There are historical reports on the use of many oils and plant extracts as topical antiseptics with antimicrobial properties. Nowadays, it is recognized the importance of studying more deeply substances that are extracted from plants that have great potential as sources of new antimicrobial compounds. In addition to the antimicrobial potential that medicinal plant oils may have, these compounds have the advantage of forming a complex of active principles that can act directly on microorganisms (Brighenti et al., 2014, Girondi et al., 2017, Angane M et al., 2022, Swamy Mk et al., 2022). In the present work, the action of fifteen different essential oils from eight different families were analyzed. Those that shared a family are: i) Tagetes minuta and Matricaria recutita, both from Asteraceae and rich in terpenoids and flavonoids (Dantas JBL et al., 2022, Kumar A et al., 2022); ii) Foeniculum vulgare and Petroselinum sativum from Apiaceae, widely used as a condiment and also implemented in natural medicine (Elmadawy AA et al., 2022, Lauricella M et al., 2022); iii) Mentha pulegium and Thymus vulgaris (Lamiaceae); iv) Pinus sylvestris and Pinus ponderosa (Pinaceae). Other distinct family species were also used in the present work: Amaryllidaceae, Boraginaceae, Rubiaceae, Myrtaceae and Rutaceae (Table 1). Interestingly, the two most active essential oils are from different families. Previous studies also show a great inter-species variation in biological activity (Brighenti et al., 2014; Brighenti et al., 2017; Teodoro et al., 2015). The two essential oils that had the best results in the evaluated MIC were Allium sativum and Thymus vulgaris and these were chosen for further analysis in biofilms formed by C. albicans. Allium sativum essential oil has been used for culinary and health purposes (Rybak et al., 2004). Its composition is formed by organosulfur, potent anti-inflammatory and chronic disorders (Dewi et al., 2017; Ruhee et al., 2020). Other biological effects, such as antimicrobial and also antioxidant, were also reported. Besides that others interesting properties such as antiobesity and even antidiabetic properties was described as well (Shang et al., 2019). Its main biocompound is 4-methyl-2-phenylpyrimidine, 2-(([2-ethylhexyl]oxy)carbonyl)benzoic acid, (9-Hexacosene and clionasterol (Oh KK 2022). Thyme has been largely used in folk medicine (Kuete V 2017). Six T. vulgaris essential oils biocompounds are known: carvacrol, α-terpineol geraniol, α-terpineol, thujanol-4 and thymol. Besides, T. vulgaris essential oils are known to have anti-inflammatory, immune response modulator action (Mahboubi M et al., 2018, Segvić Klarić M et al., 2007, De Oliveira et al., 2017).
Minimal inhibitory concentration (MIC) determination of an antimicrobial agent is usually performed to find the ideal concentration capable of controlling microorganism’s proliferation (Levison ME Levison JH 2009). In this sense, studies of MIC of essential oils in the present work provided results of the ideal concentration to obtain fungicidal and fungistatic actions. Among all essential oils studied, T. vulgaris and Allium sativum showed effect at a lower concentration in comparison to the other essential oils and were used for the treatment of mature biofilms. Pharmaceutical preparations based on essential oils are, in general, safe if the right amount and concentrations are used (Tisserand R et al., 2013). These threshold concentrations are usually based on literature evidence from previous studies performed to determine the threshold concentration to be used in formulations for both topical use and inhalation solutions (Tisserand R et al., 2013). Because essential oils are liquid, pure substances that contain a wide variety of phytocompounds that may have different pharmacological activities. There is a safe range of concentration that can be used in the formulations. In this sense, the concentrations of the essential oils chosen for biofilm treatment in the present work are within this safety margin (Oliveira et al 2017, Zhou et al 2020).
Allium sativum and T. vulgaris showed anti-biofilm effect on biofilms of C. albicans (ATCC MYA-2876 and ATCC 18804) in all tested scenarios, both after 1 and 5 min treatment periods.
Our findings corroborate with previous work that evaluated the anti-biofilm activity of the same plants in other microbial species. These studies showed better antimicrobial effects against Bacillus subtilis, Enterococcus faecalis, Listeria monocytogenes, Staphylococcus aureus, Staphylococcus epidermidis, Enterobacter aerogenes, Escherichia coli, Pseudomonas aeruginosa, Pseudomonas fluorescens, Salmonella enteritidis, Salmonella typhimurium, Candida albicans, Trypanosoma brucei brucei, Leishmania tarentolae when compared to chlorhexidine 0.2% at the same exposure time (Krstin S et al., 2018, et al., 2018). In addition, another group reported the inhibitory effect of A. sativum extract and the synergism of this extract with bakuchiol (an compound isolated from the seeds of Psoralea corylifolia) on C. albicans mono- and multispecies species biofilms (C. albicans, S. sanguinis and S. mitis) (Fahim A et al., 2020). Besides, Mendoza-Juache A et al., 2017 reported that Candida albicans, Candida glabrata, Candida tropicalis, and Candida krusei clinical isolates were more susceptible to A. sativum essential oil when compared to fluconazole in both planktonic and in biofilm forms. The MIC of the A. sativum oil for C. albicans was 236.2 µg/ml, 321 µg/ml for C. glabrata, 188 µg/ml for C. tropicalis, and, 503 µg/ml for C. krusei. The antibiofim effect of A. sativum essential oil against Candida spp. biofilms were reached at 603.1 µg/ml (C. albicans); 640.6 µg/ml (C. glabrata) and 667 µg/ml (C. tropicalis). The concentrations in this present work were higher than previous work (Mendoza-Juache A et al., 2017). Moreover, in our study we performed cytotoxicity analyses which can contribute even more to the dentistry field and to the studies involving oral infections by Candida spp..
