1
|
Du L, Liu L, Zou S, Kou E, Wang B, Zhao H, Dong B, Chen W, Liu L, Wang L, Zhu Y. Interdigital-type antifungal socks for prevention and treatment of tinea pedis. J Infect Public Health 2024; 17:102455. [PMID: 38820891 DOI: 10.1016/j.jiph.2024.05.043] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2024] [Revised: 05/14/2024] [Accepted: 05/15/2024] [Indexed: 06/02/2024] Open
Abstract
BACKGROUND Interdigital tinea pedis is the most common type of foot infection, which is often treated by topical or systemic antifungals. Due to the increase in antifungal resistance, antifungal socks are becoming potential alternatives for the daily management of tinea pedis. METHODS In this study, antifungal fibres were adopted to produce interdigital hygiene socks to split the third and fourth toe seams of the feet. In vitro antifungal activity was first examined to verify the effectiveness of the socks. Preventive efficacy against tinea pedis was then evaluated among healthy participants, followed by therapeutic effect detection in patients diagnosed with tinea pedis by analysing the improvement in total symptom scores (TTS). RESULTS The interdigital-type hygiene socks exhibited apparent antifungal activities in vitro. An in vivo study demonstrated significant preventive effects against tinea pedis for interdigital socks compared to plain socks (P = 0.011) and a lower TTS than noninterdigital (P = 0.04) or plain socks (P < 0.0001). Moreover, interdigital socks showed a total effectiveness rate of 72.9% in patients with tinea pedis, with most of the symptoms alleviated. CONCLUSION Interdigital-type hygiene socks not only exhibited in vitro antifungal activities but also showed significant prophylactic and therapeutic effects against interdigital tinea pedis in vivo.
Collapse
Affiliation(s)
- Lin Du
- Department of Dermatology and Marine Biological Injuries, Naval Medical Centre, Naval Medical University, Shanghai 200052, China
| | - Lin Liu
- Research Department, Naval Medical Centre, Naval Medical University, Shanghai 200433, China
| | - Shuaijun Zou
- Department of Dermatology and Marine Biological Injuries, Naval Medical Centre, Naval Medical University, Shanghai 200052, China
| | - Erwen Kou
- Department of Dermatology and Marine Biological Injuries, Naval Medical Centre, Naval Medical University, Shanghai 200052, China
| | - Bo Wang
- Department of Dermatology and Marine Biological Injuries, Naval Medical Centre, Naval Medical University, Shanghai 200052, China
| | - Haixia Zhao
- Department of Dermatology and Marine Biological Injuries, Naval Medical Centre, Naval Medical University, Shanghai 200052, China
| | - Baiping Dong
- Department of Dermatology and Marine Biological Injuries, Naval Medical Centre, Naval Medical University, Shanghai 200052, China
| | - Weiwei Chen
- Department of Dermatology and Marine Biological Injuries, Naval Medical Centre, Naval Medical University, Shanghai 200052, China
| | - Liying Liu
- Research Department, Naval Medical Centre, Naval Medical University, Shanghai 200433, China.
| | - Liangzhe Wang
- Department of Dermatology and Marine Biological Injuries, Naval Medical Centre, Naval Medical University, Shanghai 200052, China.
| | - Yuanjie Zhu
- Department of Dermatology and Marine Biological Injuries, Naval Medical Centre, Naval Medical University, Shanghai 200052, China.
| |
Collapse
|
2
|
Yang M, Pan L, Tian H, Zhou T, Xin H, Feng Y, Zou X, Lv Z, Xu Y, Jin X, Gui S, Lu X. pH- and Matrix Metalloproteinase-Responsive Multifunctional Bilayer Microneedles Platform for Treatment of Tinea Pedis. ACS Biomater Sci Eng 2024; 10:3108-3119. [PMID: 38659287 PMCID: PMC11094678 DOI: 10.1021/acsbiomaterials.4c00305] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2024] [Revised: 04/05/2024] [Accepted: 04/16/2024] [Indexed: 04/26/2024]
Abstract
Persistent foot odor and itchiness are common symptoms of tinea pedis, significantly disrupting the daily life of those affected. The cuticular barrier at the site of the tinea pedis is thickened, which impedes the effective penetration of antifungal agents. Additionally, fungi can migrate from the skin surface to deeper tissues, posing challenges in the current clinical treatment for tinea pedis. To effectively treat tinea pedis, we developed a platform of bilayer gelatin methacrylate (GelMA) microneedles (MNs) loaded with salicylic acid (SA) and FK13-a1 (SA/FK13-a1@GelMA MNs). SA/FK13-a1@GelMA MNs exhibit pH- and matrix metalloproteinase (MMP)-responsive properties for efficient drug delivery. The MNs are designed to deliver salicylic acid (SA) deep into the stratum corneum, softening the cuticle and creating microchannels. This process enables the antibacterial peptide FK13-a1 to penetrate through the stratum corneum barrier, facilitating intradermal diffusion and exerting antifungal and anti-inflammatory effects. In severe cases of tinea pedis, heightened local pH levels and MMP activity further accelerate drug release. Our research demonstrates that SA/FK13-a1@GelMA MNs are highly effective against Trichophyton mentagrophytes, Trichophyton rubrum, and Candida albicans. They also reduced stratum corneum thickness, fungal burden, and inflammation in a guinea pig model of tinea pedis induced by T. mentagrophytes. Furthermore, it was discovered that SA/FK13-a1@GelMA MNs exhibit excellent biocompatibility. These findings suggest that SA/FK13-a1@GelMA MNs have significant potential for the clinical treatment of tinea pedis as well as other fungal skin disorders.
