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1.
Proc Natl Acad Sci U S A ; 119(41): e2209699119, 2022 10 11.
Artículo en Inglés | MEDLINE | ID: mdl-36191236

RESUMEN

Fungi and bacteria often engage in complex interactions, such as the formation of multicellular biofilms within the human body. Knowledge about how interkingdom biofilms initiate and coalesce into higher-level communities and which functions the different species carry out during biofilm formation remain limited. We found native-state assemblages of Candida albicans (fungi) and Streptococcus mutans (bacteria) with highly structured arrangement in saliva from diseased patients with childhood tooth decay. Further analyses revealed that bacterial clusters are attached within a network of fungal yeasts, hyphae, and exopolysaccharides, which bind to surfaces as a preassembled cell group. The interkingdom assemblages exhibit emergent functions, including enhanced surface colonization and growth rate, stronger tolerance to antimicrobials, and improved shear resistance, compared to either species alone. Notably, we discovered that the interkingdom assemblages display a unique form of migratory spatial mobility that enables fast spreading of biofilms across surfaces and causes enhanced, more extensive tooth decay. Using mutants, selective inactivation of species, and selective matrix removal, we demonstrate that the enhanced stress resistance and surface mobility arise from the exopolymeric matrix and require the presence of both species in the assemblage. The mobility is directed by fungal filamentation as hyphae extend and contact the surface, lifting the assemblage with a "forward-leaping motion." Bacterial cell clusters can "hitchhike" on this mobile unit while continuously growing, to spread across the surface three-dimensionally and merge with other assemblages, promoting community expansion. Together, our results reveal an interkingdom assemblage in human saliva that behaves like a supraorganism, with disease-causing emergent functionalities that cannot be achieved without coassembly.


Asunto(s)
Biopelículas , Saliva , Streptococcus mutans , Candida albicans/metabolismo , Niño , Enfermedad , Humanos , Hifa/fisiología , Dinámica Poblacional , Saliva/microbiología
2.
Mol Microbiol ; 120(5): 723-739, 2023 11.
Artículo en Inglés | MEDLINE | ID: mdl-37800599

RESUMEN

DectiSomes are anti-infective drug-loaded liposomes targeted to pathogenic cells by pathogen receptors including the Dectins. We have previously used C-type lectin (CTL) pathogen receptors Dectin-1, Dectin-2, and DC-SIGN to target DectiSomes to the extracellular oligoglycans surrounding diverse pathogenic fungi and kill them. Dectin-3 (also known as MCL, CLEC4D) is a CTL pathogen receptor whose known cognate ligands are partly distinct from other CTLs. We expressed and purified a truncated Dectin-3 polypeptide (DEC3) comprised of its carbohydrate recognition domain and stalk region. We prepared amphotericin B (AmB)-loaded pegylated liposomes (AmB-LLs) and coated them with this isoform of Dectin-3 (DEC3-AmB-LLs), and we prepared control liposomes coated with bovine serum albumin (BSA-AmB-LLs). DEC3-AmB-LLs bound to the exopolysaccharide matrices of Candida albicans, Rhizopus delemar (formerly known as R. oryzae), and Cryptococcus neoformans from one to several orders of magnitude more strongly than untargeted AmB-LLs or BSA-AmB-LLs. The data from our quantitative fluorescent binding assays were standardized using a CellProfiler program, AreaPipe, that was developed for this purpose. Consistent with enhanced binding, DEC3-AmB-LLs inhibited and/or killed C. albicans and R. delemar more efficiently than control liposomes and significantly reduced the effective dose of AmB. In conclusion, Dectin-3 targeting has the potential to advance our goal of building pan-antifungal DectiSomes.


Asunto(s)
Antifúngicos , Criptococosis , Humanos , Antifúngicos/farmacología , Liposomas/química , Liposomas/farmacología , Anfotericina B/farmacología , Anfotericina B/química , Candida albicans
3.
Anal Chem ; 96(24): 10013-10020, 2024 06 18.
Artículo en Inglés | MEDLINE | ID: mdl-38836548

RESUMEN

Traditional methods for the detection of pathogenic bacteria are time-consuming, less efficient, and sensitive, which affects infection control and bungles illness. Therefore, developing a method to remedy these problems is very important in the clinic to diagnose the pathogenic diseases and guide the rational use of antibiotics. Here, microfluidic electrochemical integrated sensor (MEIS) has been investigated, functionally for rapid, efficient separation and sensitive detection of pathogenic bacteria. Three-dimensional macroporous PDMS and Au nanotube-based electrode are successfully assembled into the modeling microchip, playing the functions of "3D chaotic flow separator" and "electrochemical detector," respectively. The 3D chaotic flow separator enhances the turbulence of the fluid, achieving an excellent bacteria capture efficiency. Meanwhile, the electrochemical detector provides a quantitative signal through enzyme-linked immunoelectrochemistry with improved sensitivity. The microfluidic electrochemical integrated sensor could successfully isolate Candida albicans (C. albicans) in the range of 30-3,000,000 CFU in the saliva matrix with over 95% capture efficiency and sensitively detect C. albicans in 1 h in oral saliva samples. The integrated device demonstrates great potential in the diagnosis of oral candidiasis and is also applicable in the detection of other pathogenic bacteria.


