Chemical composition, antioxidant and antifungal activities of essential oils and extracts from Plectranthus spp. against dermatophytes fungi

Composição química atividades antioxidante e antifúngica dos óleos essenciais e extratos de “Plectranthus ” spp. contra fungos dermatófitos

Fransérgio Américo Ribeiro Alves Selene Maia de Morais Antonio Carlos Nogueira Sobrinho Isaac Neto Goes da Silva Clécio Galvão Martins Antonio Adailson de Sousa Silva Raquel Oliveira dos Santos Fontenelle About the authors

SUMMARY

Resistance to use antifungal drugs is a great concern seeking for scientists to discover new products to treat fungal infections. The aim of this study was to evaluate the antioxidant and antifungal activities of essential oils and extracts of Plectranthus grandis and Plectranthus ornatus against Trichophyton rubrum and Microsporum canis dermatophytes strains. Extracts were obtained from leaves by maceration in ethanol (96%) during 7 days. The oils were obtained by hydrodistillation and analyzed by gas chromatography/mass spectrometry. A total of 25 components were identified, as major constituents the sesquiterpenes β-caryophyllene, α-copaene, germacrene, β-caryophyllene and caryophyllene oxide. Antioxidant activities were evaluated using DPPH scavenging assay and antifungal action was determined by the broth microdilution method. The decocts obtained from the extraction of essential oil presented a greater antioxidant action when compared with the essential oils, with IC50 values of 12.35 μg/mL and 15.69 μg/mL to P. ornatus and P. grandis, respectively. Natural products presented significant antifungal activity, with MIC values ranging from 0.078 mg/mL to 0.31 mg/mL for all strains. The synergistic activity between Plectranthus spp. extracts and ketoconazole demonstrated a fungal growth inhibitory action when combined with a standard antifungal drug, indicating its potential for use in preventive veterinary medicine to treat dermatophytoses.

Keywords:
arthrodermataceae; dermatophytoses; lamiaceae; small carnivores

RESUMO

A resistência ao uso de drogas antifúngicas é uma grande preocupação para os cientistas, que buscam descobrir novos produtos para tratar infecções fúngicas. O objetivo deste estudo foi avaliar as atividades antioxidantes e antifúngicas de óleos essenciais e extratos de Plectranthus grandis e Plectranthus ornatus contra Trichophyton rubrum e Microsporum canis, fungos dermatófitos. Extratos foram obtidos a partir de folhas por maceração em etanol (96%) durante 7 dias. Os óleos essenciais foram obtidos por hidrodestilação e analisados por cromatografia gasosa/espectrometria de massa. Um total de 25 componentes foram identificados, como constituintes principais, os sesquiterpenos β-cariofileno, a-copaene, germacrene, β-cariofileno e óxido de cariofileno. As atividades antioxidantes foram avaliadas usando o teste de eliminação de DPPH e a ação antifúngica foi determinada pelo método de microdiluição de caldo. Os decoctos obtidos a partir da extração de óleo essencial apresentaram uma maior ação antioxidante quando comparados com os óleos essenciais, com valores de IC50 de 12,35 μg/mL e 15,69 μg/mL para P. ornatus e P. grandis, respectivamente. Os produtos naturais apresentaram atividade antifúngica significativa, com valores de MIC variando de 0,078 mg/mL a 0,31 mg/mL para todas as cepas. A atividade de sinergismo entre extratos de Plectranthus spp. e cetoconazol demonstrou uma ação de inibição do crescimento fúngico, quando da combinação com um fármaco antifúngico padrão, indicando seu potencial de uso em medicina veterinária preventiva para tratar dermatofitoses.

Palavras-chave:
arthrodermataceae; dermatofitose; lamiaceae; pequenos carnívoros

INTRODUCTION

The problem of antifungal resistance is a major concern in clinical practice, mainly due to the indiscriminate use of antimicrobial drugs, which interferes with therapeutic safety. New therapies are therefore needed against pathogenic fungi. Researchers aim to discover new antifungal drugs either by testing already existing medical compounds and compounds from natural sources such as plants, marine organisms, and microorganisms (SANGLARD, 2016SANGLARD, D. Emerging threats in antifungal-resistant fungal pathogens. Frontiers in Medicine, v. 3, p.11, 2016.).