Collapse
Affiliation(s)
- Musheng Yang
- Guangdong
Provincial Key Laboratory of Pharmaceutical Bioactive Substances,
School of Basic Medical Sciences, Guangdong
Pharmaceutical University, Guangzhou 510006, China
- Shenzhen
Center for Disease Control and Prevention, Shenzhen 518055, China
- Intensive
Care Unit, Shenzhen Second People’s Hospital, The First Affiliated Hospital of Shenzhen University, Shenzhen 518031, China
| | - Lingling Pan
- Guangdong
Provincial Key Laboratory of Pharmaceutical Bioactive Substances,
School of Basic Medical Sciences, Guangdong
Pharmaceutical University, Guangzhou 510006, China
- Shenzhen
Center for Disease Control and Prevention, Shenzhen 518055, China
- Intensive
Care Unit, Shenzhen Second People’s Hospital, The First Affiliated Hospital of Shenzhen University, Shenzhen 518031, China
| | - Hongmei Tian
- Guangdong
Provincial Key Laboratory of Pharmaceutical Bioactive Substances,
School of Basic Medical Sciences, Guangdong
Pharmaceutical University, Guangzhou 510006, China
- Shenzhen
Center for Disease Control and Prevention, Shenzhen 518055, China
- Intensive
Care Unit, Shenzhen Second People’s Hospital, The First Affiliated Hospital of Shenzhen University, Shenzhen 518031, China
| | - Tao Zhou
- Guangdong
Provincial Key Laboratory of Pharmaceutical Bioactive Substances,
School of Basic Medical Sciences, Guangdong
Pharmaceutical University, Guangzhou 510006, China
- Shenzhen
Center for Disease Control and Prevention, Shenzhen 518055, China
- Intensive
Care Unit, Shenzhen Second People’s Hospital, The First Affiliated Hospital of Shenzhen University, Shenzhen 518031, China
| | - Hui Xin
- Guangdong
Provincial Key Laboratory of Pharmaceutical Bioactive Substances,
School of Basic Medical Sciences, Guangdong
Pharmaceutical University, Guangzhou 510006, China
- Shenzhen
Center for Disease Control and Prevention, Shenzhen 518055, China
| | - Yonglin Feng
- Guangdong
Provincial Key Laboratory of Pharmaceutical Bioactive Substances,
School of Basic Medical Sciences, Guangdong
Pharmaceutical University, Guangzhou 510006, China
- Shenzhen
Center for Disease Control and Prevention, Shenzhen 518055, China
- Intensive
Care Unit, Shenzhen Second People’s Hospital, The First Affiliated Hospital of Shenzhen University, Shenzhen 518031, China
| | - Xuan Zou
- Shenzhen
Center for Disease Control and Prevention, Shenzhen 518055, China
| | - Ziquan Lv
- Shenzhen
Center for Disease Control and Prevention, Shenzhen 518055, China
| | - Yinghua Xu
- Key
Laboratory of the Ministry of Health for Research on Quality and Standardization
of Biotechnology Products, National Institutes
for Food and Drug Control, Beijing 102629, China
| | - Xiaobao Jin
- Guangdong
Provincial Key Laboratory of Pharmaceutical Bioactive Substances,
School of Basic Medical Sciences, Guangdong
Pharmaceutical University, Guangzhou 510006, China
| | - Shuiqing Gui
- Intensive
Care Unit, Shenzhen Second People’s Hospital, The First Affiliated Hospital of Shenzhen University, Shenzhen 518031, China
| | - Xuemei Lu
- Guangdong
Provincial Key Laboratory of Pharmaceutical Bioactive Substances,
School of Basic Medical Sciences, Guangdong
Pharmaceutical University, Guangzhou 510006, China
- Shenzhen
Center for Disease Control and Prevention, Shenzhen 518055, China
| |
Collapse
|
3
|
Hill RC, Caplan AS, Elewski B, Gold JAW, Lockhart SR, Smith DJ, Lipner SR. Expert Panel Review of Skin and Hair Dermatophytoses in an Era of Antifungal Resistance. Am J Clin Dermatol 2024; 25:359-389. [PMID: 38494575 PMCID: PMC11201321 DOI: 10.1007/s40257-024-00848-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/23/2024] [Indexed: 03/19/2024]
Abstract
Dermatophytoses are fungal infections of the skin, hair, and nails that affect approximately 25% of the global population. Occlusive clothing, living in a hot humid environment, poor hygiene, proximity to animals, and crowded living conditions are important risk factors. Dermatophyte infections are named for the anatomic area they infect, and include tinea corporis, cruris, capitis, barbae, faciei, pedis, and manuum. Tinea incognito describes steroid-modified tinea. In some patients, especially those who are immunosuppressed or who have a history of corticosteroid use, dermatophyte infections may spread to involve extensive skin areas, and, in rare cases, may extend to the dermis and hair follicle. Over the past decade, dermatophytoses cases not responding to standard of care therapy have been increasingly reported. These cases are especially prevalent in the Indian subcontinent, and Trichophyton indotineae has been identified as the causative species, generating concern regarding resistance to available antifungal therapies. Antifungal-resistant dermatophyte infections have been recently recognized in the United States. Antifungal resistance is now a global health concern. When feasible, mycological confirmation before starting treatment is considered best practice. To curb antifungal-resistant infections, it is necessary for physicians to maintain a high index of suspicion for resistant dermatophyte infections coupled with antifungal stewardship efforts. Furthermore, by forging partnerships with federal agencies, state and local public health agencies, professional societies, and academic institutions, dermatologists can lead efforts to prevent the spread of antifungal-resistant dermatophytes.
