Comparative Antifungal Activity of Medicinal Plant Extracts and Essential Oils Against Clinical Isolates of Candida albicans from Denture Stomatitis Patients
Abstract
1. Introduction
2. Results
2.1. Antifungal Susceptibility of Clinical Isolates of C. albicans
2.2. Comparative Antifungal Activity of Plant Extracts and Essential Oils
2.3. MIC Distribution and Comparison with Nystatin
2.4. Confirmation by Agar Disc Diffusion Assay
2.5. Chemical Profile of Zingiber officinale Essential Oil
3. Discussion
4. Materials and Methods
4.1. Preparation of Plant Extracts and Essential Oils
4.2. Clinical Fungal Isolation
4.3. Preparation of Antifungal Test and Determination of Minimum Inhibitory Concentrations (MICs)
4.4. Agar Disc Diffusion Assay
4.5. Gas Chromatography–Mass Spectrometry (GC–MS) Analysis of Ginger Essential Oil
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Data Availability Statement
Conflicts of Interest
References
- Zainal, M.; Mohamad Zain, N.; Mohd Amin, I.; Ahmad, V.N. The antimicrobial and antibiofilm properties of allicin against Candida albicans and Staphylococcus aureus—A therapeutic potential for denture stomatitis. Saudi Dent. J. 2021, 33, 105–111. [Google Scholar] [CrossRef] [PubMed]
- Weinstein, M.P.; Lewis, J.S., 2nd. The Clinical and Laboratory Standards Institute Subcommittee on Antimicrobial Susceptibility Testing: Background, Organization, Functions, and Processes. J. Clin. Microbiol. 2020, 58, e01864-19. [Google Scholar] [CrossRef]
- Somer, L.; Roik, J.R.; Ribeiro, M.A.; Urban, A.M.; Schoeffel, A.; Urban, V.M.; Farago, P.V.; Castro, L.V.; Sato, F.; Jacinto, C.; et al. Nystatin complexation with β-cyclodextrin: Spectroscopic evaluation of inclusion by FT-Raman, photoacoustic spectroscopy, and 1H NMR. Mater. Chem. Phys. 2020, 239, 122117. [Google Scholar] [CrossRef]
- Spettel, K.; Barousch, W.; Makristathis, A.; Zeller, I.; Nehr, M.; Selitsch, B.; Lackner, M.; Rath, P.M.; Steinmann, J.; Willinger, B. Analysis of antifungal resistance genes in Candida albicans and Candida glabrata using next generation sequencing. PLoS ONE 2019, 14, e0210397. [Google Scholar] [CrossRef] [PubMed]
- Jassoma, E.; Baeesa, L.; Sabbagh, H. The antiplaque/anticariogenic efficacy of Salvadora persica (Miswak) mouthrinse in comparison to that of chlorhexidine: A systematic review and meta-analysis. BMC Oral Health 2019, 19, 64. [Google Scholar] [CrossRef]
- Mazandarani, M.; Mirdeilami, S.Z.; Pessarakli, M. Essential oil composition and antibacterial activity of Achillea millefolium L. from different regions in North east of Iran. J. Med. Plant Res. 2013, 7, 1063–1069. [Google Scholar]
- Aydın, S.; Sevindik, E. Chillea millefolium L. subsp. millefolium essential oil’s antifungal effect. Eur. J. Biol. Res. 2018, 28, 153–156. [Google Scholar]
- McKay, D.L.; Blumberg, J.B. A review of the bioactivity and potential health benefits of chamomile tea (Matricaria recutita L.). Phytother. Res. 2006, 20, 519–530. [Google Scholar] [CrossRef]
- Osman, M.Y.; Taie, H.A.; Helmy, W.A.; Amer, H. Screening for antioxidant, antifungal, and antitumor activities of aqueous extracts of chamomile (Matricaria chamomilla). Egypt. Pharm. J. 2016, 15, 55–61. [Google Scholar]
- Azmodeh, F.; Hajikhani, S.H.; Alizadeh, S.A. Evaluation of the hydroalcoholic chamomile extract antifungal activity on Candida albicans-Invitro Study. J. Res. Dent. Sci. 2017, 13, 210–215. [Google Scholar] [CrossRef]