Asunto(s)
Candida albicans , Técnicas Electroquímicas , Candida albicans/aislamiento & purificación , Técnicas Electroquímicas/instrumentación , Técnicas Analíticas Microfluídicas/instrumentación , Saliva/microbiología , Saliva/química , Electrodos , Humanos , Oro/química
4.
Biomacromolecules ; 25(2): 871-889, 2024 Feb 12.
Artículo en Inglés | MEDLINE | ID: mdl-38165721

RESUMEN

Invasive fungal infections impose a substantial global health burden. They cause more than 1.5 million deaths annually and are insufficiently met by the currently approved antifungal drugs. Antifungal peptides are a promising alternative to existing antifungal drugs; however, they can be challenging to synthesize, and are often susceptible to proteases in vivo. Synthetic polymers which mimic the properties of natural antifungal peptides can circumvent these limitations. In this study, we developed a library of 29 amphiphilic polyacrylamides with different charged units, namely, amines, guanidinium, imidazole, and carboxylic acid groups, representative of the natural amino acids lysine, arginine, histidine, and glutamic acid. Ternary polymers incorporating primary ammonium (lysine-like) or imidazole (histidine-like) groups demonstrated superior activity against Candida albicans and biocompatibility with mammalian cells compared to the polymers containing the other charged groups. Furthermore, a combination of primary ammonium, imidazole, and guanidinium (arginine-like) within the same polymer outperformed the antifungal drug amphotericin B in terms of therapeutic index and exhibited fast C. albicans-killing activity. The most promising polymer compositions showed synergistic effects in combination with caspofungin and fluconazole against C. albicans and additionally demonstrated activity against other clinically relevant fungi. Collectively, these results indicate the strong potential of these easily producible polymers to be used as antifungals.


Asunto(s)
Compuestos de Amonio , Antifúngicos , Animales , Antifúngicos/farmacología , Péptidos Catiónicos Antimicrobianos/farmacología , Polímeros/farmacología , Histidina , Guanidina/farmacología , Lisina , Candida albicans , Imidazoles/farmacología , Arginina/farmacología , Pruebas de Sensibilidad Microbiana , Mamíferos
5.
Mol Biol Rep ; 51(1): 89, 2024 Jan 07.
Artículo en Inglés | MEDLINE | ID: mdl-38184807

RESUMEN

BACKGROUND: Kappaphycus alvarezii, a marine red algae species, has gained significant attention in recent years due to its versatile bioactive compounds. Among these, κ-carrageenan (CR), a sulfated polysaccharide, exhibits remarkable antimicrobial properties. This study emphasizes the synergism attained by functionalizing zinc oxide nanoparticles (ZnO NPs) with CR, thereby enhancing its antimicrobial efficacy and target specificity against dental pathogens. METHODS: In this study, we synthesized ZnO-CR NPs and characterized them using SEM, FTIR, and XRD techniques to authenticate their composition and structural attributes. Moreover, our investigation revealed that ZnO-CR NPs possess better free radical scavenging capabilities, as evidenced by their effective activity in the DPPH and ABTS assay. RESULTS: The antimicrobial properties of ZnO-CR NPs were systematically assessed using a zone of inhibition assay against dental pathogens of S. aureus, S. mutans, E. faecalis, and C. albicans, demonstrating their substantial inhibitory effects at a minimal concentration of 50 µg/mL. We elucidated the interaction between CR and the receptors of dental pathogens to further understand their mechanism of action. The ZnO-CR NPs demonstrated a dose-dependent anticancer effect at concentrations of 5 µg/mL, 25 µg/mL, 50 µg/mL, and 100 µg/mL on KB cells, a type of Human Oral Epidermal Carcinoma. The mechanism by which ZnO-CA NPs induced apoptosis in KB cells was determined by observing an increase in the expression of the BCL-2, BAX, and P53 genes. CONCLUSION: Our findings unveil the promising potential of ZnO-CR NPs as a candidate with significant utility in dental applications. The demonstrated biocompatibility, potent antioxidant and antiapoptotic activity, along with impressive antimicrobial efficacy position these NPs as a valuable resource in the ongoing fight against dental pathogens and oral cancer.


Asunto(s)
Antiinfecciosos , Neoplasias de la Boca , Óxido de Zinc , Humanos , Óxido de Zinc/farmacología , Carragenina/farmacología , Staphylococcus aureus , Neoplasias de la Boca/tratamiento farmacológico , Apoptosis , Candida albicans
6.
J Oral Pathol Med ; 53(6): 376-385, 2024 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-38772856

RESUMEN

BACKGROUND: Oral inflammation is among the most prevalent oral pathologies with systemic health implications, necessitating safe and effective treatments. Given curcumin's documented anti-inflammatory and antioxidant properties, this study focuses on the potential of a curcumin-based oral gel in safely managing oral inflammatory conditions. METHODS: This in vitro study utilized four human cell lines: oral keratinocytes (HOKs), immortalized oral keratinocytes (OKF6), periodontal ligament fibroblasts (HPdLF), and dysplastic oral keratinocytes (DOKs). The cells were treated with Lipopolysaccharides (LPS) and curcumin-based oral gel to simulate inflammatory conditions. A panel of cellular assays were performed along with antimicrobial efficacy tests targeting Candida albicans, Streptococcus mutans, and Porphyromonas gingivalis. RESULTS: LPS significantly reduced proliferation and wound healing capacities of HOKs, OKF6, and HPdLF, but not DOKs. Treatment with curcumin-based oral gel mitigated inflammatory responses in HOKs and HPdLF by enhancing proliferation, colony formation, and wound healing, along with reducing apoptosis. However, its impact on OKF6 and DOKs was limited in some assays. Curcumin treatment did not affect the invasive capabilities of any cell line but did modulate cell adhesion in a cell line-specific manner. The curcumin-based oral gel showed significant antimicrobial efficacy against C. albicans and S. mutans, but was ineffective against P. gingivalis. CONCLUSION: This study demonstrates the potential of the curcumin-based oral gel as a safe and effective alternative to conventional antimicrobial treatments for managing cases of oral inflammation. This was achieved by modulating cellular responses under simulated inflammatory conditions. Future clinical-based studies are recommended to exploit curcumin's therapeutic benefits in oral healthcare.