Collapse
Affiliation(s)
| | - Avrom S Caplan
- Ronald O. Perelman Department of Dermatology, NYU Grossman School of Medicine, New York, NY, USA
| | - Boni Elewski
- Department of Dermatology, University of Alabama at Birmingham, Birmingham, AL, USA
| | - Jeremy A W Gold
- Centers for Disease Control and Prevention, Mycotic Diseases Branch, Atlanta, GA, USA
| | - Shawn R Lockhart
- Centers for Disease Control and Prevention, Mycotic Diseases Branch, Atlanta, GA, USA
| | - Dallas J Smith
- Centers for Disease Control and Prevention, Mycotic Diseases Branch, Atlanta, GA, USA
| | - Shari R Lipner
- Department of Dermatology, Weill Cornell Medicine, 1305 York Avenue, New York, NY, 10021, USA.
| |
Collapse
|
4
|
AlKaabi HA, Alhammadi N, Al-Jallal M, Malibari WM, Al Jallal RS, Almarshad AS, Binshalhoub FH, Albalawi A, Adam TA, Al-Khairat AH, Albarqi MH, Assiri A, Al Qahtani SS, Sayegh AA, Hobani AH. Assessment of Public Awareness and Practices Regarding Tinea Pedis Among the Saudi Arabian Population. Cureus 2024; 16:e59753. [PMID: 38840991 PMCID: PMC11151178 DOI: 10.7759/cureus.59753] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/06/2024] [Indexed: 06/07/2024] Open
Abstract
BACKGROUND Tinea pedis, commonly known as athlete's foot, is a fungal infection affecting the skin of the feet, primarily between the toes. Despite being a common condition, there may be gaps in knowledge and practices regarding its transmission, risk factors, and treatment options among the general population. METHODS This study adopted a cross-sectional research design. The study involved 2371 adult population in Saudi Arabia. The questionnaire was distributed online through social media means. Data was analyzed using IBM SPSS Statistics for Windows, Version 27 (Released 2020; IBM Corp., Armonk, New York, United States). RESULTS A significant portion (66.1%) of respondents reported not examining their feet regularly. The majority (80.7%) of the respondents reported regular use of nail scissors as the common practice. The results further revealed that the majority of respondents (71.7%) were not aware of tinea pedis. Similarly, a large proportion (77.3%) of respondents were unaware of the risk factors associated with tinea pedis. However, among those aware, the most recognized risk factor was diabetes mellitus (82.3%), followed by peripheral arterial disease (37.1%), and immunocompromised conditions like HIV (31.3%). There was a significant association (p = 0.001) between regular foot examination practices and awareness of tinea pedis. CONCLUSION In conclusion, there is low awareness regarding tinea pedis among the Saudi Arabian population. Only a small proportion demonstrated good knowledge of the condition and its symptoms. However, there is a relatively higher awareness of specific risk factors such as diabetes mellitus and peripheral arterial disease. Hence, it is imperative to enhance education and awareness campaigns to address the gaps in understanding tinea pedis, its associated risk factors, and symptoms, particularly among individuals engaged in physical activities and those who regularly wear sports shoes.
