Apitherapy applied to the treatment of onychomycosis: a critical review of the literature on propolis

Authors

DOI:

https://doi.org/10.33448/rsd-v11i13.35312

Keywords:

Onychomycosis; Antifungal Agents; Propolis; Dermatophytes; Apitherapy.

Abstract

Onychomycosis is a nail infection caused by fungi, affects about 5.5% of the world population, and is more frequent in individuals over 60. The agents of infection are dermatophyte fungi (60% to 70%), non-dermatophyte filamentous fungi and yeast (together they add up to 30% to 40%). Treatment includes topical or oral antifungal drugs, and treatment time ranges from three months to more than a year. Alternative therapies are used empirically based on popular culture. The aim of this study was to review the literature on the use and effectiveness of propolis and its derivatives in the treatment of nail mycosis. For this, virtual libraries, search sites and databases were used: Scielo, Pubmed and Portal Periodicals of CAPES, including publications until February 2022. The search words (in Portuguese and in their respective versions in English) were: (“onychomycosis” OR “tinea unguium” OR “nail mycosis”) AND (“treatment” OR “therapy”) AND (“propolis”). Eight articles were included in this study, and the majority (five) evaluated the activity of propolis in vitro on fungal agents of nail mycosis, two studies simultaneously evaluated propolis in the treatment of onychomycosis in vivo, in vitro and ex vivo and one study analyzed the in vivo treatment. Thus, it was found that propolis has antifungal activity and can be considered as a complementary or alternative therapy for the treatment of onychomycosis.

References

Baswan, S., Kasting, G. B., Li, S. K., Wickett, R., Adams, B., Eurich, S., & Schamper, R. (2017). Understanding the formidable nail barrier: A review of the nail microstructure, composition and diseases. Mycoses, 60(5), 284–295. https://doi.org/10.1111/myc.12592

Brasil. (2006) Ministério da Saúde. Política Nacional de Práticas Integrativas e Complementares no SUS - PNPIC-SUS. Brasília.

Brasil. (2018) Ministério da Saúde. Glossário temático: práticas integrativas e complementares em saúde. Brasília.

Brasil. (2020) Ministério da Saúde. Práticas integrativas e complementares. Brasília. https://saude.gov.br/saude-de-a-z/praticas-integrativas-e-complementares, 19 de setembro de 2020.

Burdock, G. (1998). Review of the biological properties and toxicity of bee propolis (propolis). Food and Chemical Toxicology, 36(4), 347–363.

Callejo, A., Armentia, A., Lombardero, M., & Asensio, T. (2001) Propolis, a new bee-related allergen. Allergy 56:579.

Cordeiro, A. M., Oliveira, G. M. D., Rentería, J. M., & Guimarães, C. A. (2007). Systematic review: a narrative review. Revista do Colégio Brasileiro de Cirurgiões. 34(6), 428-431.

Galletti, J., Tobaldini-Valerio, F. K., Silva, S., Kioshima, É. S., Trierveiler-Pereira, L., Bruschi, M., Negri, M., & Estivalet Svidzinski, T. I. (2017). Antibiofilm activity of propolis extract on Fusarium species from onychomycosis. Future microbiology, 12, 1311–1321. https://doi.org/10.2217/fmb-2017-0052

Groot A. C. (2013). Propolis: a review of properties, applications, chemical composition, contact allergy, and other adverse effects. Dermatitis: contact, atopic, occupational, drug, 24(6), 263–282. https://doi.org/10.1097/DER.0000000000000011

Gupta, A., Daigle, D., & Foley, K. (2015). The prevalence of culture confirmed toenail onychomycosis in at-risk patient populations. Journal of the European Academy of Dermatology and Venereology, 29(6), 1039-1044.

