Abstract

Ethyl acetate, ethanol, and acetone extracts of the medicinal plants Thymelaea hirsuta L., Urginea maritima L., and Plantago albicans L. (aerial parts) were evaluated for their phytochemical compositions, antimycotic activity against dermatophytes, and antiproliferative activity against different human cancer cell lines. Among them, the ethanolic extracts showed the highest phytochemical contents along with hyperactivities and were then selected for gas chromatography-mass spectrometry and Fourier-transform infrared spectroscopy analysis. The Fourier-transform infrared spectroscopy analysis confirmed the presence of different characteristic peak values with various functional chemical groups of the active components. However, U. maritima extracts through Fourier-transform infrared spectroscopy analysis showed distinctive peaks related to phenolic, amines, amides, aromatic, alkanes, alkyne, cyclopentanone, conjugated aldehyde, nitro, methoxy, uronic acids, aromatic esters, tertiary alcohol or ester, secondary and primary alcohols, aliphatic ether, sulfoxide, vinylidene, and halo compounds. Many bioactive main compounds with reported biological activities were detected by GC/MS (%) in the ethanolic extract of T. hirsuta, U. maritima, and P. albicans. All studied dermatophytes included a diverse set of virulence factors, including phospholipase, protease, keratinase, hemolysis, and melanoid production, all of which play vital roles in dermatophytic infection. Ethanolic extract of P. albicans inhibited the growth of Trichophyton soudanense totally and Trichophyton erinacei in addition to all Microsporum species. In contrast, the ethanolic extract of Trichophyton hirsuta at concentrations of 25 g/mL totally prevented the growth of all Trichophyton species. EtOH extract of U. maritima completely prevented the growth (100% inhibition) of all dermatophytic strains under study at the lowest concentration of 12.5 μg/mL. Scanning electron microscope analysis revealed considerable morphological modifications and structural alterations in dermatophyte species exposed to ethanolic extract of these plants. The viability of HCT-116, HepG-2, MCF-7, and HeLa cell lines was reduced after treatment with the ethanolic extracts of T. hirsuta, U. maritima, and P. albicans individually with IC50 values (10.0, 9.97, 48.5, and 56.24 μg/mL), (26.98, 25.0, 17.11, and 9.52 μg/mL), and (9.32, 7.46, 12.50, and 16.32 μg/mL), respectively. Our work revealed the significance of these traditional ethnomedical plants as potent sources for biologically active pharmaceuticals with potential applicability for the treatment of fungal and cancer diseases.

1. Introduction

Regardless of advances in oncology, cancer remains one of the leading causes of morbidity and mortality worldwide [1, 2]. In 2020, about 19.3 million new cancer cases were recorded worldwide, resulting in almost 10 million deaths. Furthermore, it may spread throughout the body and numerous organs through metastasis, which includes migration and invasion [3]. Recently, there have been many traditional treatments for cancer control, including chemotherapy, surgery, radiotherapy, and immunotherapy. Still, unfortunately, there are some important limitations to their use due to lack of safety, efficiency, undesired side effects, high cost, and availability [4]. As a result, natural products with anticancer qualities have received a lot of attention since they are safe, low-cost, and widely accessible. In addition, they contain many biological and therapeutic activities that may promote health and relieve cancer [1, 5].

On the other hand, dermatophytes are keratinophilic fungi, including Microsporum, Epidermophyton, and Trichophyton genera, which penetrate exclusively into the tissues of the stratum corneum, hair or nails using nonenzymatic (hemolysin and melanoid formation) and proteases, keratinases, cellulases, and phospholipases are enzymatic virulence agents that cause infection [6, 7]. Dermatophyte infections in humans, particularly those affecting the skin and mucosal surface, are a severe concern, particularly in tropical and subtropical areas, where they are the most common pathogen. [8]. Dermatophytic fungal infections are a real public health problem, especially among patients with weakened immune systems (lymphomas, human immunodeficiency virus, cancer, diabetes, and transplants). Especially due to the modulation of the clinical spectrum of pathogens and the overuse of conventional antifungal drugs, strains are emerging that are resistant to current antifungals, resulting in the search for alternative natural products such as organic extracts from medicinal plants [9].

Aromatic and medicinal plants used for a long time in traditional medicine have been the subject of numerous studies to analyze their chemical composition and evaluate their pharmaceutical properties as antifungal agents for the treatment of various fungal illnesses [10]. El-Demerdash [11] reported that due to Egypt’s ecological diversity, the traditional pharmacopoeia contains a vast resource of medicinal plants that have long been used in folk medicine to treat many diseases as demonstrated on temple walls and papyrus, such as the well-known Ebers Papyrus of 1550 BC documented 876 medicaments with 328 diverse components derived from many plant species including Thymelaea hirsuta L., Urginea maritima L., and Plantago albicans L. Medicinal plants T. hirsuta L., U. maritima L., and P. albicans L. endemic to Egypt and the coastal Mediterranean region and commonly used as antiulcer, anti-inflammatory, antigiardiasic, antimalarial, anticancer, wound healing, immunomodulatory, antibacterial, antioxidant, hypoglycaemic, hepatoprotective, cytotoxic, and hypolipidemic agents attributed to their high glycosides, flavonoids, reducing compounds, tannins, anthraquinones, mucilage, anthocyanins, fatty acids, polysaccharides, steroids, and terpenes contents [1217].

Solvent extraction is a process that aims to extract certain active components or secondary metabolites like flavonoids, alkaloids, terpenes, steroids, glycosides, and saponins present in natural resource materials. Using a suitable solvent and standard extraction procedure through the solid/liquid separation operation and then the components of interest are then solubilized and contained within the solvent [1, 3, 6, 1822]. Yahaya et al. [23] reported that among different plant extracts, the ethanolic extracts of seven medicinal plants showed the highest antifungal properties against different human pathogenic fungi. Among them, the ethanolic extract of leaves of Boswellia dalzielii, Ocimum gratissimum, and Crescentia alata caused potent repression in the growth of Trichophyton rubrum, Trichophyton mentagrophyte, and Candida albicans with the least MIC value (312.5 μg/mL).

The effects of potential bioactive treatments on the ultrastructure and morphology of dermatophytes can be assessed by scanning electron microscopy with customized protocols like the osmium tetroxide (OsO4) protocol. It should be preferred over other methods for its unparalleled image quality, resolution, magnification, actual sample structure preservation, and minimal sample loss [24]. As previously reported by Taha et al. [5], morphological changes in hyphae of 30 clinical dermatophyte isolates, including Trichophyton and Microsporum species, following exposure to ethanolic and acetone extracts of henna leaves such as collapsing, distortion, twisting, inflating, bulging, and crushing of hyphae with corrugation of walls. Depressions on hyphal surfaces and distortion of hyphae at 25 to 75 μg/mL of ethanol or acetone extract were observed using scanning electron microscopy (SEM) analysis. Gas chromatography-mass spectrometry (GC-MS) and Fourier-transform infrared spectroscopy (FTIR) are powerful analytical techniques used to identify and quantify bioactive compounds and functional groups in extracts derived from natural sources [1, 3, 22]. Combining the properties of mass spectrometry and gas chromatography to identify distinct components within the examined sample, GC-MS has shown to be a suitable technology for identifying volatile oils, various hydrocarbons, acids, alkaloids, esters, fatty acids, nitro, and amino compounds [25, 26].