Plectranthus L'Hér (Lamiales: Lamiaceae) is a genus commonly found in Brazil Northeast region containing about 300 species distributed in the world tropical regions (LUKHOBA et al., 2006LUKHOBA, C.W.; SIMMONDS, M.S.; PATON, A.J. Plectranthus: a review of ethnobotanical uses. Journal of Ethnopharmacology, v.103, n.1, p.1-24, 2006.). In a previous study the essential oil of Plectranthus amboinicus has been showed antimicrobial activity against Gram-positive and negative bacteria strains and Candida albicans and C. tropicalis yeasts by the broth microdilution and agar diffusion methods. This activity might be due to the presence of two major monoterpenoid compounds, carvacrol and camphor (ERNY-SABRINA et al., 2014ERNY-SABRINA, M.N.; RAZALI, M.; MIRFAT, A.H.S.; MOHD-SHUKRI, M.A. Antimicrobial activity and bioactive evaluation of Plectranthus amboinicus essential oil. American Journal of Research Communication, v.2, n.12, p. 121-127, 2014.). The oil of P. barbatus is reportedly effective against two Cryptococcus neoformans strains (SANTOS et al., 2015SANTOS, NO.; MARIANE, B.; LAGO, J.H.G.; SARTORELLI, P.; ROSA, W.; SOARES, M.G.; SILVA, A.M.; LORENZI, H.; VALLIM, M.A.; PASCON, R.C. Assessing the chemical composition and antimicrobial activity of essential oils from Brazilian Plants - Eremanthus erythropappus (Asteraceae), Plectrantuns barbatus, and P. amboinicus (Lamiaceae). Molecules, v.20, n.5, p.8440-8452, 2015.).

Antimicrobial activity of Plectranthus sp. has already been reported, but activity against fungal strains isolated from animals is rarely described. Among the significant diseases in veterinary medicine, dermatophytoses are skin mycoses caused by fungi belonging to the genera Trichophyton, Epidermophyton and Microsporum, with a high affinity for keratinizined tissues (BOUCHARA et al., 2017BOUCHARA, J.P.; MIGNON, B.; CHATURVEDI, V. Dermatophytes and Dermatophytoses: A Thematic Overview of State of the Art, and the Directions for Future Research and Developments. Mycopathologia, v.182, n.1-2, p.1-4, 2017.). Such fungi have shown strong resistance to conventional treatment, so Plectranthus spp. extracts could be viable alternatives because they present bioactive compounds in their composition, such as phenolic compounds.

The search for natural products with biological potential for the treatment of infectious diseases is important, especially for fungal infections. T. rubrum and M. canis, which cause skin diseases in humans and animals, is an alternative that aims to reduce the side effects of commercial antifungal compounds and the development of resistant fungi (BOUCHARA et al., 2017BOUCHARA, J.P.; MIGNON, B.; CHATURVEDI, V. Dermatophytes and Dermatophytoses: A Thematic Overview of State of the Art, and the Directions for Future Research and Developments. Mycopathologia, v.182, n.1-2, p.1-4, 2017.).

In this context, this study evaluated the antioxidant and antifungal activities from extracts and essential oils of P. grandis and P. ornatus against dermatophytes fungi Trichophyton rubrum and Microsporum canis.

MATERIAL AND METHODS

Leaves of Plectranthus grandis and Plectranthus ornatus were collected in the Francisco José de Abreu Matos Medicinal Plant Garden at Federal University of Ceará. The plants were identified and samples deposited in the Prisco Bezerra Herbarium of the same university, with numbers 28377 (P. grandis) and 31929 (P. ornatus). Extracts were obtained from leaves by maceration in ethanol (96%) during 7 days. The solvent was evaporated in a rotary evaporator to obtain crude extracts: ethanol extract from Plectranthus leaves (EEPGL) and ethanol extracts from Plectranthus ornatus leaves (EEPOL).

