Polymer Nanobiomaterials Research Laboratory, Smart Materials and Devices (SMAD) Division, Yenepoya Research Centre, Yenepoya (Deemed to be University), Mangalore, 575018, India.
Department of Dermatology, Venereology and Leprosy, Yenepoya Medical College, Yenepoya (Deemed to be University), Mangalore, 575018, India.
Adv Healthc Mater. 2024 Nov;13(29):e2400811. doi: 10.1002/adhm.202400811. Epub 2024 Aug 13.
Dermatophytosis is a prevalent fungal infection and public health burden, majorly caused by the attack of zoophilic fungi genera of Trichophyton and Microsporum. Among them, T. mentagrophytes and M. canis are the dominating pathogens that cause dermatophytosis in humans. Though anti-fungal treatments are available, the widespread drug resistance and minimal efficacy of conventional therapies cause recurring infections. In addition, prolonged anti-fungal medications induce several systemic side effects, including hepatotoxicity and leucopenia. The anti-dermatophytic formulation of biocompatible essential oil components (EOCs) is attractive due to their highly potent anti-dermatophytic action. Herein, two EOCs, Eugenol (EU) and Isoeugenol (IU), incorporated emulsion hydrogel (EOCs-EHG) synthesized from hydroxypropylmethyl cellulose and poly(ethylene glycol) methyl ether methacrylate. The cytocompatibility of the hydrogels is confirmed by treating them with fibroblast and keratinocyte cell lines. The EOCs-EHG demonstrated pH and temperature-responsive sustained release of entrapped EOCs and inhibited fungal spore germination. T. mentagrophytes and M. canis biofilms are eradicated at a minimal inhibitory concentration of 2 µg mL each of EU and IU. The in vivo anti-dermatophytic activity of EOCs-EHG is confirmed in dermatophyte-infected Wistar albino rat models. The topical application of EOCs-EHG demonstrated complete infection eradication and facilitated skin regeneration, emphasizing the therapeutic potential of EOCs-EHG against dermatophytosis.
皮肤癣菌病是一种常见的真菌感染和公共卫生负担,主要由亲动物性真菌属 Trichophyton 和 Microsporum 引起。其中,T. mentagrophytes 和 M. canis 是导致人类皮肤癣菌病的主要病原体。尽管有抗真菌治疗方法,但广泛的药物耐药性和传统疗法的疗效有限导致反复感染。此外,长期使用抗真菌药物会引起多种全身副作用,包括肝毒性和白细胞减少症。由于具有高效的抗真菌作用,生物相容性精油成分(EOCs)的抗皮肤癣菌制剂很有吸引力。本文中,将两种精油成分,丁香酚(EU)和异丁香酚(IU),掺入由羟丙基甲基纤维素和聚乙二醇甲基醚甲基丙烯酸酯合成的乳液水凝胶(EOCs-EHG)中。通过用成纤维细胞和角质形成细胞系处理水凝胶来确认其细胞相容性。EOCs-EHG 表现出 pH 和温度响应性的包封 EOCs 的持续释放,并抑制真菌孢子萌发。EU 和 IU 的最小抑菌浓度(MIC)各为 2μg/mL 时,可消灭 T. mentagrophytes 和 M. canis 生物膜。EOCs-EHG 的体内抗皮肤癣菌活性在皮肤癣菌感染的 Wistar 白化大鼠模型中得到证实。EOCs-EHG 的局部应用可彻底消除感染并促进皮肤再生,强调了 EOCs-EHG 治疗皮肤癣菌病的潜力。