This work is aimed at investigating the biochemical properties of ethyl acetate, acetone, and ethanol extracts of aerial parts of medicinal plants, T. hirsuta, U. maritima, and P. albicans, individually followed by evaluating their potential inhibition activity against a wide range of dermatophytes, including the species of Trichophyton, Microsporum, and Epidermophyton genera. In addition, using HepG-2 and MCF-7 cell lines provide an inexpensive source of pharmacological agents that can protect humans from lethal cancer diseases and invasive dermatophytes against various types of cancers such as liver, colon, breast, and cervix cancers. Likewise, HCT-116 cell lines can provide an inexpensive pharmacological agent source that protects humans from lethal cancer diseases and invasive dermatophytes. Moreover, phytoactive compounds and functional groups present in the ethanolic extracts of these plants’ aerial parts were assessed based on IR and GC-MS analysis.

2. Materials and Methods

2.1. Chemicals

Merck (Darmstadt, Germany) and Sigma-Aldrich Chemical Co. supplied all chemicals (St. Louis, MO).

2.2. Chemistry Part
2.2.1. Plant Samples and Preparation of Extracts

Healthy and fresh and aerial parts of T. hirsuta, U. maritima, and P. albicans were collected from Sidi Brani, Matrouh Governorate, Egypt (N 31°3639, E 25°5532) (Figures 1(a)1(d)) during April-May 2018. The Department of Botany, Faculty of Science, Al-Azhar University, confirmed the plant identification. Each plant was carefully cleaned with tap water, then deionized water, before being air-dried at room temperature in the shade and crushed to a fine powder. Each plant’s dried powdered aerial parts were divided into three portions (250 g each). The first was extracted with ethyl acetate, the second with ethanol, and the third with acetone (), individually on a horizontal shaker at 150 rpm for 72 h at 30°C. The resulting solutions of ethyl acetate, ethanol, and acetone samples were filtered using Whatman No. 1 filter paper in a Büchner funnel. Then, it evaporated under a vacuum in a rotary evaporator. These extracts were stored in a refrigerator at 4°C until further phytochemical and biological analysis. Crude extracts were subjected to preliminary phytochemical analysis, antidermatophytes, and anticancer activity, while only crude ethanolic extracts were subjected to IR and GC–MS analysis.

2.2.2. Preliminary Phytochemical Analysis of the Three Extracts of Each Plant

Phytochemical profiles of the three extracts (ethyl acetate, acetone, and ethanol) for each of the P. albicans, T. hirsuta, and U. maritima were evaluated individually. Medoua et al. [27] determined the total polyphenol content by measuring the absorbance at 725 nm in gallic acid equivalents. The modified vanillin HCl technique was used to quantify condensed tannins [28, 29]. As a result of the analysis, milligram catechin equivalents (mg CE/g DW) were calculated based on the absorbance measured at 500 nm. Chang et al. [30] described the aluminum chloride colorimetric technique for measuring total flavonoids. At 415 nm, the absorbance was measured and represented as mg of quercetin equivalents (QE)/g of dry extracts. The carotene reference absorbance was measured at 450 nm using the Kurilich and Juvik [31] method. A gravimetric technique was used to determine the total saponin content [32], while alkaloid content was determined using the Biradar and Rachetti [33] method. Every sample was examined in triplicate.

2.2.3. Fourier Transform Infrared Spectroscopy of Ethanolic Extracts of U. maritima, T. hirsuta, and P. albicans

The Fourier transform infrared spectrophotometer (FTIR) is one of the most effective tools for determining the kinds of chemical bonds (functional groups) present in compounds. To generate transparent sample discs for FTIR analysis, 10 mg of dried ethanolic extract powder from several plants was encapsulated in 100 mg of KBr pellet (FTIR grade). The sample of each plant was loaded in FTIR spectroscope (Broker Vertex80v, Germany), individually with a scan range from 400 to 4000 cm-1 with a resolution of 4 cm-1 to detect the corresponding functional groups that might be involved in the bioactivities. By interpreting the infrared absorption spectrum, the chemical bonds in a molecule can be determined. Spectral differences are the objective reflection of componential differences [34].

2.2.4. Gas Chromatography-Mass Spectrometry (GC-MS) Analysis of the Ethanolic Extract of U. maritima, T. hirsuta, and P. albicans Analysis

GC-MS is an analytical technique that combines the characteristics of gas chromatography and mass spectrometry to identify various compounds in a test sample [26]. The ethanol extracts of U. maritima, T. hirsuta, and P. albicans aerial parts were subjected to GC-MS analysis to identify some potent volatile and semivolatile components. Chemical analysis in each ethanolic plant extract after dissolved in chloroform was analyzed by gas chromatography-mass spectrometry (Thermo Scientific, Trace GC Ultra/ISQ Single Quadrupole MS) and performed in MS1 scan mode using DB-5MS fused-silica column (μm, 0.25 μm film thicknesses, Agilent) with helium as carrier gas at a constant flow rate of 1 mL/min. Mass spectra were taken at an electron ionization energy of 70 eV. The temperature program (oven temperature) in the gas chromatography was 40°C elevated to 230°C at 5°C/min, and the injection volume was 1 μL. All quantifications were performed using a built-in data-handling application supplied by the gas chromatograph manufacturer. The composition was expressed as a percentage of the overall peak area measured from the base to the peak’s tip. The components in each extract were identified by comparing the observed mass spectrum to known spectra from the database of chemicals in the GC-MS NIST and Wiley mass spectra libraries (software, D.03.00) and those in the literature [3537].

2.3. Dermatophytes Part
2.3.1. Isolation and Characterization of Clinical Dermatophytes

Clinical samples were sent to the Mycology laboratory (Faculty of Science, Al-Azhar University) and Chemistry of Natural and Microbial Products Department (National Research Centre) for microscopic examination, cultivation, and identification of dermatophytes based on their colony shape and microscopic examination. The validity of culture methods using different isolation media, including rapid sporulation medium (RSM), dermatophyte test medium (DTM), and dermatophyte identification medium (DIM) for isolation and characterization of dermatophytes was compared as previously described [3842]. Furthermore, the production of nonenzymatic and enzymatic virulence factors was defined according to Achterman and White [43], Elavarashi et al. [44], and Walailak [45].

2.3.2. Inoculum Preparation and Agar Diffusion Method for Antidermatophytes Assay of Each Plant Extract

Dermatophytic strains were grown in Sabouraud dextrose broth (SDB) for 10 days at 28°C to retain the largest number of conidia. Conidia were collected for analysis following centrifugation at 4°C, suspension in sterile distilled water, and adjusting to 105 conidia/mL. Each fungal solution (100 μL) was separately dispersed over the SDA medium. For determining biological activities, stock solutions from extracts were individually made in dimethyl sulfoxide (DMSO) (DMSO was not exceeding 0.5% in the experiment). To assess the antimycotic activity of each plant extract against each dermatophytic fungus by the disc diffusion method, 10 μL of each extract prepared in DMSO at various concentrations of 25, 50, and 100 g/mL were applied to discs of Whatman paper (No. 1) and placed onto an SDA medium inoculated with one of the tested fungi. Fungal toxicity was reported as a percentage of mycelial growth inhibition and was calculated using the Pandey et al. [46] method. where is the fungal toxicity, is the average diameter of the treated fungal colony, and is the average diameter of the control fungal colony. As negative and positive controls, agar plates containing 1% DMSO and 100 g/mL clotrimazole were utilized.

