Accordingly, the material was coated with an Ab protein A antibody to form the material, Ab protein A hybrid, assuming it would possess enhanced specificity, selectivity, and efficiency. A colony-forming unit (CFU) assay was performed to examine material biocompatibility. The number of bacterial cells was calculated as log 10 CFU per milliliter (log 10 CFU/mL) and is expressed as a percentage (Figure 2a,b). The CFU assay revealed that the amino-N-GQDs were highly biocompatible. Additionally, the toxicity of the material was found to contribute to the elimination of bacteria in PDT. , and (f) Fourier-transform infrared (FTIR) spectra of amino-N-GQDs. (g,h) X-ray photoelectron spectroscopy (XPS) spectrum of amino-N-GQDs obtained to determine the changes in the chemical state. In the deconvoluted C(1s) spectrum, the peaks were fitted using the Gaussian function corresponding to C-C/C=C, C-N, C-O, and C=O. In the deconvoluted N(1s) spectrum, the peaks were fitted using the Gaussian function corresponding to pyridinic N, amino N, pyrrolic N, quaternary N, and amide N. The table summarizes the bonding composition and atomic ratio of the amino-N-GQDs. The O(1s)/C(1s) and N(1s)/C(1s) atomic ratios were 28.4% and 5.2%, respectively. Delivered dose: 0.5 μg·mL −1 to 5 mg·mL −1 material. , and (f) Fourier-transform infrared (FTIR) spectra of amino-N-GQDs. (g,h) X-ray photoelectron spectroscopy (XPS) spectrum of amino-N-GQDs obtained to determine the changes in the chemical state. In the deconvoluted C(1s) spectrum, the peaks were fitted using the Gaussian function corresponding to C-C/C=C, C-N, C-O, and C=O. In the deconvoluted N(1s) spectrum, the peaks were fitted using the Gaussian function corresponding to pyridinic N, amino N, pyrrolic N, quaternary N, and amide N. The table summarizes the bonding composition and atomic ratio of the amino-N-GQDs. The O(1s)/C(1s) and N(1s)/C(1s) atomic ratios were 28.4% and 5.2%, respectively. Delivered dose: 0.5 µg·mL −1 to 5 mg·mL −1 material. The experiment would have been compromised if the amino-N-GQD samples were exposed to white light. To prevent the possibility of confounding the PDT process by inadvertently exposing the amino-N-GQD samples to white light, experiments related to PDT were conducted in the dark. Indeed, the viabilities of amino-N-GQD (0.5-1.5 μg·mL −1 )-treated MRSA decreased from approximately 7% to 15%, which was somewhat influenced by light illumination (not in the dark) ( Figure S2a,b). A low dose (0.5 μg mL −1 ) of amino-N-GQDs that had been incubated for 3 h with MRSA (OD600: ~0.05) at 37 °C in the dark was employed in all subsequent experiments.
To evaluate the antimicrobial potential of the material, PDT experiments were conducted against MRSA using low-dose energy irradiation (0.07 W·cm −2 ) with an exposure time of 0-60 s. In addition, the effect of the photoexcited material, Abprotein A, on the viability of MRSA was determined. No bactericidal effects were observed for MRSA alone, with or without laser exposure, or on the panel of material-treated bacteria when laser treatment was not applied (Figure 3a). After photoexcitation for 30 s, the viability of amino-N-GQD-Abprotein A was relatively low (approximately 36%); this value corresponded to a reduction of approximately 0.449 log10 ( Figure S2a). In contrast, the bacterial viability was higher in the panel treated with amino-N-GQDs (51%, approximately 0.031 log10 reduction; Figure  S3a) without antibody coating. This finding indicates that the Abprotein A antibody coated the material, resulting in greater selectivity and specificity. After 60 s, the amino-N-GQD-Abprotein A-treated bacteria were completely eliminated (100% elimination; Figure 3b). Subsequently, we investigated whether bacterial viability was affected by N-bonding composition and amino functional groups. In identical photoexcitation experiments, the amino-N-free GQDs (characterizations, Figure 4; Figures S1b, S2a,b, S4 and S5; the characteristics of single GQDs and amino-N-GQDs were compared and are shown in Table S1) had lower bactericidal ability than the amino-N-GQDs ( Figure 3). Specifically, viability levels of 75% and 37% (~0.114 and ~0.429 log10 reductions, respectively; Figure S3b) were observed for the GQD-Abprotein A-treated MRSA after different laser exposure times. Furthermore, because lipopolysaccharide (LPS) is a major component of the outer membrane of Gramnegative Escherichia coli (E. coli), GQD-AbLPS and amino-N-GQD-AbLPS also eliminated E. coli ( Figures S2c,d, S6 and S7), exhibiting a trend similar to that shown in Figure 3. The experiment would have been compromised if the amino-N-GQD samples were exposed to white light. To prevent the possibility of confounding the PDT process by inadvertently exposing the amino-N-GQD samples to white light, experiments related to PDT were conducted in the dark. Indeed, the viabilities of amino-N-GQD (0.5-1.5 µg·mL −1 )treated MRSA decreased from approximately 7% to 15%, which was somewhat influenced by light illumination (not in the dark) ( Figure S2a,b). A low dose (0.5 µg·mL −1 ) of amino-N-GQDs that had been incubated for 3 h with MRSA (OD 600 :~0.05) at 37 • C in the dark was employed in all subsequent experiments.