Asunto(s)
Proliferación Celular , Curcumina , Fibroblastos , Queratinocitos , Porphyromonas gingivalis , Streptococcus mutans , Curcumina/farmacología , Curcumina/uso terapéutico , Humanos , Queratinocitos/efectos de los fármacos , Fibroblastos/efectos de los fármacos , Porphyromonas gingivalis/efectos de los fármacos , Proliferación Celular/efectos de los fármacos , Streptococcus mutans/efectos de los fármacos , Línea Celular , Cicatrización de Heridas/efectos de los fármacos , Antiinflamatorios/uso terapéutico , Antiinflamatorios/farmacología , Candida albicans/efectos de los fármacos , Lipopolisacáridos , Técnicas In Vitro , Ligamento Periodontal/citología , Ligamento Periodontal/efectos de los fármacos , Geles , Inflamación/tratamiento farmacológico , Apoptosis/efectos de los fármacos , Estomatitis/tratamiento farmacológico , Adhesión Celular/efectos de los fármacos
7.
J Appl Microbiol ; 135(6)2024 Jun 03.
Artículo en Inglés | MEDLINE | ID: mdl-38744659

RESUMEN

AIM: This study investigated the effectiveness of a drug-modified tissue conditioner in an animal model of denture stomatitis. METHODS AND RESULTS: Wistar rats wore a Candida albicans-contaminated palatal device for 4 days. Next, nystatin (Nys) or chlorhexidine (Chx) were added to a tissue conditioner in their raw or ß-cyclodextrin-complexed (ßCD) forms at their minimum inhibitory concentrations. As controls, one group was not subjected to any procedure (NC), one group used sterile devices, one group had denture stomatitis but was not treated (DS), and another had the devices relined with the tissue conditioner without the addition of any drug (Soft). After 4 days of treatment, treatment effectiveness was assessed visually, histologically, and through CFU count, and myeloperoxidase (MPO) and N-acetylglucosaminidase (NAG) assays. Rats from the Soft, Nys, Nys:ßCD, and Chx groups presented a significant decrease in the microbial load compared with the untreated group. Treatment groups showed lower MPO and NAG activity compared to the non-treated group. CONCLUSIONS: The addition of antifungals to a soft tissue conditioner can be a promising approach for denture stomatitis treatment.


Asunto(s)
Antifúngicos , Candida albicans , Clorhexidina , Nistatina , Ratas Wistar , Estomatitis Subprotética , Animales , Estomatitis Subprotética/microbiología , Estomatitis Subprotética/tratamiento farmacológico , Ratas , Antifúngicos/uso terapéutico , Antifúngicos/farmacología , Nistatina/farmacología , Nistatina/uso terapéutico , Clorhexidina/farmacología , Candida albicans/efectos de los fármacos , Modelos Animales de Enfermedad , Masculino , Recuento de Colonia Microbiana , Pruebas de Sensibilidad Microbiana , Candidiasis Bucal/tratamiento farmacológico , Candidiasis Bucal/microbiología , Peroxidasa/metabolismo , Acetilglucosaminidasa/metabolismo , beta-Ciclodextrinas
8.
Biofouling ; 40(2): 114-129, 2024 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-38538551

RESUMEN

This study aimed to answer the question formulated according to the PICO strategy: 'Which essential oils show antimicrobial activity against biofilms formed on dental acrylic resin?' composed by population (dental acrylic resin), intervention (application of essential oils), comparison (denture cleansers, antifungal drugs, chlorhexidine, and oral mouthwashes), and outcome (antibiofilm activity). In vitro experimental studies evaluating the activity of EOs on biofilm formed on acrylic resin were included. PRISMA guidelines were followed, and the search was performed in the PubMed, Science Direct, Embase, and Lilacs databases and in the gray literature using Google Scholar and ProQuest in December 2023. A manual search of the reference lists of the included primary studies was performed. Of the 1467 articles identified, 37 were selected for full-text reading and 12 were included. Twelve EOs were evaluated, of which 11 showed activity against Candida spp., 3 against Staphylococcus aureus, and 1 against Pseudomonas aeruginosa. The EOs of Cymbopogon citratus, Cinnamomum zeylanicum, and Cymbopogon nardus showed higher action than chlorhexidine, C. nardus higher than Listerine, C. citratus higher than nystatin, and Melaleuca alternifolia higher than fluconazole and nystatin. However, chlorhexidine was more effective than Lippia sidoides and Salvia officinalis, sodium hypochlorite was more effective than L. sidoides, nystatin was more effective than Zingiber officinale, Amphotericin B more effective than Eucalyptus globulus and M. alternifolia. In conclusion, the EOs of C. zeylanicum, C. citratus, C. nardus, and M. alternifolia showed antimicrobial activity to reduce biofilm on dental acrylic resin.