2.3.3. Assessment of the Fungal Morphology and Surface Structure Alterations after Treatment with Plant Extracts Using Scanning Electron Microscopy (SEM) Analysis

Each fungal strain was seeded in SDA, incubated for 5 days at 37°C, and inoculated into a tube containing 5 mL of SDB with 1% glucose. Then 500 μL of the inoculated broth (106 CFU/mL) was added in 24-well plates containing glass slides and 500 μL of tested extract at different concentrations of 5.0, 10.0, and 20.0 μg/mL (each treatment, n = 3 wells). Sterile water (n = 3 wells) and chloramphenicol ( wells), individually for 5 days at 37°C, were applied as negative and positive controls, respectively. The control and treated fungi were centrifuged for 5 min at 3000 rpm, supernatants were removed, and samples were washed three times with buffered saline. Samples for SEM examination were prepared following Iwasawa et al. [47] and Mio et al. [48]. These samples were fixed with a solution composed of glutaraldehyde 4%, formaldehyde 2.5% in pH 7.2, 0.1 M sodium cacodylate buffer, and overnight at 4°C. The fixed mycelia were washed three times with 0.1 M sodium cacodylate buffer (pH 7.2), then they were postfixed in 2% osmium tetroxide solution for 2 h in the dark. The postfixed mycelia were then rewashed 3 times with 0.1 M sodium cacodylate buffer for 10 min, then dehydrated in grading concentrations of ethanol (25%–90%) at room temperature for 10 min at each concentration, and then dehydrated in 100% ethanol three times for 15 minutes. Furthermore, the dehydrated specimens were dried for 30 minutes with liquid carbon dioxide in a critical point drier (CPD 030, BAL-TEC, Germany). A sputter coater was used to coat the dried samples with gold (SCD 005, BAL-TEC, Germany). Finally, fungal morphology and cell surface before and after each treatment were visualized and photographed at the Central Laboratory, National Research Centre, Egypt, using a scanning electron microscope (SEM Quanta FEG 250 with field emission gun, FEI Company, Netherlands).

2.4. Cytotoxicity Part
2.4.1. In Vitro Antiproliferative Activity Assay

Antiproliferative activity of plant extracts at various concentrations of 12.5, 25, 50, 75, and 100 μg/mL against various human carcinoma cell lines, including hepatocellular carcinoma (HepG-2), human colon cancer (HCT-116), breast adenocarcinoma (MCF-7), and cervical carcinoma (HeLa) (purchased from American Type Culture Collection; ATCC, and maintained in the proper conditions) was examined, and quantification of cell proliferation was assessed following the 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) assay as described earlier [49]. HepG-2, HCT-116, MCF-7, and HeLa carcinoma cells were seeded at a density of cells/well on a 96-well flat-bottom microtiter plate and allowed to adhere for 24 hours at 37°C in a CO2 incubator. The culture media was then changed with the new medium, and cells were treated at 37°C for 24 hours in a CO2 incubator with varying doses of the tested extract of the desired plant. The culture media was then changed with a new medium. Then, 10 μL of MTT solution (5 mg/mL in phosphate buffer solution) was applied to each well. In a CO2 incubator, the plate was incubated for 4 hours at 37°C. Next, the medium was aspirated, and the produced formazan crystals were solubilized in a CO2 incubator with 50 μL DMSO/well for 30 minutes at 37°C. The intensity of the dissolved formazan crystals (purple hue) was measured at 540 nm using an ELISA plate reader. The activity of cells in the presence of the test solvent (DMSO) is regarded as a control. MTT tests were then run in triplicate for each sample type. The cellular viability is expressed as .

3. Results

3.1. Chemistry Part
3.1.1. Phytochemical Analysis of Selected Plant Extracts

In line with our results, the content of flavonoids, polyphenols, alkaloids, phytochemicals, and other tannins varied considerably according to the solvents used, solvent polarity, particle size, geographical origin, and extraction methods. As shown in Table 1, high amounts of polyphenols, flavonoids, tannins, carotenoids, lutein, saponins, and alkaloids were detected in the ethanolic extracts of P. albicans, T. hirsuta, and U. maritima, respectively (Table 1). Furthermore, our data are consistent with previous studies and found that ethanolic extracts of the aerial parts of T. hirsuta gave a high amount of flavonoids, phenol contents, and condensed tannins. The current study recorded the largest amount of phenolic component in all three plant extracts, indicating a wide range of pharmacological and health-promoting effects of these plant extracts (Table 1). Phenolic compounds are essential in diverse nutraceutical, therapeutical, and cosmetic applications. On the other hand, the lowest extractable amounts of these phytochemicals, including polyphenols, flavonoids, tannins, carotenoids, lutein, saponins, and alkaloids, were detected in the ethyl acetate extracts of these plants.