Essential oils were obtained by hydrodistillation in a Clevenger apparatus, with heating the leaves in water during 3 hours. In this process, decoct (water solution remaining in the distillation flask) and hydrolate (condensed water that held the essential oils) were also obtained. The decoct obtained from essential oil extraction, after freezing, was lyophilized at an average temperature of -51°C, at negative pressure in a Liobras model L101 freeze dryer. The lyophilized decoct was extracted with ethyl acetate (4 x 50 mL) and the ethyl acetate solution was dried with Na2SO4 and rota-evaporated to remove the solvent.

The chemical analysis of the constituents of essential oils was performed by gas chromatography combined with mass spectrometry (GC-MS-FID) in a Shimadzu QP-2010 apparatus using the following conditions: column: DB-5 MS (Agilent, Part No. 122-5532); coated capillary column of fused silica (30 m × 0.25 mm x 0.25 μm); carrier gas: He, at a flow rate of 1 mL/min in constant linear velocity mode; injector temperature: 250°C in split mode (1: 100); and detector temperature: 250°C. The column temperature was programmed from 35 - 180°C at 4 °C / min, then 180 – 280°C at 17°C / min and 280 °C for 10 min. The mass spectra were obtained with electron impact of 70 eV. The injected sample volume was 1 mL. The compounds were identified by their retention indexes by gas chromatography compared to known compounds for the type of column used, and by comparison of their mass spectra with those present in the database of the NIST's virtual library and spectra published in the literature (ADAMS, 2012ADAMS, R. P. Identification of Essential Oil Components by Gas Chromatography/Mass Spectrometry. Illinois: Allured Publishing Corporation, 2012.).

The analysis is based on visual observation of color changes or precipitate formation after addition of specific reagents to the plant extracts (MATOS, 2009MATOS, F.J.A. Introdução à Fitoquímica Experimental. Fortaleza: UFC, 2009.; SIMÕES et al., 2010SIMÕES, C.M.O.; SCHENKEL, E.P.; GOSMANN, G.; MELLO, J.C.P.; MENTZ, L.A.; PETROVICK, P R. Farmacognosia: da planta ao medicamento. 6.ed. Porto Alegre, RS: UFSC, 2010.). The Brand-Williams method (1995)BRAND-WILLIAMS, W.; CUVELIER, ME.; BERSET, C. Use of and free radical method to evaluate antioxidant activity. LWT-Food science and Technology, v.28, n.1, p.25-30, 1995. was used, by placing 3.9 mL of a methanol solution (6.5 x 10-5 M DPPH free radical) in test tubes. Then 0.1 mL of the methanol extract solution was added to each tube, with nine sample concentrations (250 mg/mL - 0.025 mg/mL). Tests were performed in triplicate for each concentration. Absorbance was measured with a Spekol spectrophotometer at a wavelength of 515 nm. Results were used to calculate scavenging rate of the sample in percent (SR%), using the formula: SR% = (ADPPH – ASAMPLE / ADPPH) x 100, where ASAMPLE is the absorbance of the sample after 60 minutes. BHT (butylated hydroxytoluene) and quercetin were used as positive control. These values were applied in the Origin 7.0 statistical program to calculate the concentration that inhibited 50% of free radical solution (IC50).

T. rubrum strains were obtained from the Mycology Center of Recife. M. canis strains were isolated from dogs treated at the Veterinary Hospital of State University of Ceará. Minimum inhibitory concentration (MIC) was determined by the microdilution broth method in accordance with the Clinical and Laboratory Standards Institute – M38-A guidelines (CLSI, 2008CLINICAL AND LABORATORY STANDARDS INSTITUTE - CLSI. Reference Method for Broth Dilution Antifungal Susceptibility Testing of Filamentous Fungi. (Approved Standard. Document M38. CLSI). 2 th ed. M38-A2. Wayne, PA: Clinical and Laboratory Standards Institute, 2008.). Minimum fungicidal concentration (MFC) was determined according to Fontenelle et al. (2007)FONTENELLE, R.O.S.; MORAIS, S.M.; BRITO, E.H.S.; KERNTOPF, M. R.; BRILHANTE, R.S.N.; CORDEIRO. R.A.; TOMÉ, A.R.; QUEIROZ, M.G.R.; NASCIMENTO, N.R.F.; SIDRIM, J.J.C.; ROCHA, M.F.G. Chemical composition, toxicological aspects and antifungal activity of essential oil from Lippia sidoides Cham.. Journal of Antimicrobial Chemotherapy, v.59, n.5, p.934-940, 2007.. Extracts were prepared in DMSO and essential oil in mineral oil in concentrations ranging from 2.5 to 0.003 mg/mL.