Asunto(s)
Resinas Acrílicas , Biopelículas , Aceites Volátiles , Antifúngicos/farmacología , Biopelículas/efectos de los fármacos , Candida albicans , Clorhexidina/farmacología , Nistatina/farmacología , Aceites Volátiles/farmacología
9.
Biofouling ; 40(2): 165-176, 2024 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-38425095

RESUMEN

Dual-species biofilms formed by Candida albicans and Staphylococcus aureus have high virulence and drug resistance. In this context, biosurfactants produced by Pseudomonas aeruginosa have been widely studied, of which a new derivative (RLmix_Arg) stands out for possible application in formulations. The objective of this study was to evaluate the antibiofilm activity of RLmix_Arg, both alone and incorporated in a gel prepared with Pluronic F-127, against dual-species biofilms of fluconazole-resistant C. albicans (FRCA) and methicillin-resistant S. aureus (MRSA) in impregnated catheters. Broth microdilution tests, MTT reduction assays of mature biofilms, impregnation of RLmix_Arg and its gel in peripheral venous catheters, durability tests and scanning electron microscopy (SEM) were performed. RLmix_Arg showed antimicrobial activity against Candida spp. and S. aureus, by reducing the cell viability of mixed biofilms of FRCA and MRSA, and preventing their formation in a peripheral venous catheter. The incorporation of this biosurfactant in the Pluronic F-127 gel considerably enhanced its antibiofilm activity. Thus, RLmix_Arg has potential application in gels for impregnation in peripheral venous catheters, helping to prevent development of dual-species biofilms of FRCA and MRSA.


Asunto(s)
Antiinfecciosos , Staphylococcus aureus Resistente a Meticilina , Fluconazol/farmacología , Candida albicans , Staphylococcus aureus , Resistencia a la Meticilina , Biopelículas , Poloxámero/farmacología , Pruebas de Sensibilidad Microbiana , Antiinfecciosos/farmacología , Catéteres , Antibacterianos/farmacología
10.
Mycoses ; 67(6): e13753, 2024 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-38877612

RESUMEN

Candida species, commensal residents of human skin, are recognized as the cause of cutaneous candidiasis across various body surfaces. Individuals with weakened immune systems, particularly those with immunosuppressive conditions, are significantly more susceptible to this infection. Diabetes mellitus, a major metabolic disorder, has emerged as a critical factor inducing immunosuppression, thereby facilitating Candida colonization and subsequent skin infections. This comprehensive review examines the prevalence of different types of Candida albicans-induced cutaneous candidiasis in diabetic patients. It explores the underlying mechanisms of pathogenicity and offers insights into recommended preventive measures and treatment strategies. Diabetes notably increases vulnerability to oral and oesophageal candidiasis. Additionally, it can precipitate vulvovaginal candidiasis in females, Candida balanitis in males, and diaper candidiasis in young children with diabetes. Diabetic individuals may also experience candidal infections on their nails, hands and feet. Notably, diabetes appears to be a risk factor for intertrigo syndrome in obese individuals and periodontal disorders in denture wearers. In conclusion, the intricate relationship between diabetes and cutaneous candidiasis necessitates a comprehensive understanding to strategize effective management planning. Further investigation and interdisciplinary collaborative efforts are crucial to address this multifaceted challenge and uncover novel approaches for the treatment, management and prevention of both health conditions, including the development of safer and more effective antifungal agents.


Asunto(s)
Antifúngicos , Candida albicans , Candidiasis Cutánea , Complicaciones de la Diabetes , Humanos , Candida albicans/patogenicidad , Complicaciones de la Diabetes/microbiología , Candidiasis Cutánea/microbiología , Candidiasis Cutánea/tratamiento farmacológico , Antifúngicos/uso terapéutico , Femenino , Masculino , Diabetes Mellitus/microbiología , Factores de Riesgo , Piel/microbiología , Piel/patología , Prevalencia
11.
J Mater Sci Mater Med ; 35(1): 46, 2024 Aug 08.
Artículo en Inglés | MEDLINE | ID: mdl-39115576

RESUMEN

An antifungal agent, luliconazole, is commercially available in cream or gel form. The major limitation of these conventional formulations is less residence time at the infection site. The primary objective of this work was to develop luliconazole-loaded polyvinyl alcohol (Luz-PVA) nanofibers for mycotic skin conditions with a longer retention. Luz-PVA nanofibers were prepared by plate electrospinning and optimized for polymer concentration and process parameters. The optimized batch (Trial 5) was prepared by 10% PVA, processed at 22.4 kV applied voltage, and 14 cm plate and spinneret distance to yield thick, uniform, and peelable nanofibers film. There was no interaction observed between Luz and PVA in the FTIR study. DSC and XRD analysis showed that luliconazole was loaded into fabricated nanofibers with a reduced crystallinity. FESEM studies confirmed the smooth, defect-free mats of nanofibers. Luz-PVA nanofibers possessed a tensile strength of 21.8 N and a maximum elongation of 10.8%, representing the excellent elasticity of the scaffolds. For Luz-PVA nanofibers, the sustained and complete drug release was observed in 48 h. In antifungal activity using Candida albicans, the Luz-PVA nanofibers showed a greater zone of inhibition (30.55 ± 0.38 mm and 29.27 ± 0.31 mm) than marketed cream (28.06 ± 0.18 mm and 28.47 ± 0.24 mm) and pure drug (27.57 ± 0.17 mm and 27.50 ± 0.47 mm) at 1% concentration in Sabouraud dextrose agar and yeast malt agar, respectively. Therefore, Luz-PVA nanofibers exhibited good mechanical properties, longer retention time, and better antifungal activity than marketed products and, therefore, can be further examined preclinically as a potential treatment option for topical mycotic infection.


