Preparation, Antimicrobial Properties under Different Light Sources, Mechanisms and Applications of TiO2: A Review

Traditional antimicrobial methods, such as antibiotics and disinfectants, may cause adverse effects, such as bacterial resistance and allergic reactions. Photocatalysts based on titanium dioxide (TiO2) have shown great potential in the field of antimicrobials because of their high efficiency, lack of pollution, and lack of side effects. This paper focuses on the antimicrobial activity of TiO2 under different light sources. To improve the photocatalytic efficiency of TiO2, we can reduce electron-hole recombination and extend the photocatalytic activity to the visible light region by doping with different ions or compounds and compounding with polymers. We can also improve the surface properties of materials, increase the contact area with microorganisms, and further enhance the resistance to microorganisms. In addition, we also reviewed their main synthesis methods, related mechanisms, and main application fields to provide new ideas for the enhancement of photocatalytic microorganism performance and application popularization in the future.


Introduction
Microbial pollution has become an important factor that threatens human health and can produce various toxins [1]. Pathogenic microorganisms can cause human diseases [2,3], and some microorganisms can cause food spoilage [4], molds in clothes [5], degraded water quality [6], and even biological corrosion of buildings [7], causing certain losses to human society.
To reduce the adverse effects of microorganisms, disinfectants, antibiotics, and other methods are used to kill microorganisms, but there are also many problems in using these methods. Disinfectants can produce disinfection byproducts (DBPs) with high toxicity [8,9], leading to asthma, allergic rhinitis, and other respiratory symptoms [10] and corrosion effects [11]. The excessive use of antibiotics will produce new drug-resistant strains. Drugresistant strains will periodically explode, increasing the incidence and becoming a major challenge in the global public health field [12,13].
Among these antimicrobial strategies, photocatalytic antimicrobials can realize the efficient utilization of light energy with fewer side effects which has received a wide range of attention. The photocatalyst plays an important role in the photocatalytic antimicrobial process. Because of this reason, research on photocatalysts and photocatalytic antimicrobials has been increasing overall ( Figure 1). Among many photocatalytic materials, TiO 2 and its composites are the most widely studied photocatalysts due to their low cost, stability, and easy preparation. The photoelectrochemical properties of TiO 2 have a history of nearly 100 years, and many breakthrough discoveries have also promoted its development. In 1938, Goodeve et al. [14] studied the photochemical bleaching of 'Chlorazol Sky Blue' with TiO 2 . In 1972, Fujishima and Honda discovered for the first time that TiO 2 could be used as an electrode in the photocatalytic splitting of water [15]. Without any applied voltage, water could be decomposed into oxygen and hydrogen by visible radiation, thus realizing the transformation from optical energy to chemical energy. In 1997, Wang et al. [16] prepared

Synthesis Methods
At present, there are many synthesis methods for TiO2 photocatalysts. The synthesis method and conditions have a great influence on the performance of the photocatalyst. Fully understanding the characteristics of photocatalyst synthesis methods is beneficial to improve not only the production efficiency but also the application.

Sol-Gel Method
The sol-gel method is one of the most commonly used methods for the synthesis of TiO2. This method does not require a high reaction temperature. It can control the texture and surface properties of the material by changing the pH value, temperature, and reaction time [20]. It has unique advantages in the composition and structure control of inorganic materials and hybrid materials [21,22], is the simplest, has a low cost, and is suitable for laboratory research [23]. The sol-gel method uses alcohol or water as the medium to prepare the final product through hydrolysis, polycondensation, aging, drying, and thermal decomposition [20,24] (Figure 2A). Vargas et al. [25] obtained ceramic powder by the sol-gel method and then controlled the subsequent heat treatment temperature to ensure the purity of the oxide and the nanometric size of the particles. The synthesized powders were amorphous up to a temperature T < 350 °C, with a particle size of 100 nm. Their SEM and TEM images are shown in Figure 2B. Tahmasebizad et al. [26] also used the sol-gel method to synthesize Cu and N-codoped TiO2 photocatalytic coating materials, which can be activated by visible light. In the field of photocatalytic antimicrobials, TiO 2 and its composites have excellent killing effects on Escherichia coli, Staphylococcus aureus, Candida albicans, Aspergillus niger, and other microorganisms They can be widely used in sewage treatment, food packaging, self-cleaning fabrics, antimicrobial coatings, and other fields [17][18][19]. In this paper, the main preparation methods of TiO 2 , antimicrobial activity and improvement strategies under ultraviolet (UV) light and visible light, antimicrobial mechanisms, and applications are reviewed to provide ideas and directions for future research.

Synthesis Methods
At present, there are many synthesis methods for TiO 2 photocatalysts. The synthesis method and conditions have a great influence on the performance of the photocatalyst. Fully understanding the characteristics of photocatalyst synthesis methods is beneficial to improve not only the production efficiency but also the application.

Sol-Gel Method
The sol-gel method is one of the most commonly used methods for the synthesis of TiO 2 . This method does not require a high reaction temperature. It can control the texture and surface properties of the material by changing the pH value, temperature, and reaction time [20]. It has unique advantages in the composition and structure control of inorganic materials and hybrid materials [21,22], is the simplest, has a low cost, and is suitable for laboratory research [23]. The sol-gel method uses alcohol or water as the medium to prepare the final product through hydrolysis, polycondensation, aging, drying, and thermal decomposition [20,24] (Figure 2A). Vargas et al. [25] obtained ceramic powder by the sol-gel method and then controlled the subsequent heat treatment temperature to ensure the purity of the oxide and the nanometric size of the particles. The synthesized powders were amorphous up to a temperature T < 350 • C, with a particle size of 100 nm. Their SEM and TEM images are shown in Figure 2B. Tahmasebizad et al. [26] also used the sol-gel method to synthesize Cu and N-codoped TiO 2 photocatalytic coating materials, which can be activated by visible light.