The inoculum was prepared from strains grown on potato dextrose agar for 5 days at 35°C. Fragments of dermatophytes fungi were transferred to tubes containing 9 mL of saline to obtain a turbidity equivalent to the standard 5x104 mL-1 or 0.5 on the McFarland scale. The suspensions were diluted 1:5, both with Roswell Park Memorial Institute (RPMI) 1640 medium with L-glutamine, without sodium bicarbonate (Sigma Chemical Co., St. Louis, Mo.), buffered to pH 7.0 with 0.165M morpholinepropanesulfonic acid (MOPS) (Sigma Chemical Co., St. Louis, Mo.), to obtain inoculum concentration of approximately 5 x 104 CFU. mL-1 (CLSI, 2008CLINICAL AND LABORATORY STANDARDS INSTITUTE - CLSI. Reference Method for Broth Dilution Antifungal Susceptibility Testing of Filamentous Fungi. (Approved Standard. Document M38. CLSI). 2 th ed. M38-A2. Wayne, PA: Clinical and Laboratory Standards Institute, 2008.).

It was performed in 96-well plates. Controls for growth and sterility of the wells were included for each tested strain. Plates were incubated at 37 °C and were read after 5 days for dermatophyte fungi. All tests were run in duplicate and MIC was defined as the lowest concentration able to inhibit 100% of visible fungal growth. The minimum fungicidal concentration (MFC) was determined by subculturing 100 μL of the well solution without turbidity on potato dextrose agar at 28°C.

The interaction of the ketoconazole with P. grandis and P. ornatus extracts was evaluated by the checkerboard method, expressed as the sum of the fractional inhibitory concentration (FIC) index for each sample, representing the sum of the FICs of each drug tested, where the FIC is determined for each drug by dividing the MIC of each drug when used in combination by the MIC of each drug when used alone. Initially, 50 μL RPMI culture was added to all 96 wells. 50 μL of serial dilutions of plant extracts was added to the medium. Then, 50 μL of ketoconazole was placed in different concentrations, and 100 μL of inoculum was added to all wells. The inoculum alone was used as negative control and ketoconazole as positive control. Dermatophyte plates are incubated at 36°C during 10 days.

This fractional inhibitory concentration index (FICI) was calculated by adding the FIC of drug A to the FIC of antibiotic B, where A represents the samples of P. grandis and P. ornatus products and B, ketoconazole. The FICI of drug A = MIC of drug A in combination/MIC of drug A alone, while the FIC of drug B = MIC of drug B in combination/MIC of drug B alone, and the FICI = FIC of drug A + FIC of drug B. Synergism was defined as FICI ≤ 0.5, additive effect when 0.5 < FICI ≤ 1.0, indifference when 1.0 < FICI ≤ 4.0, and antagonism when FICI > 4.0 (WHITE et al., 1996WHITE, R.L.; BURGESS, D.S.; MANDURU, M.; BOSSO, J.A. Comparison of Three Different In Vitro Methods of Detecting Synergy: Time-Kill, Checkerboard, and E test. Antimicrobial Agents and Chemotherapy, v.40, n.8, p. 1914-1918, 1996., SOBRINHO et al., 2016SOBRINHO, A.C.N.; SOUZA, E.B.; ROCHA, M.F.G.; ALBUQUERQUE, M.R.J.R.; BANDEIRA, P.N.; SANTOS, H.S.; CAVALCANTE, C.S.P.; OLIVEIRA, S.S.; ARAGÃO, P.R.; MORAIS, S.M.; FONTENELLE, R.O.S. Chemical composition, antioxidant, antifungal and hemolytic activities of essential oil from Baccharis trinervis (Lam.) Pers. (Asteraceae). Industrial Crops and Products, v.84, p. 108-115, 2016.).

All assays were carried out in triplicates. The data analyses were expressed as mean ± standard deviation (SD). One-way ANOVA with the Tukey was determined with GraphPad Prism software 5.0 (GraphPad Software, San Diego, CA). Significance of difference was accepted at P <0.05.