- Lee, S.; Jang, M.; Ryoo, R.; Roh, J.; Ko, S.-K.; Kim, K.H. New autophagy-modulating lanostane-type triterpenoids from a hallucinogenic poisonous mushroom Gymnopilus orientispectabilis. Arch. Pharm. Res. 2024, 47, 272–287. [Google Scholar] [CrossRef]
- Gil, T.-Y.; Kim, H.-J.; Kim, H.-M.; Sim, H.-Y.; Choi, W.; Lee, B.S.; Kim, K.H.; An, H.-J. Aster glehni ethanol extract inhibits inflammatory responses regulating skin barrier molecules in human keratinocytes. Nat. Prod. Sci. 2024, 30, 262–267. [Google Scholar] [CrossRef]
- Cho, C.H.; Chae, S.H.; Kim, S.H.; Kim, K.H. Phenolic compounds isolated from Juncus decipiens and their effects on osteoblast differentiation in the mouse mesenchymal stem cell line C3H10T1/2. Nat. Prod. Sci. 2024, 30, 135–142. [Google Scholar] [CrossRef]
- Bridget, A.F.; Budhathoki, R.; Huo, C.; Joshi, S.; Parajuli, N.; Sohng, J.K.; Kim, K.H. Activation of cryptic biosynthetic pathways in Saccharopolyspora spinosa through deletion of the spinosyn gene cluster: Induction of cryptic and bioactive natural products. Arch. Pharm. Res. 2025, 48, 514–527. [Google Scholar] [CrossRef]
- Kim, Y.; Chae, S.H.; Lee, D.; Lee, B.S.; Lim, J.; Jung, H.I.; Kim, K.H.; Kwak, B. Alternative models for anticancer drug discovery from natural products using binary tumor-microenvironment-on-a-chip. Adv. Sci. 2025, 12, e07944. [Google Scholar] [CrossRef] [PubMed]
- Hasona, N.A.; Ahmed, M.Q. Antioxidant and ameliorative effects of Zingiber officinale against aluminum chloride toxicity. Int. J. Chin. Med. 2017, 1, 124–131. [Google Scholar] [CrossRef][Green Version]
- Ayodele, O.A.; Akinyosoye, F.A.; Arotupin, D.J.; Owoyemi, O.O.; Oyindamola, A.B. Phytochemical screening and antifungal activities of Zingiber officinale (roscoe) on mycotoxigenic fungi associated with the deterioration of Pennisetum glaucum grains. J. Adv. Microbiol. 2018, 13, 1–11. [Google Scholar] [CrossRef]
- Karuppiah, P.; Rajaram, S. Antibacterial effect of Allium sativum cloves and Zingiber officinale rhizomes against multiple-drug resistant clinical pathogens. Asian Pac. J. Trop. Biomed. 2012, 2, 597–601. [Google Scholar] [CrossRef]
- Castro, J.C.; Pante, G.C.; Centenaro, B.M.; Almeida, R.T.R.; Pilau, E.J.; Dias Filho, B.P.; Mossini, S.A.G.; Abreu Filho, B.A.; Matioli, G.; Machinski Junior, M. Antifungal and antimycotoxigenic effects of Zingiber officinale, Cinnamomum zeylanicum and Cymbopogon martinii essential oils against Fusarium verticillioides. Food Addit. Contam. Part A Chem. Anal. Control Expo. Risk Assess. 2020, 37, 1531–1541. [Google Scholar] [CrossRef]
- Nerilo, S.B.; Romoli, J.C.; Nakasugi, L.P.; Zampieri, N.S.; Mossini, S.A.; Rocha, G.H.; Gloria, E.M.; Abreu Filho, B.A.; Machinski, M., Jr. Antifungal activity and inhibition of aflatoxins production by Zingiber officinale Roscoe essential oil against Aspergillus flavus in stored maize grains. Ciênc. Rural. 2020, 50, e20190779. [Google Scholar] [CrossRef]
- González-Guevara, J.C.; Redondo, G.L.; Zúñiga, R.V.; Sibaja, S.R. Comparison of the antifungal and antibacterial effect of the essential oil and ethanolic extract of the Zingiber officinale Rhizome (Ginger) cultivated in the San Carlos zone, Costa Rica in order to standardize a hydroponic medicinal cultivation of the same. J. Pharmacogn. Phytochem. 2020, 9, 43–45. [Google Scholar]