To evaluate the antimicrobial potential of the material, PDT experiments were conducted against MRSA using low-dose energy irradiation (0.07 W·cm −2 ) with an exposure time of 0-60 s. In addition, the effect of the photoexcited material, Ab protein A , on the viability of MRSA was determined. No bactericidal effects were observed for MRSA alone, with or without laser exposure, or on the panel of material-treated bacteria when laser treatment was not applied (Figure 3a). After photoexcitation for 30 s, the viability of amino-N-GQD-Ab protein A was relatively low (approximately 36%); this value corresponded to a reduction of approximately 0.449 log 10 ( Figure S2a). In contrast, the bacterial viability was higher in the panel treated with amino-N-GQDs (51%, approximately 0.031 log 10 reduction; Figure S3a) without antibody coating. This finding indicates that the Ab protein A antibody coated the material, resulting in greater selectivity and specificity. After 60 s, the amino-N-GQD-Ab protein A -treated bacteria were completely eliminated (100% elimination; Figure 3b). Subsequently, we investigated whether bacterial viability was affected by N-bonding composition and amino functional groups. In identical photoexcitation experiments, the amino-N-free GQDs (characterizations, Figure 4; Figures S1b, S2a,b, S4 and S5; the characteristics of single GQDs and amino-N-GQDs were compared and are shown in Table S1) had lower bactericidal ability than the amino-N-GQDs ( Figure 3). Specifically, viability levels of 75% and 37% (~0.114 and~0.429 log 10 reductions, respectively; Figure S3b) were observed for the GQD-Ab protein A -treated MRSA after different laser exposure times. Furthermore, because lipopolysaccharide (LPS) is a major component of the outer membrane of Gram-negative Escherichia coli (E. coli), GQD-Ab LPS and amino-N-GQD-Ab LPS also eliminated E. coli (Figures S2c,d, S6 and S7), exhibiting a trend similar to that shown in Figure 3. The different incubation times had no influence on the bacterial viability; however, the viability level visibly decreased with dose (Table 1). Based on the results, the amino-N-GQDs performed PDT more efficiently than amino-N-free GQDs, amino-group-free N-GQDs, and amino-GQDs, indicating their superior efficacy. With respect to the amino-N-GQD-eliminated bacteria, which were subjected to the same treatment procedure, the experiments with the nitrogen and amino functional groups demonstrated superior bactericidal capability compared with those without these compositions.
