Abstract

Superficial dermatophyte infections, commonly known as tineas, are the most prevalent fungal ailment and are increasing in incidence, leading to an interest in alternative treatments. Many floral honeys possess antimicrobial activity due to high sugar, low pH, and the production of hydrogen peroxide (H2O2) from the activity of the bee-derived enzyme glucose oxidase. Australian jarrah (Eucalyptus marginata) honey produces particularly high levels of H2O2 and has been found to be potently antifungal. This study characterized the activity of jarrah honey on fungal dermatophyte species. Jarrah honey inhibited dermatophytes with minimum inhibitory concentrations (MICs) of 1.5–3.5% (w/v), which increased to ≥25% (w/v) when catalase was added. Microscopic analysis found jarrah honey inhibited the germination of Trichophyton rubrum conidia and scanning electron microscopy of mature T. rubrum hyphae after honey treatment revealed bulging and collapsed regions. When treated hyphae were stained using REDOX fluorophores these did not detect any internal oxidative stress, suggesting jarrah honey acts largely on the hyphal surface. Although H2O2 appears critical for the antifungal activity of jarrah honey and its action on fungal cells, these effects persisted when H2O2 was eliminated and could not be replicated using synthetic honey spiked with H2O2, indicating jarrah honey contains agents that augment antifungal activity.

Highlights

  • Minimum Inhibitory Concentrations (MICs) and Minimum Antifungal Concentrations (MFCs) for Dermatophytes Treated with Jarrah, Leptospermum and Artificial Honey

  • MIC testing was undertaken for Jarrah 2017, Leptospermum and artificial honey, with the antifungal voriconazole (VOR) used as a control for the testing protocol

  • Jarrah 2017 honey produced the lowest MICs and MFCs, suggesting dermatophytes are susceptible to peroxide activity

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Summary

Introduction

Dermatophytes are filamentous fungi that cause superficial infections of the hair, skin, and nails. These infections, collectively described as tineas, are some of the most prevalent fungal ailments, and it has been estimated that almost everyone will acquire an infection at some point of their lifetime [1]. Over the last few decades, the incidence of tinea of the nails (onychomycosis) has risen from 2% to 14% in the developed world [2], and tinea pedis or athletes foot has increased to around 20–25% of all adults [3]. The long duration of many dermatophyte infections presents a significant morbidity burden, especially for vulnerable groups like athletes and military personnel [4]

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