Microwave-Assisted Method
The microwave-assisted method is commonly used with other methods as a way to enhance photocatalytic performance. The microwave-assisted method can improve the dispersion of different phases, accelerate the reaction rate, and modify the components in the sample [27][28][29][30]. For example, Ates et al. [30] synthesized a target sample within 10 min under microwave irradiation ( Figure 2C). Lu et al. [31,32] prepared two different metal-doped catalysts, TiO 2 -Ag (p = 600 W, T = 140 • C) and TiO 2 -Sm (p = 450 W, T = 170 • C), by a microwave hydrothermal method. The SEM images of the two catalysts are shown in Figure 2D. Experiments show that microwave irradiation can improve the photocatalytic activity of TiO 2 by uniformly heating the reaction system from inside to outside and increasing the number of ·OH on the surface of TiO 2 -Ag/Sm.

Green Synthesis Method
In recent years, many studies have been conducted on green synthesis methods, which are based on natural raw materials and are environmentally friendly [33,34]. Green synthesis methods are often used in conjunction with other methods. The synthesis process shown in Figure 2E is a combination of the green synthesis method and coprecipitation method [35]. Sagadevan et al. [36] synthesized TiO 2 nanoparticles using Myristica fragrans seed extract. The synthesized TiO 2 can be activated by UV light and has antibacterial activity against Klebsiella pneumoniae and S. aureus.

Hydrothermal Method
The hydrothermal method is used to synthesize products with relatively small crystal structures, which is usually carried out in autoclaves with water as a medium at high temperature and high pressure [37]. Based on one-dimensional TiO 2 obtained by calcining Ti foil at 800 • C, Sun et al. [38] prepared nanotube films by the hydrothermal method. The growth process of the nanotube structure from rutile TiO 2 on Ti foil is investigated by the morphology change of TiO 2 films prepared with different hydrothermal durations. TiO 2 with different structures was prepared by a hydrothermal method using butyl titanate and absolute ethanol as raw materials [39]. Researchers found that anatase TiO 2 is formed when the hydrothermal time is 12 h, TiO 2 forms mixed crystals of anatase and rutile when the hydrothermal time is 24 h, and rutile TiO 2 is formed when the hydrothermal time is 36 h. Their SEM images are shown in Figure 2F.

Atomic Layer Deposition and Magnetron Sputtering Methods
Atomic layer deposition (ALD) and magnetron sputtering (MS) methods are often used to prepare photocatalyst composite films. They can realize the doping [40] and deposition [41,42] of metal on photocatalysts or the loading of photocatalysts on other substrates [43,44], which can improve the optical properties of materials. The MS method is based on the principle of physical deposition, and the surface of the prepared film is flatter [45]. This method is also often influenced by the shape of the substrate, and film is deposited only on surfaces parallel to the target surface [46]. The composition and structure of the ALD method are highly controllable, and the thickness of the prepared film is uniform, which is not affected by the shape of the material. The reaction is generally divided into four steps: (1) Precursor supply, (2) Purge, (3) Reactant supply, (4) Purge ( Figure 2G) [47]. The required thickness is obtained through multiple cycles. Abdulagatov et al. [44] made a V-doped TiO 2 film on polypropylene (PP) hernia meshes by using the thermal ALD method after more than 100 cycles. The film thickness is 38 nm, having good photocatalytic antibacterial performance ( Figure 2H).

Antimicrobial Activity under UV Light
UV irradiation is a common source of energy for TiO 2 photocatalysts. TiO 2 photocatalysts have a wide band gap energy of 3.2 eV and can be activated under UV light [17]. Table 1 lists some TiO 2 antimicrobial materials that can be activated under UV light. Steps involved in the sol-gel process to synthesize MONPs [20]; (B) scanning electron microscopy (SEM) (a) and transmission-electron microscopy (TEM) (b) images of antimicrobials synthesized by the sol-gel method and thermally treated at 350 °C for 2 h [25]; (C) illustration of rGO/TiO2 nanocomposite formation [30]; (D) SEM images of TiO2-Sm (a) and TiO2-Ag (b) [31,32]; (E) schematic diagram showing all steps involved in a generic green synthesis mediated by plant extract using the coprecipitation method [35]; (F) SEM images of different TiO2 samples [39]; (G) illustration of ALD [47]; (H) different PP mesh samples [44].