The aforementioned results correspond to the generated ROS, which originate from the PSs of the materials and may be influential in PDT. The oxidative stress of ROS may contribute to failure in the normal redox reaction functioning of the biological substrates surrounding bacteria treated with photoexcited material and may result in damage to DNA, ultimately causing death of the bacteria. Therefore, 1 O2 and O2 − involved in PDT (photoexcited using a 670-nm laser) were detected. The intensity of 1 O2 was measured by monitoring the fluorescence intensity of the singlet oxygen sensor green (SOSG) reagent and trans-1-(2′-methoxyvinyl)pyrene (t-MVP). Moreover, the intensity of O2 − was detected using the 470-nm absorbance of 2,3-bis (2-methoxy-4-nitro-5-sulfophenyl)-2H-tetrazolium-5-carboxanilide (XTT) and the absorbance of γ-L-glutamyl-L-cysteinyl-glycine (GSH) after the bacteria were incubated with the material [15,17]. The materials generated 1 O2 The different incubation times had no influence on the bacterial viability; however, the viability level visibly decreased with dose (Table 1). Based on the results, the amino-N-GQDs performed PDT more efficiently than amino-N-free GQDs, amino-group-free N-GQDs, and amino-GQDs, indicating their superior efficacy. With respect to the amino-N-GQD-eliminated bacteria, which were subjected to the same treatment procedure, the experiments with the nitrogen and amino functional groups demonstrated superior bactericidal capability compared with those without these compositions.    Table 1. MRSA viability (%), determined from the viable count of material-Ab protein A -treated MRSA obtained using the CFU assay under a short 670-nm laser excitation. Data are presented as mean ± SD (n = 6). The aforementioned results correspond to the generated ROS, which originate from the PSs of the materials and may be influential in PDT. The oxidative stress of ROS may contribute to failure in the normal redox reaction functioning of the biological substrates surrounding bacteria treated with photoexcited material and may result in damage to DNA, ultimately causing death of the bacteria. Therefore, 1 O 2 and O 2 − involved in PDT (photoexcited using a 670-nm laser) were detected. The intensity of 1 O 2 was measured by monitoring the fluorescence intensity of the singlet oxygen sensor green (SOSG) reagent and trans-1-(2 -methoxyvinyl)pyrene (t-MVP). Moreover, the intensity of O 2 − was detected using the 470-nm absorbance of 2,3-bis (2-methoxy-4-nitro-5-sulfophenyl)-2H-tetrazolium-5-carboxanilide (XTT) and the absorbance of γ-L-glutamyl-L-cysteinyl-glycine (GSH) after the bacteria were incubated with the material [15,17]. The materials generated 1 O 2 and O 2 − in a photoexcitation time-dependent manner (photoexcitation time, 0-60 s; Table S2). However, false-positive ROS signals may have occurred due to material-ROS reagent interaction (ROS reagents included SOSG reagent, t-MVP, XTT, and GSH), and these false positives may have compromised the results [24]. Therefore, material-Ab protein A -treated MRSA was introduced and monitored ( Table 2) to detect the amount of ROS formed from the laser-irradiated material. The results revealed a trend similar to that shown in Table S2, and that of material Ab LPS -treated E. coli (Table S3). However, the amino-N-GQDs were associated with greater ROS formation capability than the standard GQDs, regardless of the detection method. The amount of generated ROS was reduced after treatment with MRSA and E. coli without antibody coating (Tables S4 and S5). In addition, the antibody was successfully coated on the material, and its functions were performed favorably. The material demonstrated its potential application in PDT because of its notable antibacterial effect. To confirm that ROS were involved in the PDT effect of amino-N-GQDs, ROS neutralization was achieved using α-tocopherol [25]. The quantity of ROS decreased after the addition of α-tocopherol, and viability increased, as expected. After this experiment, amino-N-free GQDs were observed using XPS (Figure 4f). The amino-N-free GQDs were less capable of forming 1 O 2 and O 2 − than amino-N-GQDs (Tables 2 and S2-S5). This result is consistent with the 1 O 2 phosphorescence signal emitted by the material at 1270 nm (Figure 5a). The amino-N-GQDs generated greater amounts of 1 O 2 and O 2 − than amino-N-free GQDs. Moreover, the amino-N-GQDs had a higher Φ ∆ (~0.55) than the GQDs (~0.29; for reference, Φ ∆ = 0.64 is the quantum yield (QY) of meso-tetra [4-sulfonatophenyl] porphine dihydrochloride dissolved in D 2 O [18]).    Table 2. Amount of ROS generated by conducting photoexcitation (0.07 W cm −2 ; Ex: 670 nm) and by using materials-Abtreated bacteria was maintained in the dark and monitored. Delivered dose: OD 600 =~0.05 for MRSA and 0.5 µg·mL −1 for material. Data are presented as mean ± SD (n = 6) [6,14,22]  0.02 ± 0.01 0.03 ± 0.01 a Negative control: only treat using reagent and laser radiation without using any material (0 µg·mL −1 ). b ROS neutralization includes nanomaterial treatment, laser irradiation, and 30 ppm of antioxidant α-Tocopherol/methyl linoleate. c The singlet oxygen sensor green (SOSG) reagent (Ex/Em: 488/525 nm) has a specific reactivity to generate fluorescence that is recorded using a PL spectrometer. d Positive control: treatment of 50 µM of tert-butyl hydroperoxide and laser irradiation. e trans-1-(2 -methoxyvinyl)pyrene (t-MVP) (Ex/Em: 352/465 nm) can react with 1 O 2 , and form a dioxetane intermediate that generates fluorescence upon decomposition to 1-pyrenecarboxaldehyde. The process is monitored using a PL spectrometer. f 2,3-bis (2-methoxy-4-nitro-5-sulfophenyl)-2H-tetrazolium-5-carboxanilide (XTT) can interact with O 2 − and produce XTT-formazan that generates strong absorption (wavelength: 470 nm). g γ-L-glutamyl-L-cysteinyl-glycine (GSH) containing a thiol tripeptide can prevent damages to cellular or bacterial components caused by stress of oxidation. The thiol group from GSH can be oxidized to the disulfide bond, thus converting GSH to glutathione disulfide. GSH oxidation was used to determine the generated O 2 − . Loss of GSH (%) = (difference between of the absorbance of the sample and negative control/absorbance of negative control) × 100%.

