Alternative therapies in dentistry: antibiofilm action of Curcuma longa extract associated or not with Photodynamic Therapy against Candida spp.

Authors

DOI:

https://doi.org/10.33448/rsd-v11i3.26813

Keywords:

Biofilm; Candida; Curcuma longa; Phytotherapy; Photochemotherapy.

Abstract

In dentistry, oral candidiasis is mainly caused by Candida albicans but non-albicans species are also emerging and antifungal resistance is increasing. Alternative therapies such as herbal medicine and photodynamic therapy (PDT) are promising in this regard. The study aimed to evaluate the action of Curcuma longa glycolic extract associated or not with light on Candida albicans, Candida krusei, and Candida glabrata biofilms. Monomicrobial biofilms of Candida species were formed for 48 h, followed by treatment with the isolated plant extract, plant extract associated with light (660 nm 123.4 MW/cm² 10 J/cm² or 25 J/cm²), group LED, saline and nystatin group. Cell viability was analyzed using the MTT test and and optical densities were transformed into percentage of metabolic activity. For statistical analysis, if the data met the assumptions, they were analyzed by ANOVA and Tukey's test, otherwise, by the Kruskal-Wallis test and Dunn's, considering a significance level of 5%. The C. longa extract applied or not to PDTa promoted significant antibiofilm action on the Candida species analyzed (p < 0.05), and the highest percentage of reduction was found on C. krusei, with reductions above 45%. In conclusion, the C. longa extract associated or not with PDTa showed antibiofilm action against Candida spp. and its antifungal activity was equal and even superior to that of nystatin on some species. The extract of C. longa proved to be a potent antifungal to be explored within alternative therapies in dentistry.

References

Andrade, M. C., Ribeiro, A. P. D., Dovigo, L. N., Brunetti, I. L., Giampaolo, E. T., Bagnato, V. S., & Pavarina, A. C. (2013). Effect of different pre-irradiation times on curcumin-mediated photodynamic therapy against planktonic cultures and biofilms of Candida spp. Archives of Oral Biology, 58(2), 200–210. https://doi.org/10.1016/j.archoralbio.2012.10.011

Arastehfar, A., Carvalho, A., Hong Nguyen, M., Hedayati, M. T., Netea, M. G., Perlin, D. S., & Hoenigl, M. (2020). Covid-19-associated candidiasis (Cac): An underestimated complication in the absence of immunological predispositions? In Journal of Fungi (Vol. 6, Issue 4, pp. 1–13). Multidisciplinary Digital Publishing Institute. https://doi.org/10.3390/jof6040211

Bruschi, M. L., da Silva, J. B., & Rosseto, H. C. (2019). Photodynamic Therapy of Psoriasis Using Photosensitizers of Vegetable Origin. Current Pharmaceutical Design, 25(20), 2279–2291. https://doi.org/10.2174/1381612825666190618122024

Carmello, J. C., Pavarina, A. C., Oliveira, R., & Johansson, B. (2015). Genotoxic effect of photodynamic therapy mediated by curcumin on Candida albicans. FEMS Yeast Research, 15(4), 18. https://doi.org/10.1093/femsyr/fov018

Cheraghipour, K., Ezatpour, B., Masoori, L., Marzban, A., Sepahvand, A., Rouzbahani, A. K., Moridnia, A., Khanizadeh, S., & Mahmoudvand, H. (2020). Anti-Candida Activity of Curcumin: A Systematic Review. Current Drug Discovery Technologies, 18(3), 379–390. https://doi.org/10.2174/1570163817666200518074629

da Silva, F. C., Fernandes Rodrigues, P. L., Santos Dantas Araújo, T., Sousa Santos, M., de Oliveira, J. M., Pereira Rosa, L., de Oliveira Santos, G. P., de Araújo, B. P., & Bagnato, V. S. (2019). Fluorescence spectroscopy of Candida albicans biofilms in bone cavities treated with photodynamic therapy using blue LED (450 nm)and curcumin. Photodiagnosis and Photodynamic Therapy, 26, 366–370. https://doi.org/10.1016/j.pdpdt.2019.05.002

Dovigo, Lívia N., Pavarina, A. C., Ribeiro, A. P. D., Brunetti, I. L., Costa, C. A. D. S., Jacomassi, D. P., Bagnato, V. S., & Kurachi, C. (2011). Investigation of the photodynamic effects of curcumin against Candida albicans. Photochemistry and Photobiology, 87(4), 895–903. https://doi.org/10.1111/j.1751-1097.2011.00937.x

