Abstract
Hypericin is a natural photosensitizer used in photodynamic therapy (PDT), which has shown in vitro antifungal effect against Candida spp. The aim of this study was to evaluate the in vitro fungicidal effect of hypericin-PDT on dermatophytes. Trichophyton rubrum and Trichophyton mentagrophytes strains were incubated with different concentrations of hypericin for different times and exposed to light-emitting diode lamp (602 ± 10 nm, 10.3 mW cm−2, and fluence 37 J cm−2). Using the optimal incubation time, 60 min, a 3-log fungicidal effect was achieved with hypericin concentration ranges of 10–20 μM for T. rubrum and 20–50 μM for T. mentagrophytes (p = 0.95). Confocal fluorescence microscopy showed the localization of hypericin inside the dermatophytes diffusely distributed in the cytoplasm of conidia and hyphae and outside the nucleus. In conclusion, hypericin-PDT has a fungicidal effect in vitro on dermatophytes. Hypericin seems to be a promising photosensitizer to treat localized dermatophytic infections such as tinea pedis and onychomycosis.
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Pereiro Ferreiros Jr M, Garcia-Martinez FJ, Alonso-Gonzalez J. Update on the treatment of superficial mycoses. Actas Dermosifiliogr. 2012;103(9):778–83. doi:10.1016/j.ad.2012.01.009.
de Berker D. Clinical practice. Fungal nail disease. N Engl J Med. 2009;360(20):2108–16. doi:10.1056/NEJMcp0804878.
Gupta A, Simpson F. Device-based therapies for onychomycosis treatment. Skin Therapy Lett. 2012;17(9):4–9.
Dai T, Fuchs BB, Coleman JJ, Prates RA, Astrakas C, St Denis TG, et al. Concepts and principles of photodynamic therapy as an alternative antifungal discovery platform. Front Microbiol. 2012;3:120. doi:10.3389/fmicb.2012.00120.
Qiao J, Li R, Ding Y, Fang H. Photodynamic therapy in the treatment of superficial mycoses: an evidence-based evaluation. Mycopathologia. 2010;170(5):339–43. doi:10.1007/s11046-010-9325-2.
Rezusta A, Lopez-Chicon P, Paz-Cristobal MP, Alemany-Ribes M, Royo-Diez D, Agut M, et al. In vitro fungicidal photodynamic effect of hypericin on Candida species. Photochem Photobiol. 2012;88(3):613–9. doi:10.1111/j.1751-1097.2011.01053.x.
Pagonis TC, Chen J, Fontana CR, Devalapally H, Ruggiero K, Song X, et al. Nanoparticle-based endodontic antimicrobial photodynamic therapy. J Endod. 2010;36(2):322–8. doi:10.1016/j.joen.2009.10.011.
Burnett BP, Mitchell CM. Antimicrobial activity of iodoquinol 1%-hydrocortisone acetate 2% gel against ciclopirox and clotrimazole. Cutis. 2008;82(4):273–80.
Lopez-Chicon P, Paz-Cristobal MP, Rezusta A, Aspiroz C, Royo-Canas M, Andres-Ciriano E, et al. On the mechanism of Candida spp. photoinactivation by hypericin. Photochem Photobiol Sci. 2012;11(6):1099–107. doi:10.1039/c2,pp25105a.
Smijs TG, van der Haas RN, Lugtenburg J, Liu Y, de Jong RL, Schuitmaker HJ. Photodynamic treatment of the dermatophyte Trichophyton rubrum and its microconidia with porphyrin photosensitizers. Photochem Photobiol. 2004;80(2):197–202. doi:10.1562/2004-04-22-RA-146.
Amorim JC, Soares BM, Alves OA, Ferreira MV, Sousa GR, Silveira Lde B, et al. Phototoxic action of light emitting diode in the in vitro viability of Trichophyton rubrum. An Bras Dermatol. 2012;87(2):250–5.
Rodrigues GB, Ferreira LK, Wainwright M, Braga GU. Susceptibilities of the dermatophytes Trichophyton mentagrophytes and T. rubrum microconidia to photodynamic antimicrobial chemotherapy with novel phenothiazinium photosensitizers and red light. J Photochem Photobiol B. 2012;116:89–94. doi:10.1016/j.jphotobiol.2012.08.010.
Theodossiou TA, Hothersall JS, De Witte PA, Pantos A, Agostinis P. The multifaceted photocytotoxic profile of hypericin. Mol Pharm. 2009;6(6):1775–89. doi:10.1021/mp900166q.
Alexander BDA, Arthington-Skaggs B, Brown SD, Chaturveli V, Espinel-Ingroff A, Ghannoum MA, Knapps CC, Motyl MR, Ostrosky-Zeichner L, Pfaller M, Sheehan DJ, Walsh TJ. Reference method for broth dilution antifungal susceptibility testing of filamentous fungi; approved standard. 2nd ed. Wayne, Pennsylvania: Clinical and Laboratory Standards Institute; 2008.
Rook AH, Wood GS, Duvic M, Vonderheid EC, Tobia A, Cabana B. A phase II placebo-controlled study of photodynamic therapy with topical hypericin and visible light irradiation in the treatment of cutaneous T-cell lymphoma and psoriasis. J Am Acad Dermatol. 2010;63(6):984–90. doi:10.1016/j.jaad.2010.02.039.
Alecu M, Ursaciuc C, Halalau F, Coman G, Merlevede W, Waelkens E, et al. Photodynamic treatment of basal cell carcinoma and squamous cell carcinoma with hypericin. Anticancer Res. 1998;18(6B):4651–4.
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This study was supported by the Research Groups B65 and B85 from the Department of Science, Technology and University of the Government of Aragón, Spain.
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Paz-Cristobal, M.P., Gilaberte, Y., Alejandre, C. et al. In Vitro Fungicidal Photodynamic Effect of Hypericin on Trichophyton spp. Mycopathologia 178, 221–225 (2014). https://doi.org/10.1007/s11046-014-9797-6
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DOI: https://doi.org/10.1007/s11046-014-9797-6