Evidence map›Paper›PMID 38704491›Full record

ArticleInfectious diseases and therapy2024

Penetration Profiles of Four Topical Antifungals in Mycotic Human Toenails Quantified by Matrix-Assisted Laser Desorption Ionization-Fourier Transform Ion Cyclotron Resonance Imaging.

Nicolas Joly-Tonetti, Raphael Legouffe, Aurore Tomezyk, Clémence Gumez, Mathieu Gaudin, David Bonnel, Martin Schaller

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Article in Infectious diseases and therapy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Nicolas Joly-TonettiGalderma SA, Avenue d'Ouchy 4, 1006, Lausanne, Switzerland. nicolas.joly-tonetti@galderma.com.ORCID http://orcid.org/0009-0008-8491-6978
Raphael LegouffeAliri, Parc Eurasanté, 152 Rue du Dr Yersin, 59120, Loos, France.ORCID http://orcid.org/0000-0002-2421-1385
Aurore TomezykAliri, Parc Eurasanté, 152 Rue du Dr Yersin, 59120, Loos, France.
Clémence GumezAliri, Parc Eurasanté, 152 Rue du Dr Yersin, 59120, Loos, France.
Mathieu GaudinAliri, Parc Eurasanté, 152 Rue du Dr Yersin, 59120, Loos, France.ORCID http://orcid.org/0009-0002-1607-0313
David BonnelAliri, Parc Eurasanté, 152 Rue du Dr Yersin, 59120, Loos, France.ORCID http://orcid.org/0009-0004-4159-261X
Martin SchallerDepartment of Dermatology, Eberhard-Karls-University, Liebermeisterstr. 25, 72076, Tübingen, Germany.ORCID http://orcid.org/0000-0002-7930-1919

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionOnychomycosis is a fungal infection of the nails that can be challenging to treat. Here, matrix-assisted laser desorption ionization-Fourier transform ion cyclotron resonance (MALDI-FTICR) imaging was applied to the quantitative analysis of the penetration profile of the antifungal compound, amorolfine, in human mycotic toenails. The amorolfine profile was compared with those of three other antifungals, ciclopirox, naftifine, and tioconazole.

methodsAntifungal compounds (amorolfine 5% lacquer, ciclopirox 8% lacquer, naftifine 1% solution, and tioconazole 28% solution) were applied to mycotic nails (n = 42). Nail sections were prepared, and MALDI-FTICR analysis was performed on the sections at a spatial resolution of 70 μm to compare the distribution profiles. Based on the minimum inhibitory concentrations of the four test compounds needed to kill 90% (MIC

resultsThe penetration profiles indicated higher concentrations of amorolfine and ciclopirox in the deeper layers of the nails 3 h after treatment, compared with naftifine and tioconazole. The mean concentrations across the entire nail sections at 3 h were significantly different among the four antifungals: amorolfine, 2.46 mM; ciclopirox, 0.95 mM; naftifine, 0.63 mM; and tioconazole, 1.36 mM (p = 0.016; n = 8 per compound). The median multiplicity of the MIC

conclusionIn this study, MALDI-FTICR was successfully applied to the quantitative analysis of antifungal distribution in human mycotic nails. The findings suggest that amorolfine penetrates deeper layers of the nail and accumulates at concentrations far exceeding the MIC needed to exert antimycotic activity.

Indexed as

AmorolfineCiclopiroxInfectionMALDI-FTICRMALDI-MSINaftifineNailsOnychomycosisTioconazoleTrichophyton rubrum

Identifiers

PMID38704491
PMCPMC11128420

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