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10.1515 - Reveh 2017 0023
10.1515 - Reveh 2017 0023
Review
of building material with visible mould contamination, in reading titles and abstracts and initially excluded if they
conjunction with treatment of surfaces with an antifungal did not describe original research or did not examine the
product. Remediation should also include steps to prevent fungicidal activity of essential oils. Articles were then read
moisture build-up, which enables future fungal growth in full and excluded if they described a fungal control not
(16). An antifungal agent (otherwise known as a fungicide) relating to indoor air or buildings (e.g. articles describ-
is a compound used to kill or inhibit the growth of fungi ing the control of clinical isolates, animal, crop or food
and/or fungal spores (sporicide) (17). Antifungal agents rec- spoilage, etc. were excluded). A total of 19 studies that
ommended for indoor environments should be non-toxic to described the antifungal potential of essential oils or their
humans, odourless and hypoallergenic (18). It is ideal that extracts for the purpose of influencing indoor air quality
the antifungal agent also provides long-term protection were included and are summarised in Table 1.
from fungal regrowth, especially in humid or moist envi-
ronments that would promote fungal growth; however, in
reality, this long-term persistent protection is difficult to Antifungal potential of essential oils for
achieve especially for non-toxic fungicides (19, 20). the control of indoor air environments
Globally, there is increasing concern regarding syn-
thetic chemical usage and residue and the potential The biggest challenge when evaluating the antifungal
human health effects of exposure (21). Consequently, potential of essential oils or their extracts (Table 1) is the
there is a push from consumers for ‘natural’ alternatives lack of a standard method for both designing experiments
to chemical antifungal products for use in residential and describing antifungal efficacy (43). The most com-
and commercial indoor environments (2, 15, 22). As such, monly adopted screening method identified in the studies
research on essential oils and their potential antimicrobial shown in Table 1 was the disk diffusion assay. This is where
capabilities has received increasing attention (23). Essen- the essential oil or treatment is added to filter paper discs
tial oils are complex mixtures of volatile compounds bio- and placed in the centre of agar plates containing fungal
synthesised by plants, the main groups of which include lawn. The zone of clearing in fungal growth is measured as
terpenes and terpenoids and aromatic and aliphatic con- an indicator of fungal inhibition. Other studies also used
stituents, and are characterised by low molecular weight modified versions of this method, including adding the
(24). Essential oils have been widely used in medicine essential oil through syringe injection or placing in a well
and the food industry for their antimicrobial properties; in the centre of the agar plate (26, 36, 37). Rogawansamy
however, there are limited studies investigating their use et al. (15) used the disk diffusion assay in addition to a
for the control of indoor air quality. The increased interest method adapted from Soylu et al. (44) to investigate the
in natural substances is driving the research community antifungal efficiency of the treatments in the vapour
to find new applications of these substances. The aim of phase. Briefly, agar plates with fungal lawns are created
this review was to examine studies that have investigated and filter paper containing the treatment is placed on
the antifungal potential of essential oils specifically as the inner surface of the agar plate lid, ensuring no direct
a method for improving indoor air quality for building contact with the fungal lawn. Plates are sealed with para-
occupants. film and antifungal efficiency is determined by measur-
ing the zone of clearing. Another method frequently used
was the serial dilution method, where serial dilutions of
Methods essential oils were prepared and inoculated with fungal
cultures to determine the minimum concentration that
A search was conducted through the Scopus (25), Pro- inhibited fungal growth (25, 32, 40).
Quest (1), Science Direct (6) and Web of Science (26) Even when the same method was used, it is difficult to
databases. The search terms included (mould OR mold compare results as a consequence of different reporting lan-
OR fungi OR fungal OR fungus) AND (“indoor air” OR guage used to describe antifungal efficacy. Using the disk
indoor OR building OR buildings) AND (“essential oil” OR diffusion assay, researchers reported the results as either
“essential oils” OR “plant-derived compound” OR “plant diameter of zone of inhibition (15, 37) or as percentages of
extract”) AND (antifungal OR fungicidal OR fungicide OR growth inhibition compared with the control plates (25, 29,
sporicidal OR sporicide OR anti-microbial OR biocide OR 33). Using the serial dilution method, Šegvić Klarić et al.
