RESUMO
Los dermatofitos son un grupo de hongos responsables de las dermatofitosis o tiñas, pudiendo afectar piel, uñas y pelo. En la actualidad están constituidos por los géneros Epidermophyton, Trichophyton, Microsporum, Arthroderma, Paraphyton, Lophophyton y Nannizzia. El examen microscópico directo y el cultivo en agar siguen siendo el estándar de oro para la identificación, sin embargo, en ocasiones se requiere de la biología molecular para poder corroborar una determinada especie. Dependiendo de la localización, del número de lesiones y de la extensión, el tratamiento de las dermatofitosis puede ser tópico o sistémico. Trichophyton indotineae y T tonsurans pueden expresar resistencia a la terbinafina y azoles, respectivamente.
Dermatophytes are a group of fungi responsible for dermatophytosis or ringworm, which can affect the skin, nails and hair. Currently, they are assembled by the genera Epidermophyton, Trichophyton, Microsporum, Arthroderma, Paraphyton, Lophophyton and Nannizzia. Direct microscopic examination and culture on agar remain the gold standard for identification, however, molecular biology is sometimes required to confirm a certain species. Depending on the location, the number of lesions and the extension, the treatment of dermatophytosis can be topical or systemic. Trichophyton indotineae and T tonsurans can express resistance to terbinafine and azoles, respectively.
Assuntos
Humanos , Tinha/diagnóstico , Tinha/tratamento farmacológico , Arthrodermataceae/classificaçãoRESUMO
Abstract Propolis is a resinous hive product collected by bees from the buds or other parts of plants. It is known for having various biological properties, including antifungal activity. Among the substances present in propolis, flavonoids and phenolic acids and their esters are responsible for its antifungal properties. This means that propolis is ideal for use as an antifungal agent in alternative medicine to treat a number of both topical and systemic infections caused by Candida species and other yeast-like fungi, dermatophyte and nondermatophyte moulds, without the serious side effects typical of synthetic treatment. It is also active against strains of fungi that are resistant to polyenes and azoles, the classes of drugs most commonly used to treat fungal infections. In this article, we review current knowledge about the activity of propolis from different parts of the world and its components in vitro and in vivo against pathogenic fungi isolated from human infections. The article also indicates the possible mechanism of antifungal activity of propolis and its components.
Assuntos
Própole/efeitos adversos , Antifúngicos/análise , Técnicas In Vitro/métodos , Terapias Complementares/classificação , Candida/classificação , Preparações Farmacêuticas/administração & dosagem , Arthrodermataceae/classificaçãoRESUMO
Dermatophytosis is a common cutaneous mycosis worldwide whose prevalence in Brazil is still unknown. This systematic review has estimated the burden of dermatophytoses from updated literature data reported in the general Brazilian population. We used the following databases: Web of Science, Medline/PubMed, Embase, The Cochrane Library and Scopus for studies published between 2011 and 2020. Original articles with an emphasis on prevalence data for dermatophytosis in the Brazilian population, and diagnosed by culture exam or molecular biology were eligible. We also assessed the methodological quality of the studies. A total of 24 articles met the inclusion criteria and were reviewed. The occurrence of dermatophytoses found in the studies ranged from 4-88.50â%. The pooled prevalence of dermatophytosis for the population studies was 25â% (95â% CI: 24.7-25.3â%). The size of the samples used in the studies ranged from 45 to 36â446 participants, and ages ranged up to 98 years old. The populations studied involved mostly women. The presence of tinea unguium (toenail and fingernail) and tinea pedis were the most frequent dermatophytosis, and we observed a predominance of Trichophyton rubrum, T. interdigitale and T. mentagrophytes. The studies were primarily conducted in patient groups with suspected mycoses and were not entirely representative of the general population. Yet we believe that in the future, more collaborative strategies would improve both diagnostic capacity and epidemiological methodologies, associating the prevalence of dermatophytosis with social and environmental risk factors. This review helps to better understand future epidemiological trends in Brazil and the world.