Antimicrobial Activity under UV Light
UV irradiation is a common source of energy for TiO2 photocatalysts. TiO2 photocatalysts have a wide band gap energy of 3.2 eV and can be activated under UV light [17]. Table 1 lists some TiO2 antimicrobial materials that can be activated under UV light.
Heloisa N et al. [48] deposited three kinds of crystalline TiO2 films on commercially pure titanium (cp-Ti) by MS. As shown in Figure 3A, four groups of TiO2 films were obtained: (1) machined cp-Ti (control); (2) A-TiO2 (anatase); (3) M-TiO2 (mixture of anatase and rutile); and (4) R-TiO2 (rutile). Researchers collected volunteers' oral saliva as a source of multispecies biofilms and observed the inhibition by different films ( Figure 3B). The photocatalytic performance of the three kinds of crystalline TiO2 films increases with increasing UV irradiation time. Figure 3C shows the colony forming units (log10 CFU/cm 2 ) of the total number on the surfaces after 1 h of UVA light exposure according to groups. The results showed that both A-TiO2 and M-TiO2 showed significant antibacterial activity after 1 h of UV irradiation (p < 0.001), and the number of bacteria decreased by approximately 99% and 99.9%, respectively, while the R-TiO2 film had no antibacterial effect on the multispecies biofilms (p < 0.05).  [31,32]; (E) schematic diagram showing all steps involved in a generic green synthesis mediated by plant extract using the coprecipitation method [35]; (F) SEM images of different TiO 2 samples [39]; (G) illustration of ALD [47]; (H) different PP mesh samples [44].
Heloisa N et al. [48] deposited three kinds of crystalline TiO 2 films on commercially pure titanium (cp-Ti) by MS. As shown in Figure 3A, four groups of TiO 2 films were obtained: (1) machined cp-Ti (control); (2) A-TiO 2 (anatase); (3) M-TiO 2 (mixture of anatase and rutile); and (4) R-TiO 2 (rutile). Researchers collected volunteers' oral saliva as a source of multispecies biofilms and observed the inhibition by different films ( Figure 3B). The photocatalytic performance of the three kinds of crystalline TiO 2 films increases with increasing UV irradiation time. Figure 3C shows the colony forming units (log 10 CFU/cm 2 ) of the total number on the surfaces after 1 h of UVA light exposure according to groups. The results showed that both A-TiO 2 and M-TiO 2 showed significant antibacterial activity after 1 h of UV irradiation (p < 0.001), and the number of bacteria decreased by approximately 99% and 99.9%, respectively, while the R-TiO 2 film had no antibacterial effect on the multispecies biofilms (p < 0.05).  The photocatalytic properties of many materials are improved after modification. For example, Moongraksathum et al. [49] used the sol-gel method to prepare a series of TiO2 nanocomposite films with different silver contents (Ag/TiO2). Under UVA illumination for 1 h, the antibacterial effect of the film on E. coli can be higher than 99.99%, while that of TiO2 could only reach 16.33%. The killing effect on influenza A virus (H1N1) and enterovirus also reached nearly 100%. Silica is a kind of amorphous material with stable chemical properties. Chen et al. [50] synthesized a silica carrier by the gel method and then synthesized a composite material (TiO2@SiO2) by the hydrolysis method. SiO2 can increase the specific surface area and the ability of TiO2 to adsorb bacteria. The surface of normal E. coli was smooth, but the surface of TiO2@SiO2 treated E. coli became rough and even showed small holes, indicating that the cell membrane of E. coli was damaged (Figure 4A). As shown in Figure 4B,C, with increasing TiO2 component content, TiO2@SiO2 has excellent antibacterial properties under UVA light. Pessoa et al. [43] deposited TiO2 films on polyurethane (PU) and polydimethylsiloxane (PDMS) by the ADL method and studied the photocatalytic antibacterial effect on Candida albicans. Even in the absence of UV irradiation, TiO2/PU could inhibit the conversion of C. albicans to mycelium. Under UV irradiation, the CFU of TiO2/PDMS samples can be reduced to 80%, which is much higher than 25% in the control group. The photocatalytic properties of many materials are improved after modification. For example, Moongraksathum et al. [49] used the sol-gel method to prepare a series of TiO 2 nanocomposite films with different silver contents (Ag/TiO 2 ). Under UVA illumination for 1 h, the antibacterial effect of the film on E. coli can be higher than 99.99%, while that of TiO 2 could only reach 16.33%. The killing effect on influenza A virus (H1N1) and enterovirus also reached nearly 100%. Silica is a kind of amorphous material with stable chemical properties. Chen et al. [50] synthesized a silica carrier by the gel method and then synthesized a composite material (TiO 2 @SiO 2 ) by the hydrolysis method. SiO 2 can increase the specific surface area and the ability of TiO 2 to adsorb bacteria. The surface of normal E. coli was smooth, but the surface of TiO 2 @SiO 2 treated E. coli became rough and even showed small holes, indicating that the cell membrane of E. coli was damaged ( Figure 4A). As shown in Figure 4B,C, with increasing TiO 2 component content, TiO 2 @SiO 2 has excellent antibacterial properties under UVA light. Pessoa et al. [43] deposited TiO 2 films on polyurethane (PU) and polydimethylsiloxane (PDMS) by the ADL method and studied the photocatalytic antibacterial effect on Candida albicans. Even in the absence of UV irradiation, TiO 2 /PU could inhibit the conversion of C. albicans to mycelium. Under UV irradiation, the CFU of TiO 2 /PDMS samples can be reduced to 80%, which is much higher than 25% in the control group.
Hayashi et al. [51] hydrothermally synthesized TiO 2 nanosheets (NS) with highly oriented structures. By changing the ratio of F/Ti in the reaction raw material, a series of samples with different morphologies were obtained: For Streptococcus mutans, the sample with the best performance can make the bacterial survival rate less than 10% under UV irradiation, while that of the nonirradiated group was more than 40%. It maintained a bacterial survival rate below 40%, even at a low concentration (0.1 mg/L). Hayashi et al. [51] hydrothermally synthesized TiO2 nanosheets (NS) with highly oriented structures. By changing the ratio of F/Ti in the reaction raw material, a series of samples with different morphologies were obtained: For Streptococcus mutans, the sample with the best performance can make the bacterial survival rate less than 10% under UV irradiation, while that of the nonirradiated group was more than 40%. It maintained a bacterial survival rate below 40%, even at a low concentration (0.1 mg/L).