- Serpa, R.; França, E.J.G.; Furlaneto-Maia, L.; Andrade, C.G.T.J.; Diniz, A.; Furlaneto, M.C. In vitro antifungal activity of the flavonoid baicalein against Candida species. J. Med. Microbiol. 2012, 61, 1704–1708. [Google Scholar] [CrossRef]
- Chen, T.; Lu, J.; Kang, B.; Lin, M.; Ding, L.; Zhang, L.; Chen, G.; Chen, S.; Lin, H. Atifungal Activity and Action Mechanism of Ginger Oleoresin Against Pestalotiopsis microspora Isolated From Chinese Olive Fruits. Front. Microbiol. 2018, 9, 2583. [Google Scholar] [CrossRef]
- Fathi, A.F.; Lotfipour, F. Study on the invitro antimicrobial activity of Achillea millefolium and Equisetum arvense. Pak. J. Pharm. Sci. 1989, 2, 29–34. [Google Scholar]
- Aghazadeh, M.; Zahedi Bialvaei, A.; Aghazadeh, M.; Kabiri, F.; Saliani, N.; Yousefi, M.; Eslami, H.; Samadi Kafil, H. Survey of the Antibiofilm and Antimicrobial Effects of Zingiber officinale (In Vitro Study). Jundishapur J. Microbiol. 2016, 9, e30167. [Google Scholar] [CrossRef]
- Mohammadi, R.; Moattar, F. Antifungal activity of Zingiber officinale Rosc. essential oil against fluconazole resistant vaginal isolates of Candida albicans. J. Med. Plants 2007, 6, 22–27. [Google Scholar]
- Viana, A.S.; Mingeot-Leclercq, M.P.; de Almeida, R.F.M.; Silva, L.C. The molecular mechanism of Nystatin action is dependent on the membrane biophysical properties and lipid composition. Phys. Chem. Chem. Phys. 2017, 19, 30078–30088. [Google Scholar] [CrossRef]
- Naeini, A.; Naderi, N.J.; Shokri, H. Analysis and in vitro anti-Candida antifungal activity of Cuminum cyminum and Salvadora persica herbs extracts against pathogenic Candida strains. J. Mycol. Med. 2014, 24, 13–18. [Google Scholar] [CrossRef]
- Balto, H.; Al-Howiriny, T.; Al-Somily, A.; Siddiqui, Y.M.; Al-Sowygh, Z.; Halawany, H.; Shakoor, Z.; Al-Hadlaq, S. Screening for the antimicrobial activity of Salvadora persica extracts against Enterococcus faecalis and Candida albicans. Int. J. Phytomed. 2013, 5, 486. [Google Scholar]
- Noumi, E.; Snoussi, M.; Hajlaoui, H.; Valentin, E.; Bakhrouf, A. Antifungal properties of Salvadora persica and Juglans regia L. extracts against oral Candida strains. Eur. J. Clin. Microbiol. Infect. Dis. 2010, 29, 81–88. [Google Scholar] [CrossRef] [PubMed]
- Stockwell, M.P.; Clulow, J.; Mahony, M.J. Sodium chloride inhibits the growth and infective capacity of the amphibian chytrid fungus and increases host survival rates. PLoS ONE 2012, 7, e36942. [Google Scholar] [CrossRef] [PubMed]
- Amir Alireza, R.G.; Afsaneh, R.; Seied Hosein, M.S.; Siamak, Y.; Afshin, K.; Zeinab, K.; Mahvash, M.J.; Amir Reza, R. Inhibitory activity of Salvadora persica extracts against oral bacterial strains associated with periodontitis: An in-vitro study. J. Oral Biol. Craniofac. Res. 2014, 4, 19–23. [Google Scholar] [CrossRef]
- Kamaliroosta, Z.; Kamaliroosta, L.; Elhamirad, A.H. Isolation and identification of ginger essential oil. J. Food Biosci. Technol. 2013, 3, 73–80. [Google Scholar]
- Abdullahi, A.; Khairulmazmi, A.; Yasmeen, S.; Ismail, I.S.; Norhayu, A.; Sulaiman, M.R.; Ahmed, O.H.; Ismail, M.R. Phytochemical profiling and antimicrobial activity of ginger (Zingiber officinale) essential oils against important phytopathogens. Arab. J. Chem. 2020, 13, 8012–8025. [Google Scholar] [CrossRef]
- Temnov, M.S.; Ustinskaya, Y.V.; Meronyuk, K.I.; Bryankina, A.K.; Dvoretsky, D.S. Investigating the Impact of Cultivation Regimes on the Antibacterial Properties of Non-Polar Extracts of Chlorella sorokiniana and Anabaena sphaerica. Curr. Microbiol. 2025, 82, 500. [Google Scholar] [CrossRef]