Assuntos
Tinha/epidemiologia , Arthrodermataceae/classificação , Arthrodermataceae/isolamento & purificação , Brasil/epidemiologia , Humanos , Onicomicose/epidemiologia , Onicomicose/etiologia , Prevalência , Fatores de Risco , Tinha/etiologia , Tinha dos Pés/epidemiologia , Tinha dos Pés/etiologiaRESUMO
Chlamydoconidium-producing Trichophyton tonsurans strains isolated in Northeastern Brazil have morphological features different from the classic description of this dermatophyte species. This study investigated the phylogenetic relationship of chlamydoconidium-producing T. tonsurans strains isolated in Northeastern Brazil. Also, the effect of terbinafine and farnesol on mature biofilms of T. tonsurans strains was evaluated. The mass spectra of T. tonsurans strains were investigated by matrix-assisted laser desorption ionization-time of flight mass spectrometry (MALDI-TOF MS). The ITS and LSU loci regions of rDNA and the partial ß-tubulin gene were sequenced and the phylogenetic tree was analysed. The effects of terbinafine and farnesol on mature T. tonsurans biofilms were evaluated through the analysis of metabolic activity, quantification of biomass and observation by scanning electron microscopy. MALDI-TOF MS spectra of the chlamydoconidium-producing T. tonsurans strains differed from the spectrum of the control strain (ATCC 28942), presenting an intense ion peak at m/z 4155 Da. Phylogenetic tree analysis showed that the chlamydoconidium-producing strains isolated in Northeastern Brazil are allocated to a single cluster, differing from strains isolated from other countries. As for mature T. tonsurans biofilms, farnesol reduced biomass and metabolic activity by 64.4 and 65.9â%, respectively, while terbinafine reduced the biomass by 66.5â% and the metabolic activity by 69â%. Atypical morphological characteristics presented by chlamydoconidium-producing T. tonsurans strains result from phenotypic plasticity, possibly for adaptation to environmental stressors. Also, farnesol had inhibitory activity against T. tonsurans biofilms, demonstrating this substance can be explored for development of promising anti-biofilm drugs against dermatophytes.
Assuntos
Antifúngicos/farmacologia , Arthrodermataceae/classificação , Biofilmes/efeitos dos fármacos , Filogenia , Arthrodermataceae/citologia , Arthrodermataceae/efeitos dos fármacos , Arthrodermataceae/fisiologia , Biofilmes/crescimento & desenvolvimento , Brasil , DNA Fúngico/genética , DNA Ribossômico/genética , Farneseno Álcool/farmacologia , Proteínas Fúngicas/genética , Humanos , Testes de Sensibilidade Microbiana , Análise de Sequência de DNA , Espectrometria de Massas por Ionização e Dessorção a Laser Assistida por Matriz , Esporos Fúngicos/classificação , Esporos Fúngicos/citologia , Terbinafina/farmacologia , Tubulina (Proteína)/genéticaRESUMO
The Brazilian Atlantic forest is a tropical rainforest recognized as a hotspot of biodiversity, with high species richness and endemicity. This forest extends over a wide latitudinal range, bordering the entire Brazilian coastline, from sea level to high mountains over 2000 m.a.s.L., and presents a variety of environmental conditions and forest physiognomy. Despite many years of intense studies on animal biodiversity in the biome, there is a lack of information on meiofauna taxa causing several shortfalls in biodiversity knowledge of these tiny organisms. In this study, we address some of these shortfalls by describing a new species of Neogossea (Gastrotricha: Chaetonotida) from a lentic ecosystem in southeastern Brazil, surrounded by fragments of Atlantic Forest by using an integrative approach combining different morphological techniques and molecular data. We also point out new hypotheses of homologous structures due to scanning electron microscope observations of the new species. Additionally, we used two numerical methods to assess distribution patterns and historical regionalization of four freshwater meiofaunal taxa (Gastrotricha, Rotifera, Copepoda and Cladocera). For the first time, we accessed the areas of endemism in this biological hotspot based on aquatic fauna with a very peculiar life history. Due to sampling issues and meiofauna species being widespread, our results raise incongruences with previous endemism analyses on vertebrates and arthropods. Finally, we performed the first total-evidence phylogenetic analyses of benthic and semiplanktonic gastrotrichs based on 59 morphological characters and three molecular markers, employing a parsimony approach. The phylogenetic reconstruction supports the hypothesis of a single origin of semiplanktonic gastrotrichs, and both Dasydytidae and Neogosseidae families are monophyletic taxa as well as four non-monotypic genera.
Assuntos
Arthrodermataceae/classificação , Biodiversidade , Filogenia , Distribuição Animal , Animais , Arthrodermataceae/ultraestrutura , Brasil , Ecossistema , Água Doce , Microscopia Eletrônica de Varredura , Floresta ÚmidaRESUMO
BACKGROUND: Dermatophytosis is one of the most frequent superficial mycoses in the world. MAIN AIM: To describe the cases of skin dermatophytosis and its main aetiologic agents in patients referred to a Mycological Reference Laboratory in Medellín, Colombia. METHODS: A retrospective study was carried out with records of patients referred between 1994 and 2016 to the Corporación para Investigaciones Biológicas (CIB), Medellín-Colombia, because of clinical suspicion of skin dermatophytosis. RESULTS: Of a total of 5628 clinical records of patients with suspicion of skin dermatophytosis analysed, 2780 (49.4%) had a proven or probable dermatophytosis diagnosis, 2774 cultures were performed, and aetiologic agents were isolated in 2576 samples (92.9%). The most frequently isolated aetiologic agents were Trichophyton rubrum (44.3%), followed by Trichophyton mentagrophytes complex (33.3%), Epidermophyton floccosum (12.4%), Nannizzia gypseum complex (5.7%, formerly Microsporum gypseum), Microsporum canis (3.5%) and Trichophyton tonsurans (0.8%). The most frequent clinical forms were tinea pedis (72.7%) and tinea corporis (12.7%). In addition, a group of patients (0.9%) developed mixed infections by two dermatophyte agents and another (4.1%) developed infections in more than one anatomical site. CONCLUSIONS: The results of the present study are coherent with previous reports where T rubrum and T mentagrophytes complex were the main causative agents of dermatophytosis. However, the increased incidence of N gypsea complex over M canis is worth highlighting.