Collapse
Affiliation(s)
| | | | | | | | | | | | - Fahad H Binshalhoub
- Medicine and Surgery, Imam Muhammad Ibn Saud Islamic University, Riyadh, SAU
| | | | - Tahani A Adam
- Statistics and Operation Research, Qassim University, Buraydah, SAU
| | | | | | | | | | | | | |
Collapse
|
5
|
Madkhali OA. Drug Delivery of Gelatin Nanoparticles as a Biodegradable Polymer for the Treatment of Infectious Diseases: Perspectives and Challenges. Polymers (Basel) 2023; 15:4327. [PMID: 37960007 PMCID: PMC10648051 DOI: 10.3390/polym15214327] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2023] [Revised: 10/31/2023] [Accepted: 11/03/2023] [Indexed: 11/15/2023] Open
Abstract
In recent years, there has been a growing interest in the use of gelatin nanoparticles (GNPs) for the treatment of infectious diseases. The inherent properties of these nanoparticles make them attractive options for drug delivery. Their biocompatibility ensures that they can interact with biological systems without causing adverse reactions, while their biodegradability ensures that they can break down harmlessly in the body once their function is performed. Furthermore, their capacity for controlled drug release ensures that therapeutic agents can be delivered over a sustained period, thereby enhancing treatment efficacy. This review examines the current landscape of GNP-based drug delivery, with a specific focus on its potential applications and challenges in the context of infectious diseases. Key challenges include controlling drug release rates, ensuring nanoparticle stability under physiological conditions, scaling up production while maintaining quality, mitigating potential immunogenic reactions, optimizing drug loading efficiency, and tracking the biodistribution and clearance of GNPs in the body. Despite these hurdles, GNPs hold promising potential in the realm of infectious disease treatment. Ongoing research and innovation are essential to overcome these obstacles and completely harness the potential of GNPs in clinical applications.
Collapse
Affiliation(s)
- Osama A Madkhali
- Department of Pharmaceutics, College of Pharmacy, Jazan University, Jazan 45124, Saudi Arabia
| |
Collapse
|
6
|
Leeyaphan C, Chai-Adisaksopha C, Tovanabutra N, Phinyo P, Bunyaratavej S. Developing diagnostic criteria to differentiate fungal foot infections caused by Neoscytalidium dimidiatum and dermatophytes. Heliyon 2023; 9:e18963. [PMID: 37600426 PMCID: PMC10432213 DOI: 10.1016/j.heliyon.2023.e18963] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/19/2023] [Revised: 08/01/2023] [Accepted: 08/03/2023] [Indexed: 08/22/2023] Open
Abstract
Background The predisposing factors and clinical presentations of fungal foot infections caused by non-dermatophytes and dermatophytes are challenging to differentiate. Definite diagnoses of non-dermatophyte infections at first visits facilitate their treatment. Objectives This study aimed to develop diagnostic criteria to differentiate fungal foot infections caused by Neoscytalidium dimidiatum and dermatophytes. Methods Diagnostic prediction research based on a retrospective, observational, cross-sectional study. The reviewed patients were aged ≥18 and underwent a mycological examination for fungal foot infections. A fungal culture at the initial visit was the gold standard for determining causative organisms. Results Analyses were carried out on the data from 371 patients. N. dimidiatum accounted for 184 (49.6%) infections, and dermatophytes caused the remaining 187 (50.4%) cases. Five significant predefined predictors were used to develop the diagnostic criteria and score. They were immunocompetence status, no family history of fungal infections, the absence of pruritus, the absence of other concurrent fungal skin infections, and agricultural work. The lower score cutoff was <8 (sensitivity 97.8% and specificity 25.7%). The higher cutoff was >11 (sensitivity 83.7% and specificity 57.8%). The score showed an area under the receiver operating characteristic curve of 0.755 and was well calibrated. Conclusions The criteria and score show promise for clinical use, with acceptable discriminative performance and good calibration. They will help physicians differentiate the causative organisms in patients with fungal foot infections at the first visit, enabling the determination of appropriate antifungal treatment.
