ESTUDO DA INTERFERÊNCIA BIOLÓGICA ENTRE DERMATÓFITOS E LEVEDURAS EM ONICOMICOSES

Autores

  • Thiago Henrique Lemes Universidade Estadual Paulista
  • Taiza Maschio-Lima Universidade Estadual Paulista
  • Natalia Seron Brizzotti Faculdade de Medicina de São José do Rio Preto
  • João Paulo Zen Siqueira Faculdade de Medicina de São José do Rio Preto
  • Margarete Teresa Gottardo de Almeida Faculdade de Medicina de São José do Rio Preto

DOI:

https://doi.org/10.31692/2764-3433.v1i1.63

Resumo

Onicomicoses, também conhecidas popularmente como micoses em unhas, são infecções fúngicas que afetam o leito ungueal e tecidos adjacentes com hiperqueratose, descoloração e onicólise, causadas por fungos dermatófitos, leveduras e fungos filamentosos não dermatófitos. Dentre esses se destacam como agente etiológico desta micose, os fungos filamentosos do gênero Microsporum, Epidermophyton e Trichophyton e a levedura Candida albicans. A interação entre diferentes fungos tem sido objeto de diversos estudos, na qual já foi demonstrado que certas espécies de leveduras podem interferir no crescimento de fungos filamentosos por ação antagônica, com destaque para a produção de substâncias de atividade antifúngica letal. Este estudo tem como objetivo avaliar o potencial antagônico das leveduras Candida albicans, Candida parapsilosis e Candida tropicalis em co-cultivo com os fungos filamentosos
Trichophyton rubrum e Trichophyton mentagrophytes, sendo esses isolados clínicos provenientes da micoteca do Laboratório de Microbiologia da Faculdade de Medicina de São José do Rio Preto – FAMERP. Para isso, inóculos de cada cepa foram preparados e diluídos até 1/128 e posteriormente cruzados entre si. Os inóculos foram introduzidos em co-culturas em três diferentes testes, sendo um em meio sólido (Agar Mueller Hinton) e dois em meios líquido (Caldo Sabouraud Dextrose e RPMI). Todos os resultados apontaram inibição no crescimento dos filamentosos perante as leveduras. O antagonismo aqui descrito leva a propor novos procedimentos para a prática clínica, onde o exame micológico direto deve ser considerado e comparado com a cultura.

Referências

ABARZÚA-ARAYA, A. et al. Candida parapsilosis and Candida guillermondii: emerging pathogens in nail candidiasis. Indian Journal of Dermatology, v. 59, n. 1, p. 24, 2014.

BRASCH, J. et al. Acyclic sesquiterpenes released by Candida albicans inhibit growth of dermatophytes. Medical mycology, v. 52, p. 46–55, 2013.

CHADEGANIPOUR, M.; MOHAMMADI, R. Causative agents of onychomycosis: a 7-year study. Journal of Clinical Laboratory Analysis, v. 30, n. 6, 2016.

CHIACCHIO, N. et al. An observational and descriptive study of the epidemiology of and therapeutic approach to onychomycosis in dermatology offices in Brazil. Annals of Brazilian Dermatology, v. 88, supl. 1, p. 3-11, 2013.

CLSI. Reference Method for Broth Dilution Antifungal Susceptibility Testing of Yeasts; Fourth International Supplement. CLSI document M27-S4. Wayne, PA: Clinical and Laboratory Standards Institute; 2012.

COELHO, A. R. et al. Evaluation of potential antagonistism in yeasts, seeking biocontrol of spoilage by Penicillium expansum. Semina: Ciências Agrárias, v. 32, n. 4, p. 1879-1892, 2011.

DE AGUIAR PERES, N. T. et al. Dermatófitos: Interação patógeno-hospedeiro e resistência a antifúngicos. Annals of Brazilian Dermatology, v. 85, n. 5, p. 657–667, 2010.

DIDEHDAR, M. et al. Caractérisation des dermatophytes cliniquement importants dans le nord de l’Iran en utilisant la PCR-RFLP de la région ITS. Journal de Mycologie Medicale, v. 26, n. 4, p. 345-350, 2016.

FENG, X. et al. Molecular identification of Candida species isolated from onychomycosis in Shanghai, China. Mycopathologia, v. 180, n.5, p. 365-371, 2015.

GUPTA, A. K.; VERSTEEG, S. G.; SHEAR, N. H.Onychomycosis in the 21st century: anupdate on diagnosis, epidemiology, andtreatment. Journal of Cutaneous Medicineand Surgery, v. 21, n. 6, p. 525-539, 2017.

GUPTA, A. K.; FOLEY, K. A. Evidence for biofilms in onychomycosis.Giornale italiano di dermatologia e venereologia: organoufficiale, Societa italiana di dermatologia e sifilografia, v. 154, n. 1, p. 50-55, 2018.

GUPTA, A. K.; MAYS, R. R. The impact of onychomycosis on quality of life: a systematic review of the available literature. Skin Appendage Disorders, v. 1, p. 1–9, 2018.

HALL, G. S. Interactions of yeasts, moulds, and antifungal agents: how to detect resistance. Springer Science & Business Media, p. 151-158, 2011.