- Jiang, Z.; Kullberg, B.J.; Van Der Lee, H.; Vasil, A.I.; Hale, J.D.; Mant, C.T.; Hancock, R.E.; Vasil, M.L.; Netea, M.G.; Hodges, R.S. Effects of hydrophobicity on the antifungal activity of α-helical antimicrobial peptides. Chem. Biol. Drug Des. 2008, 72, 483–495. [Google Scholar] [CrossRef] [PubMed]
- Saada, A.; Monpierre, L.; Djènontin, E.; Andriantsoanirina, V.; Ratsimbason, M.; Randriamialinoro, F.; Ranarivelo, L.; Botterel, F.; Durand, R. In vitro efficacy of essential oils against various Candida species. Nat. Prod. Res. 2025, 39, 5070–5075. [Google Scholar] [CrossRef]
- Rajput, A.; Kasar, A.; Thorat, S.; Kulkarni, M. Borneol: A plant-sourced terpene with a variety of promising pharmacological effects. Nat. Prod. J. 2023, 13, 13–28. [Google Scholar] [CrossRef]
- da Silva, T.G.; da Silva, J.C.; Carneiro, J.N.; do Amaral, W.; Deschamps, C.; de Araújo, J.P.; da Costa, J.G.; de Oliveira Almeida, W.; da Silva, L.E.; Coutinho, H.D.; et al. Phytochemical characterization and inhibition of Candida sp. by the essential oil of Baccharis trimera (Less.) DC. Arch. Microbiol. 2021, 203, 3077–3087. [Google Scholar] [CrossRef]
- Kumar Poudel, D.; Dangol, S.; Rokaya, A.; Maharjan, S.; Ojha, P.K.; Rana, J.; Dahal, S.; Timsina, S.; Dosoky, N.S.; Satyal, P.; et al. Quality Assessment of Zingiber officinale Roscoe Essential Oil from Nepal. Nat. Prod. Commun. 2022, 17, 1934578X221080322. [Google Scholar] [CrossRef]
- Mahboubi, M. Zingiber officinale Rosc. essential oil, a review on its composition and bioactivity. Clin. Phytosci. 2019, 5, 6. [Google Scholar] [CrossRef]
- Castanheira, M.; Deshpande, L.M.; Davis, A.P.; Rhomberg, P.R.; Pfaller, M.A. Monitoring Antifungal Resistance in a Global Collection of Invasive Yeasts and Molds: Application of CLSI Epidemiological Cutoff Values and Whole-Genome Sequencing Analysis for Detection of Azole Resistance in Candida albicans. Antimicrob. Agents Chemother. 2017, 61, e00906-17. [Google Scholar] [CrossRef]
- Zhang, Z.; Yan, H.; Hussain, H.; Chen, X.; Park, J.H.; Kwon, S.W.; Xie, L.; Zheng, B.; Xu, X.; Wang, D.; et al. Structural analysis, anti-inflammatory activity of the main water-soluble acidic polysaccharides (AGBP-A3) from Panax quinquefolius L berry. J. Ginseng Res. 2024, 48, 454–463. [Google Scholar] [CrossRef] [PubMed]
- Zhao, J.; Wang, Z.; Jiao, R.; Wan, Q.; Wang, L.; Li, L.; Yang, Y.; Munir, S. P-hydroxybenzoic acid positively affect the Fusarium oxysporum to stimulate root rot in Panax notoginseng. J. Ginseng Res. 2024, 48, 229–235. [Google Scholar] [CrossRef] [PubMed]
- Yuan, W.; Wang, Q.F.; Pei, W.H.; Li, S.Y.; Wang, T.M.; Song, H.P.; Teng, D.; Kang, T.G.; Zhang, H. Age-induced Changes in Ginsenoside Accumulation and Primary Metabolic Characteristics of Panax Ginseng in Transplantation Mode. J. Ginseng Res. 2024, 48, 103–111. [Google Scholar] [CrossRef] [PubMed]


| Case No. | Z. officinale Essential Oil | Z. officinale Extract | A. millefolium Essential Oil | A. millefolium Extract | M. chamomilla Extract | M. spicata Essential Oil | S. persica Extract | Nystatin |
|---|---|---|---|---|---|---|---|---|
| 1 | 50 | 100 | – | – | 50 | – | – | 25 |
| 2 | – | – | – | – | – | – | – | 50 |
| 3 | – | – | – | – | – | -– | – | 25 |
| 4 | – | – | – | – | 50 | 50 | – | 18.75 |
| 5 | – | – | – | – | – | – | – | 25 |