biocidal), and the search was limited to the title, abstract (40) reported antifungal efficacy using the term minimum
and keywords. Figure 1 presents the systematic approach inhibitory concentration (MIC), which is the lowest con-
to article inclusion or exclusion. Articles were screened by centration that allowed no more than 20% fungal growth
Whiley et al.: Indoor air and antifungal essential oils 65
Records identified through databases Scopus (25), ProQuest (1), Science direct (6)
and Web of Science (26) databases. Keyword search (mould OR mold OR fungi OR
Identification
Studies included in
qualitative synthesis
(n = 19)
Figure 1: Overview of search methods and article inclusion and exclusion criteria (1, 6, 25, 26).
(determined by a reduction in the number of colonies in 10 by Su et al. (23), investigated the antifungal efficacy of
μL of the dilution inoculated onto Sabouraud Glucose Agar essential oils by evaporating essential oil in indoor rooms
incubated at 25 °C for 7 days), and minimum fungicidal and measuring the changes in air quality. Another four
concentration (MFC), which was the lowest concentration studies assessed the antifungal efficacy of essential oils
of essential oil that completely inhibited the growth of the against fungal growth on different types of wood surfaces
fungi. However, this differs from the definitions used by used in building construction; however, all other studies
Stupar et al. (32), who also used a variation of the serial identified were conducted on agar plates or broth cul-
dilution method but reported the MIC as the lowest concen- tures (36–39). There is clearly need for further research
tration without visible growth (assessed using a binocular designed to investigate the antifungal efficacy in indoor
microscope) and the MFC as the lowest concentration with environments (in situ) in order to validate the transla-
no growth after inoculation of the original inoculum. This tion of laboratory-based outcomes. There is also a need
definition of MIC was supported by Verma et al. (45), who to investigate the potential long-term persistence of the
reported MIC as the lowest concentration that resulted in treatment and any optimum reapplication requirements
no growth after the incubation period. in order to characterise antifungal capabilities.
The other challenge when evaluating the antifungal
efficacy of essential oils is that most of the studies iden-
tified in Table 1 are laboratory based and there is a lack Clove oil
of in situ experiments within building environments.
This makes it difficult to translate the experimental find- Of the essential oils identified in Table 1, clove oil has
ings into ‘real-world’ recommendations. Only one study, been researched the most extensively, and there are a
Table 1: Studies investigating the antifungal activity of essential oils for the control of fungi in indoor environments.
Extracts from heartwood (Pinus Alternaria alternata, Fusarium Wood specimens treated at the level of – Moderate transferability of – Unknown relevance of fungi to (27)
rigida), eucalyptus leaves subglutinans, Chaetomium 2% concentration of heartwood extract results to real-world application environmental isolates (stock cultures
(Eucalyptus camaldulensis) and globosum, Aspergillus niger observed good inhibition to the mould (wood blocks were immersed in used)
creper ginger rhizomes (Costus and Trichoderma viride growth the treatment prior to placing
speciosus) on agar plates inoculated with
fungal species)
– Efficacy compared to DMSO as a
positive fungicidal control
– Multiple time periods assessed
Extracts from marjoram C. globosum (ATCC 6205), Marjoram extracts demonstrated – Moderate transferability of – Unknown relevance of fungi to (28)
(Origanum majorana), thyme A. niger (ATCC 9642), excellent antifungal performance in the results to real-world application environmental isolates (ATCC strains
(Thymus vulgaris) and ginkgo Aureobasidium pullulans laboratory experiments and when applied (treated mortars were placed used)
leaves (Ginkgo biloba) (ATCC 15233), Gliocladium to the antifungal mortars on agar plates inoculated with
virens (ATCC 9645) and fungal spores. A mould growth
Penicillium pinophilum (ATCC index of 0–4 was then used to
11797) quantify the fungal growth.)