3.1.2. FTIR Spectroscopic Analysis of Aerial Parts Extracts of P. albicans, T. hirsuta, and U. maritima

The current study is aimed at using FTIR spectroscopy to determine the distinctive peak values and functional groups in ethanol extracts of P. albicans, T. hirsuta, and U. maritima aerial parts. The extracts’ FTIR analysis showed a variety of distinctive peak values associated with diverse functional components. (Figures 2(a)2(c)). The characteristic absorption bands in the ethanolic extract of were detected at 3252.73, 2922.16, 2852.14, 1744.51, 1709.36, 1636.14, 1550.81, 1453.80, 1375.61, 1325.21, 1248.32, 1150.97, 1081.11, 1021.69, 930.56, 889.37, 873.68, 814.76, 713.82, 622.28, 570.00, 521.06, 504.17, and 417.51 cm-1 (Figure 2(a)). Among them are the broad characteristic peaks at 3252.73 cm-1 (for O-H stretch, polymeric OH, and hydroxy compound), 2922.16 cm-1 (for hydroxyl, asymmetric stretching of lipids, protein, and carboxylic acids), 2852.14 cm-1 (for C-H stretching and methoxy methyl ether compound), 1709.36 cm-1 (for carbonyl group (C=O) and carbonyl compound), 1636.14 cm-1 (for C=O stretching vibration and ketone group of ketone compounds), 1550.81 cm-1 (for strong N-O stretching nitro compound), 1453.80 cm-1 (for C=C-C, aromatic ring stretch, and aromatic compound), 1375.61, and 1325.21 cm-1 (for O-H bend, alcoholic group, and tertiary alcohol or phenol), 1081.11 cm-1 (for C-O stretch of ether group and cyclic ethers), 1021.69 cm-1 (for phosphate ion and phosphate compounds), 930.56 cm-1 (for P-O-C stretch and aromatic phosphates), 713.82, and 622.28 cm-1 (for C-Br stretch, and aliphatic bromo compounds) were detected (Figure 2(a)). Moreover, the EtOH extract of T. hirsuta in Figure 2(b) showed noticeable bands at 3738.02, 3565.61, 3472.40, 3065.43, 2920.32, 2851.82, 1709.33, 1626.67, 1546.31, 1400.97, 1366.26, 1248.28, 1145.87, 1106.65, 1065.76, 1017.16, 928.77, 859.33, 688.63, 667.36, 607.91, 587.80, 546.63, 524.43, 504.47, 478.51, 457.73, and 444.57 cm-1. Among them, the largest peaks were detected at 3065.43 cm-1 (for C-H stretch and aromatic), 2920.32 cm-1 (for asymmetric stretching of –CH (CH2) vibration, lipids, or protein), 1626.67 cm-1 (for C=O stretching vibration, ketone group, and ketone compound), 1546.31 cm-1 (for strong N-O stretching nitro compound), 1366.26 cm-1 (for O-H bend, alcoholic group, and phenol or tertiary alcohol), 1248.28 cm-1 (for CN stretch and primary aromatic amine), 1145.87-1017.16 cm-1 (for PO3 stretch, and phosphate ion), 859.33 cm-1 (for P-O-C stretch and aromatic phosphates), 504.47-444.57 cm-1 (for S-S stretch and aryl disulfides), 546.63-524.43 cm-1 (for strong C-I stretching and iodocompound), and 418.95 cm-1(for aromatic C-OH in-plane bending vibration and phenol). The various functional groups observed in the different extracts probably indicate the presence of carotenoids, carbohydrates, glycogen, amides, calotropin, amino acids, starch, phosphates, calotropogenin, lipids, cellulose, and glycogen. However, ethanolic extract of U. maritima through FTIR spectroscopy analysis showed various distinictive absorption peaks at 3280.16 cm-1 (for stretching -OH groups from phenolic compounds or NH/OH stretching of amides and amines), 3007.71 cm-1 (for C-H stretch and aromatic), 2922.27 cm-1 (due to a C-H group asymmetric stretching and hybridized carbon of alkanes), 2852.93 cm-1 (C-H stretch and alkanes), 1744.63 cm-1 (strong C=O stretching and cyclopentanone), 1710.05 cm-1 (strong C=O stretching and conjugated aldehyde), 1631.11 cm-1 (medium C=C stretching, disubstituted (cis), or medium N-H bending, amine), 1547.06 cm-1 (strong N-O stretching nitro compound), 1456.82 cm-1 (medium C-H bending, alkane, and methyl group), 1416.46 cm-1 (could correspond to ester carbonyl groups of the carboxylic function of uronic acids), 1376.30 cm-1 (due to asymmetric in-plane bending of –CH3), 1311.96 cm-1 (O=C-O-C- stretch from the aromatic esters), 1239.62 cm-1 (medium C-N stretching and amine), 1201.96 cm-1 (C-O stretching of tertiary alcohol or ester), 1154.75 cm-1 (strong C-O stretching vibrations from secondary alcohols or aliphatic ether), 1070.02 cm-1 (strong C-O stretching vibrations from primary alcohols), 1029.45 cm-1 (PO3 stretch vibration indicates the presence of phosphate ion or strong S=O stretching of sulfoxide), 891.96 cm-1 (strong C=C bending, alkene, and vinylidene), 835.76 cm-1 (medium C=C bending and alkene), 720.00 cm-1 (bending vibrations of ≡C-H bond of alkyne), 602.53 cm-1 (C-I and iodocompounds), 557.10-527.63 cm-1 (stretching C-Cl or C-I and halo compound), and 465.24-420.63 cm-1 (aromatic C-OH in-plane bending vibration and phenol) (Figure 2(c)).

3.1.3. Gas Chromatography-Mass Spectrometry (GC–MS) Analysis of the Ethanolic Extracts of P. albicans, T. hirsuta, and U. maritima

The main constituents were trans-Caryophyllene (anticancer, antimicrobial, and antioxidant agent; 13.20%); cinnamic acid (antioxidant, antimicrobial, anticancer, neuroprotective, anti-inflammatory, and antidiabetic agent; 12.16%); tetradecane (antioxidant, anticancer, and hypocholesterolemic agent; 11.18%); phytol (anxiolytic, metabolismmodulating, antioxidant, cytotoxic, antinociceptive, apoptosis-inducing, immune-modulating, anti-inflammatory, and antimicrobial agent; 10.21%); catechin (antimicrobial, antiviral, anti-inflammatory, antiallergenic, and anticancer agent; 8.30%); benzofuranone (antitumor, antimicrobial, antioxidative, and antiviral agent; 7.10%); chlorogenic acid (hepatoprotective, antioxidant, cardioprotective, antipyretic, anti-inflammatory, neuroprotective, antiviral, antiobesity, antihypertension, and antimicrobial,; 6.30%); lauric acid (antifungal, antibacterial, and antiviral; 6.26%); naphthalene (anticancer, antimicrobial, and anti-inflammatory agent; 6.12%); arachidic acid (antimicrobial, antifungal, antioxidant, and lipid mediator; 2.26%); glycerin (anti-inflammatory agent; 2.15%); and D-carvone (antibacterial and antisprouting agent; 2.13%) (Table 2). Moreover, lesser amounts (peak area > 2%), including 4-hydroxy-3-methoxybenzoic acid, diathiapentene, 9-eicosene, (E)-octadecanoic acid, methyl ester, hexadecanoic acid, hydroxy-B ionone, pentadecanone, gallic acid, and tetracosanoic acid, were detected in the ethanolic extract of P. albicans and also in line with our results, the identification of 22, 19, and 17 chemicals for roots, leaves, and flowers of the medicinal plant P. decaisnei by GC-MS analysis, and the prevalent organic compounds were phenolics (55.43%), alkaloids (62.03%), terpenoids (25.59%), fatty acids (42.51%), phytosterols (15.68%), and esters (32.08%); namely, 9, 12, 15-octadecatrien-1-ol (37.45%), roemerine (70.44%), hexadecanoic acid (33.72%), γ-sitosterol (11.22%), and decarbomethoxytabersonine (24.49%) with antioxidant and anticancer activities. Furthermore, the phytochemical analysis of the T. hirsuta ethanolic extract by GC–MS characterized a total of 25 compounds. The main components in descending order were valencene (antioxidant and cytotoxic agent; 18.0%) > α-humulene (antitumor, antioxidant, anti-inflammatory, and antimicrobial agent; 15.25%) > alloaromadendrene (antioxidant, antimicrobial, and antiproliferative agent; 13.60%) > nonadecene (antituberculosis, anticancer, and antioxidant agent; 12.17%) > 3,5-dithiahexanol 5,5-dioxide (antitumour activity; 7.23%) > σ-cadinene (antimicrobial, antioxidant, and cholinesterase inhibitor; 4.71%) > lavandulyl acetate (antimicrobial and antiparasitic agent; 4.43%) > α-cedrene (antileukemic, antimicrobial, and antiobesity; 3.30%) > β-selinene (anti-inflammatory, analgesic, and antipyretic agent; 2.15%) > β-bourbonene (antimicrobial and cytotoxicity; 2.12%) > thymohydroquinone dimethyl ether (antibacterial and cytotoxic activities; 2.11%) >1-hexadecanol (antioxidant, antibacterial, and antifungal; 2.00%) > γ-gurjunene (free radical scavenging activity; 1.65%) > tetratetracontane (antioxidant and cytoprotective activities; 1.48%) > α-guaiene (anti-inflammatory, antinociceptive, and antioxidant; 1.34%) > germacrene-D (antimicrobial and insecticidal; 1.23%) > citronellyl formate (antioxidant, antiinflammatory, and wound healing; 1.19%) > phenol, 2,4-bis (1,1-dimethylethyl)- (antiinflammatory and antibacterial; 1.14%) > α-gurjunene (antimicrobial and antioxidant; 1.10%) (Table 3). Conversely, the lowest peak area < 1.0% was recorded for camphor (0.93%), followed by β-cyclocitral (0.70%), α-pinene (0.61%), tetradecamethyl-heptasiloxane (0.59%), 1-octen-3-ol (0.50%), and phenylethyl alcohol (0.47%)(Table 3). Among the bioactive compounds detected in U. maritima ethanolic extract (Table 4), the highest peak areas were detected for 5-isopropyl-2-methyl phenol (antioxidant, antibacterial, antifungal, anticancer, anti-inflammatory, hepatoprotective, spasmolytic, and vasorelaxant agent; 15.21%); eugenol (antibacterial, anticancer, antiviral, and cytotoxic agent; 13.25%); carveol (anticancer; 9.74%); tetrafluorophthalonitrile (fungicidal; 7.62%); hexadecanoic acid (fungicidal, antibacterial, anticancer, and insect attractants; 7.60%); α-cadinol (cytotoxic agent; 7.43%); β-elemene (anticancer activity in multifarious cancer and antibacterial; 6.58%); 1,2- benzendicarboxylic acid, di-isooctyl ester (fungitoxic and cytotoxic agent; 6.22%); β-caryophyllene (antimicrobial, anticancer, cytotoxic, and antioxidant agent; 4.29%); torreyol (cytotoxic, pesticide, and termiticide agent; 4.11%); cyclohexane, 1,4-dimethyl-2-octadecyl- (anticancer; 3.29%); geraniol (antibacterial, antiviral, antitumor, and cytotoxic agent; 2.20%); and borneol (antinociceptive, anti-inflammatory, and cytotoxic agent against tumor cell lines; 1.28%) (Table 4). However, the lower peak areas ≤ 1.0 were detected for linalyl acetate (1.0%); α–pinene (0.96%); tetradecanoic acid, methyl ester (0.91%); p-vinylguaiacol (0.83%); cyclohexasiloxane, dodecamethyl (0.76%); oleic acid (0.72%); β-myrcene (0.70%); terpinolene (0.68%); 3-carene (0.63%); 2-Pentyl-furan (0.58%); octadecane, 3-ethyl-5-(2-ethylbutyl)- (0.51%); espatulenol (0.45%); β-sesquiphellandrene (0.43%); 2-hydroxy-4-methoxybenzaldehyde (0.42%); phenylalcohol (0.35%), and retinol (0.30%).