Collapse
Affiliation(s)
- Charussri Leeyaphan
- Department of Dermatology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
| | - Chatree Chai-Adisaksopha
- Department of Internal Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand
| | - Napatra Tovanabutra
- Department of Internal Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand
| | - Phichayut Phinyo
- Center for Clinical Epidemiology and Clinical Statistics, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand
- Department of Family Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand
- Musculoskeletal Science and Translational Research, Chiang Mai University, Chiang Mai, Thailand
| | - Sumanas Bunyaratavej
- Department of Dermatology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
| |
Collapse
|
7
|
Leung AKC, Barankin B, Lam JM, Leong KF, Hon KL. Tinea pedis: an updated review. Drugs Context 2023; 12:2023-5-1. [PMID: 37415917 PMCID: PMC10321471 DOI: 10.7573/dic.2023-5-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2023] [Accepted: 06/02/2023] [Indexed: 07/08/2023] Open
Abstract
Background Tinea pedis is one of the most common superficial fungal infections of the skin, with various clinical manifestations. This review aims to familiarize physicians with the clinical features, diagnosis and management of tinea pedis. Methods A search was conducted in April 2023 in PubMed Clinical Queries using the key terms 'tinea pedis' OR 'athlete's foot'. The search strategy included all clinical trials, observational studies and reviews published in English within the past 10 years. Results Tinea pedis is most often caused by Trichophyton rubrum and Trichophyton interdigitale. It is estimated that approximately 3% of the world population have tinea pedis. The prevalence is higher in adolescents and adults than in children. The peak age incidence is between 16 and 45 years of age. Tinea pedis is more common amongst males than females. Transmission amongst family members is the most common route, and transmission can also occur through indirect contact with contaminated belongings of the affected patient. Three main clinical forms of tinea pedis are recognized: interdigital, hyperkeratotic (moccasin-type) and vesiculobullous (inflammatory). The accuracy of clinical diagnosis of tinea pedis is low. A KOH wet-mount examination of skin scrapings of the active border of the lesion is recommended as a point-of-care testing. The diagnosis can be confirmed, if necessary, by fungal culture or culture-independent molecular tools of skin scrapings. Superficial or localized tinea pedis usually responds to topical antifungal therapy. Oral antifungal therapy should be reserved for severe disease, failed topical antifungal therapy, concomitant presence of onychomycosis or in immunocompromised patients. Conclusion Topical antifungal therapy (once to twice daily for 1-6 weeks) is the mainstay of treatment for superficial or localized tinea pedis. Examples of topical antifungal agents include allylamines (e.g. terbinafine), azoles (e.g. ketoconazole), benzylamine, ciclopirox, tolnaftate and amorolfine. Oral antifungal agents used for the treatment of tinea pedis include terbinafine, itraconazole and fluconazole. Combined therapy with topical and oral antifungals may increase the cure rate. The prognosis is good with appropriate antifungal treatment. Untreated, the lesions may persist and progress.
Collapse
Affiliation(s)
- Alexander KC Leung
- Department of Pediatrics, The University of Calgary and The Alberta Children’s Hospital, Calgary, Alberta, Canada
| | | | - Joseph M Lam
- Department of Pediatrics and Department of Dermatology and Skin Sciences, University of British Columbia and BC Children’s Hospital, Vancouver, British Columbia, Canada
| | - Kin Fon Leong
- Pediatric Institute, Kuala Lumpur General Hospital, Kuala Lumpur, Malaysia
| | - Kam Lun Hon
- Department of Paediatrics, Chinese University of Hong Kong Medical Centre, The Chinese University of Hong Kong, Shatin, Hong Kong
| |
Collapse
|
8
|
Menicucci F, Palagano E, Michelozzi M, Ienco A. Essential Oils for the Conservation of Paper Items. Molecules 2023; 28:5003. [PMID: 37446665 PMCID: PMC10343335 DOI: 10.3390/molecules28135003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2023] [Revised: 06/13/2023] [Accepted: 06/21/2023] [Indexed: 07/15/2023] Open
Abstract
Archival documents and artworks stored in libraries frequently undergo degradative processes promoted by the so-called "biodeteriogens" that inhabit these places. A renewed interest in plant-derived products has arisen in those research groups focusing on cultural heritage preservation and looking for new and safe disinfection techniques. In this view, essential oils (EOs) and their volatile organic constituents are very appealing thanks to their versatility of action. A literature survey of the scientific publications involving EOs and/or their major constituents related to the conservation of paper items of cultural heritage interest is presented here, aiming to reveal benefits and limitations of such peculiar plant-derived compounds.
Collapse
Affiliation(s)
- Felicia Menicucci
- Institute for the Chemistry of Organo Metallic Compounds, National Research Council of Italy (CNR), Via Madonna del Piano 10, Sesto Fiorentino, 50019 Florence, Italy;
| | - Eleonora Palagano
- Institute of Biosciences and Bioresources, National Research Council of Italy (CNR), Via Madonna del Piano 10, Sesto Fiorentino, 50019 Florence, Italy; (E.P.); (M.M.)
| | - Marco Michelozzi
- Institute of Biosciences and Bioresources, National Research Council of Italy (CNR), Via Madonna del Piano 10, Sesto Fiorentino, 50019 Florence, Italy; (E.P.); (M.M.)