Antimicrobial Activity under Visible Light
UV light only accounts for 5% of sunlight, far less than 45% for visible light, while pure TiO 2 can only be activated under a UV light source because of its shortfall response to visible light and the expeditious recombination rate of the photogenerated electron-hole pairs which greatly limits its utilization of solar energy [55]. If its absorption spectrum can move to the visible light region, full use of the readily available energy of sunlight can be made, and the photocatalytic efficiency can be improved [56]. Table 2 lists some different TiO 2 antimicrobial materials that can be activated under visible light. Many methods have been adopted to improve the utilization rate of light energy and strengthen the antimicrobial effect of materials [57].
Gomez-Polo et al. [62] found that the antibacterial ability of Cr-doped TiO 2 under visible light can reach more than 200 times that under dark conditions. Cr promotes the shift of the absorption spectrum from UV to visible light, and the distribution is uniform in TiO 2 , which increases the efficiency of receiving optical energy. Au and Pt NPs can be used as intermediate carriers for the valence electron transition to the conduction band of TiO 2 , extending the photocatalytic activity to the visible region [59,63,64], which improves the photocatalytic antibacterial efficiency of materials. The V-doped TiO 2 photocatalytic coating prepared by the ACL method can effectively inhibit the adhesion of S. aureus and E. coli. Doping V makes TiO 2 produce a more intense redox reaction under visible light, killing microorganisms more effectively and preventing the formation of biofilms [44]. Figure 5A shows the antibacterial properties of TiO 2 doped with different metals against E. coli in the dark (a) and under light (b). The antibacterial properties of some materials, such as Ag-TiO 2 and Cu-TiO 2 , have better performance under visible light than in the dark [58]. Moon et al. [59] deposited Au and Pt coatings on TiO 2 nanotubes ( Figure 5B). These coatings have different bacterial adhesion abilities, and the colony-forming unit (CFU) values of the control group were lower than those of the light-free condition under visible light irradiation, especially under visible light irradiation at 470 nm wavelength. Figure 5C shows the results of the agar diffusion test of S. aureus (a) and CFUs of S. aureus under visible light irradiation at 470 nm and 600 nm (b).

Nonmetal Doping
In addition to the metals mentioned above, TiO 2 is often doped with nonmetals such as N, F [65], B [66], and C [67] to improve its photocatalytic antimicrobial properties by modifying the band structure of TiO 2 [45,68].
Mukherjee et al. [65] prepared N, F-doped TiO 2 particles with sizes of 175-225 nm. The absorption wavelength is extended to the visible light region ( Figure 6A(a,b)) These particles can stably produce ·OH ( Figure 6A(c,d)) and inhibit spore germination in a dosedependent manner, especially under visible light. ( Figure 6B). Figure 6C shows images of fungal colonies after 5 days/18 days of treatment with different doses of nanoparticles in the presence/absence of visible light. The nanoparticles had obvious inhibitory effects on fungi at 5 days and 18 days under light conditions.

Nonmetal Doping
In addition to the metals mentioned above, TiO2 is often doped with nonmeta as N, F [65], B [66], and C [67] to improve its photocatalytic antimicrobial proper modifying the band structure of TiO2 [45,68].
Mukherjee et al. [65] prepared N, F-doped TiO2 particles with sizes of 175-2 The absorption wavelength is extended to the visible light region ( Figure 6A(a,b) particles can stably produce ·OH ( Figure 6A(c,d)) and inhibit spore germination in dependent manner, especially under visible light. ( Figure 6B). Figure 6C shows im fungal colonies after 5 days/18 days of treatment with different doses of nanopart the presence/absence of visible light. The nanoparticles had obvious inhibitory eff fungi at 5 days and 18 days under light conditions.  Boron and its derivatives also enable TiO 2 to exhibit photocatalytic antibacterial activity [66,69,70]. The B-p and O-2p orbitals can be mixed to reduce the band gap, reduce electron-hole recombination, and effectively improve the photocatalytic activity [71]. Wong et al. [66] prepared a series of B-doped TiO 2 thin films (117-484 nm; TiO 2 (B)), of which a 484 nm film (484-nm TiO 2 (B)) has the best photocatalytic antibacterial properties ( Figure 7A(a-h)). Compared with the dark treatment conditions, the 484-nm TiO 2 (B) film under visible light irradiation had similar killing effects on gram-positive bacteria (S. aureus and Streptococcus pyogenes) and gram-negative bacteria (Acinetobacter baumannii and E. coli) ( Figure 7B). Under visible light irradiation, a certain amount of carbon-doped TiO 2 inactivated Bacillus subtilis within half an hour, and the killing rates of vegetative cells and spores of B. cereus, Bacillus thuringiensis, and Bacillus anthracis were higher than those under dark conditions ( Figure 7C,D). It can also reduce the toxicity of anthrax lethal toxins by inactivating toxin protein components. Surviving cells under a subbacterial dose of photocatalyst are also more likely to be eliminated by phagocytes [67]. In addition, graphene or carbon nanotubes (CNTs) can also be used as a matrix to composite with TiO 2 , which can also improve the catalytic efficiency [72,73]. Figure 7E

Polymer Doping, Oxides and Others
In addition to the two strategies of metal doping and nonmetal doping, the stra of oxide and polymer composites are also often used to enhance the photocatalyti microbial performance of TiO2 [74][75][76][77].
Polymers often play a role in improving the dispersion of photocatalysts. For ple, a polyacrylate shell can make the particle surface have zwitterionic charge, makes it have good dispersion in aqueous solution. Particles in solution can form co and effectively contact the fungal cell membrane [65]. A uniform distribution of T