RESULTS AND DISCUSSION

Phytochemical tests of leaf ethanol extracts from Plectranthus species revealed the presence of tannins and favonoids in all extracts; flovone and saponins for EEPGL; and steroids in EEPOL (Table 1). Therefore, it is likely that the antioxidant and antifungal potential of such compounds are responsible for the relevant results of the leaf extracts.

Table 1
Phytochemical tests of Plectranthus spp. ethanol extracts

Essential oils of P. grandis (EOPG) and P. ornatus (EOPO) presented 25 constituents, which were identified by CG-MS-FID, through the analysis of mass spectra in comparison with literature data and Kovat's indexes (ADAMS, 2012ADAMS, R. P. Identification of Essential Oil Components by Gas Chromatography/Mass Spectrometry. Illinois: Allured Publishing Corporation, 2012.). In P. grandis species, β-caryophyllene (38.25%), α-copaene (13.23%) and germacrene (11.38%) were the main constituents. In P. ornatus the main components were caryophyllene oxide (61.74%) and β-caryophyllene (10.65%) (Table 2).

Table 2
Percent composition of the essential oils from Plectranthus spp.

The constituents present in Plectranthus spp. oils were similar to those found by previous study (ALBUQUERQUE et al., 2007ALBUQUERQUE, R.L.; VASCONCELOS-SILVA, M.G.; MACHADO, M.I.L.; MATOS, F.J.A.; MORAIS, S.M.; NETO, J.S. Chemical composition and antioxidant activity of Plectranthus grandis and P. ornatus essential oils from north-eastern Brazil. Flavour and fragrance journal, v.22, n.1, p.24-26, 2007.), except for the absence of oxygenated monoterpenes such as thymol and eugenol in our study. Nevertheless, the observed variations in the composition of the oils can be attributed to factors such as soil and weather, which were different in this study compared to other studies of Thymus hyemalis (MARTINEZ et al., 2005MARTINEZ, R.M.; JORDÁN, M.; QUÍLEZ, M.; SOTOMAYOR, J.A. Effects of Edaphoclimatic Conditions on Thymus hyemalis L. essential oil yield and composition. Journal of Essential Oil Research, v.17, n.6, p.614-618, 2005.) and Lippia graveolens (CALVO-IRABIEN et al., 2014CALVO-IRABIÉN, L.M.; PARRA-TABLA, V.; ACOSTA-ARRIOLA, V.; ESCALANTE-EROSA, F.; DÍAZ-VERA, L.; DZIB, G.R.; PEÑA-RODRÍGUEZ, L.M. Phytochemical diversity of the essential oils of Mexican Oregano (Lippia graveolens Kunth) populations along an Edapho-Climatic gradient. Chemistry & Biodiversity, v.11, n.7, p. 1010-1021, 2014.). Caryophyllene oxide was the major compound in EOPO, while in EOPG, β-caryophyllene, α-copaene and germacrene D were the most abundant. The absence of oxygenated monoterpenes could explain the low antioxidant activity. However, ethanol extracts and decocts of the essential oils extracts from the leaves showed a higher antioxidant capacity in comparison to quercetin, the standard flavonoid.

The antioxidant capacity is evaluated to different methods, which depends on different generators of free radicals. The assay using free radical DPPH (1,1-diphenyl-2 picrylhydrazyl) exhibit the ability to scavenge the radical through the variation of absorbance obtained for a stoichiometric color loss of the radical solution in the presence of antioxidant substances present in the extract samples (SOBRINHO et al., 2016SOBRINHO, A.C.N.; SOUZA, E.B.; ROCHA, M.F.G.; ALBUQUERQUE, M.R.J.R.; BANDEIRA, P.N.; SANTOS, H.S.; CAVALCANTE, C.S.P.; OLIVEIRA, S.S.; ARAGÃO, P.R.; MORAIS, S.M.; FONTENELLE, R.O.S. Chemical composition, antioxidant, antifungal and hemolytic activities of essential oil from Baccharis trinervis (Lam.) Pers. (Asteraceae). Industrial Crops and Products, v.84, p. 108-115, 2016.).