3.2. Dermatophytes Part
3.2.1. Specification and Validation of Dermatophytes Differentiation Media

Fungus culture assists in the identification of certain fungal species. Among the 283 isolates produced following RSM culture, 253 isolates (89.399%) were confirmed dermatophytes (Table 5). According to our findings, many nondermatophytic fungi exhibit a culture morphology similar to dermatophytes. They can affect the color of RSM and DTM, which may be linked to quick growth fungus and resistance to the antifungal antibiotic in DTM, resulting in many false positive findings. These results highlighted the critical need for more affirmative and selective media. Furthermore, our data demonstrated that the DTM medium is not entirely specific for dermatophytes due to owing 18 nondermatophytic fungi (spore-forming bacilli, S. aureus, 2, Escherichia coli, 2, Candida species, 10) can grow on it, and 94.44% of them can do so. At the same time, 33 true dermatophytic isolates could not do so. The color of the DTM medium changed from yellow to bright red after cultivating because dermatophytes need proteins, resulting in ammonium ion release and an alkaline environment. However, it is not widely utilized because of the high number of false positives generated by quick growers and other pollutants. The findings in Table 5 demonstrated that the DIM medium could remove the false positive outcomes acquired using commercial market media such as RSM and DTM media. After 96 hours of incubation, all dermatophytic isolates () obtained from RSM could grow on DIM and change color to dark purple. Still, among the 30 nondermatophytes obtained from the RSM medium, only three Candida isolates could grow on DIM, and one of them altered its color. Furthermore, owing to the low color intensity and typical creamy bacteria such as Candida growth that is clearly distinguished from dermatophytes, the outcome of the positive color change of Candida strain on the DIM medium may be disregarded. As a result of these two criteria, the DIM medium specificity and sensitivity for dermatophytic fungus might range from 99.647 to 100.0%. DIM has improved specificity, effectivity, and validity against dermatophytes due to its increased cycloheximide concentration, 4 mg/mL, and incubation at 37°C, as previously described.

3.2.2. Evaluation of the Virulent Factors in Dermatophytes

The highest keratinase productivity was detected in Microsporum cookie followed by Epidermophyton floccosum, Trichophyton vaoundei, and Trichophyton rubrum (23.56, 22.08, 20.14, and 20.35 U/mL), respectively but the lowest yields were estimated in Microsporum racemosum, Trichophyton mentagrophytes, and Trichophyton soudanense (9.28, 11.82, and 13.25 U/mL), respectively. Dermatophytic fungal pathogens such as Trichophyton rubrum, Trichophyton mentagrophytes, Microsporum gypseum, and Microsporum canis were isolated from the keratin substances with high keratinase productivity. Furthermore, the stratum corneum was the best substrate for lipase production in 46.67% (M. persicolor; 62.25, M. racemosum; 60.34, M. ferrogenium 60.12; T. erinacei; 57.38, T. mentagrophytes; 54.56, T. vaoundei; 36.19, and T. soudanense; 29.45 U/mL). Moreover, the nail was the best substrate for lipase production in 33.33% of isolates including T. tonsurance, M. gypseum, M. audouinii, M. canis, and T. rubrum to produce 40.16, 36.02, 32.01, 23.47, and 23.46 U/mL, respectively) but hair as substrate gave 53.84, 42.88, and 16.49 U/mL of lipase from E. floccosum, M. cookie, and Microsporum gallinae, respectively, (Table 6). Also, in line with our results, all dermatophytic isolates including the species of Trichophyton, Microsporum, and E. floccosum are expressed as keratinase, elastase, protease, phospholipase, and lipase as enzymatic virulence factors along with hemolysin activity which plays a major role in the pathogenesis of infectious diseases. Interestingly, protease productivity in Microsporum ferrogenium, T. rubrum, M. canis, T. tonsurance, M. cookie, E. floccosum, T. vaoundei, M. audouinii, T. erinacei, M. gallinae, T. mentagrophytes, and M. racemosum reached its maximum values with stratum corneum as substrate (Table 6). Furthermore, T. soudanense and M. gypseum produced maximum protease productivity with hair as substrate, while nail-supported protease formation in M. persicolor (17.67 U/mL) (Table 6). On the other hand, T. soudanense prefers human hair as a substrate for maximum melanin yield (0.49 mg/mL). Melanoid pigment generation was supported by the human nail as one of the most active nonenzymatic virulence factors by these dermatophytic fungi under research, with productivity ranging from 0.44 to 0.77 mg/mL in all dermatophytic strains (Table 6). The highest amounts of melanoid formation were recorded for M. gallinae, T. rubrum, E. floccosum, T. erinacei, T. tonsurance, and M. gypseum (0.76, 0.77, 0.74, 0.69, 0.71, and 0.68 mg/mL, respectively) on the human nail. Also, that putative targets identified as novel antifungal agents to combat dermatophytes include virulence factors such as melanoid formation, hemolysis, proteases, keratinase, lipase, elastases, sulfate transporters as well as heat shock genes or proteins, and ATP binding cassette. Furthermore, as shown in Table 6, for the hemolysis productivity at A550, changing the substrates has no significant effect. In general, the highest hemolysin productivity was associated with T. rubrum, T. mentagrophytes, E. floccosum, M. gypseum, M. audouinii, M. persicolor, and M. ferrogenium (, 0.68, 0.62, 0.60, 0.53, 0.50, and 0.49, respectively) using stratum corneum as a substrate (Table 6).