Polymer Doping, Oxides and Others
In addition to the two strategies of metal doping and nonmetal doping, the strategies of oxide and polymer composites are also often used to enhance the photocatalytic antimicrobial performance of TiO 2 [74][75][76][77].
Polymers often play a role in improving the dispersion of photocatalysts. For example, a polyacrylate shell can make the particle surface have zwitterionic charge, which makes it have good dispersion in aqueous solution. Particles in solution can form colloids and effectively contact the fungal cell membrane [65]. A uniform distribution of TiO 2 in organic conjugated polymers (CPs) is conducive to the formation of large interfacial regions, which can maximize the utilization of photocatalysts at the minimum cost and reduce the subsequent separation process. In addition, CPs can also resist UV radiation; have excellent electron mobility; improve the overall conductivity, corrosion resistance, and environmental stability of materials; and optimize the organic-inorganic interactions [78]. After TiO 2 was combined with high-performance microporous polymers (CMP/TiO 2 ), its killing effect on E. coli and S. aureus reached 98.14% and nearly 100%, respectively ( Figure 8A). CMP can increase the optical absorption of TiO 2 to produce more ·OH and ·O 2 to destroy the cell membrane, which induces the content to leak out and leads to cell death ( Figure 8B,C) [75]. Chitosan can be combined with TiO 2 nanoparticles through its amino and hydroxyl groups to form composite materials with degradation properties, and the absorption spectrum also moves in the visible light direction [79]. Polyaniline has a strong absorption capacity for visible light. TiO 2 nanoparticles can also be fixed on the surface of polyaniline-coated kapok fibers (PANI-KpF), and the killing ability toward E. coli under light can be increased by 30% [80]. Compared with other semiconductor metal oxides, TiO2 has the advantages of tochemical stability and nontoxicity and is often used as the main photocatalyst pound with other oxides [81,82]. Ag2O [83], ZnO [84], and other oxides can form he structures with semiconductors such as TiO2. Liu et al. [85] found that the TiO2/Ag2O erostructure can kill almost all E. coli after 60 min of visible light irradiation, sho strong photocatalytic bactericidal activity ( Figure 9A(a,b)). FeOX [86], Cu2O [87], and materials can also be combined with TiO2 to achieve antibacterial effects by gener free radicals. Yao et al. [88] synthesized SnSO4-modified TiO2. Figure 9B shows the bacterial activity of pure TiO2 and different contents of SnSO4-TiO2 against E. coli and S. aureus (A-G). For 5 mol% SnSO4/TiO2, the activity against E. coli was 93.6% and against S. aureus was 85%. SnSO4/TiO2 has better antibacterial activity under light th Compared with other semiconductor metal oxides, TiO 2 has the advantages of photochemical stability and nontoxicity and is often used as the main photocatalyst compound with other oxides [81,82]. Ag 2 O [83], ZnO [84], and other oxides can form heterostructures with semiconductors such as TiO 2 . Liu et al. [85] found that the TiO 2 /Ag 2 O heterostructure can kill almost all E. coli after 60 min of visible light irradiation, showing strong photocatalytic bactericidal activity ( Figure 9A(a,b)). FeO X [86], Cu 2 O [87], and other materials can also be combined with TiO 2 to achieve antibacterial effects by generating free radicals.

Antimicrobial Mechanism
ROS produced by the material play a major role in the antimicrobial process. The antimicrobial effect of photocatalysts often starts from the broken cell membrane. Then, the antimicrobial effect of photocatalysis can be achieved in many ways; for example, the lipid layer on the cell surface is destroyed, resulting in the leakage and destruction of intracellular substances such as proteins and DNA [93][94][95][96], the destruction of the intracellular electron transport system, and the inactivation of intracellular enzymes [97,98]. Particularly, among many types of TiO 2 -based photocatalysts, TiO 2 -metal composites can release additional metal ions. ROS and metal ions jointly play a role in the antimicrobial process. ROS can attack the structure of cells, while metal ions can contact cells through electrostatic adsorption and other functions, causing denaturation of proteins and other substances [99,100]. ROS are produced by the material itself at the beginning. After the release of metal ions, ROS can also be generated by metal ions. In the following sections, we will discuss the production of ROS and the damage of ROS and metal ions on the cell membrane.

Production and Function of Reactive Oxygen Species
Photocatalysts can produce a variety of ROS, which can cause peroxidation of the cell membrane, produce lipid peroxide, change the fluidity and permeability of the cell membrane, cause cell content to flow out, and cause cell death [101][102][103][104]. ROS may be the most important contributors to antimicrobial activity [105].

Production of ROS
The energy band of a photocatalyst is composed of a valence band (VB) and conduction band (CB), and there is a band gap energy between them. Under the excitation of a certain light energy, the electrons excited in the VB transition to the CB, while leaving holes in the VB, forming electron-hole pairs. Electrons and oxygen molecules generate ·O 2 − , and holes and water molecules can generate ·OH, which play a major role in photocatalytic antimicrobial activity. Redox reactions occur on the surface of semiconductors due to the creation of positive holes and negative electrons [106][107][108].
However, electron-hole recombination reduces the efficiency of the carrier, and TiO 2 can only be activated under UV light, so researchers can improve the photocatalytic efficiency by modifying the materials. For example, SiO 2 /TiO 2 materials show good adsorption to bacteria and a large specific surface area and can produce · O 2 − , ·OH, and H 2 O 2 to kill cells [50] ( Figure 10A). The Fermi level of Ag below the conduction band of TiO 2 can modify TiO 2 . Doped silver exists on the surface of TiO 2 and does not affect the crystal structure of TiO 2 particles. The photogenerated electrons transfer to silver on the surface of TiO 2 , and a Schottky barrier is formed at the Ag/TiO 2 interface, which hinders the recombination of electron-hole pairs [109,110], promotes interface charge transfer (IFCT) and electron-hole separation efficiency, and improves the capture efficiency of O 2 [83,111] (Figure 10B). ·O2 − , and holes and water molecules can generate ·OH, which play a major role in photocatalytic antimicrobial activity. Redox reactions occur on the surface of semiconductors due to the creation of positive holes and negative electrons [106][107][108]. However, electron-hole recombination reduces the efficiency of the carrier, and TiO2 can only be activated under UV light, so researchers can improve the photocatalytic efficiency by modifying the materials. For example, SiO2/TiO2 materials show good adsorption to bacteria and a large specific surface area and can produce · O2 -, ·OH, and H2O2 to kill cells [50] ( Figure 10A). The Fermi level of Ag below the conduction band of TiO2 can modify TiO2. Doped silver exists on the surface of TiO2 and does not affect the crystal structure of TiO2 particles. The photogenerated electrons transfer to silver on the surface of TiO2, and a Schottky barrier is formed at the Ag/TiO2 interface, which hinders the recombination of electron-hole pairs [109,110], promotes interface charge transfer (IFCT) and electron-hole separation efficiency, and improves the capture efficiency of O2 [83,111] ( Figure 10B).