The results of antioxidant activity of essential oils and extracts were expressed as IC50 and are shown in Table 3. In general, the antioxidant activity was better for the extracts when compared with essential oils. The decocts acetate fractions exhibited the highest antioxidant capacity. The oils had lower antioxidant potential, with IC50 greater than 1000 μg/mL, compared with the standard quercetin (IC50 4.77 μg/mL). Thus, DAFPO (ethyl acetate fraction of P. ornatus decoct) presented the best antioxidant activity and fungal inhibitory potential.

Table 3
Antioxidant DPPH test of Plectranthus spp. extracts and essential oils

Antifungal activity expressed by the minimum inhibitory concentrations (MICs) and colony formation is revealed in Table 4. Evaluation of antifungal action of the plant extracts against M. canis strains showed MIC and MFC of 0.15 mg/mL for all samples. The best results of samples against T. rubrum were for both plant leaf ethanol extracts and essential oil and decot of P. ornatos.

Table 4
Minimum inhibitory concentration (MIC) and minimum fungicidal concentration (MFC) of Plectranthus spp.

All samples exhibited growth inhibitory antimicrobial action for dermatophyte fungi. This suggests a combined action of the chemical constituents of the plant, in the extracts and essential oil, modulating an antifungal response, as demonstrated by Marwah (2007)MARWAH, R.G.; FATOPE, M.O.; DEADMAN, ML.; OCHEI, J.E.; AL-SAIDI, S.H. Antimicrobial activity and the major components of the essential oil of Plectranthus cylindraceus. Journal of Applied Microbiology, v.103, n.4, p.1220-1226, 2007. for the P. cylindraceu essential oil.

Antimycotic activity of the leaf essential oil of Ocimum gratissimum showed a minimum concentration of 78 mg/L against Microsporum gypseum and Trichophyton rubrum (PANDEY et al., 2014PANDEY, A.K.; SINGH, P. TRIPATHI, N.N. Chemistry and bioactivities of essential oils of some Ocimum species: an overview. Asian Pacific Journal of Tropical Biomedicine, v.4, n.9, p.682-694, 2014.) and the leaf essential oil of O. sanctum showed antifungal activity against dermatophytes at a concentration of 200 mg/mL (BALAKUMAR et al., 2011BALAKUMAR, S.; RAJAN, S.; THIRUNALASUNDARI, T.; JEEVA, S. Antifungal activity of Ocimum sanctum Linn (Lamiaceae) on clinically isolated dermatophytic fungi. Asian Pacific journal of Tropical Medicine, v.4, n.8, p.654-657, 2011.). Some of these EOs are rich in phenols, which show strong antioxidant properties, and some of them also show antimicrobial properties.

Oils and extracts of Plectranthus spp. in this study showed antifungal activity similar to essential oils rich in phenolic compounds, such as those of Thymus vulgaris and Thymus zygis, which are widely used in herbal medicine especially for the treatment of dermatophytoses (PROENÇA-DA-CUNHA et al., 2008PROENÇA-DA-CUNHA, A.; SILVA, A.; ROQUE, O. Plantas e Produtos Vegetais em Fitoterapia. 3th ed. Lisboa: Fundação Calouste Gulbenkian, 2008.). Other components, such as α-pinene, myrcene and α-humulene, are common in the Plectranthus genus (P. rugosus, P. fruticosus, P. coleoides, P. tenuiflorus, P. defoliatus and P. incanus) and show bactericidal and fungicidal activities (CHENG et al., 2004CHENG, S.S.; WU, C.L.; CHANG, H.T.; KAO, Y.T.; CHANG, ST. Antitermitic and antifungal activities of essential oil of Calocedrus formosana leaf and its composition. Journal of Chemical Ecology, v.30, n.10, p.1957-1967, 2004.; NGASSAPA et al., 2016NGASSAPA, O.D.; RUNYORO, D.K.; VAGIONAS, K.; GRAIKOU, K.; CHINOU, I.B. Chemical composition and antimicrobial activity of Geniosporum rotundifolium Briq and Haumaniastrum villosum (Bene) AJ Paton (Lamiaceae) essential oils from Tanzania. Tropical Journal of Pharmaceutical Research, v.15, n.1, p. 107-113, 2016.). These constituents were also detected in small amounts in the analysis of P. grandis and P. ornatus.