Asunto(s)
Antifúngicos , Candida albicans , Imidazoles , Pruebas de Sensibilidad Microbiana , Nanofibras , Alcohol Polivinílico , Antifúngicos/farmacología , Antifúngicos/química , Antifúngicos/farmacocinética , Candida albicans/efectos de los fármacos , Nanofibras/química , Alcohol Polivinílico/química , Imidazoles/química , Imidazoles/farmacología , Administración Tópica , Espectroscopía Infrarroja por Transformada de Fourier , Resistencia a la Tracción , Preparaciones de Acción Retardada/química , Preparaciones de Acción Retardada/farmacología , Difracción de Rayos X
12.
Int Endod J ; 57(6): 700-712, 2024 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-38404175

RESUMEN

AIM: To evaluate the influence of different preparation tapers on the reduction in planktonic bacteria and biofilms of Enterococcus faecalis and Candida albicans in the apical third (4 mm) of the mesial roots of mandibular molars, correlating decontamination with canal shape. METHODOLOGY: After microtomography analysis for morphological standardization of the canals, 48 mandibular molar roots, each containing two canals (96 canals), were contaminated with E. faecalis and C. albicans and divided into four groups (n = 11) for canal instrumentation using ProDesign Logic 2 files with different tapers G (.03): # 25.03; G (.04): # 25.04; G (.05): # 25.05; and G (.06): # 25.06 and irrigation with 2.5% sodium hypochlorite. Four roots were examined under a scanning electron microscope (SEM) to qualitatively assess biofilm formation. Eight roots were used as the negative control group (samples were not contaminated). Bacteriological samples were taken exclusively from the apical third of the roots before and after chemical-mechanical preparation and bacterial counts were determined (CFU/mL). The final micro-CT scan was used to quantify the volume variation and unprepared canal area in the apical third. Statistical analysis was performed using the Kruskal-Wallis, Student-Newman-Keuls and Wilcoxon tests for analysis of microbiological data. anova and the Tukey or Games-Howell test were used for analysis of micro-CT data and Spearman's test for correlations (α = 5%). RESULTS: All groups showed a significant reduction in bacteria (p < .05), with no statistically significant difference between groups. There was no significant difference in per cent volume increase between groups. The unprepared area (Δ%) was affected by the file used (p = .026) and was significantly lower for G (.06) compared to G (.03). There was no statistically significant correlation among bacterial reduction, volume and unprepared area (p > .05). CONCLUSION: The different preparation tapers influenced root canal shaping in the apical third but did not improve decontamination in this region.


Asunto(s)
Biopelículas , Candida albicans , Cavidad Pulpar , Enterococcus faecalis , Preparación del Conducto Radicular , Microtomografía por Rayos X , Microtomografía por Rayos X/métodos , Humanos , Preparación del Conducto Radicular/instrumentación , Preparación del Conducto Radicular/métodos , Candida albicans/aislamiento & purificación , Candida albicans/fisiología , Cavidad Pulpar/microbiología , Cavidad Pulpar/diagnóstico por imagen , Hipoclorito de Sodio/uso terapéutico , Hipoclorito de Sodio/farmacología , Microscopía Electrónica de Rastreo , Diente Molar/microbiología , Plancton , Irrigantes del Conducto Radicular/administración & dosificación , Irrigantes del Conducto Radicular/uso terapéutico , Técnicas In Vitro , Ápice del Diente/microbiología , Ápice del Diente/diagnóstico por imagen
13.
Clin Oral Investig ; 28(7): 402, 2024 Jun 28.
Artículo en Inglés | MEDLINE | ID: mdl-38940942

RESUMEN

OBJECTIVES: Evaluate the efficacy of denture cleaners on the adhesion of Candida albicans and their effects on the surface, optical, and mechanical properties of resins for conventional, milled, and 3D-printed denture bases. MATERIALS AND METHODS: A total of 240 resin samples were made, 120 for testing Candida albicans adhesion, optical stabilities (ΔE00), roughness (Ra), hydrophilicity (°), surface free energy (Owens-Wendt) and 120 samples for testing Candida albicans adhesion, surface microhardness (Knoop), flexural strength and modulus of elasticity in a three-point test, in which they were divided into 3 groups of denture resin (n = 40) and subdivided into 5 cleaners of dentures (n = 8). Data were evaluated by two-way ANOVA and Tukey's test for multiple comparisons (α = 0.05). RESULTS: Denture cleaners with an alkaline solution and dilute acid composition were those that showed the greatest effectiveness in reducing Candida albicans (P < 0.001), however 1% NaOCl significantly affected the properties of the resins (P < 0.05). Denture 3D-printed showed that the surface microhardness was significantly lower for all cleansers (P < 0.05). CONCLUSIONS: Listerine demonstrated superior efficacy in reducing Candida albicans with minimal effect on denture properties, whereas 1% NaOCl had a significant negative impact on the properties. The mechanical properties were significantly lower in 3D-printed resin than in other resins for all denture cleansers. CLINICAL RELEVANCE: Denture base materials are being sold to adapt to the CAD/CAM system, increasing the number of users of dentures manufactured with this system. Despite this, there is little investigation into denture cleaners regarding the adhesion capacity of microorganisms and the optical, surface and mechanical properties of dentures, thus requiring further investigation.