3.2.3. Evaluation of the Antifungal Efficacy of Each Plant Extract against Dermatophytes

The ethanolic extract of P. albicans could totally inhibit the growth of T. soudanense and T. erinacei as well as all Microsporum species at a concentration of 25 μg/mL. Still, it completely inhibited the growth of T. tonsurance, T. mentagrophytes, and T. vaoundei strain at a higher dose equal to 50 μg/mL (Table 7). Data in Table 4 indicated that among all Trichophyton strains, T. rubrum showed the highest resistance against the EtOH extract of P. albicans, which caused its toxicity by , , and at a concentration of 12.5, 25.0 and 50 μg/mL, respectively. Moreover, all P. albicans extracts exhibited little toxicity on the viability of E. floccosum after treatment with EtOAc, EtOH, and acetone extracts of P. albicans, respectively, (Table 7). Our results reported that among the aqueous, ethanol, and DMSO extracts of selected medicinal plants Lantana camara, Catharanthus roseus, Nerium indicum, Ziziphus mauritiana, and Sida cordifolia leaves; ethanol extract of C. roseus followed by N. indicum, L. camara, and Z. mauritiana recorded the highest antimycotic activity against fungal pathogens. However, the growth of all Trichophyton species and E. floccosum was completely inhibited (100% inhibition) by the ethanolic extract of T. hirsuta at a concentration of 25 μg/mL and acetone extract at 50 μg/mL (Table 7).

3.2.4. Scanning Electron Microscopy (SEM) Assessment of Morphological Alteration of Exposed and Unexposed Fungi to Plant Extracts at Different Concentrations

Success against dermatophytes requires a deeper understanding of the interactions between the surface of fungal cells and antifungal agents. The SEM analysis provided an interesting method to assess the effect of this plant extract on treated fungal surfaces in contrast to traditional methods that provide a quantitative estimation of antimicrobials based on MICs determinants. The analysis of conducted electron micrographs SEM in Figure 3 revealed the interaction of the T. rubrum with extracts of T. hirsuta (Figures 3(b1)–3(d1)), P. albicans (Figures 3(a2)–3(c2)), and U. maritima (Figure 3(a3)–3(c3)). T. mentagrophytes treated with U. maritima extract (Figures 3(b4)–3(d4)), M. canis treated with T. hirsuta extract (Figures 3(b5)–3(d5)), M. gypseum treated with T. hirsuta extract (Figures 3(b6)–3(d6)), E. floccosum treated with P. albicans extract (Figures 3(b7)–3(d7)) at different concentrations of 5.0, 10.0, and 20.0 μg/mL, respectively. The data in Figure 3 showed that the untreated cells (control) of T. rubrum, T. mentagrophytes, M. canis, M. gypseum, and E. floccosum (Figures 3(a1), 3(a4), 3(a5), 3(a6), and 3(a7), respectively) were smooth and had regular, thread-like tubular shapes with intact cells morphology. On the other hand, all the plant extracts used could affect the normal structure of the fungal cells and cause severe morphological and cell surface abnormalities that increased with increasing doses of these extracts from 5.0 to 20 μg/mL. Compared to the regular hyphae with no changes in tubular appearance in the control hyphae of T. rubrum, the SEM of T. rubrum after treatment with EtOH extract of T. hirsuta ranged from 5.0 to 20 μg/mL exhibited random irregular clumps structures with the surface demolition, distorted, collapsed, and irreversibly damaged mycelium in addition to the cave formations and trabecula can be observed that seems to be derived from the fusion of hyphae concentrations (Figures 3(b1)–3(d1)). Moreover, T. rubrum treated with P. albicans extract at a concentration of 5.0, 10.0, and 20.0 μg/mL, respectively (Figures 3(a2)–3(c2)) had a ribbon-like structure with a rough, and fluffy surface, and enlarged hyphal tips with abnormal, and irregular shapes at the lower concentration but at the higher dose of the extract 20 μg/mL, it forms a compact mass with contorted, rough, and distorted hyphae. After treatment with U. maritima extract (Figure 3(a3)–3(c3)), large morphological deformations occurred in the T. rubrum mycelium shape and hyphae. Hyphae were fused and collapsed forming abnormal and irregular shapes such as wrinkles spongy, conical, and caves structures with rough and granular-like surfaces and bulging, crushing of hyphae with corrugation of walls (Figure 3(a3)–3(c3)). The deformation and fusion increased in the exposed hyphae with increasing the concentration of the extract.

The electron micrographs of control T. mentagrophytes hypha without any treatment was presented smoothly to lobed-like surface hyphae, tubular structures, and straight shapes wrapped around each other (Figure 3(a4)). After treatment of T. mentagrophytes mycelial with U. maritima extract, SEM images showed significant morphological abnormalities in the structural patterns, including swollen, wrinkled, missing turgidity, and slightly cracked hyphae with a rough surface (Figure 3(b4)) at 5.0 μg/mL. Highly compact mycelium with fused hyphae together to form a woven structure that is occasionally interrupted by areas with the appearance of stretch marks in addition to crushed and much-suppressed hyphae, strange formations with the appearance of burst balloons and crush zones were observed at 10 μg/mL (Figure 3(c4)). With increasing the dose of EtOH extract of U. maritima to 20 μg/mL, abnormality, irregular, shrinkage, and fusion of hyphae resulted in the cave shape formations of trabecula along with the presence of spongy consistency structures with notable pitting on hyphal walls that indicating a possible loss of the intracellular contents were observed (Figure 3(d4)). These morphological alterations can be suggested to crush the fungal structures of T. mentagrophytes caused by U. maritima extract. The control hyphae of M. canis in Figure 3(a5) revealed smooth walls in normal tubular appearance hyphae. However, M. canis hypha treated with ethanolic extract of T. hirsuta (5.0, 10.0, and 20.0 μg/mL) in Figures 3(b5), 3(c5), and 3(d5), respectively, had abnormal and irregularly shaped, wrinkled, contorted, and rough macroconidia patterns, rough, twisted, and granular-like surfaces; depressions on hyphal surfaces with a compact mass of contorted, rough, and crushed hyphae. The unexposed mycelium of M. gypseum to these fungal extracts showed a typical cigar-shaped morphology, lengthened hyphae of constant diameter with a rounded or lightly tapering apex and a smooth external surface (Figure 3(a6)). Conversely, M. gypseum samples treated with T. hirsuta extract at a concentration of 5.0, 10.0, and 20.0 μg/mL caused altered mycelium characteristics such as the appearance of knobs on the surface, the abundant presence of abnormal wrinkling, broken down and crushing of hyphal regions with rough and granular-like surface structures and formation of large, irregular, highly wrinkled structures after crushing and fusing of hyphae with corrugation of walls (Figures 3(b6), 3(c6), and 3(d6), respectively). In line with our results, SEM analysis showed that the extract of Dryopteris fragrans L. caused mycelial morphology changes like collapsing, twisting, shrinking, and even flattening in T. rubrum. SEM micromorphological analysis (Figures 3(b7)–3(d7)) of the E. floccosum mycelium treated with the active substances of P. albicans extract under study presented notable morphological abnormalities and alterations concerning the controls (Figure 3(a7)). Morphological structure alterations were observed in treated E. floccosum. These morphological changes included elongated club-shaped macroconidia that appeared in clusters followed by rupture or bursting of its structures, contracted and swollen tubes, swollen apexes, collapsing, distortion, twisting, inflating, bulging, and crushing of hyphae; depressions on hyphal surfaces, and the mycelium appeared as consistent tangled or folded spongy structures (Figure 3(b7)–3(d7)).