Dovigo, Lívia Nordi, Carmello, J. C., De Souza Costa, C. A., Vergani, C. E., Brunetti, I. L., Bagnato, V. S., & Pavarina, A. C. (2013). Curcumin-mediated photodynamic inactivation of Candida albicans in a murine model of oral candidiasis. Medical Mycology, 51(3), 243–251. https://doi.org/10.3109/13693786.2012.714081

Gilbert, B., & Alves, L. (2005). Synergy in Plant Medicines. Current Medicinal Chemistry, 10(1), 13–20. https://doi.org/10.2174/0929867033368583

Guandalini Cunha, B., Duque, C., Sampaio Caiaffa, K., Massunari, L., Araguê Catanoze, I., dos Santos, D. M., de Oliveira, S. H. P., & Guiotti, A. M. (2020). Cytotoxicity and antimicrobial effects of citronella oil (Cymbopogon nardus) and commercial mouthwashes on S. aureus and C. albicans biofilms in prosthetic materials. Archives of Oral Biology, 109. https://doi.org/10.1016/J.ARCHORALBIO.2019.104577

Iqbal Ahmad, Farrukh Aqil, M. O. (2006). Turning Medicinal Plants into Drugs, Wiley VCH Verlag. Modern Phytomedicine.

Jerônimo, L. S., Esteves Lima, R. P., Suzuki, T. Y. U., Discacciati, J. A. C., & Bhering, C. L. B. (2021). Oral Candidiasis and COVID-19 in Users of Removable Dentures: Is Special Oral Care Needed? Gerontology, 68(1), 1–6. https://doi.org/10.1159/000515214

Kawsud, P., Puripattanavong, J., & Teanpaisan, R. (2014). Screening for anticandidal and antibiofilm activity of some herbs in Thailand. Tropical Journal of Pharmaceutical Research, 13(9), 1495–1501. https://doi.org/10.4314/tjpr.v13i9.16

Lee, Y., Puumala, E., Robbins, N., & Cowen, L. E. (2021). Antifungal Drug Resistance: Molecular Mechanisms in Candida albicans and Beyond. Chemical Reviews, 121(6), 3390–3411. https://doi.org/10.1021/ACS.CHEMREV.0C00199

Li, X., Yin, L., Ramage, G., Li, B., Tao, Y., Zhi, Q., Lin, H., & Zhou, Y. (2019). Assessing the impact of curcumin on dual-species biofilms formed by Streptococcus mutans and Candida albicans. MicrobiologyOpen, 8(12). https://doi.org/10.1002/mbo3.937

Monroy-Pérez, E., Rodríguez-Bedolla, R. M., Garzón, J., Vaca-Paniagua, F., Arturo-Rojas Jiménez, E., & Paniagua-Contreras, G. L. (2020). Marked virulence and azole resistance in Candida albicans isolated from patients with periodontal disease. Microbial Pathogenesis, 148. https://doi.org/10.1016/J.MICPATH.2020.104436

Morio, F., Jensen, R. H., Le Pape, P., & Arendrup, M. C. (2017). Molecular basis of antifungal drug resistance in yeasts. International Journal of Antimicrobial Agents, 50(5), 599–606. https://doi.org/10.1016/j.ijantimicag.2017.05.012

Nardini, E. F., Almeida, T. S., Yoshimura, T. M., Ribeiro, M. S., Cardoso, R. J., & Garcez, A. S. (2019). The potential of commercially available phytotherapeutic compounds as new photosensitizers for dental antimicrobial PDT: A photochemical and photobiological in vitro study. Photodiagnosis and Photodynamic Therapy, 27, 248–254. https://doi.org/10.1016/j.pdpdt.2019.05.027

Pfaller, M. A., Diekema, D. J., Gibbs, D. L., Newell, V. A., Ellis, D., Tullio, V., Rodloff, A., Fu, W., & Ling, T. A. (2010). Results from the artemis disk global antifungal surveillance study, 1997 to 2007: A 10.5-year analysis of susceptibilities of candida species to fluconazole and voriconazole as determined by CLSI standardized disk diffusion. Journal of Clinical Microbiology, 48(4), 1366–1377. https://doi.org/10.1128/JCM.02117-09