T. vulgaris essential oil inhibited C. albicans (ATCC MYA-2876 and ATCC 18804) biofilms after 1 and 5 min treatments with similar effects when compared to 0.12% chlorhexidine digluconate. Antibacterial and antifungal effect of T. vulgaris and its main active compounds have been studied (Marchese A et al., 2016). Jafri H & Ahmad I 2019) showed that association of T. vulgaris essential oil with thymol or these agents individually significantly reduced the viability of C. albicans and C. tropicalis biofilms. Time kill curves (0–50 hours) for the essential oil against C. albicans and C. tropicalis biofilms were determined. Microscopy and SEM analyses revealed disaggregation of biofilm and reduced hyphae formation after treatments with T. vulgaris or thymol (Jafri H & Ahmad I 2020).
T. vulgaris essential oil contains high percentage of phenolic compounds, such as thymol (Jafri H & Ahmad I 2020, Bogavac M et al., 2015). Thymol showed a lower MIC value for C. albicans (39 µg/mL; de Castro et al., 2015) in comparison to the results of the present study (337.5 µg/ml for C. albicans MYA-2876 and 168.7 µg/ml for C. albicans 18804). While it is expected that an improvement in MIC values is achieved with isolated compounds, the present work is justified by the fact that this is not a consensus in the literature: previous studies showed higher MIC values of the isolated compounds in comparison to the crude extract, which might be explained by the loss of biological activity due to loss of synergy between different compounds that might be observed in the crude extract (Brighenti et al., 2016; Teodoro et al., 2015). Recently, the anti-inflammatory and healing activity of thymol was detailed described (Gabbai-Armelin PR et al., 2022).
Investigation of the cytotoxicity effect of the oils is crucial to support future clinical application. For cytotoxicity analyses, our results were expressed as percentage of viable cells (%) in relation to non-treated negative control (100% viability). Percentages of cell viability was classified as non-cytotoxic (> 90%), slightly cytotoxic (60–90%), moderately cytotoxic (59 − 30%) and severely cytotoxic (29% − 0%) (Sletten, Dahl, 1999). In the present study, the cytotoxicity of essential oils at 10 times MIC was assessed. Thymus vulgaris was classified as slightly cytotoxic. This finding is in accordance to previous study that analyzed the cytotoxic activity of T. vulgaris essential oils against other cell lines, obtaining lower cytotoxicity values than doxorubicin used as a reference drug in the trial (Hassan et al 2019).
A. sativum was moderately cytotoxic. Previous studies on the cytotoxicity of A. sativum at the concentrations used in this study were not detected. The moderate cytotoxicity observed for A. sativum in this study can be solved by the manipulation of these oils in the forms of nanocarriers or nanoemulsions. de Bastiani et al, 2020. used alginate-based nanocarriers to encapsulate antifungals from the azo and polyene groups, promoting sustained release and decreasing of their toxicity. In other studies, formulations were developed to treat candidiasis oral in the form of nanoemulsions, such as amphotericin nanoemulsion, avoiding systemic absorption and reducing side effects (Sosa et al 2017, Butani et al, 2016). These preparations allowed a sustainable release of the drug, making it possible to decrease the concentration used and, consequently, to decrease the toxicity (de Bastini et al 2020, Butani et al, 2016, Sosa et al 2017).
It is important to highlight that both A. sativum and T. vulgaris essential oils were less toxic than chlorhexidine digluconate, as a previous study classified it as highly toxic (Albuquerque 2019) such as the data used as a reference in this study (Borges et al. 2017).
Future studies may contribute even more to the understanding the action of these essential oils on biofilms formed by strains different from those studied in this work, such as Candida glabrata, Candida tropicalis and Candida krusei, both clinical and standard strains. It will also be very important to understand the synergistic action of these essential oils on biofilms formed by Candida sp. In addition, studies analyzing the action of these essential oils in induced infections in vivo and how these essential oils can modulate the immune response during these infections may also contribute a lot to the area of dentistry that studies diseases caused by oral infections, such as candidiasis.
The results obtained in this study for T. vulgaris and A. sativium essential oils open promising possibilities for the elaboration of mouthwashes and topical formulations to improve conventional treatment of oral candidiasis and the quality of life of patients.