µg·mL −1 GQD N-GQD amino-GQD amino-N-GQD 3 h-Incubation 6 h-Incubation 3 h-Incubation 6 h-Incubation 3 h-Incubation 6 h-Incubation 3 h-Incubation 6 h-Incubation
The aforementioned results indicate that N atoms can replace carbon atoms (through atom doping) in sp 2 -bonded molecular systems, generating heterocyclic aromatic compounds. Doping is, thus, a productive approach that can be executed to alter the inherent features of materials that are based on C, including electronic features and local and surface chemical characteristics [11]. Moreover, the NH 2 groups that exist at the edge of functionalized amino groups and N-atom-doped GQDs have been reported to have the highest occupied molecular orbital due to a strong orbital interaction with the primary amine [14]. Therefore, the resonance between the delocalized π orbital and the primary amine molecular orbital narrows the orbital bandgap. Consequently, owing to their extraordinary edge and quantum confinement effects, the amino-N-GQDs were determined to have different chemical compositions to the GQDs, enhancing their photochemical, electrochemical, and electrocatalytic activities in optoelectronic and biomedical applications [2,6]. The increased 1 O 2 due to the amino-N-GQDs may, thus, have been the result of the triplet state yield of the amino-N-GQDs and more intersystem crossing [14]. These factors led to the superior antimicrobial activity of GQDs through the PDT mechanism. TEM was used to obtain images of MRSA treated with amino-N-GQDs exposed to a laser. After MRSA (Figure 6a) was incubated with amino-N-GQD-Ab protein A for 3 h (Figure 6b), numerous materials were adsorbed on the bacterial surface [26]. Bacteria must assimilate nutrients and filter external ions to maintain and develop cell wall physiological functions. The uptake assay results revealed that a considerable amount of material was adsorbed on the bacterial surface [26,27], with a burst rate of approximately 72% within the first 3 h of incubation (Figure 5b). This rate saturated from 3 to 10 h. Therefore, the material was adsorbed on the bacterial surface and consequently constituted an external barrier. After 3 h of incubation, the material-Ab protein A -treated MRSA did not exhibit any exceptional morphology. However, the shape of the MRSA changed considerably after 4 days of incubation (Figure 6c), with a viability equal to nearly 62% (Figure 6e). This finding implies that the bacteria could not function normally and began to die. In particular, the material exhibited bacteriostatic or bactericidal abilities after 4 days of incubation. Moreover, after 3 h of additional incubation, the photoexcited material-Ab protein A -treated MRSA appeared substantially damaged, which resulted in an abnormal morphology (Figure 6d) corresponding to an elimination rate of almost 100% (Figure 6e).
