ABSTRACT
A viscous solution of low molecular weight chitosan (CH) at 5% w/v (10.2 kDa, 75 % deacetylated, 1451 cP at 25 °C) was associated with a microemulsion (ME) that undergoes a phase transition after water absorption in situ (≈28 % w/w), forming a more viscous liquid crystal, which was potentially evaluated as a topical vehicle. The ME was selected from a phase diagram, selecting a composition based on Tween® 80 (52 %), myristate isopropyl (28 %), and the aqueous phase (water and polyethylene glycol 400, 60:40 w/w) (20 %), which was after replaced by CH and herbal medicines (HM). HM are alternatives to treat candidiasis, and Stryphnodendron adstringens shell extract, characterized by molecular networking, and Melaleuca alternifolia Chell essential oil (46 % of terpinen-4-ol), showed in vitro activity against Candida albicans. Associating CH in ME improved the mechanical properties of the topical formulation, as adhesiveness, which is an advantageous feature for the topical treatment of vulvovaginal candidiasis.
Subject(s)
Candida albicans/drug effects , Chitosan/chemistry , Fabaceae/chemistry , Melaleuca/chemistry , Tea Tree Oil/chemistry , Candida albicans/growth & development , Catechin/chemistry , Catechin/isolation & purification , Catechin/pharmacology , Emulsions , Flavonoids/chemistry , Flavonoids/isolation & purification , Flavonoids/pharmacology , Liquid Crystals/chemistry , Microbial Sensitivity Tests , Molecular Weight , Myristates/chemistry , Plant Extracts/chemistry , Polyethylene Glycols/chemistry , Polysorbates/chemistry , Proanthocyanidins/chemistry , Proanthocyanidins/isolation & purification , Proanthocyanidins/pharmacology , Rheology , Tea Tree Oil/pharmacology , Water/chemistryABSTRACT
BACKGROUND: Antimicrobial photodynamic therapy (PDT) has emerged as an alternative therapeutic strategy to conventional procedures using antibiotics. A mouthwash based on a microemulsion with curcumin for disinfecting the oral cavity in combination with PDT was developed. METHODS: A pseudo-ternary phase diagram was constructed to select the microemulsion, and a physicochemical characterization of the selected formulation was performed. Curcumin was quantified using spectrophotometry. The stability of the formulation with curcumin was evaluated after storage for 60 days at 40⯰C, and the in vitro effectiveness of the formulation associated with PDT was evaluated using a light-emitting diode at 430â¯nm (blue) with two irradiation times (10 and 30â¯min) on biofilms of Candida albicans, methicillin-resistant Staphylococcus aureus (MRSA), and Escherichia coli. RESULTS: The formulation registered a pH of 6.24, apparent viscosity of 1.64â¯cP, Newtonian rheological behavior, droplet size of 14⯱â¯1â¯nm, polydispersity index of 0.151, and zeta potential of -7.7â¯mV. The preparation remained stable after storage for 60 days. There was a significant CFU.â¯mL-1 reduction in all tested microorganisms after treatment combining PDT and curcumin microemulsion (30 or 60⯵g.mL-1), and the largest reductions were 5.6175 log10 CFU.â¯mL-1 in E. coli (10' and 30', both with 30⯵g.mL-1); 5.181 log10 CFU.â¯mL-1 in MRSA (30' and 30⯵g.mL-1); and 3.497 log10 CFU.â¯mL-1 in C. albicans (30' and 60⯵g.mL-1). CONCLUSIONS: The formulation containing curcumin in combination with antimicrobial PDT showed promising results in vitro, and this potential formulation awaits further evaluation in clinical trials.