Volume 64, Issue 7 pp. 727-733
ORIGINAL ARTICLE

Evaluation of activity and toxicity of combining clioquinol with ciclopirox and terbinafine in alternative models of dermatophytosis

Bárbara da Costa

Corresponding Author

Bárbara da Costa

Programa de Pós-Graduação em Ciências Farmacêuticas, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil

Correspondence

Bárbara da Costa, Laboratory of Applied Mycology, School of Pharmacy, Annex II, Universidade Federal do Rio Grande do Sul, São Luís, 154, Santana, 90620-170 Porto Alegre – RS, Brazil.

Email: [email protected]

Contribution: Conceptualization (equal), Data curation (equal), Formal analysis (equal), Funding acquisition (equal), ​Investigation (equal), Methodology (equal), Project administration (equal), Writing - original draft (equal), Writing - review & editing (equal)

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Bruna Pippi

Bruna Pippi

Departamento de Microbiologia e Parasitologia, Universidade Federal de Santa Maria, Santa Maria, Brazil

Contribution: Conceptualization (equal), Data curation (equal), Formal analysis (equal), Funding acquisition (equal), Methodology (equal), Project administration (equal), Supervision (equal), Visualization (equal), Writing - original draft (equal), Writing - review & editing (equal)

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Simone Jacobus Berlitz

Simone Jacobus Berlitz

Programa de Pós-Graduação em Nanotecnologia Farmacêutica, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil

Contribution: Conceptualization (supporting), Methodology (equal), Visualization (supporting), Writing - review & editing (equal)

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Anderson Ramos Carvalho

Anderson Ramos Carvalho

Programa de Pós-Graduação em Ciências Farmacêuticas, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil

Contribution: Methodology (supporting), Visualization (supporting), Writing - review & editing (supporting)

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Mario Lettieri Teixeira

Mario Lettieri Teixeira

Laboratório de Farmacologia, Instituto Federal Catarinense, Campus Concórdia, Concórdia, Brazil

Contribution: Conceptualization (equal), Methodology (equal), Validation (equal), Writing - review & editing (equal)

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Irene Clemes Külkamp-Guerreiro

Irene Clemes Külkamp-Guerreiro

Programa de Pós-Graduação em Nanotecnologia Farmacêutica, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil

Contribution: Supervision (supporting), Validation (supporting), Writing - review & editing (supporting)

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Saulo F. Andrade

Saulo F. Andrade

Programa de Pós-Graduação em Ciências Farmacêuticas, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil

Contribution: Project administration (equal), Supervision (equal), Validation (equal), Writing - review & editing (equal)

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Alexandre Meneghello Fuentefria

Alexandre Meneghello Fuentefria

Programa de Pós-Graduação em Ciências Farmacêuticas, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil

Contribution: Conceptualization (equal), Data curation (equal), Methodology (equal), Project administration (equal), Supervision (equal), Validation (equal), Writing - review & editing (equal)

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First published: 26 March 2021
Citations: 6

Abstract

Dermatophytosis is a superficial fungal infection that affects humans and is very common in small animals. The treatment using the most commonly used antifungals is failing, and new therapeutic alternatives are required to combat the resistance of these fungal infections. Previous studies by the group have shown that clioquinol is an important therapeutic alternative in the treatment of dermatophytosis. The object was to conduct studies of antidermatophytic activity and the irritant potential from the double and triple combinations of clioquinol, terbinafine and ciclopirox in ex vivo and in vivo alternative models. To evaluate the irritant potential of antifungal combinations, the alternative HET-CAM method (chicken egg test chorioallantoic membrane) was used. Ex vivo models were used to assess the effectiveness of antifungal combinations, using pig hooves and veterinary fur. Any possible tissue damage was to assess through in histopathology of swine ears. HET-CAM results showed that all combinations can be classified as non-irritating, corroborated by the results of the histopathological evaluation of the pig's ear skin. Only the double combinations managed to remove 100% of the colony-forming units (CFU) formed on the pig's hooves. The clioquinol + terbinafine combination and the triple combination were more effective than clioquinol + ciclopirox in eradicating the preformed biofilm in fur of veterinary origin. These results show the potential of formulations of clioquinol in combination with antifungals for use in humans and in the veterinary field to combat dermatophytosis, as an important alternative therapy, for use in the near future.

CONFLICT OF INTEREST

No conflict of interest declared.

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