The main compounds of essential oils from Plechtranthus spp., β-Caryophyllene and Caryophyllene oxide, can be responsible by antifungal activity since that previous studies demonstrated an in vitro antimicrobial potential (SABULAL et al., 2006SABULAL, B.; DAN, M.; KURUP, R.; PRADEEP, N.S.; VALSAMMA, R.K.; GEORGE, V. Caryophyllene-rich rhizome oil of Zingiber nimmonii from South India: chemical characterization and antimicrobial activity. Phytochemistry, v.67, n.22, p.2469-2473, 2006.). Caryophyllene oxide, an oxygenated terpenoid, well known as preservative in food, drugs and cosmetics, has been tested in vitro as an antifungal against dermatophytes. Its antifungal activity has been compared to ciclopiroxolamine and sulconazole, commonly used to onychomycosis treatment (YANG et al., 1999YANG, D.P.; MICHEL, L.; CHAUMONT, J.P.; MILLET-CLERC J. Use of caryophyllene oxide as an antifungal agent in an in vitro experimental model of onychomycosis. Mycopathologia, v.148, n.2, p.79-82, 2000.)

The modulatory activity were performed with ethanol extracts of Plectranthus spp. (EEPOL and EEPGL) against 0202 T. rubrum strain, since they showed better MIC values (Table 5). EEPGL and EEPOL in combination with ketoconazole were able to decrease the MIC value of ketoconazole, 0.25 mg/mL and 1 mg/mL, respectively. The Plectranthus spp. ethanolic extract demonstrated synergy with ketoconazole inhibiting fungal growth, thus ketoconazole exhibited a lower MIC value, when compared to its use alone, this characterized an antifungal modulatory activity.

Table 5
Interaction mechanisms resulting from combination of Plectranthus spp. extracts with ketoconazole against Trichophyton rubrum dermatophytes

The FICI value characterized a synergistic effect for EEPGL. Research involving antimicrobial drugs in combination with natural products modulating an antifungal action is necessary, in view of frequent side effects and resistance (PYUN & SHIN, 2006PYUN, M.S.; SHIN, S. Antifungal effects of the volatile oils from Allium plants against Trichophyton species and synergism of the oils with ketoconazole. Phytomedicine, v.13, n.6, p.394-400, 2006.; SOBRINHO et al., 2016SOBRINHO, A.C.N.; SOUZA, E.B.; ROCHA, M.F.G.; ALBUQUERQUE, M.R.J.R.; BANDEIRA, P.N.; SANTOS, H.S.; CAVALCANTE, C.S.P.; OLIVEIRA, S.S.; ARAGÃO, P.R.; MORAIS, S.M.; FONTENELLE, R.O.S. Chemical composition, antioxidant, antifungal and hemolytic activities of essential oil from Baccharis trinervis (Lam.) Pers. (Asteraceae). Industrial Crops and Products, v.84, p. 108-115, 2016.).

Several authors have studied the effect of different antifungal agents that act as inhibitors through the same or different metabolic pathways, such as combinations of azoles, allylamines and azoles in the ergosterol biosynthesis pathway.

Essential oils and extracts of P. grandis and P. ornatus presented antioxidant capacity to stabilize free radicals molecules and growth inhibitory antifungal action at very low concentrations against T. rubrum and M. canis dermatophytes strains. In addition, the ethanol extract of P. grandis demonstrated synergism in combination with ketoconazole. Therefore, these extracts and oils have potential for the development of new antifungal drugs, and the demonstration of antifungal and antioxidant effects supports the traditional use of Plechtranthus species in treating skin ailments.

ACKNOWLEDGMENTS

The authors are grateful for financial support of Fundação Cearense de Amparo a Pesquisa e ao Desenvolvimento Científico e Tecnológico (FUNCAP), Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES) and also to Conselho Nacional para o Desenvolvimento Científico e Tecnológico (CNPq).

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Publication Dates

  • Publication in this collection
    Jan-Mar 2018

History

  • Received
    26 Nov 2017
  • Accepted
    27 Feb 2018
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