Comparative approach of Voriconazole, Ciclopirox olamine, and Thymol against keratinolytic Fusarium incarnatum using

Maroua Khoukh1, Assia Houiat1, Chaymae Moubachir1

  • 1Biotechnology, Environment, Agri-Food and Health Laboratory, Faculty of Sciences, Dhar El Mahraz, Sidi Mohamed Ben Abdellah University, Atlas, Fez BP1796, Morocco.

Insights

This study evaluated antifungal agents voriconazole, ciclopirox olamine, and thymol against Fusarium species causing onychomycosis. Thymol demonstrated rapid and complete inhibition of nail fungus growth in human nail fragments, outperforming other agents in this model.

Area of Science:

  • Mycology
  • Dermatology
  • Pharmacology

Background:

  • Onychomycosis is a challenging nail infection caused by Fusarium species.
  • Evaluating antifungal efficacy requires diverse experimental models to mimic clinical conditions.

Purpose of the Study:

  • To assess the anti-Fusarium activity of voriconazole (VRC), ciclopirox olamine (CPO), and thymol.
  • To compare the efficacy of these agents across various in vitro models, including nail-like substrates.

Main Methods:

  • Minimal inhibitory concentrations (MICs) were determined in Sabouraud medium.
  • Antifungal activity was tested on horn powder-supplemented medium, bovine horn slices, and human nail fragments.
  • Kinetic assays were performed on human nail fragments to evaluate treatment speed.

Main Results:

  • VRC, CPO, and thymol showed 100% inhibition in Sabouraud medium at specific MICs.
  • In horn powder medium, VRC maintained efficacy, while thymol and CPO showed reduced activity.
  • On human nail fragments, thymol achieved 100% growth reduction within 2 hours, surpassing VRC and CPO.

Conclusions:

  • Antifungal drug efficacy for onychomycosis is highly dependent on the experimental model used.
  • Thymol shows promising rapid-acting potential against Fusarium in nail-like environments.
  • Complementary assays are crucial for accurate evaluation of onychomycosis treatments.