3.3. Cytotoxicity Part
3.3.1. Determination of the Antitumor Activity of each Plant Extract against Human Cancer Cell Lines

Nature offers us several chemicals classed as secondary metabolites from plants and has been exploited to discover novel cancer therapies since ancient times. Therefore, this study was started to explore the potential anticancer activity of selected medicinal plants P. albicans, T. hirsuta, and U. maritima aerial parts, as shown in Figures 46. The viability of the HCT-116, HepG-2, MCF-7, and HeLa cell lines were reduced to (41%, 30%, 19%, 5%, and 0%), (40%, 20%, 0%, 0%, and 0%), (80%, 66%, 49%, 35%, and 21%), and (81%, 70%, 57%, 45%, and 40%) after treatment with the ethanolic extract of P. albicans at a dose of 12.5, 25, 50, 75, and 100 μg/mL, respectively (Figure 4). Moreover, the acetone extract reduced their viability by (72%, 47%, 33%, 22%, and 16%); (90%, 64%, 50%, 30%, and 0%); (88%, 79%, 60%, 40%, and 36%); and (89%, 80%, 70%, 59%, and 50%) at dosage of 12.5, 25, 50, 75, and 100 μg/mL, respectively (Figure 4). The IC50 estimated for the ethanol extract of P. albicans was to be 10.0, 9.97, 48.5, and 56.24 μg/mL compared to 23.82, 50.0, 61.52, and 100 μg/mL for the acetone extract against HCT-116, HepG-2, MCF-7, and HeLa cells, respectively (Figure 5). Furthermore, death in HCT-116, HepG-2, MCF-7, and HeLa carcinoma cell lines equal to (30%, 46%, 60%, 71%, and 79%); (35%, 50%, 65%, 82%, and 93%); (30%, 68%, 100%, 100%, and 100%); and (60%, 80%, 100%, 100%, and 100%) was recorded after treatment with ethanol extract of T. hirsuta with IC50 values 26.98, 25, 17.11, and 9.52 μg/mL, respectively, (Figure 5). Furthermore, with the acetone extract, the growth of these cell lines was suppressed by (20%, 25%, 33%, 60%, and 67%); (21%, 38%, 50%, 71%, and 89%); (15%, 31%, 60%, 80%, and 100%); and (33%, 50%, 69%, 82%, and 100%) at concentrations of 12.5, 25, 50, 75, and 100 μg/mL, respectively, with IC50; 50.0, 37.42, 60.25, and 25.0 μg/mL against HepG-2, MCF-7, HCT-116, and HeLa cells, respectively (Figure 5). Previously, polar extracts of T. hirsuta exhibited a dose-dependent cytotoxic effect on human colon cancer cell growth, and HeLa cell viability with IC50 value of 175 μg/mL. Among all the plants under study, the ethanolic extract of U. maritima exhibited the highest antiproliferative against HCT-116, HepG-2, and MCF-7 cell lines (Figure 6). The viability of HepG-2, HCT-116, and MCF-7 cell lines were repressed at 25 μg/mL with IC50; 7.46, 9.32, and 12.50 μg/mL, respectively. Moreover, HeLa cells were completely killed at 50 μg/mL with IC50; 16.32 μg/mL of EtOH - U. maritima extract (Figure 6). Furthermore, the acetone extract of U. maritima was able to reduce the viability of MCF-7, HCT-116, and HeLa cell lines to zero at a concentration of 100 μg/mL as well as HepG-2 cells at a dose of 75 μg/mL with IC50 equal to 50.0, 50.0, 25.0, and 15.34 μg/mL, respectively (Figure 6).

4. Discussion

Nature supplies us with several chemicals known as secondary metabolites that come from plants and have been exploited since ancient times to discover novel remedies. In general, the phytochemical investigation of the T. hirsuta, U. maritima, and P. albicans plants revealed the presence of significant amounts of various chemical components with a history of pharmacological effects, and these quantities increased with the increasing of solvent polarity and reached a peak in ethanol extract of all these plants. In line with our results, Yahyaoui et al. [5052] stated that the content of flavonoids, polyphenols, tannins, phytochemicals, and other alkaloids varied considerably according to the solvents used, extraction methods, solvent polarity, particle size, and geographical origin. Also, our data agree with Yahaya et al., the present work is aimed at analyzing the ethanol extracts of the aerial parts of T. hirsuta, U. maritima, and P. albicans using the FTIR spectroscopy method for detecting the characteristic peak values and their functional groups. FTIR analysis revealed different characteristic peak values with various functional constituents in the extracts, and our data are in line with Pakkirisamy et al. [53]. Data are consistent with El-Bondkly and El-Gendy [1]; they stated that the FTIR spectrum is the major authoritative technique used for recognizing the chemical functional groups of the active components present in the extract based on peak values in the region of IR radiation. GC-MS is a “gold standard” for medical substances and is one of the most important instruments used to analyze a sample with volatile constituents. Chromatographic analysis of the EtOH extract of P. albicans in Table 5 enabled the identification of 21 compounds with different well-known biological activities. The presence of several bioactive compounds detected after GC-MS analysis using the ethanolic extract of T. hirsuta justifies the use of leaves for various elements by traditional practitioners. Previously different biological activities were detected for these identified compounds, such as antitumor, antioxidant, anti-inflammatory, and antimicrobial for α-humulene; antioxidant, antibacterial, and antiproliferative for alloaromadendrene; antioxidant, and cytotoxicity for valencene; as well as antituberculosis, anticancer, and antioxidant for nonadecene [54]. GC-MS analysis proved that P. albicans, T. hirsuta, and U. maritima plants used in traditional medicine contain a wide range of substances that can be used to treat chronic, cancerous, and infectious diseases. [5559].