| 6 | – | – | – | – | – | – | – | 25 |
| 7 | – | – | – | – | – | – | – | – |
| 8 | 50 | 100 | – | – | – | 50 | – | 50 |
| 9 | – | – | – | – | – | 37.5 | – | 25 |
| 10 | 25 | 100 | – | – | 100 | – | – | 25 |
| 11 | 37.5 | 100 | 50 | 100 | 100 | 50 | 25 | 50 |
| 12 | 50 | 37.5 | – | – | – | – | – | 37.5 |
| 13 | 25 | 50 | – | – | – | – | – | 25 |
| 14 | 37.5 | 75 | 37.5 | 75 | – | – | 75 | 25 |
| 15 | 12.5 | 100 | – | – | – | – | – | 25 |
| 16 | 37.5 | 37.5 | – | – | – | – | – | 50 |
| 17 | 6.25 | 37.5 | – | – | – | – | – | 25 |
| 18 | 25 | 37.5 | – | – | – | – | – | 25 |
| 19 | 18.75 | 100 | – | – | – | – | – | 25 |
| 20 | 12.5 | 25 | – | 75 | – | 50 | – | 25 |
| 21 | 9.375 | 18.75 | – | – | – | – | – | 25 |
| 22 | 50 | 100 | 18.75 | 100 | – | – | – | 25 |
| 23 | – | – | – | – | – | – | – | 50 |
| 24 | – | – | – | – | – | – | – | 25 |
| 25 | – | – | – | – | – | 50 | – | 37.5 |
| Components | Area% | CAS Number | RT |
|---|---|---|---|
| β-Myrcene | 1.26 | 123-35-3 | 5.948 |
| α-Terpineol | 1.334 | 98-55-5 | 9.699 |
| Borneol | 2.384 | 507-70-0 | 9.211 |
| β-Bisabolene | 2.64 | 495-61-4 | 16.479 |
| L-α-pinene | 2.921 | 7785-26-4 | 5.016 |
| α-Farnesene | 3.603 | 502-61-4 | 16.39 |
| Octadienal | 4.97 | 106-26-3 | 10.864 |
| α-Citral | 6.808 | 141-27-5 | 11.519 |
| α-curcumene | 8.161 | 644-30-4 | 15.857 |
| β-sesquiphellandrene | 9.321 | 307-83-9 | 16.845 |
| Sabinene | 10.77 | 3387-41-5 | 6.758 |
| Zingiberene | 21.493 | 95-60-3 | 16.246 |
Disclaimer/Publisher’s Note: The statements, opinions and data contained in all publications are solely those of the individual author(s) and contributor(s) and not of MDPI and/or the editor(s). MDPI and/or the editor(s) disclaim responsibility for any injury to people or property resulting from any ideas, methods, instructions or products referred to in the content. |
© 2026 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license.
Share and Cite
Fathi, N.; Hong, J.-H.; Lotfipour, F.; Ghaffari, S.; Abbasi, R.; Asgharian, P.; Attaran, R.; Hamishehkar, H.; Kouhsoltani, M.; Kim, K.H. Comparative Antifungal Activity of Medicinal Plant Extracts and Essential Oils Against Clinical Isolates of Candida albicans from Denture Stomatitis Patients. Plants 2026, 15, 1392. https://doi.org/10.3390/plants15091392
Fathi N, Hong J-H, Lotfipour F, Ghaffari S, Abbasi R, Asgharian P, Attaran R, Hamishehkar H, Kouhsoltani M, Kim KH. Comparative Antifungal Activity of Medicinal Plant Extracts and Essential Oils Against Clinical Isolates of Candida albicans from Denture Stomatitis Patients. Plants. 2026; 15(9):1392. https://doi.org/10.3390/plants15091392
Chicago/Turabian StyleFathi, Nazanin, Joo-Hyun Hong, Farzaneh Lotfipour, Samin Ghaffari, Reza Abbasi, Parina Asgharian, Rana Attaran, Hamed Hamishehkar, Maryam Kouhsoltani, and Ki Hyun Kim. 2026. "Comparative Antifungal Activity of Medicinal Plant Extracts and Essential Oils Against Clinical Isolates of Candida albicans from Denture Stomatitis Patients" Plants 15, no. 9: 1392. https://doi.org/10.3390/plants15091392
APA StyleFathi, N., Hong, J.-H., Lotfipour, F., Ghaffari, S., Abbasi, R., Asgharian, P., Attaran, R., Hamishehkar, H., Kouhsoltani, M., & Kim, K. H. (2026). Comparative Antifungal Activity of Medicinal Plant Extracts and Essential Oils Against Clinical Isolates of Candida albicans from Denture Stomatitis Patients. Plants, 15(9), 1392. https://doi.org/10.3390/plants15091392

