Green natural nail polish modified with essential oils to treat onychomycosis

Mycoses. 2022 Dec;65(12):1127-1136. doi: 10.1111/myc.13499. Epub 2022 Jul 31.

Abstract

Background: Onychomycosis (OM) accounts for about 50% of nail disorders in industrialised countries. Essential oils (EOs), aromatic natural compounds, are known for their antimicrobial activity.

Objective: The aim of this work was to evaluate the antifungal efficacy of seven EOs and a commercial MIX against 10 dermatophytes responsible for OM to select the most effective ones to be included in a preventive or curative formulation based on a green natural nail polish (GNNP).

Methods: Micro-broth dilution tests in line with EUCAST guidelines and olfactory satisfaction test were performed to select the best natural compounds previously analysed by SPME coupled with GC-MS. The same method was used to evaluate the release over time of the active compounds present in the two modified-GNNPs made by adding the best natural compound selected (the C. citratus EO) and the MIX. Furthermore, to evaluate the preventive and curative activity of modified-GNNPs, ex vivo experiments on healthy or colonised nails were performed.

Results and conclusions: Data showed that MIX-modified-GNNP had preventive activity as it inhibits the fungal growth by releasing its active ingredients for 7 days, while the OE-modified GNNP acts as a natural drug showing cytocidal activity on nails colonised by dermatophytes, but it requires two weekly applications.

Keywords: Cymbopogon citratus; citral; dermatophytes; essential oils; finger nail; onychomycosis.

MeSH terms

  • Antifungal Agents / pharmacology
  • Antifungal Agents / therapeutic use
  • Humans
  • Nails
  • Oils, Volatile* / pharmacology
  • Oils, Volatile* / therapeutic use
  • Onychomycosis* / drug therapy

Substances

  • Antifungal Agents
  • Oils, Volatile