66 Whiley et al.: Indoor air and antifungal essential oils
Oregano (Origanum vulgare) A. fumigatus, Oregano demonstrated strong antifungal – Relevant fungal species used – Limited transferability of results to (32)
essential oil Aspergillus nidulans, activity against all fungal isolates tested; (isolated from indoor air real-world application [antifungal
Aspergillus versicolor and one however, it was not as effective as biocide environment) activity was assessed using the
Penicillium species and benzalkonium chloride – Efficacy compared to commercial suspension-neutralisation method on
biocide (benzalkonium chloride) malt extract agar and the agar micro-
– Multiple exposure times were dilution technique (results reported
assessed as MIC and MFC)]
Essential oils from caraway A. alternata, Stachybotrys High antifungal activity – Large number of essential oils – Unknown relevance of fungi to (33)
(Carum carvi L.), bitter orange chartarum, C. cladosporioides The group of most effective essential tested environmental isolates (stock cultures
(Citrus aurantium L.), bergamot and A. niger oils including coriander, lemon basil, used)
orange (Citrus bergamia Risso oregano, caraway, bay tree and thyme – Limited transferability of results
& Poit), coriander (Coriandrum achieved high inhibition levels up to to real-world application (agar
sativum L.), common juniper 100% across the entire spectrum of target microdilution method on potato
(Juniperus communis L.), English pathogenic fungi dextrose agar. Antifungal activity was
lavender (Lavandula angustifolia Moderate antifungal activity: reported as percentage of growth
Mill.) corn mint (Mentha arvensis English lavender, pennyroyal, corn inhibition compared to control.)
68 Whiley et al.: Indoor air and antifungal essential oils
L.), pennyroyal (Mentha pulegium mint and sage exceeded 50% inhibitory – Multiple time points were not
L.), basil (Ocimum basilicum L.), effect boundary level in all target assessed
lemon basil (Ocimum citriodorum species except A. niger. Marjoram also – Efficacy not compared to commercial
Vis), marjoram (O. majorana L.), did not exceed 50% inhibitory effect in fungicide
oregano (O. vulgare L.), bay tree C. cladosporioides
(Pimenta racemosa (Mill.) J.W. Low antifungal activity:
Moore), rosmary (Rosmarinus Bitter orange, bergamot orange, common
officinalis L.), common sage juniper,, basil, common sage, tansy and
(Salvia officinalis L.), sage (Salvia ginger all failed to reach 50% antifungal
sterea L.), tansy (Tanacetum inhibitive effect in a single target fungi
vulgare L.), thyme (Thymus
satureoides Coss. & Balansa.,
T. vulgaris L.) and ginger (Zingiber
cassumunar Roxb.)
Siberian fir (Abies sibirica L.), The dominant species isolated The highest fungicidal activity was – Relevant fungal species used – Limited transferability of results to (34)
common caraway (Carum carvi from walls and air samples demonstrated by clove oil. All cultures (isolated from indoor air and real-world application (disk diffusion
L.), peppermint (Mentha piperita were A. versicolor, A. niger, were affected and the fungicidal zones surfaces of water damaged assay with results reported as
L.), willow-leaved gum tree A. fumigatus, Cladosporium ranged from 20 to 50.5 mm. This buildings) diameter of fungal inhibition zones)
(Eucalyptus globulus Labill.), sphaerospermum, fungicidal activity was comparable to the – Fungicidal ability tested against – Incubation time was describes as
lemon thyme (Thymus pulegioides C. cladosporioides, most effective disinfectant (Biosheen a large number of fungal 3–5 days. The effect of time was not
L.), clove tree (S. aromaticum P. chrysogenum, 20.9–57.5 mm). Next, fir oil was also isolates assessed
(Linn.) Merril & Perry) and P. aurantiogriseum, effective against all fungi tested, but its – Efficacy compared to commercial
bergamot orange (C. bergamia P. simplicissimum and fungicidal impact was less than that of disinfectants
Risso & Poit) clove oil
Table 1 (continued)
Ulocladium chartarum.