INOUE, Y.; TOGASHI, N.; HAMASHIMA, H. Farnesol-induced disruption of the Staphylococcus aureus cytoplasmic membrane. Biological & Pharmaceutical Bulletin, v. 39, n.5, p. 653–6, 2016.

KOZEL, T. R.; WICKES, B. Fungal Diagnostics. Cold Spring Harb Perspect Med, v.a019299, p. 1–14, 2014.

MARAKI, S.; MAVROMANOLAKI, V. E. Epidemiology of onychomycosis in Crete, Greece: a 12-year study. Mycoses, v. 59, n. 12, p.798–802, 2016.

MARTINEZ-ROSSI, N. M.; PERES, N. T. A.; ROSSI, A. pathogenesis of dermatophytosis: sensing the host tissue. Mycopathologia, v. 182, n. 1, 2017.

MONTEIRO, D. R. et al. Antifungal activity of tyrosol and farnesol used in combination against Candida species in the planktonic state or forming biofilms. Journal of Applied Microbiology, v. 123, n. 2, p. 392–400, 2017.

MOUBASHER, A. H.; ABDEL-SATER, M. A.; SOLIMAN, Z. Incidence and biodiversity of yeasts, dermatophytes and non-dermatophytes in superficial skin infections in Assiut, Egypt. Journal of Medical Mycology, v. 27, n. 2, p. 166–179, 2017.

KHOSRAVI, A. R. et al. Yeasts as important agents of onychomycosis: in vitro activity of Propolis against yeasts isolated from patients with nail infection. The Journal of Alternative and Complementary Medicine, v. 19, n. 1, p. 57–62, 2013.

KUTLUBAY, Z. et al. Acral manifestations of fungal infections. Clinics in Dermatology, v. 35, n. 1, p. 28–39, 2016.

LUSIANA; REICHL, S.; MÜLLER-GOYMANN, C. C. Infected nail plate model made of human hair keratin for evaluating the efficacy of different topical antifungal formulations against Trichophyton rubrum in vitro. European Journal of Pharmaceutics and Biopharmaceutics, v. 84, n. 3, 2013.

PAKSHIR, K. et al. Proteolytic activity and cooperative hemolytic effect of dermatophytes with different species of bacteria. Current Medical Mycology, v. 2, n. 4, p. 9–14, 2017.

RAHEEM, A. R. et al. Comparative study of keratinolytic activities of dermatophytes in various keratin substrates. Virology & Mycology, v. 2, n. 3, p. 3–5, 2013.

RIEKHOF, W. R.; NICKERSON, K. W. Quorum sensing in Candida albicans: farnesol versus farnesoic acid. FEBS Letters, v. 591, n. 12, p. 1637–1640, 2017.

SINGAL, A.; KHANNA, D. Onychomycosis: diagnosis and management. Indian Journal of Dermatology, Venereology, and Leprology, v. 77, n. 6, p. 659, 2011.

IJHS-PDVS,Recife,v.1,n.1,p.01-12,out/mar -2021

SUBRAMANYA, S. H. et al. Case Report Onychomycosis due to Candida parapsilosis in a child with ventricular septal defect: an unusual predisposition. Case Rep Pediatr, 7026068 p. 5–8, 2016.

SURENDRAN, K. et al. A clinical and mycological study of dermatophytic infections. Indian Journal of Dermatology, v. 59, n. 3, p. 262, 2014.

SURYAWANSHI, R. S. et al. Onychomycosis: dermatophytes to yeasts: an experience in and around Mumbai, Maharashtra, India. International Journal of Research in Medical Sciences, v. 5, n. 5, p. 1959, 2017.

TOSTI, A.; ELEWSKI, B. E. Onychomycosis: Practical Approaches to Minimize Relapse and Recurrence. Skin Appendage Disorders, v. 2, n.1–2, p. 83–87, 2016.

TORRES-GUERRERO, E.; ARENAS, R. Candida onychomycosis. In Onychomycosis. Springer, Cham: Elsevier, 2017.

VASCONCELLOS, C. et al. Identification of fungi species in the onychomycosis of institutionalized elderly. Annals of Brazilian Dermatology, v. 88, n. 3, p. 377–380, 2013.

VITAL, M. J. S. et al. Mycocinogenic yeasts isolated from Amazon soils of the Maracá Ecological Station, Roraima-Brazil. Brazilian Journal of Microbiology, v. 33, n. 3, 2002.

VLAHOVIC, T. C. Onychomycosis: evaluation, treatment options, managing recurrence, and patient outcomes. Clinics in Podiatric Medicine and Surgery, v. 33, n. 3, p. 305-18, 2016.

WIZNIA, L. E. et al. A Clinical Review of Laser and Light Therapy for Nail Psoriasis and Onychomycosis. Dermatologic Surgery, v. 43, n.2, p. 161-172, 2017.

YUE, X. et al. An ultrastructural study of Trichophyton rubrum induced onychomycosis. BMC Infectious Diseases, v. 15, p. 532–540, 2015.

ZICCARDI, M. et al. Candida parapsilosis (sensu lato) isolated from hospitals located in the Southeast of Brazil: Species distribution, antifungal susceptibility and virulence attributes. International Journal of Medical Microbiology, v. 305, n. 8, p. 848–859, 2015.

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Publicado

15-12-2021