Asunto(s)
Candida albicans , Diseño Asistido por Computadora , Bases para Dentadura , Limpiadores de Dentadura , Ensayo de Materiales , Impresión Tridimensional , Propiedades de Superficie , Candida albicans/efectos de los fármacos , Bases para Dentadura/microbiología , Limpiadores de Dentadura/farmacología , Dureza , Resistencia Flexional , Materiales Dentales/química
14.
Clin Oral Investig ; 28(6): 324, 2024 May 18.
Artículo en Inglés | MEDLINE | ID: mdl-38761225

RESUMEN

OBJECTIVES: To assess the growth of a multispecies biofilm on root canal dentin under different radiotherapy regimens. MATERIALS AND METHODS: Sixty-three human root dentin cylinders were distributed into six groups. In three groups, no biofilm was formed (n = 3): NoRT) non-irradiated dentin; RT55) 55 Gy; and RT70) 70 Gy. In the other three groups (n = 18), a 21-day multispecies biofilm (Enterococcus faecalis, Streptococcus mutans, and Candida albicans) was formed in the canal: NoRT + Bio) non-irradiated + biofilm; RT55 + Bio) 55 Gy + biofilm; and RT70 + Bio) 70 Gy + biofilm. The biofilm was quantified (CFUs/mL). Biofilm microstructure was assessed under SEM. Microbial penetration into dentinal tubules was assessed under CLSM. For the biofilm biomass and dentin microhardness pre- and after biofilm growth assessments, 45 bovine dentin specimens were distributed into three groups (n = 15): NoRT) non-irradiated + biofilm; RT55 + Bio) 55 Gy + biofilm; and RT70 + Bio) 70 Gy + biofilm. RESULTS: Irradiated specimens (70 Gy) had higher quantity of microorganisms than non-irradiated (p = .010). There was gradual increase in biofilm biomass from non-irradiated to 55 Gy and 70 Gy (p < .001). Irradiated specimens had greater reduction in microhardness after biofilm growth. Irradiated dentin led to the growth of a more complex and irregular biofilm. There was microbial penetration into the dentinal tubules, regardless of the radiation regimen. CONCLUSION: Radiotherapy increased the number of microorganisms and biofilm biomass and reduced dentin microhardness. Microbial penetration into dentinal tubules was noticeable. CLINICAL RELEVANCE: Cumulative and potentially irreversible side effects of radiotherapy affect biofilm growth on root dentin. These changes could compromise the success of endodontic treatment in oncological patients undergoing head and neck radiotherapy.


Asunto(s)
Biopelículas , Candida albicans , Cavidad Pulpar , Dentina , Enterococcus faecalis , Streptococcus mutans , Biopelículas/efectos de la radiación , Dentina/microbiología , Dentina/efectos de la radiación , Humanos , Cavidad Pulpar/microbiología , Cavidad Pulpar/efectos de la radiación , Candida albicans/efectos de la radiación , Animales , Enterococcus faecalis/efectos de la radiación , Streptococcus mutans/efectos de la radiación , Bovinos , Microscopía Electrónica de Rastreo , Dureza , Microscopía Confocal , Dosificación Radioterapéutica
15.
Clin Oral Investig ; 28(7): 413, 2024 Jul 05.
Artículo en Inglés | MEDLINE | ID: mdl-38965139

RESUMEN

OBJECTIVES: This study compares the biofilm inhibition effects of denture cleaning tablets, carvacrol, and their combined use against Candida albicans on denture bases produced with different techniques. Additionally, the surface roughness and contact angles of these denture bases were evaluated. MATERIALS AND METHODS: Test samples were prepared from four different denture base materials (cold-polymerized, heat-polymerized, CAD/CAM milling, and 3D-printed). The surface roughness and contact angles of the test samples were measured using a profilometer and goniometer, respectively. For the evaluation of biofilm inhibition, samples were divided into 5 subgroups: Corega and carvacrol, separately and combined treatments, positive (inoculated with C. albicans) and negative control (non-inoculated with C. albicans, only medium). Biofilm mass was determined using the crystal violet method. An additional prepared test sample for each subgroup was examined under scanning electron microscopy (SEM). RESULTS: The surface roughness values of the 3D-printed test samples were found to be statistically higher than the other groups (P < .001). The water contact angle of all test materials was not statistically different from each other (P > .001). Corega and carvacrol, separately and combined, significantly decreased the amount of biofilm on all surfaces (P < .0001). Treatment of corega alone and in combination with carvacrol to the 3D-printed material caused less C. albicans inhibition than the other groups (P < .001; P < .05). CONCLUSIONS: The surface roughness values of all test groups were within the clinically acceptable threshold. Although Corega and carvacrol inhibited C. albicans biofilms, their combined use did not show a synergistic effect. CLINICAL RELEVANCE: Carvacrol may be used as one of the disinfectant agents for denture cleaning due to its biofilm inhibition property.