In addition, the fungus
Penicillium digitatum was
found spreading on the wall in
one case
Crude extract of glycoalkaloids Aspergillus, Penicillium, The extract of glycoalkaloids from – Relevant fungal species used – Limited transferability of results to (35)
from nightshade (Solanaceae) Coprinellus, Fusarium, nightshade plants demonstrated only (isolated from building surfaces) real-world application (percentage of
plants Rhizoctonia and Stemphylium partial growth inhibition of Fusarium and growth inhibition was calculated using
genera Rhizoctonia the agar micro-dilution method)
– Incubation time was describes as
4–5 days. The effect of time was not
assessed
– Efficacy was not compared to
commercial fungicide
Essential oils from black peper A. niger and Geotrichum Highest antifungal activity shown – Relevant fungal species used – Limited transferability of results to (36)
(Piper nigrum Linn.), castor oil candidum by clove, lemon, bitter orange and (isolated from indoor air and real-world application (MIC were
(Ricinus communis Linn.), cedar peppermint. The concentration of 5 ppm surfaces) determined using potato dextrose
(Cedrus deodara (Roxb.) Loud.), was as effectivity as 5 ppm Ketoconazole – Efficacy compared to agar plate needle-inoculated in the
clove (S. aromaticum Linn.), (positive control) and the lowest was commercially available fungicide centre with the antifungal agent)
eucalyptus (Merrill & Perry shown by castor oil, cedar and olive as positive control – Multiple time points were not
E. globulus Labill.), bitter orange assessed
(C. aurantium Linn.), lemon
(Citrus limon (Linn). Burm. f),
olive (Olea europaea Linn.), and
peppermint (M. piperita Linn.)
Thujopsene (found in the A. niger, Aspergillus Thujopsene demonstrated fungicidal – Relevant fungal species used – Limited transferability of results to (37)
essential oil of a variety of ochraceus, A. sydowii, activity against only 5 of the 16 fungal (isolated from indoor air real-world application (disk diffusion
conifers) Aspergillus ustusa, strains tested environment) and agar well diffusion assay on malt
Botrytis cinerea, Eurotium – Fungicidal ability tested against extract agar and fungicidal activity
herbariorum, Gonytrichum a large number of fungal reported as growth inhibition zones)
macrocladum, Penicillium isolates – Efficacy not compared to
decumbensa, Penicillium – Multiple time points assessed commercially available fungicide
expansum, Penicillium
hirsutum, Penicillium
polonicuma, Penicillium
sp., Periconia britannicaa,
Rhizopus stolonifer,
S. chartarum and Ulocladium
botrytisa
Whiley et al.: Indoor air and antifungal essential oils 69
Table 1 (continued)
Cedar leaf oil (Thuja plicata) Candida albicans and A. niger C. albicans was readily killed by cedar leaf – Moderate transferability of – Unknown relevance of fungi to (38)
oil. A. niger was inhibited but complete results to real-world application environmental isolates (ATCC strains
eradication was not achieved (dried films of fungi were used)
exposed directly to cedar leaf oil) – Efficacy not compared to
– Multiple time points assessed commercially available fungicide
Essential oil extracts from Penicillium corylophilum, Eugenol, cinnamaldehyde, thymol and – Moderate transferability of – Source of fungal isolates not reported (39)
manuka (Leptospermum A. alternata and Cladosporium carvacrol completely inhibited the growth results to real-world application – Efficacy not compared to
scoparium) including eugenol, herbarum of the three test fungi at a concentration (initial experiment – growth commercially available fungicide
thymol, cinnamaldehyde, of 1% w/v inhibition was examined on malt
carvacrol, manuka oil, manuka All the extracts, including eugenol, extract agar containing essential
oil less triketones fraction and cinnamaldehyde and thymol virtually oil compared to growth of the
triketones completely inhibited the growth of control. Follow-up experiment –
P. corylophilum on unfinished gypsum the efficacy of eugenol,
board at 3% w/v and significantly thymol and cinnamaldehyde
reduced growth on the finished gypsum was evaluated against P.
boards corylophilum on gypsum board.
