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Non-thermal atmospheric plasma treatment of onychomycosis in an in vitro human nail model
Journal article   Open access   Peer reviewed

Non-thermal atmospheric plasma treatment of onychomycosis in an in vitro human nail model

Jeffry M Bulson, Dionysios Liveris, Irina Derkatch, Gary Friedman, Jan Geliebter, Sin Park, Sarnath Singh, Marc Zemel and Raj K Tiwari
Mycoses, v 63(2), pp 225-232
Feb 2020
PMID: 31677288
url
https://doi.org/10.1111/myc.13030View
Published, Version of Record (VoR)CC BY-NC-ND V4.0 Open

Abstract

Cadaver Candida albicans - drug effects Candidiasis - therapy Confidence Intervals Dose-Response Relationship, Drug Foot Dermatoses - therapy Humans Onychomycosis - therapy Plasma Gases - administration & dosage Tinea - therapy Trichophyton - drug effects
Onychomycosis affects almost 6% of the world population. Topical azoles and systemic antifungal agents are of low efficacy and can have undesirable side effects. An effective, non-invasive therapy for onychomycosis is an unmet clinical need. Determine the efficacy threshold of non-thermal atmospheric plasma (NTAP) to treat onychomycosis in an in vitro model. A novel toe/nail-plate model using cadaver nails and agarose media inoculated with Candida albicans was exposed to a range of NTAP doses. Direct exposure of C albicans and Trichophyton mentagrophytes to 12 minutes of NTAP results in complete killing at doses of 39 and 15 kPulses, respectively. Onset of reduced viability of C albicans to NTAP treatment through the nail plate occurs at 64 kPulses with 10× and 100× reduction at 212 and 550 kPulses, respectively. NTAP is an effective, non-invasive therapeutic approach to onychomycosis that should be evaluated in a clinical setting.

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Collaboration types
Domestic collaboration
Web of Science research areas
Dermatology
Mycology
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