Abstract

Fungal infections remain a burden worldwide, thus underpinning the need for effective new therapeutic approaches. In the present study, the antifungal effect of the essential oils of two thyme species, Thymus camphoratus and Thymus carnosus, used in traditional medicine in Portugal, as well as their major compounds was assessed. A special focus was placed on their effect on Candida albicans virulence factors. Also, the safety profile of the essential oils was assessed on keratinocytes. The essential oils were analyzed by gas chromatography (GC) and gas chromatography/mass spectroscopy (GC/MS). The minimal inhibitory and minimal fungicidal concentrations of the essential oils and their main compounds were assessed on reference and clinical strains. Also, their effect on C. albicans germ tube formation, metabolism, and biofilm disruption were considered. T. camphoratus oil was rich in 1,8-cineole and α-pinene whereas T. carnosus oil showed high amounts of borneol and camphene. Regarding the antifungal effect, both oils were more active against Cryptococcus neoformans and dermatophytes and very effective in inhibiting C. albicans germ tube formation, at doses well below their MIC and in a higher extend than the isolated compounds and fluconazole, an antifungal drug widely used in the clinic. The oils also disrupted preformed C. albicans biofilms. Furthermore, no toxicity was observed at pharmacological relevant concentrations towards keratinocytes. Our study validates the traditional uses ascribed to these Iberian species. Furthermore, it brings new insights on the antifungal potential and mechanism of action of these thyme species, thus paving the way for the development of novel effective antifungal drugs.

Highlights

  • In the last years, the prevalence of fungal infections has increased significantly, especially in immunocompromised individuals, with concomitant life-threatening increments (Richardson and Lass-Flörl, 2008)

  • Thymus camphoratus and T. carnosus essential oils were obtained with yields of 1.4 and 1.8%, respectively (v/w)

  • For Candida spp., the essential oils of both species showed a slight fungicidal effect for most of the strains. Both oils showed a fungicidal effect, but T. camphoratus was more effective than T. carnosus, presenting lower minimal inhibitory concentration (MIC) values for most of the tested strains (Table 2)

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Summary

Introduction

The prevalence of fungal infections has increased significantly, especially in immunocompromised individuals, with concomitant life-threatening increments (Richardson and Lass-Flörl, 2008). The epidemiology behind systemic fungal infections has changed. Bloodstream systemic infections (BSI) are mainly caused by Candida and Aspergillus species being C. albicans, C. glabrata, C. parapsilosis. Antifungal Activity of Thyme Essential Oils agents for Candida-associated BSI, while A. fumigatus, A. niger, and A. flavus are responsible for the majority of Aspergillusassociated BSI (Pfaller et al, 2006). The major causal agents are dermatophytes that remain a health concern worldwide, in both immunocompromised and healthy individuals. This is mainly attributable to the resistance of fungi to conventional antifungal therapies as well as to high relapse rates (Gupta and Cooper, 2008)

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