70 Whiley et al.: Indoor air and antifungal essential oils
Essential oils from lemon A. niger C. aurantifolia and C. reticulata exhibited – Source of fungal isolates not reported (41)
(C. limon) including C. paradishi, significant antifungal potency against – Multiple time points not assessed
C. sinensis, Citrus aurantifolia building fungi – Efficacy was not compared to
and Citrus reticulate commercially available fungicides
– Limited transferability of results to
real-world application (MICs were
calculated at different concentrations
of essential oils on potato dextrose
agar)
Volatile organic compounds Natural fungi contained within A slight decrease in fungal concentrations – Comparatively transferable to – Efficacy not compared to (23)
(VOCs) produced from air samples was observed in the first 30–60 min but real-world application [300 μL commercially available fungicide
evaporating essential levels quickly increased to pre-treatment of each essential oil was diluted
oils indoors lavender concentrations with 50 mL water for use in
(L. angustifolis), eucalyptus incense evaporator with burning
(E. globulus) and tea tree candle in two rooms (21.6 m3
(M. alternifolia) and 28.2 m3). Changes in total
airborne fungal concentration
were examined by air sample
collection using Burkard
sampler and enumerated on
malt extract agar plates an hour
prior to treatment]
– Relevant source of fungi used
– Multiple time points assessed
Essential oil from pine tree A. niger, Penicillium Pine oil displayed fungicidal activity – Relevant fungal species used – Limited transferability to real-world (42)
(Pinus sylvestris L.) funiculosum, P. chrysogenum, against all fungi tested, although the (isolated from indoor air application [MICs were determined
T. viride, Ulocladium effectiveness depended on the fungal environment) using oil diffusion on Czapek agar (for
oudemansii, Paecilomyces species and the concentration of pine oil fungi) and malt extract agar (for yeast
variotii, Phoma glomerata, S. and yeast-like fungi)]
chartarum and A. versicolor – Multiple time points not assessed
– Efficacy not compared to
commercially available fungicide
plate), which showed that 5 ppm concentration of lemon weakens the structure, increasing permeability, which is
essential oil was as effective as 5 ppm ketoconazole (a syn- responsible for the leakage of solutes across the mem-
thetic antifungal drug) against A. niger and G. candidum brane and causes cell lysis. For example, Shao et al. (50)
isolated from the surfaces and indoor air of buildings. The described this mechanism of action when applying tea
study also demonstrated essential oil from lemon to have tree oil on B. cinerea (an important fungus in viticulture
greater antifungal potential compared to castor oil, cedar and food spoilage). Tea tree oil was found to inhibit the
and olive (36). growth of the fungus and germination of spores was sup-
pressed. The cell wall structure was reported to have lost
its ultrastructure and showed thickening and rupturing.
Other essential oils demonstrating The authors concluded that the cell wall integrity was
fungicidal potential destroyed, increasing the membrane permeability.
Overall, there is currently limited knowledge regard-
Other essential oils that demonstrated potential antifun- ing the antimicrobial mechanisms of essential oils, par-
gal activity in at least one study (Table 1) include heart- ticularly with regards to antifungal activity (36, 49). A
wood, marjoram, cinnamon, lemon basil, caraway, bay few authors have mentioned the antimicrobial activity of
tree, fir, peppermint, pine, cedar leaf and essential oil essential oils; however, the mechanism of action has not
extracts from manuka (eugenol, cinnamaldehyde, thymol been studied in great detail (49, 51). Chemical analysis
and carvacrol). of essential oils show that the major active components
are phenols, terpenes, aldehydes and ketones (52), and
it is generally believed that essential oils principally act
Essential oils demonstrating only moderate against cell cytoplasmic membranes of microorganisms.
or low fungicidal activity Hydrophobicity is an important characteristic of essential
oils and their components (51), which may enable them to
The essential oils identified in Table 1 which demonstrate accumulate in cell membranes, disturbing the structures
only moderate or limited antifungal activity include euca- and causing an increase of permeability.
lyptus leaves, crêpe ginger, ginkgo leaves, myrrh, English One study by Pinto et al. (49) demonstrated that clove
lavender, pennyroyal, corn mint, sage, bitter orange, ber- oil and eugenol (the main component of many essential
gamot orange, common juniper, common basil, night- oils) was found to be fungicidal as a result of extensive
shade, castor-oil-plant, olive, willow-leaved gumtree and lesion of the fungal cell membrane. In addition, clove oil
thujopsene (a compound found in the essential oil of a and eugenol reduced the quantity of ergosterol, a specific
variety of conifers). fungal cell membrane component. This resulted in inhibi-
tion of germ tube formation of C. albicans (49). Similarly,
it has been suggested that the antifungal action of tea tree
Mechanism of antifungal activity oil is as a result of its capability to change or damage the
function of fungal membranes (50, 53).