| | - Andrea Ienco
- Institute for the Chemistry of Organo Metallic Compounds, National Research Council of Italy (CNR), Via Madonna del Piano 10, Sesto Fiorentino, 50019 Florence, Italy;
| |
Collapse
|
9
|
Wu X, Shen M, Wang H, He X, Tan J, Wang R, Yang L, Yang H, Qi J, Chen Z, Zhu Q. Evaluation of the efficacy and safety of ionic liquids containing ketoconazole in patients with tinea pedis: A randomized controlled clinical trial. Bioeng Transl Med 2023; 8:e10463. [PMID: 37206222 PMCID: PMC10189433 DOI: 10.1002/btm2.10463] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/02/2022] [Revised: 10/21/2022] [Accepted: 11/23/2022] [Indexed: 12/04/2022] Open
Abstract
Ionic liquids (ILs) loading ketoconazole (KCZ) have shown better efficacy on rats with tinea pedis than the marketed Daktarin® but clinical studies are still lacking. In this study, we described the clinical translation of ILs containing KCZ (KCZ-ILs) from the lab into the clinic and evaluated the efficacy and safety of KCZ-ILs in patients with tinea pedis. Thirty-six enrolled participants were randomized to receive either KCZ-ILs (KCZ, 4.72 mg/g) or Daktarin® (control group; KCZ, 20 mg/g) topically twice daily, making the lesion be covered with a thin layer of medication. The randomized controlled trial lasted for 8 weeks including 4 weeks of intervention and 4 weeks of follow-up. Primary efficacy outcome was the proportion of treatment success responders, defined as patients achieving negative mycological result and ≥60% relative reduction in total clinical symptom score (TSS) from baseline at week 4. Secondary outcomes mainly for evaluating the relapse of disease included the proportion of treatment success individuals at week 8 and fungal recurrence rate at weeks 2, 3, 4, and 8. After 4 weeks of medication, 47.06% of the KCZ-ILs subjects were treatment successes compared with only 25.00% of those using Daktarin®. Throughout the trial period, KCZ-ILs induced a significantly lower recurrence rate (52.94%) than that of control patients (68.75%). Furthermore, KCZ-ILs were found to be safe and well-tolerated. In conclusion, ILs loading only 1/4 KCZ dose of Daktarin® showed a better efficacy and safety profile in the management of tinea pedis, creating a new opportunity for the treatment of skin diseases caused by fungal infection and is worthy of clinical application.
Collapse
Affiliation(s)
- Xiying Wu
- Shanghai Skin Disease HospitalTongji University School of MedicineShanghaiChina
- School of PharmacyFudan UniversityShanghaiChina
| | - Min Shen
- Shanghai Skin Disease HospitalTongji University School of MedicineShanghaiChina
| | - Huan Wang
- School of PharmacyNaval Medical UniversityShanghaiChina
| | - Xue He
- Shanghai Skin Disease HospitalTongji University School of MedicineShanghaiChina
| | - Jingwen Tan
- Shanghai Skin Disease HospitalTongji University School of MedicineShanghaiChina
| | - Ruiping Wang
- Shanghai Skin Disease HospitalTongji University School of MedicineShanghaiChina
| | - Lianjuan Yang
- Shanghai Skin Disease HospitalTongji University School of MedicineShanghaiChina
| | - Hong Yang
- Shanghai Skin Disease HospitalTongji University School of MedicineShanghaiChina
| | - Jianping Qi
- Shanghai Skin Disease HospitalTongji University School of MedicineShanghaiChina
- School of PharmacyFudan UniversityShanghaiChina
| | - Zhongjian Chen
- Shanghai Skin Disease HospitalTongji University School of MedicineShanghaiChina
| | - Quangang Zhu
- Shanghai Skin Disease HospitalTongji University School of MedicineShanghaiChina
| |
Collapse
|
10
|
Szczepańska M, Blicharz L, Nowaczyk J, Makowska K, Goldust M, Waśkiel-Burnat A, Czuwara J, Samochocki Z, Rudnicka L. The Role of the Cutaneous Mycobiome in Atopic Dermatitis. J Fungi (Basel) 2022; 8:1153. [PMID: 36354920 PMCID: PMC9695942 DOI: 10.3390/jof8111153] [Citation(s) in RCA: 9] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2022] [Revised: 10/27/2022] [Accepted: 10/29/2022] [Indexed: 08/28/2024] Open
Abstract
Atopic dermatitis is a chronic inflammatory skin disorder characterized by eczematous lesions, itch, and a significant deterioration in the quality of life. Recently, microbiome dysbiosis has been implicated in the pathogenesis of atopic dermatitis. Changes in the fungal microbiome (also termed mycobiome) appear to be an important factor influencing the clinical picture of this entity. This review summarizes the available insights into the role of the cutaneous mycobiome in atopic dermatitis and the new research possibilities in this field. The prevalence and characteristics of key fungal species, the most important pathogenesis pathways, as well as classic and emerging therapies of fungal dysbiosis and infections complicating atopic dermatitis, are presented.