The surface groups of the amino-N-GQDs may contribute to intrinsic and defect state emissions that involve a PL mechanism [2,7,8,11]. Because of the amino functional groups on the amine-N-GQD surface, radiative electron-hole recombination was induced, which increased the intrinsic state emission [11,12]. The relative QY of amino-N-GQDs was estimated to be 0.34 (as reference, QY ref = 0.28 for Cy5.5 in dimethyl sulfoxide [26,27]), whereas its absolute QY [28,29] was estimated to be 0.33. In contrast to the mentioned amino-N-GQDs, the GQDs were determined to have smaller relative and absolute QYs of 0.11 and 0.13, respectively. The PL spectrum of amino-N-GQDs strongly emitting NIR fluorescence at 696 nm, obtained using a fluorescence spectrometer (excitation: 670 nm), is displayed in Figure 7a. The laser-treated MRSA alone displayed no fluorescence emission (Figure 7b). When irradiation was applied, fluorescence from the materials on the bacterial surface was observed (Figure 7c). After 60 s of irradiation, the bacteria exhibited severe morphological damage. This behavior led to material desorption from the surface of the bacteria and caused an apparent decrease in fluorescence (Figure 7d). The amino-N-GQDs in this study also exhibited photostability, as indicated by their emission intensity after exposure. This photostability resulted in reduced photobleaching ( Figure 7e) and high stability in physiological environments, even after 8 weeks (Table S6, which corresponds to Figures S8 and S9). MRSA viability was determined by fluorescence and quantification ( Figure 8) [15]. After photoexcitation, the generated ROS required additional incubation to effectively process the PDT action. The green fluorescence indicative of living bacteria (Figure 8a) revealed that the bacteria exposed to laser treatment alone with 3 h of additional incubation were almost completely undamaged, which is consistent with the results presented in Figures 6a and 7b. The photoexcited amino-N-GQD-Ab LPS -treated bacteria without additional incubation also showed nearly no damage (Figure 8b). After 3 h of additional incubation, the same panel revealed that the dead bacteria were distinguishable to an extent (represented by the red fluorescence in Figure 8c), which is consistent with the results presented in Figures 6d and 7d. Bacterial viability was quantified for further antimicrobial testing. The viability tests indicated almost complete elimination of the material-treated bacteria (Figure 8d). Viability was also quantified using a CFU assay (Figures 3b and S3b) to demonstrate the efficient antibacterial effect of the amino-N-GQDs in PDT. No other photochemical activity (i.e., photothermal effect) after photoexcitation was detected in this study.     For the percentages of live and dead bacteria, *** p < 0.001. * p value was obtained using the Student's t test (* p < 0.05, ** p < 0.01, *** p < 0.001). Delivered dose: OD600 = ~0.05 μg·mL −1 for bacteria and 0.5 μg·mL −1 for material-Abprotein A. Data are presented as mean ± SD (n = 6). Scale bar: 50 μm.

Laser Exposure
A continuous-wave diode laser at 670 nm (Coherent, Inc., Santa Clara, CA, USA) was used for the laser irradiation experiments. Material-Ab (0.5 μg·mL −1 ) was treated with MRSA or E. coli (OD600 = ~0.05) and placed in a 96-well cell culture plate (Catalog number 174925, Thermo Fisher Scientific, Waltham, MA, USA). Thereafter, the material-Abtreated-MRSA or -E. coli was incubated at 37 °C in the dark. The laser was focused and irradiated on the sample. Relevant experiments were then conducted.

PL QY Measurement
The PL QY of the contrast agent is usually the ratio of the emitted photons to the absorbed photons, and is calculated as follows: For the percentages of live and dead bacteria, *** p < 0.001. * p value was obtained using the Student's t test (* p < 0.05, ** p < 0.01, *** p < 0.001). Delivered dose: OD 600 =~0.05 µg·mL −1 for bacteria and 0.5 µg·mL −1 for material-Ab protein A . Data are presented as mean ± SD (n = 6). Scale bar: 50 µm.

Laser Exposure
A continuous-wave diode laser at 670 nm (Coherent, Inc., Santa Clara, CA, USA) was used for the laser irradiation experiments. Material-Ab (0.5 µg·mL −1 ) was treated with MRSA or E. coli (OD 600 =~0.05) and placed in a 96-well cell culture plate (Catalog number 174925, Thermo Fisher Scientific, Waltham, MA, USA). Thereafter, the material-Ab-treated-MRSA or -E. coli was incubated at 37 • C in the dark. The laser was focused and irradiated on the sample. Relevant experiments were then conducted.

PL QY Measurement
The PL QY of the contrast agent is usually the ratio of the emitted photons to the absorbed photons, and is calculated as follows: QY = QY re f η 2 /η 2 re f (I/A) A re f /I re f

Conclusions
GQDs have been utilized in numerous research fields. However, their use as PSs to directly generate ROS has not received much attention. In this study, we fabricated amino-N-GQDs. The amino-N-GQDs could generate ROS and were effectively used in PDT to eliminate the Gram-positive MDR bacteria, MRSA, at low energy levels within an extremely short photoexcitation period. Amino-N-GQDs have properties, such as high absorption efficiency, strong luminescence, and high stability, making them promising contrast agents for use in biological specimens. Consequently, amino-N-GQDs can be used to perform dual-modality PDT and bioimaging, providing an alternative means for efficiently managing malignant and MDR species.