Function of ROS
Many studies have clearly shown that TiO2 nanoparticles can produce various ROS in aqueous solution, such as ·OH and O2 -and H2O2 [65,88,112,113]. ·OH and H2O2 can damage DNA and cellular proteins. The ·OH produced by N and Fdoped TiO2 nanoparticles synthesized by Mukherjee et al. [65] can react with the glucan and chitin layers of fungal cell walls, resulting in cell wall degradation and subsequent cell death ( Figure  11A). Yao et al. [88] synthesized SnSO4-modified TiO2, which can first oxidize enzymes and proteins related to the biofilm. After entering the cells, ROS can continue to attack the cells and eventually cause cell death ( Figure 11B). The silver ions loaded on the photocatalyst can attack the mitochondrial membrane and cause mitochondrial damage, which can produce more ROS killing cells after damage [114,115].

Function of ROS
Many studies have clearly shown that TiO 2 nanoparticles can produce various ROS in aqueous solution, such as ·OH and O 2 and H 2 O 2 [65,88,112,113]. ·OH and H 2 O 2 can damage DNA and cellular proteins. The ·OH produced by N and Fdoped TiO 2 nanoparticles synthesized by Mukherjee et al. [65] can react with the glucan and chitin layers of fungal cell walls, resulting in cell wall degradation and subsequent cell death ( Figure 11A). Yao et al. [88] synthesized SnSO 4 -modified TiO 2 , which can first oxidize enzymes and proteins related to the biofilm. After entering the cells, ROS can continue to attack the cells and eventually cause cell death ( Figure 11B). The silver ions loaded on the photocatalyst can attack the mitochondrial membrane and cause mitochondrial damage, which can produce more ROS killing cells after damage [114,115].

Release and Function of Metal Ions
The release of metal ions also plays an important role in the antimicrobial process. First, metal ions have high affinity for negatively charged cell membrane surfaces, and they can also produce ROS, which kill the microbial cell membrane and lead to cell membrane dysfunction [98,116]. After the microbial cell membrane is attacked, it breaks, which exposes the organelles inside the cell. Ti 4+ in TiO2 has little contribution to the antimicrobial activity [117], but TiO2-loaded Ag [58], Au [89], Cu [58], and Zn [84] can lose electrons to form metal ions, dissolving in the solution. The toxicity of metal ions to cells is related to the morphology of the catalysts and microbial types [49,75,118,119]. For example, Ag has a certain affinity for N and S and can react with proteins and nucleic acids containing thiol and amino groups [120][121][122]. The following figures are schematic diagrams of the effect of metal ions ( Figure 12A) and TiO2 ( Figure 12B) particles on cells, which have certain similarities.

Release and Function of Metal Ions
The release of metal ions also plays an important role in the antimicrobial process. First, metal ions have high affinity for negatively charged cell membrane surfaces, and they can also produce ROS, which kill the microbial cell membrane and lead to cell membrane dysfunction [98,116]. After the microbial cell membrane is attacked, it breaks, which exposes the organelles inside the cell. Ti 4+ in TiO 2 has little contribution to the antimicrobial activity [117], but TiO 2 -loaded Ag [58], Au [89], Cu [58], and Zn [84] can lose electrons to form metal ions, dissolving in the solution. The toxicity of metal ions to cells is related to the morphology of the catalysts and microbial types [49,75,118,119]. For example, Ag has a certain affinity for N and S and can react with proteins and nucleic acids containing thiol and amino groups [120][121][122]. The following figures are schematic diagrams of the effect of metal ions ( Figure 12A) and TiO 2 ( Figure 12B) particles on cells, which have certain similarities. The homeostasis of metal ions is critical to microbial life because they are involved the regulation of various alternative functions, such as dehydrogenases, cofactors and alysts, and structural stabilizers of enzymes and DNA-binding proteins [124]. Therefo some bacteria have developed mechanisms that regulate the inhalation and outflow The homeostasis of metal ions is critical to microbial life because they are involved in the regulation of various alternative functions, such as dehydrogenases, cofactors and catalysts, and structural stabilizers of enzymes and DNA-binding proteins [124]. Therefore, some bacteria have developed mechanisms that regulate the inhalation and outflow of metal ions to maintain stable intracellular ion concentrations [125]. However, excess metals or metal ions are toxic to bacterial cells. Metal can be adsorbed on the cell membrane, which destroys the charge balance of the cell membrane and leads to cell deformation [100,126]. For example, in enzyme and protein solutions, ZnO plays a fatal role in the production of ionic signals between various cells and intercellular cytoplasmic instruments [127]. Zeta-positive ZnO nanoparticles can destroy the membrane of gram-negative E. coli [128]. Due to their oxidizing ability, zinc ions react not only with organic functional groups (thioglycosides, carboxyl groups, and hydroxyl groups) but also with bacterial cells and membrane proteins. They enter bacterial cells and disrupt their electron transport system, resisting enzyme and protein gene expression functions and thus producing targeted antibacterial effects [97].

Applications
TiO 2 and its modified composites show excellent photocatalytic antimicrobial activity after light irradiation. They have broad application prospects in food packaging and preservation [129], self-cleaning fabric [130,131], and so on [129,132].