Collapse
Affiliation(s)
- Milena Szczepańska
- Department of Dermatology, Medial University of Warsaw, 02-008 Warsaw, Poland
| | - Leszek Blicharz
- Department of Dermatology, Medial University of Warsaw, 02-008 Warsaw, Poland
| | - Joanna Nowaczyk
- Department of Dermatology, Medial University of Warsaw, 02-008 Warsaw, Poland
| | - Karolina Makowska
- Department of Dermatology, Medial University of Warsaw, 02-008 Warsaw, Poland
| | - Mohamad Goldust
- Department of Dermatology, University Medical Center, 55131 Mainz, Germany
| | - Anna Waśkiel-Burnat
- Department of Dermatology, Medial University of Warsaw, 02-008 Warsaw, Poland
| | - Joanna Czuwara
- Department of Dermatology, Medial University of Warsaw, 02-008 Warsaw, Poland
| | - Zbigniew Samochocki
- Department of Dermatology, Medial University of Warsaw, 02-008 Warsaw, Poland
| | - Lidia Rudnicka
- Department of Dermatology, Medial University of Warsaw, 02-008 Warsaw, Poland
| |
Collapse
|
11
|
Wang YR, Zhu T, Kong FQ, Duan YY, Galzote C, Quan ZX. Infant Mode of Delivery Shapes the Skin Mycobiome of Prepubescent Children. Microbiol Spectr 2022; 10:e0226722. [PMID: 36073919 PMCID: PMC9603757 DOI: 10.1128/spectrum.02267-22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/17/2022] [Accepted: 08/17/2022] [Indexed: 01/04/2023] Open
Abstract
Characterizing the skin mycobiome is necessary to define its association with the host immune system, particularly in children. In this study, we describe the skin mycobiome on the face, ventral forearm, and calf of 72 prepubescent children (aged 1 to 10 years) and their mothers, based on internal transcribed spacer (ITS) amplicon sequencing. The age and delivery mode at birth are the most influential factors shaping the skin mycobiome. Compared with that of the vaginally born children, the skin mycobiome of caesarean-born children is assembled by predominantly deterministic niche-based processes and exhibits a more fragile microbial network at all three sampling sites. Moreover, vaginal delivery leads to clearer intra- and interindividual specialization of fungal structures with increasing age; this phenomenon is not observed in caesarean-born children. The maternal correlation with children also differs based on the mode of delivery; specifically, the mycobiomes of vaginally born children at younger ages are more strongly correlated with vagina-associated fungal genera (Candida and Rhodotorula), whereas those of caesarean-delivered children at elder age include more skin-associated and airborne fungal genera (Malassezia and Alternaria). Based on this ecological framework, our results suggest that the delivery mode is significantly associated with maturation of the skin fungal community in children. IMPORTANCE Human skin is permanently colonized by microbes starting at birth. The hygiene hypothesis suggests that a lack of early-life immune imprinting weakens the body's resilience against atopic disorders later in life. To better understand fungal colonization following early-life periods affected by interruption, we studied the skin mycobiomes of 73 children and their mothers. Our results suggest a differentiation of the skin mycobiomes between caesarean-born and vaginally born children. Caesarean-born children exhibit a mycobiome structure with more fitted deterministic niche-based processes, a fragile network, and an unchanged microbial dissimilarity over time. In vaginally born children, this dissimilarity increases with age. The results indicate that initial microbial colonization has a long-term impact on a child's skin mycobiome. We believe that these findings will inspire further investigations of the "hygiene hypothesis" in the human microbiome, especially in providing novel insights into influences on the development of the early-life microbiome.
Collapse
Affiliation(s)
- Yan-Ren Wang
- Ministry of Education Key Laboratory for Biodiversity Science and Ecological Engineering, Institute of Biodiversity Science, School of Life Sciences, Fudan University, Shanghai, China
| | - Ting Zhu
- Ministry of Education Key Laboratory for Biodiversity Science and Ecological Engineering, Institute of Biodiversity Science, School of Life Sciences, Fudan University, Shanghai, China
| | - Fan-Qi Kong
- AP Skin Testing Center, Johnson & Johnson China Ltd., Shanghai, China
| | - Yuan-Yuan Duan
- AP Skin Testing Center, Johnson & Johnson China Ltd., Shanghai, China
| | - Carlos Galzote
- Johnson & Johnson International (Singapore) Pte. Ltd., Singapore, Singapore
| | - Zhe-Xue Quan
- Ministry of Education Key Laboratory for Biodiversity Science and Ecological Engineering, Institute of Biodiversity Science, School of Life Sciences, Fudan University, Shanghai, China
| |
Collapse
|
12
|
Štěpánek O, Čmoková A, Procházková E, Grobárová V, Černý J, Sklapničková M, Zíková AP, Kolařík M, Baszczynski O. Piperazine‐modified ketoconazole derivatives show increased activity against fungal and trypanosomatid pathogens. ChemMedChem 2022; 17:e202200385. [DOI: 10.1002/cmdc.202200385] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2022] [Revised: 09/14/2022] [Indexed: 11/06/2022]
Affiliation(s)
- Ondřej Štěpánek
- Charles University: Univerzita Karlova Department of Organic Chemistry CZECH REPUBLIC
| | - Adéla Čmoková
- Institute of Microbiology Mikrobiologický ústav AV ČR, v.v.i. CZECH REPUBLIC
| | - Eliška Procházková
- IOCB CAS: Ustav organicke chemie a biochemie Akademie ved Ceske republiky NMR department CZECH REPUBLIC