Understanding the mechanism(s) of action of different A great deal remains to be learned about the mecha-
antimicrobial agents is important to characterise effi- nisms of action of essential oils against fungal species.
cacy as one agent may not inhibit all microorganisms. Although some progress has been made with clinical
It is important to acknowledge the principal differences investigations, a greater understanding of these mecha-
between bacteria and fungi. The structures of fungi and nisms is clearly lacking for other environmental organ-
bacteria differ in significant ways, for example most fungi isms. Studies of the mechanisms of action relevant to
are diploid in nature and have longer generation time fungal species in indoor air would allow more efficient
compared with bacteria (46). This means that antibac- and effective use of these agents.
terial and antifungal agents target structures and func-
tions most relevant to the organisms to be inhibited. For
example, many antibacterial agents inhibit steps impor- Potential health effects – is ‘natural’ safer?
tant for the formation of peptidoglycan (47), the essential
component of the bacterial cell wall. In contrast, most The increasing interest in ‘natural’ products for controlling
antifungal compounds target either the formation or the microorganisms in indoor environments is due in part to
function of ergosterol (48, 49) an important component the perception of benefit (i.e. inhibition of fungal growth)
of the fungal cell membrane. This membrane interaction without the need for using potentially ‘harmful synthetic
74 Whiley et al.: Indoor air and antifungal essential oils
chemicals’. However, this assumption that ‘natural’ prod- However, despite these challenges, clove oil was iden-
ucts are not harmful to human health is flawed. tified as the best-performing essential oil within the more
Currently, there are limited studies investigating the robust studies. Additionally, there appears to be some evi-
potential adverse health consequences of repeated expo- dence to support the essential oils tea tree oil, oregano,
sure to essential oils. The oils themselves are complex thyme and lemon as potential antifungal agents with rel-
mixtures, which may contain naturally occurring contact evance to indoor air quality. Heartwood, marjoram, cinna-
sensitisers. In fact, some evidence suggests that they are mon, lemon basil, caraway, bay tree, fir, peppermint, pine,
potential skin allergens or sensitising agents (23, 54, 55). cedar leaf and manuka were also identified in at least one
An ideal antifungal agent would not generate toxic fumes study as having antifungal potential; however, there is a
during application and is non-irritating if accidentally need for more robust studies to examine these further.
exposed to skin. Skin irritation and skin sensitisation are Future studies should focus on comparing the effi-
different responses; skin irritation occurs on the first expo- cacy of these essential oils against a large number of
sure to the agent; the inflammatory reaction is typically fungal isolates from indoor environments. Studies will
rapid and the severity will depend on the concentration then need to focus on translating these results with in
of the irritant present, compared with skin sensitisation, situ studies investigating the effectiveness in actual build-
which is a complex allergic immunological response, with ings and assessing the potential for long-term antifungal
the reaction typically occurring after repeated exposure to persistence. The studies identified in this review, which
the chemical and is usually irreversible (i.e. once sensi- were either moderately or comparatively translational
tised, always react). Schaller and Korting (55) described a (23, 28, 31, 38–40), can inform the design of these studies.
case report of allergic contact dermatitis due to repeated However, they should additionally compare the efficacy
exposure to essential oil use in aromatherapy (applied of essential oils to commercially available fungicides and
topically or released as aerosols). There have also been examine the effect of time on fungicidal activity. Further-
several studies that have demonstrated exposure to more, when considering the application of these essential
essential oils exacerbated respiratory problems includ- oils in building environments, the effect of different con-
ing asthma, decreased pulmonary function and increased centrations, mechanisms of application and the potential
chest tightness (56, 57). human side effects must also be examined.
Thus, the perception that ‘natural’ is safer may not
necessarily be appropriate when considering essential oils Author Statement
for fungicidal treatment, and care must be taken with their Research funding: Authors state no funding involved.
repeated application in the indoor environment. Essen- Conflict of interest: Authors have no conflicts of interest to
tial oils should be considered in the same way that use of declare. Informed consent: Informed consent is not appli-
chemical fungicides would be, based on risk assessment. cable. Ethical approval: The conducted research is not
related to either human or animal use.
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