Food Packaging and Preservation
Microbial contamination is a potential risk factor for food safety and quality, which may lead to outbreaks of foodborne diseases [133]. Heat treatment is a common sterilization method in food, but it may also lead to adverse changes, such as loss of nutrients. Currently, the application of nonthermal treatment in food has attracted increasing attention [134][135][136]. TiO 2 can be used for food packaging to prevent microbial contamination.
Goudarzi et al. [137] prepared an eco-friendly starch-TiO 2 composite that can absorb UV light, reducing the damage of singlet oxygen generated by UV radiation to food vitamins and proteins and the oxidation of lipids. TiO 2 can also be prepared into composite films with k-carrageenan (KC) and konjac glucomannan (KGM). The killing effect of this film on Penicillium viridicatum reached nearly 80% after 6 h of illumination, which can be applied to the preservation and storage of strawberry [138] (Figure 13A,B). TiO 2 can also be used in combination with chitosan to prepare composite films [116]. The film killed more than 90% of four typical foodborne pathogens, E. coli (gram-negative bacteria), S. aureus (gram-positive bacteria), C. albicans (fungi), and A. niger (molds), after 4 h of visible light irradiation, especially 99.9% of E. coli. After 12 h of treatment, all tested strains were completely killed. This film showed effective resistance to bacteria and fungi, which could be applied to the preservation of grapes, and the preservation period could reach 15 days ( Figure 13C). TiO 2 can be used to control tomato Fusarium wilt. As shown in Figure 13D, tomatoes were infected with fungal spores in the marked areas followed by visible-light treatment for 8 days. Tomato soaked in N, F-doped TiO 2 particles at the wound will not be infected by Fusarium oxysporum after 8 days [65]. be applied to the preservation of grapes, and the preservation period could reach 15 ( Figure 13C). TiO2 can be used to control tomato Fusarium wilt. As shown in Figure  tomatoes were infected with fungal spores in the marked areas followed by visible treatment for 8 days. Tomato soaked in N, F-doped TiO2 particles at the wound wi be infected by Fusarium oxysporum after 8 days [65].

Self-Cleaning Fabric
In our daily clothing, we inevitably encounter various microorganisms. Cotton f has strong moisture absorption and good air permeability, which is conducive to th production of microorganisms [139]. This damages the fabric, and at the same tim close contact between the fabric and the human body poses a threat to human h [140,141]. Luckily, these bacteria have poor resistance because the environment is su for their growth, and self-cleaning clothing can play a better role [142].
Zhu et al. [143] prepared a new antibacterial material ZIF-L@TiO2/fabric by m TiO2 with zeolitic imidazolate framework-L (ZIF-L) and applied it to fabrics. ZIF-L TiO2 can synergistically produce more ROS. As shown in Figure 14A, the LB liquid cu medium treated with ZIF-L@TiO2/fabric under irradiation conditions became clearer that of the other groups. ZIF-L@TiO2/fabric can reduce the bacterial viability of E. c 2% under light, demonstrating a strong antibacterial ability. The ZIF-L@TiO2/fabric placed on LB solid medium and cultured for 5 days, and the antibacterial effect wa obvious ( Figure 14B). N, F-doped TiO2 can also be applied to cotton fabric surfac make light-responsive self-cleaning clothing; N, F-doped TiO2 also exhibits excellen face hydrophobicity, which makes it difficult for water droplets to lubricate its su

Self-Cleaning Fabric
In our daily clothing, we inevitably encounter various microorganisms. Cotton fabric has strong moisture absorption and good air permeability, which is conducive to the reproduction of microorganisms [139]. This damages the fabric, and at the same time, the close contact between the fabric and the human body poses a threat to human health [140,141]. Luckily, these bacteria have poor resistance because the environment is suitable for their growth, and self-cleaning clothing can play a better role [142].
Zhu et al. [143] prepared a new antibacterial material ZIF-L@TiO 2 /fabric by mixing TiO 2 with zeolitic imidazolate framework-L (ZIF-L) and applied it to fabrics. ZIF-L and TiO 2 can synergistically produce more ROS. As shown in Figure 14A, the LB liquid culture medium treated with ZIF-L@TiO 2 /fabric under irradiation conditions became clearer than that of the other groups. ZIF-L@TiO 2 /fabric can reduce the bacterial viability of E. coli to 2% under light, demonstrating a strong antibacterial ability. The ZIF-L@TiO 2 /fabric was placed on LB solid medium and cultured for 5 days, and the antibacterial effect was still obvious ( Figure 14B). N, F-doped TiO 2 can also be applied to cotton fabric surfaces to make lightresponsive self-cleaning clothing; N, F-doped TiO 2 also exhibits excellent surface hydrophobicity, which makes it difficult for water droplets to lubricate its surface [144] (Figure 14C), and Cu-doped TiO 2 can also effectively remove coffee stains [145] (Figure 14D).  [144] (Figure 14C), and Cu-doped TiO2 can also effectively remove coffee stains [145] ( ure 14D).