Fungal culture aids in the definitive identification of fungal species. The data in Table 5 indicated that the RSM medium gave low specificity for dermatophytes, then there were many false results due to 45 dermatophytic fungi which were unable to change the RSM medium coloration while 15 nondermatophytes (Candida sp.; 11, the spore-forming bacterium of Bacillus sp.; 1, Escherichia coli; 1, and Staphylococcus aureus; 2 isolates) were able to change the RSM medium color. Dermatophytes are keratinophilic fungi closely related to a unique group of organisms, mostly composed of 3 main genera, including Trichophyton, Microsporum, and Epidermophyton that infect keratinous tissue (nails, hairs, and skin) of live human hosts, and other animals to produce infection [60]. In line with our results, Jangid and Begum [61] stated that dermatophytes are fungal pathogens of animals and humans that infect the keratinized tissues, e.g., nails, hairs, and skin, since they produce several kinds of virulence factors for infection, such as keratinase, sulfite, exoprotease, and endoprotease to penetrate into the stratum corneum of the host tissues and produce disease. Shanmuga et al. [62] reported that the hemolytic factor plays a vital role in dermatophytic infections because of the cytotoxic effects on RBC and phagocytic cells, which results in the formation of pores and lysis. According to Elavarashi et al. [44], dermatophyte species secrete several enzymatic virulence activities such as phospholipase, lipase, protease, and gelatinase that hydrolyze host tissue components as a source of nutrients, act as antigens, and stimulate varying degrees of inflammation, as well as nonenzymatic virulence factors such as hemolysin and CAMP-like factors. Yahyaoui et al. [50] reported that medicinal plant; T. hirsuta extracts were previously reported to have antimicrobial, antihypoglycemic, antioxidant activities and antitumor due to their high content of phenolic compounds. On the other hand, among all dermatophytes under study, all species of Microsporum showed the highest resistant toward the extracts of T. hirsuta in descending order M. racemosum > M. ferrogenium > M. audouinii > M. gallinae > M. persicolor > M. cookie > M. gypseum > M. canis. Also, Felhi et al. [15] study revealed that the aerial parts extracted from T. hirsuta exhibited moderate to strong antimicrobial effects against bacteria and yeasts. While the various constituents of medicinal plants have long been prescribed to treat various infectious diseases, there is little information available regarding their use in fungal skin infections [1, 6, 63]. Among all plants under study, ethyl acetate extracts showed the lowest inhibitory activity against all dermatophytes isolates, but ethanol extracts showed the highest antifungal activity. The polarity of the solvent and the solubility of the antifungal metabolites in ethanol followed by acetone, but not in ethyl acetate, are thus compatible. These results are similar to those of Ghahfarokhi et al. [64], who described hyphal abnormalities such as shrinkage or surface demolition, and enlarged hyphal tips in T. rubrum and T. mentagrophytes when treated with onion extracts. Massiha and Muradov [65] reported that ethanol extract from different plants, including Calendula officinalis, Acacia arabica, Altheae officinalis, Ginkgo biloba, Juglans regia, Hypericum perforatum, Solanum nigrum, Osimum basilicum, Urtica dioica, and Anagalis arvensis is a rich source of bioactive metabolites with antimycotic agents against large numbers of dermatophytes including M. canis, M. gypseum, T. mentagrophytes, T. rubrum, T. schoenleinii, and E. floccosum with MFCs ranged from 0.001 to 0.016 mg/mL. As a result, this study validates the use of plants in the treatment of fungal infections and gives rise to the prospect of discovering novel antifungal agents derived from plants. Due to all Trichophyton species showing significant sensitivity against all ethanolic extracts of all plants under study, T. rubrum showed a higher resistance towards the ethanolic extracts of P. albicans, T. hirsuta, and U. maritima at a concentration of 12.5 μg/mL was selected for SEM studies. The deformation and fusion increased in the exposed hyphae with increased extract concentration. This altered morphology might be attributed to the natural bioactive compounds present in these extracts interfering with the architecture of the fungal morphology, cell membranes, and the functional groups on the surface of T. rubrum. Our results are in accordance with Zheng et al. [66], who showed that cis-trans citral isomers isolated from medicinal plants revealed antifungal activities against T. rubrum through higher cellular leakage rates, increased membrane damage, and morphological changes, presence of conidia with damaged membranes, and more distinct shriveled mycelium in SEM. Hence, S.E.M. analysis for studying and understanding of these changes in morphology and surface characteristics of fungus after treatment or stress may provide evidence of the efficacy of antifungal therapy [1]. Behbehani et al. [67] reported that after treatment with the plant extract, serious changes in the fungal morphology could be observed due to the approaches adopted by fungi to thrive well even in the presence of antifungal stress molecules in each extract by masking their toxic impact under stress conditions to shield themselves from the harsh environment. Antimycotic activity as MICs and MFCs of extracts was further confirmed through SEM’s altered architecture of the dermatophytes under study. In accordance with our results, Taha et al. [5], by using scanning electron microscopy (SEM) analysis, revealed the morphological changes in hyphae of 30 clinical dermatophytes, including Trichophyton and Microsporum species exposed to ethanolic and acetone extracts of henna leaves and these structural changes including disintegrating, distortion, twisty, swollen, crushing of hyphae with waving and depressing on hyphal surfaces at 25 to 75 μg/mL of ethanol or acetone extract.

Cancer is one of the leading causes of death globally, and the discovery of new anticancer drugs is the most important need in recent times. Natural products have been recognized as effective in fighting against various diseases, including cancer, for over 50 years [4]. Similar to our results, Nazarizadeh et al. [68] revealed that ethanol extract of P. major (1 μg/mL) was cytotoxic against the ovary and cervix carcinoma stimulating the proliferation of nasopharynx carcinoma along with other activities like anti-inflammatory, wound healing, hematopoietic and antifatigue. Notably, Gálveza et al. [69] reported the strong cytotoxicities of the ethanolic extracts of different Plantago species against UACC-62 and MCF-7 cells with IC50 equal to 34 and 32 μg/mL, respectively. Previously, various authors reported that U. maritima is well known for its applications in traditional medicine and is typical for the treatment of malignancies due to the selective killing of different malignant cells through various processes like apoptosis, antiproliferation, and cell cycle arrest instead of necrosis in different types of cancer cell lines including human leukemia, breast cancer cells (MCF-7, and MDA-MB2311), prostate, melanoma, pancreatic, lung, liver, glioblastoma, and colon in a dose-dependent mode [14, 7072]. The high toxicity of some cancer chemotherapy drugs, in addition to their unfavorable side effects and drug resistance, drives up the demand for natural compounds as new anticancer drugs. Then these plants, T. hirsuta, U. maritima, and P. albicans appear to be among the preferred drugs in the future for treating these deadly diseases.

5. Conclusions

Dermatophyte infections are very common, and cancer is one of the primary causes of mortality globally. Hence, the discovery of new antimycotic and anticancer drugs is an essential need in recent times. Our study emphasizes the importance of identifying enzymatic and nonenzymatic virulence factors among clinical isolates of dermatophytes that contribute a major role to the emergence of antifungal drug resistance. This work provides an overview of the phytochemistry, pharmacological activities, and other potential applications of the aerial parts of ethnomedicinal plants, T. hirsuta, U. maritima, and P. albicans. Phytochemical screening showed that these plants are rich in polyphenols, tannins, flavonoids, alkaloids, carotenoids, luteinss, saponins, and polysaccharides and are known to have a wide range of biological activity. Furthermore, GC-MS analysis using the ethanolic extracts of these plants showed the presence of various bioactive compounds that correspondingly contribute to their exerting specific biological activities and potential therapeutic effects. The results of the current investigation clearly indicate the potential medicinal use of the ethanol extracts of T. hirsuta, U. maritima, and P. albicans (aerial parts) as antimycotic agents against a large number of dermatophytes and as antiproliferative agents against different types of cancer. Thus, this work confirms the importance of plants as a powerful source of diverse bioactive pharmaceutical metabolites that are of great importance for the development of new drugs and will be beneficial to investigators/scientists that are globally involved in the development of safe, effective, natural, and economical therapeutic agents/drugs against various fungal and cancerous diseases in the field of drug discovery.

Data Availability

All data generated or analyzed during this investigation are included in this research article.

Conflicts of Interest

The authors declare that they have no competing interests.

Authors’ Contributions

El-Bondkly E.A.M., Al Shammari B, El-Gendy MMAA, Alsafari IA, El-Bondkly A.A.M., El-Shenawy FS, and El-Bondkly AM designed and carried out the work, accomplished literature searches, analyzed data, and wrote the manuscript. All the authors read and approved the final manuscript.