| | - Valéria Grobárová
- Charles University: Univerzita Karlova Department of Cell Biology CZECH REPUBLIC
| | - Jan Černý
- Charles University: Univerzita Karlova Department of Cell Biology CZECH REPUBLIC
| | - Martina Sklapničková
- Institute of Parasitology Czech Academy of Sciences: Biologicke centrum Akademie ved Ceske republiky Parazitologicky ustav Parazitologicky ustav CZECH REPUBLIC
| | - Alena Panicucci Zíková
- Institute of Parasitology Czech Academy of Sciences: Biologicke centrum Akademie ved Ceske republiky Parazitologicky ustav Parazitologicky ustav CZECH REPUBLIC
| | - Miroslav Kolařík
- Institute of Microbiology Czech Academy of Sciences: Mikrobiologicky ustav Akademie ved Ceske republiky Mikrobiologicky ustav CZECH REPUBLIC
| | - Ondrej Baszczynski
- Univerzita Karlova Prirodovedecka fakulta Department of Organic Chemistry Hlavova 8/2030 12800 Prague CZECH REPUBLIC
| |
Collapse
|
13
|
Gupta AK, Simkovich AJ, Hall DC. The March Against Onychomycosis: A Systematic Review of the Sanitization Methods for Shoes, Socks, and Textiles. J Am Podiatr Med Assoc 2022; 112:21-223. [PMID: 36074338 DOI: 10.7547/21-223] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Abstract
Drug-based treatment of superficial fungal infections, such as onychomycosis, is not the only defense. Sanitization of footwear such as shoes, socks/stockings, and other textiles is integral to the prevention of recurrence and reduction of spread for superficial fungal mycoses. The goal of this review was to examine the available methods of sanitization for footwear and textiles against superficial fungal infections. A systematic literature search of various sanitization devices and methods that could be applied to footwear and textiles using PubMed, Scopus, and MEDLINE was performed. Fifty-four studies were found relevant to the different methodologies, devices, and techniques of sanitization as they pertain to superficial fungal infections of the feet. These included topics of basic sanitization, antifungal and antimicrobial materials, sanitization chemicals and powder, laundering, ultraviolet, ozone, nonthermal plasma, microwave radiation, essential oils, and natural plant extracts. In the management of onychomycosis, it is necessary to think beyond treatment of the nail, as infections enter through the skin. Those prone to onychomycosis should examine their environment, including surfaces, shoes, and socks, and ensure that proper sanitization is implemented.
Collapse
Affiliation(s)
- Aditya K Gupta
- *Mediprobe Research Inc, London, Ontario, Canada.,†Department of Medicine, Division of Dermatology, University of Toronto School of Medicine, Toronto, Ontario, Canada
| | | | | |
Collapse
|
14
|
Seasonal Patterns and Trends in Dermatoses in Poland. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19158934. [PMID: 35897306 PMCID: PMC9330858 DOI: 10.3390/ijerph19158934] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/23/2022] [Revised: 07/19/2022] [Accepted: 07/20/2022] [Indexed: 02/01/2023]
Abstract
Background: The amount of data available online is constantly increasing, including search behavior and tracking trends in domains such as Google. Analyzing the data helps to predict patient needs and epidemiological events more accurately. Our study aimed to identify dermatology-related terms that occur seasonally and any search anomalies during the SARS-CoV-2 pandemic. Methods: The data were gathered using Google Trends, with 69 entries between January-2010 and December-2020 analyzed. We conducted the Seasonal Mann–Kendal Test to determine the strength of trends. The month with the highest seasonal component (RSV) and the lowest seasonal component (RSV) was indicated for every keyword. Groups of keywords occurring together regularly at specific periods of the year were shown. Results: We found that some topics were seasonally searched in winter (e.g., herpes, scabies, candida) and others in summer (e.g., erythema, warts, urticaria). Conclusions: Interestingly, downward trends in searches on sexually transmitted diseases in comparison with increased infection rates reported officially show a strong need for improved sexual education in Poland. There were no significant differences in trends for coronavirus-related cutaneous symptoms during 2020. We have shown that the seasonality of dermatologically related terms searched in Poland via Google did not differ significantly during SARS-CoV-2 pandemic.
Collapse
|
15
|
Mizumoto J. Two Feet-One Hand Syndrome. Cureus 2021; 13:e20758. [PMID: 35111444 PMCID: PMC8791668 DOI: 10.7759/cureus.20758] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/27/2021] [Indexed: 11/23/2022] Open
Abstract
Ringworm infection is a common but frequently misdiagnosed skin disease. An 81-year-old woman presented with a complaint of mild itch of the third and fourth fingers of her right hand and the toes of both feet. A crusted rash was seen on the right hand and both feet. The results of potassium hydroxide testing were positive for filamentous fungi. The diagnosis of two feet-one hand syndrome was made. The rash was treated successfully by topical ketoconazole. Recognition of this typical distribution of the rash may help make a prompt diagnosis of ringworm infection.
Collapse
Affiliation(s)
- Junki Mizumoto
- Department of Medical Education Studies, International Research Center for Medical Education, Graduate School of Medicine, University of Tokyo, Tokyo, JPN
| |
Collapse
|