Asunto(s)
Biopelículas , Candida albicans , Cimenos , Bases para Dentadura , Limpiadores de Dentadura , Ensayo de Materiales , Microscopía Electrónica de Rastreo , Propiedades de Superficie , Biopelículas/efectos de los fármacos , Candida albicans/efectos de los fármacos , Bases para Dentadura/microbiología , Cimenos/farmacología , Limpiadores de Dentadura/farmacología , Impresión Tridimensional , Comprimidos
16.
Bioprocess Biosyst Eng ; 47(8): 1293-1306, 2024 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-38568262

RESUMEN

Plant-mediated solution casting is used to develop eco-friendly polymer blend nanocomposites from polyvinyl alcohol (PVA) and polyvinylpyrrolidone (PVP) doped with Silver (Ag), Ferrous (Fe) monometallic and Silver-Ferrous (Ag-Fe) bimetallic nanoparticles (NPs). These nanocomposites were studied to understand their electromagnetic interface (EMI) shielding efficiency and antimicrobial activities, besides evaluating their physical and chemical properties. The Fourier transform infrared (FTIR), X-ray diffraction (XRD), field emission scanning electron microscopy (FESEM), and energy dispersive X-ray (EDX) characterization techniques were used to examine the interactions between the polymers, the presence of silver and ferrous particles in the composites, the crystallinity shift, the surface morphology, the shape and size of the nanoparticles and the distribution of the nanoparticles in the composites. The FTIR spectra showed the interactions among the components of the composites. According to XRD spectra, the incorporation of nanoparticles into the PVA polymer significantly reduced the crystalline character of the polymer from 0.38 to 0.24 for the composition consisting of silver and iron nanoparticles in equal proportion. The results from SEM, EDX and XRD corroborate the presence of nanoparticle forms. The thermogravimetric analysis (TGA) tests reveal that the thermal stability of bimetallic composites is greater than that of monometallic composites. The tensile properties showed that the addition of nanoparticles to the PVA/PVP polymer matrix increased its mechanical strength from 59.3 MPa to 85.5 MPa. We examined its efficacy against Escherichia coli, Staphylococcus aureus and Candida albicans as microorganisms. Good antibacterial and antifungal activity was observed. The bimetallic composites demonstrated greater activity than monometallic composites against these bacterial and fungal species. All bimetallic nanocomposites have shown enhanced, loss due to reflection, loss due to absorption, and the total EMI shielding efficiency at 8 GHz (X-band) and 16 GHz (Ku-band) frequency. All these results ratify, that these newly developed bio nanocomposites are most suitable in many applications, in EMI shielding, nanotechnology, and medical fields.


Asunto(s)
Antiinfecciosos , Nanopartículas del Metal , Nanocompuestos , Plata , Nanocompuestos/química , Nanopartículas del Metal/química , Plata/química , Antiinfecciosos/farmacología , Antiinfecciosos/química , Biopolímeros/química , Alcohol Polivinílico/química , Hierro/química , Tecnología Química Verde , Espectroscopía Infrarroja por Transformada de Fourier , Difracción de Rayos X , Pruebas de Sensibilidad Microbiana , Candida albicans/efectos de los fármacos , Candida albicans/crecimiento & desarrollo , Escherichia coli/efectos de los fármacos , Escherichia coli/crecimiento & desarrollo , Staphylococcus aureus/efectos de los fármacos , Staphylococcus aureus/crecimiento & desarrollo
17.
ScientificWorldJournal ; 2024: 6658164, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-38450244

RESUMEN

The use of medicinal plant preparations to clean and disinfect root canal infection is gaining popularity. The aim of this study was to evaluate the bioactive composition of leaf extracts of Moringa oleifera plants cultivated in Iraq (specifically Baghdad) and their antimicrobial activity against selected root canal pathogens for potential application in endodontic treatment. Materials and Methods. Moringa leaf extracts were prepared either through cold maceration or warm digestion techniques to perform an ethanolic or aqueous extraction, respectively. Phytochemical detection was performed before thin layer chromatography (TLC) and high-performance liquid chromatography (HPLC) to measure flavonoids and phenolic compounds within both extracts. Then, their antimicrobial activities were investigated against Streptococcus mutans, Enterococcus faecalis, and Candida albicans through minimal inhibitory concentration (MIC), minimal bactericidal concentration (MBC), and agar well diffusion assay in comparison to NaOCl and Ca(OH)2. Results. Phytochemical screening showed several active ingredients but with higher expression of flavonoids and phenolic compounds. Also, different types of these compounds were detected through TLC and quantified by HPLC. MIC values for ethanolic extract against Streptococcus mutans, Enterococcus faecalis, and Candida albicans were 60, 65, and 55, respectively, while for aqueous extract, MIC values were 70, 80, and 50, respectively. Aqueous extract showed a higher inhibition zone than ethanolic extract for both Streptococcus mutans and Enterococcus faecalis with a statistically significant difference (p ≤ 0.001) for all tested materials except with NaOCl and Ca(OH)2 in Streptococcus mutans and Enterococcus faecalis, respectively. The ethanolic extract showed a higher inhibition zone against Candida albicans, with a statistically significant difference (p ≤ 0.001) for all tested materials. Conclusion. Ethanolic and aqueous extracts of Moringa oleifera leaves cultivated in Baghdad contain considerable quantities of phytochemicals, especially flavonoid and phenolic compounds, and demonstrated antimicrobial activities against selected endodontic pathogens. Therefore, Moringa leaf extracts could be suggested as an alternative antimicrobial material in endodontic treatment.