Gupta, A. K., Versteeg, S. G., & Shear, N. H. (2017). Onychomycosis in the 21st Century: An Update on Diagnosis, Epidemiology, and Treatment. Journal of cutaneous medicine and surgery, 21(6), 525–539. https://doi.org/10.1177/1203475417716362

Hausen, B. M., Wollenweber, E., Senff, H., & Post, B. (1987). Propolis allergy. (I). Origin, properties, usage and literature review. Contact dermatitis, 17(3), 163–170. https://doi.org/10.1111/j.1600-0536.1987.tb02699.x

Hausen, B. M., Evers, P., Stüwe, H. T., König, W. A., & Wollenweber, E. (1992). Propolis allergy (IV). Studies with further sensitizers from propolis and constituents common to propolis, poplar buds and balsam of Peru. Contact dermatitis, 26(1), 34–44. https://doi.org/10.1111/j.1600-0536.1992.tb00865.x

Khosravi, A. R., Shokri, H., Nikaein, D., Mansouri, P., Erfanmanesh, A., Chalangari, R., & Katalin, M. (2013). Yeasts as important agents of onychomycosis: in vitro activity of propolis against yeasts isolated from patients with nail infection. Journal of alternative and complementary medicine (New York, N.Y.), 19(1), 57–62. https://doi.org/10.1089/acm.2011.0722

Khurshid, Z., Naseem, M., Zafar, M. S., Najeeb, S., & Zohaib, S. (2017). Propolis: A natural biomaterial for dental and oral healthcare. Journal of dental research, dental clinics, dental prospects, 11(4), 265–274. https://doi.org/10.15171/joddd.2017.046

Koc, A. N., Silici, S., Ayangil, D., Ferahbaş, A., & Cankaya, S. (2005). Comparison of in vitro activities of antifungal drugs and ethanolic extract of propolis against Trichophyton rubrum and T. mentagrophytes by using a microdilution assay. Mycoses, 48(3), 205–210. https://doi.org/10.1111/j.1439-0507.2005.01128.x

Lipner, S. R., & Scher, R. K. (2019). Onychomycosis: Clinical overview and diagnosis. Journal of the American Academy of Dermatology, (80) 4, 835-851.

Longhini, R., Raksa, S. M., Oliveira, A. C. P., Svidzinski, T. I. E., & Franco, S. L. (2007). Obtenção de extratos de própolis sob diferentes condições e avaliação de sua atividade antifúngica. Revista Brasileira de Farmacognosia, 17(3), 388–395. https://doi.org/10.1590/s0102-695x2007000300015

Lustosa, S. R., Galindo, A. B., Nunes, L. C. C., Randau, K. P., & Rolim Neto, P. J. (2008). Própolis: atualizações sobre a química e a farmacologia. Revista Brasileira de Farmacognosia, 18(3), 447–454. https://doi.org/10.1590/s0102-695x2008000300020

Machado, C. S., Mokochinski, J. B., Lira, T. O. d., de Oliveira, F. d. C. E., Cardoso, M. V., Ferreira, R. G., Frankland Sawaya, A. C. H., Ferreira, A. G., Pessoa, C., Cuesta-Rubio, O., Monteiro, M. C., de Campos, M. S., & Torres, Y. R. (2016). Comparative Study of Chemical Composition and Biological Activity of Yellow, Green, Brown, and Red Brazilian Propolis. Evidence-Based Complementary and Alternative Medicine, 2016, 1–11. https://doi.org/10.1155/2016/6057650

Menniti-Ippolito, F., Mazzanti, G., Vitalone, A., Firenzuoli, F., & Santuccio, C. (2008). Surveillance of suspected adverse reactions to natural health products: the case of propolis. Drug safety, 31(5), 419–423. https://doi.org/10.2165/00002018-200831050-00007

Oliveira, A. C. P., Shinobu, C. S., Longhini, R., Franco, S. L., & Svidzinski, T. I. E. (2006). Antifungal activity of propolis extract against yeasts isolated from onychomycosis lesions. Memórias do Instituto Oswaldo Cruz, 101(5), 493–497. https://doi.org/10.1590/s0074-02762006000500002

Papini, M., Piraccini, B. M., Difonzo, E., & Brunoro, A. (2015). Epidemiology of onychomycosis in Italy: prevalence data and risk factor identification. Mycoses, 58(11), 659–664. https://doi.org/10.1111/myc.12396

Park, Y. K., Ikegaki, M., & de Alencar, S.M. (2000). Classificação das própolis brasileira a partir de suas características físico-químicas e propriedades biológicas. Mensagem Doce, 58(1), 2–7.