Assuntos
Dermatomicoses/epidemiologia , Fungos/isolamento & purificação , Tinha/microbiologia , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Arthrodermataceae/classificação , Arthrodermataceae/isolamento & purificação , Criança , Pré-Escolar , Colômbia/epidemiologia , Dermatomicoses/microbiologia , Epidermophyton/classificação , Epidermophyton/isolamento & purificação , Fungos/classificação , Humanos , Lactente , Masculino , Microsporum/classificação , Microsporum/isolamento & purificação , Pessoa de Meia-Idade , Estudos Retrospectivos , Pele/microbiologia , Pele/patologia , Tinha/epidemiologia , Trichophyton/classificação , Trichophyton/isolamento & purificação , Adulto JovemRESUMO
Trichophyton mentagrophytes complex is the most frequent agent found in dermatophyte isolates after Trichophyton rubrum. It is divided into 3main groups: (1) Trichophyton benhamiae and related species; (2) Trichophyton simii and 2related species, Trichophyton quinckeanum and Trichophyton schoenleinii; and (3) T. mentagrophytes, T. interdigitale, and related species. They are all difficult to identify by morphophysiology. With the aim of classifying them at the species level, a descriptive study was performed on 17 isolated clinical strains identified in the Mycology Laboratory of the Universidad de Valparaíso as belonging to the T. mentagrophytes complex. They were compared with 3 reference strains (T. mentagrophytes CBS 318.56, T. interdigitale CBS 428.63, Trichophyton erinacei CBS 511.73). Morphophysiological and molecular tests were performed by high resolution melting analysis curves and ITS regions sequencing. Phenotypically, 3 species of the complex were identified. Molecular analyses reclassified all the species as belonging to T. interdigitale. In conclusion, no reliable morphophysiological patterns were established to differentiate between the species of the complex. Molecularly, all the strains studied were classified as T. interdigitale.
Assuntos
Arthrodermataceae/classificação , Arthrodermataceae/genética , Arthrodermataceae/crescimento & desenvolvimento , Arthrodermataceae/isolamento & purificação , Chile , DNA Fúngico/análise , Humanos , Micologia/métodosRESUMO
Arthroderma benhamiae is a zoophilic dermathophyte that can cause highly inflammatory tinea corporis and tinea capitis in humans. This is the first report of a patient with dermatophytosis caused by A. benhamiae in Brazil. The lesion was an erythematous, annular plaque on the lumbar region that appeared few weeks after playing with a street cat in a 19-month-old girl. Initial presumed diagnosis was tinea corporis caused by Microsporum canis. Topical treatments were ineffective and the patient required systemic treatment with griseofulvin. Mycological diagnosis was inconclusive: morphological differentiation between M. canis and Trichophyton benhamiae may be difficult, especially when the latter present yellow colonies. The etiological agent was identified only by ITS sequencing of the isolates aligned with reference strains to A. benhamiae. This report highlights the importance of ITS sequencing in the identification of isolates from some cases of dermatophytosis, because conventional morphological diagnosis may result in misdiagnosis of the agent and delay proper treatment.
Assuntos
Arthrodermataceae/isolamento & purificação , Dermatomicoses/microbiologia , Tinha do Couro Cabeludo/microbiologia , Tinha/microbiologia , Antifúngicos/administração & dosagem , Arthrodermataceae/classificação , Arthrodermataceae/genética , Brasil , Dermatomicoses/diagnóstico , Dermatomicoses/tratamento farmacológico , Feminino , Humanos , Lactente , Tinha/diagnóstico , Tinha/tratamento farmacológico , Tinha do Couro Cabeludo/diagnósticoRESUMO
ABSTRACT Griseofulvin (GF) and terbinafine (TF) are commonly used drugs to treat dermatophytosis, a fungal infection of the skin. Today there is an increase in drug resistance to these antifungals which highlight the need for alternative synergistic therapies. Minimum Inhibitory Concentration (MIC) of GF and TF were determined against fungi clinical isolates from local hospitals with values ranging 0.03-2.0 µg mL-1 and 0.24-4.0 µg mL-1, respectively. A checkboard test was used to determine the combination of GF:TF which could induce an additive effect against the fungi isolates Multidrug-resistant isolates showed susceptibility after treatment with 16:2 µg mL-1 GF:TF. An MTT assay further verified that GF and TF combinations have greater additive effect against pathological and multidrug-resistant isolates than antifungals alone. Herein we disclose GF:TF combinations that could constitute as a possible new anti-dermatophyte therapy.