Asunto(s)
Antiinfecciosos , Moringa oleifera , Antiinfecciosos/farmacología , Etanol , Candida albicans , Enterococcus faecalis , Flavonoides , Fenoles , Fitoquímicos/farmacología
18.
Am J Dent ; 37(3): 126-130, 2024 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-38899991

RESUMEN

PURPOSE: To evaluate the antimicrobial activity of dentifrices based on Malva sylvestris and propolis and the effect on the acrylic resin. METHODS: The inhibitory effect against Candida albicans, Enterococcus faecalis and Streptococcus mutans was determined. The specimens of resin were divided into groups: Control (brushing with distilled water); brushing with Colgate; brushing with Protex; brushing with Malvatricin, brushing with Proporalcare Dental Gel and brushing with Green Propolis Dental Gel. Brushing was carried out in a brushing machine. Roughness and color were assessed. The data were analyzed by ANOVA, followed by the Bonferroni post test (α= 0.05). RESULTS: The products evaluated showed antimicrobial activity against all microorganisms (P< 0.05), except Proporalcare Dental Gel, which was not effective against E. faecalis. Greater roughness (P< 0.05) was observed in the samples treated with Colgate. The samples from control and Protex groups showed the lowest color variation and the highest luminosity, with a difference in relation to the others (P< 0.05), which showed higher values, although clinically acceptable. CLINICAL SIGNIFICANCE: The dentifrices based on natural products can be indicated for cleaning prostheses, since they showed antimicrobial activity and did not cause perceptible color changes of the resin tested. The dentifrices did not produce adverse effects on the surface of the resin or did so less than the conventional dentifrice.


Asunto(s)
Resinas Acrílicas , Candida albicans , Dentífricos , Bases para Dentadura , Streptococcus mutans , Dentífricos/farmacología , Streptococcus mutans/efectos de los fármacos , Candida albicans/efectos de los fármacos , Enterococcus faecalis/efectos de los fármacos , Própolis/farmacología , Propiedades de Superficie , Ensayo de Materiales , Color , Humanos , Antiinfecciosos/farmacología , Cepillado Dental , Pastas de Dientes/farmacología , Pastas de Dientes/química , Ácido Silícico
19.
Acta Odontol Scand ; 83: 327-333, 2024 May 27.
Artículo en Inglés | MEDLINE | ID: mdl-38801222

RESUMEN

OBJECTIVE: Toothpastes are widely used to protect oral and teeth health. This study aims to examine the cytotoxic and antimicrobial effects of whitening toothpastes. METHODS: In this study, extracts were prepared according to ISO 10993-12:2021 standard (0.2 g/mL) using whitening and conventional toothpastes. The prepared extracts were added to human gingival fibroblast cell lines (HGF-1) in different dilutions (1:1, 1:2, 1:4, 1:8, 1:16, and 1:32) and a cytotoxicity test was performed. Antimicrobial analysis of toothpastes was performed on Streptococcus mutans, Staphylococcus aureus, and Candida albicans using the hole-plate diffusion method. Cell viability and microbial analysis data were examined using two-way analysis of variance (ANOVA) and Tukey post-hoc test (p < 0.05). RESULTS: Toothpastes with sodium lauryl sulfate (SLS) in their composition showed statistically more toxic effects (p < 0.05). The activated carbon toothpastes without SLS showed over 90% cell viability after dilution. Although the dilution rate of toothpastes containing SLS increased, cell viability remained below 70%. All toothpastes used in the study showed antimicrobial effects on S. mutans, S. aureus, and C. albicans. Toothpaste containing hydrogen peroxide and SLS produced more antibacterial effects than activated carbon, blue covarine, microparticles, and conventional toothpaste. CONCLUSIONS: SLS-containing toothpastes showed more toxicity on HGF-1 cells. Toothpaste containing hydroxyapatite did not show toxic effects on HGF-1 cells. SLS, sodium lauryl sarcosinate and hydrogen peroxide in toothpastes increase antimicrobial effects.


Asunto(s)
Antiinfecciosos , Candida albicans , Staphylococcus aureus , Streptococcus mutans , Pastas de Dientes , Pastas de Dientes/farmacología , Humanos , Candida albicans/efectos de los fármacos , Staphylococcus aureus/efectos de los fármacos , Streptococcus mutans/efectos de los fármacos , Antiinfecciosos/farmacología , Supervivencia Celular/efectos de los fármacos , Línea Celular , Técnicas In Vitro , Fibroblastos/efectos de los fármacos , Blanqueadores Dentales/toxicidad , Blanqueadores Dentales/farmacología
20.
Int J Mol Sci ; 25(6)2024 Mar 14.
Artículo en Inglés | MEDLINE | ID: mdl-38542256

RESUMEN

This study aimed to evaluate the impact of Candida albicans on subgingival biofilm formation on dental implant surfaces. Scanning electron microscopy (SEM) and confocal laser scanning microscopy (CLSM) were used to compare biofilm structure and microbial biomass in the presence and absence of the fungus after periods of 24, 48, and 72 h. Quantitative polymerase chain reaction (qPCR) was used to quantify the number of viable and total micro-organisms for each of the biofilm-forming strains. A general linear model was applied to compare CLSM and qPCR results between the control and test conditions. The biofilm developed with C. albicans at 72 h had a higher bacterial biomass and a significantly higher cell viability (p < 0.05). After both 48 and 72 h of incubation, in the presence of C. albicans, there was a significant increase in counts of Fusobacterium nucleatum and Porphyromonas gingivalis and in the cell viability of Streptococcus oralis, Aggregatibacter actinomycetemcomitans, F. nucleatum, and P. gingivalis. Using a dynamic in vitro multispecies biofilm model, C. albicans exacerbated the development of the biofilm grown on dental implant surfaces, significantly increasing the number and cell viability of periodontal bacteria.


Asunto(s)
Candida albicans , Implantes Dentales , Supervivencia Celular , Biopelículas , Porphyromonas gingivalis
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