Pfaller, Michael A., Messer, S. A., Moet, G. J., Jones, R. N., & Castanheira, M. (2011). Candida bloodstream infections: Comparison of species distribution and resistance to echinocandin and azole antifungal agents in Intensive Care Unit (ICU) and non-ICU settings in the SENTRY Antimicrobial Surveillance Program (2008-2009). International Journal of Antimicrobial Agents, 38(1), 65–69. https://doi.org/10.1016/j.ijantimicag.2011.02.016

Puspitawati, R., Maira, U., Suniarti, D. F., & Salma, A. (2019). Inhibition and eradication effect of javanese turmeric (Curcuma xanthorrhiza roxb.) extract against mature phase biofilm of Candida albicans. Pesquisa Brasileira Em Odontopediatria e Clinica Integrada, 19(1), 4886. https://doi.org/10.4034/PBOCI.2019.191.89

Saitawee, D., Teerakapong, A., Morales, N. P., Jitprasertwong, P., & Hormdee, D. (2018). Photodynamic therapy of Curcuma longa extract stimulated with blue light against Aggregatibacter actinomycetemcomitans. Photodiagnosis and Photodynamic Therapy, 22, 101–105. https://doi.org/10.1016/j.pdpdt.2018.03.001

Salerno, C., Pascale, M., Contaldo, M., Esposito, V., Busciolano, M., Milillo, L., Guida, A., Petruzzi, M., & Serpico, R. (2011). Candida-associated denture stomatitis. Medicina Oral, Patologia Oral y Cirugia Bucal, 16(2). https://doi.org/10.4317/medoral.16.e139

Samadi, F. M., Suhail, S., Sonam, M., Sharma, N., Singh, S., Gupta, S., Dobhal, A., & Pradhan, H. (2019). Antifungal efficacy of herbs. Journal of Oral Biology and Craniofacial Research, 9(1), 28–32. https://doi.org/10.1016/j.jobcr.2018.06.002

Sampaio, L. S., de Annunzio, S. R., de Freitas, L. M., Dantas, L. O., de Boni, L., Donatoni, M. C., de Oliveira, K. T., & Fontana, C. R. (2020). Influence of light intensity and irradiation mode on methylene blue, chlorin-e6 and curcumin-mediated photodynamic therapy against Enterococcus faecalis. Photodiagnosis and Photodynamic Therapy, 31. https://doi.org/10.1016/J.PDPDT.2020.101925

Sueth-Santiago, V., Mendes-Silva, G. P., Decoté-Ricardo, D., & De Lima, M. E. F. (2015). Curcumin, the golden powder from turmeric: Insights into chemical and biological activities. In Quimica Nova. 38(4), 538–552. https://doi.org/10.5935/0100-4042.20150035

Vieira, A. B. H. (2020). Os efeitos fisiológicos do led vermelho no tegumento. Revista Científica de Estética e Cosmetologia, 1(1), 28–38.

Vieira, J. N., Gonçalves, C. L., Villarreal, J. P. V., Gonçalves, V. M., Lund, R. G., Freitag, R. A., Silva, A. F., & Nascente, P. S. (2019). Chemical composition of essential oils from the apiaceae family, cytotoxicity, and their antifungal activity in vitro against candida species from oral cavity. Brazilian Journal of Biology, 79(3), 432–437. https://doi.org/10.1590/1519-6984.182206

Wainwright, M., Maisch, T., Nonell, S., Plaetzer, K., Almeida, A., Tegos, G. P., & Hamblin, M. R. (2017). Photoantimicrobials—are we afraid of the light? In The Lancet Infectious Diseases. 17(2), e49–e55. https://doi.org/10.1016/S1473-3099(16)30268-7

Published

01/03/2022

How to Cite

MECCATTI, V. M.; MOURA, L. de S. .; FIGUEIREDO-GODOI, L. M. A. .; JUNQUEIRA, J. C. .; RIBEIRO, M. C. M. .; OLIVEIRA, L. D. de. Alternative therapies in dentistry: antibiofilm action of Curcuma longa extract associated or not with Photodynamic Therapy against Candida spp. Research, Society and Development, [S. l.], v. 11, n. 3, p. e40711326813, 2022. DOI: 10.33448/rsd-v11i3.26813. Disponível em: https://www.rsdjournal.org/index.php/rsd/article/view/26813. Acesso em: 27 apr. 2024.

Issue

Section

Health Sciences