Park, Y. K., Alencar, S. M., & Aguiar, C. L. (2002). Botanical origin and chemical composition of Brazilian propolis. Journal of agricultural and food chemistry, 50(9), 2502–2506. https://doi.org/10.1021/jf011432b

Pasupuleti, V. R., Sammugam, L., Ramesh, N., & Gan, S. H. (2017). Honey, Propolis, and Royal Jelly: A Comprehensive Review of Their Biological Actions and Health Benefits. Oxidative medicine and cellular longevity, 2017, 1259510. https://doi.org/10.1155/2017/1259510

Santos, L. M., Fonseca, M. S., Sokolonski, A. R., Deegan, K. R., Araújo, R. P., Umsza-Guez, M. A., Barbosa, J. D., Portela, R. D., & Machado, B. A. (2020). Propolis: types, composition, biological activities, and veterinary product patent prospecting. Journal of the science of food and agriculture, 100(4), 1369–1382. https://doi.org/10.1002/jsfa.10024

Tsentemeidou, A., Vyzantiadis, T. A., Kyriakou, A., Sotiriadis, D., & Patsatsi, A. (2017). Prevalence of onychomycosis among patients with nail psoriasis who are not receiving immunosuppressive agents: Results of a pilot study. Mycoses, 60(12), 830–835. https://doi.org/10.1111/myc.12681

Vasconcellos-Pontello, V., Veiga, F. F., Gadelha, M. C., Ribeiro, M., Negri, M., & Estivalet Svidzinski, T. I. (2021). The Success of Topical Treatment of Onychomycosis Seems to Be Influenced by Fungal Features. Evidence-based complementary and alternative medicine: eCAM, 2021, 5553634. https://doi.org/10.1155/2021/5553634

Veiga, F. F., Costa, M. I., Cótica, É., Svidzinski, T., & Negri, M. (2018a). Propolis for the Treatment of Onychomycosis. Indian journal of dermatology, 63(6), 515–517. https://doi.org/10.4103/ijd.IJD_365_17

Veiga, F. F., Gadelha, M. C., da Silva, M., Costa, M. I., Kischkel, B., de Castro-Hoshino, L. V., Sato, F., Baesso, M. L., Voidaleski, M. F., Vasconcellos-Pontello, V., Vicente, V. A., Bruschi, M. L., Negri, M., & Svidzinski, T. (2018b). Propolis Extract for Onychomycosis Topical Treatment: From Bench to Clinic. Frontiers in microbiology, 9, 779. https://doi.org/10.3389/fmicb.2018.00779

Velasquez-Agudelo, V., & Cardona-Arias, J. A. (2017). Meta-analysis of the utility of culture, biopsy, and direct KOH examination for the diagnosis of onychomycosis. BMC infectious diseases, 17(1), 166. https://doi.org/10.1186/s12879-017-2258-3

Zisova, L., Valtchev, V., Sotiriou, E., Gospodinov, D., & Mateev, G. (2012). Onychomycosis in patients with psoriasis--a multicentre study. Mycoses, 55(2), 143–147. https://doi.org/10.1111/j.1439-0507.2011.02053.x

Published

10/10/2022

How to Cite

PERISSATO, B. L. .; PEDROSO, R. dos S. Apitherapy applied to the treatment of onychomycosis: a critical review of the literature on propolis. Research, Society and Development, [S. l.], v. 11, n. 13, p. e381111335312, 2022. DOI: 10.33448/rsd-v11i13.35312. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/35312. Acesso em: 19 apr. 2024.

Issue

Section

Review Article