Others
In addition to their application in food packaging and fabric, photocatalytic ant crobial materials have many applications in other fields. For example, in the field of bu ing materials, TiO2 can be used as a semitransparent antibacterial coating. Under UV l irradiation, it showed significant antibacterial activity and resistance to biofilm forma [146,147] (Figure 15A). Figure 15A is a 24 h fluorescence map of the experiment, in w red represents bacteria and image (c-1) was taken at the center of the sample (c-1) image (c-2) at the edge. It can be seen that the amount of bacteria with the coating is nificantly reduced, while more bacteria exist in the part without the coating. In the of sewage treatment, photocatalytic antimicrobials can also be used as disinfectants sewage to inhibit microbial production [148][149][150][151]. Under illumination at 25 °C, the sam can exert a certain bactericidal effect on different types in sewage treatment at 25 ℃ [ ( Figure 15B). In the field of medicine, photocatalysts can be used for oral biofilm inhibi [48]. TiO2 can also be used in osteogenic materials, which have excellent properties s as antibacterial, osteogenic, and wear resistance [152] ( Figure 15C). Under UV irradia Ti6Al4V/TiO2/SrTiO3 had the largest bacteriostatic zone (Figure 15D), and the prolif tion rate of E. coli cultured on Ti6Al4V/TiO2/SrTiO3 was only 3%, while as a control proliferation rate of Ti6Al4V reached 36%. The antibacterial properties of the material reduce the risk of bacterial infection during surgery.

Others
In addition to their application in food packaging and fabric, photocatalytic antimicrobial materials have many applications in other fields. For example, in the field of building materials, TiO 2 can be used as a semitransparent antibacterial coating. Under UV light irradiation, it showed significant antibacterial activity and resistance to biofilm formation [146,147] (Figure 15A). Figure 15A is a 24 h fluorescence map of the experiment, in which red represents bacteria and image (c-1) was taken at the center of the sample (c-1) and image (c-2) at the edge. It can be seen that the amount of bacteria with the coating is significantly reduced, while more bacteria exist in the part without the coating. In the field of sewage treatment, photocatalytic antimicrobials can also be used as disinfectants for sewage to inhibit microbial production [148][149][150][151]. Under illumination at 25 • C, the sample can exert a certain bactericidal effect on different types in sewage treatment at 25°C [148] (Figure 15B). In the field of medicine, photocatalysts can be used for oral biofilm inhibition [48]. TiO 2 can also be used in osteogenic materials, which have excellent properties such as antibacterial, osteogenic, and wear resistance [152] ( Figure 15C). Under UV irradiation, Ti6Al4V/TiO 2 /SrTiO 3 had the largest bacteriostatic zone (Figure 15D), and the proliferation rate of E. coli cultured on Ti6Al4V/TiO 2 /SrTiO 3 was only 3%, while as a control, the proliferation rate of Ti6Al4V reached 36%. The antibacterial properties of the material can reduce the risk of bacterial infection during surgery.

Conclusions
TiO2 shows enormous potential in the field of photocatalytic antimicrobials paper, the antimicrobial activities of TiO2 photocatalysts under different light sou pecially under visible light, were reviewed based on the source of energy-optical In addition, we also reviewed their main synthesis methods, antimicrobial mech and application fields. We can reduce the electron-hole recombination, improve face properties, and increase the contact area with bacteria by doping metal ions, n ions and compounding with polymers to extend the photocatalytic activity to th light region and enhance the photocatalytic performance. These materials can in crobial activity and achieve antimicrobial effects by producing ROS and hydro radicals to destroy the integrity of the cell membrane, damage microbial DNA, an enzyme activity.
However, the photocatalytic antimicrobial mechanism still needs to be furth ied. We still need to study the photocatalytic kinetics more systematically, clarify ious effects of modified materials on photocatalytic antimicrobial properties, and the photocatalytic properties and antimicrobial properties of the materials more so that the materials can be widely used in food packaging, self-cleaning fabrics treatment, and other fields. The preparation of photocatalysts has a great influ their photocatalytic antimicrobial performance. The preparation method shoul lected depending on the application field, which requires us to have a further und ing of the preparation method and conditions. For nonmetal-doped photocatal hough this kind of photocatalyst can modify the band structure of TiO2, the non elements contained in it can be removed at high temperature, making it difficult to the content of nonmetallic elements. This puts forward a very high requiremen preparation conditions. In addition, although TiO2-metal composites have an ad ion release effect and polymers can also change the surface properties of particl

Conclusions
TiO 2 shows enormous potential in the field of photocatalytic antimicrobials. In this paper, the antimicrobial activities of TiO 2 photocatalysts under different light sources, especially under visible light, were reviewed based on the source of energy-optical energy. In addition, we also reviewed their main synthesis methods, antimicrobial mechanisms, and application fields. We can reduce the electron-hole recombination, improve the surface properties, and increase the contact area with bacteria by doping metal ions, nonmetal ions and compounding with polymers to extend the photocatalytic activity to the visible light region and enhance the photocatalytic performance. These materials can inhibit microbial activity and achieve antimicrobial effects by producing ROS and hydroxyl free radicals to destroy the integrity of the cell membrane, damage microbial DNA, and inhibit enzyme activity.
However, the photocatalytic antimicrobial mechanism still needs to be further studied. We still need to study the photocatalytic kinetics more systematically, clarify the various effects of modified materials on photocatalytic antimicrobial properties, and connect the photocatalytic properties and antimicrobial properties of the materials more closely so that the materials can be widely used in food packaging, self-cleaning fabrics, sewage treatment, and other fields. The preparation of photocatalysts has a great influence on their photocatalytic antimicrobial performance. The preparation method should be selected depending on the application field, which requires us to have a further understanding of the preparation method and conditions. For nonmetal-doped photocatalysts, although this kind of photocatalyst can modify the band structure of TiO 2 , the nonmetallic elements contained in it can be removed at high temperature, making it difficult to control the content of nonmetallic elements. This puts forward a very high requirement on the preparation conditions. In addition, although TiO 2 -metal composites have an additional ion release effect and polymers can also change the surface properties of particles, their durability, such as polymer aging, should also be considered. It is believed that with the deepening of research, catalysts with high photocatalytic and antimicrobial properties, such as TiO 2 , will be more widely used.

Conflicts of Interest:
The authors declare that they have no known competing financial interest or personal relationship that could have appeared to influence the work reported in this paper.