In Vitro Antifungal and Antivirulence Activities of Biologically Synthesized Ethanolic Extract of Propolis-Loaded PLGA Nanoparticles against Candida albicans

Propolis is a natural substance and consists of bioactive compounds, which gives it antioxidant and antimicrobial properties. However, the use of propolis is limited by the low solubility in aqueous solutions. Thus, nanoparticles may be likely to accomplish enhanced delivery of poorly water-soluble phytomedicine. The aim of the present study was to fabricate and evaluate the biological activity of ethanolic extract of propolis-loaded poly(lactic-co-glycolic acid) nanoparticles (EEP-NPs). The EEP-NPs were prepared using the oil-in-water (o/w) single-emulsion solvent evaporation technique. The physicochemical properties of EEP-NPs were characterized and tested on their cytotoxicity, antifungal activity, and impact on key virulence factors that contribute to pathogenesis of C. albicans. EEP-NPs were successfully synthesized and demonstrated higher antifungal activity than EEP in free form. Moreover, EEP-NPs exhibited less cytotoxicity on Vero cells and suppressed the virulence factors of C. albicans, including adhesion, hyphal germination, biofilm formation, and invasion. Importantly, EEP-NPs exhibited a statistical decrease in the expression of hyphal adhesion-related genes, ALS3 and HWP1, of C. albicans. The results of this study revealed that EEP-NPs mediates a potent anticandidal activity and key virulence factors by reducing the gene-encoding virulence-associated hyphal- adhesion proteins of C. albicans and, thereby, disrupting the morphologic presence and attenuating their virulence.


Introduction
In recent times, natural products have become alternative therapeutic options because they are safe and effective with many active compounds [1]. Propolis is one of the most natural products that has been used as a traditional medicine. It is a natural resinous substance collected by bees from buds and exudates of plants, mixed with bee enzymes, pollen, and wax to seal cracks and crevices in their hive [2]. e propolis components depend on botanic and geographic origins and bee species [3]. In the past decade, several studies reported the properties of propolis on the antimicrobial activity [4][5][6], antiproliferation of cancer [7], antioxidant [8], and stimulation of immune function [9]. Although propolis is widely used in many applications as described above, the solubility of poorly soluble active compounds has been a limitation [10].
Currently, nanotechnology is applied in life sciences, especially the nanoparticles as a drug delivery system [11]. Advances in this system have led to the development of several aspects such as improved drug efficacy for infection diseases [12], targeted delivery for cancer therapy [13], and in cosmetics [14]. In particular, nanotechnology may be likely to accomplish enhanced delivery of poorly watersoluble phytomedicine [15].
Polymeric nanoparticles (PNPs) are one of the smart drug delivery platforms [16]. Many materials such as natural or synthetic polymers are needed to formulate PNPs [17]. PNP preparation has been reviewed elsewhere [18]. Poly(lactic-co-glycolic acid) (PLGA) is one of the most synthetic polymers for elaborating PNPs because it has a biodegradable property and has been approved by the Food and Drug Administration (FDA) for drug delivery [19]. Moreover, PLGA-based nanoparticles have been reviewed for various biomedical applications [20]. erefore, propolis loaded into PLGA nanoparticles may overcome the limitation of water solubility and easily dispersed in aqueous media.
In this study, ethanolic extract of propolis-loaded PLGA nanoparticles (EEP-NPs) were formulated and characterized for the physicochemical properties. en, the biological activities were evaluated for cytotoxicity and inhibitory effect on the growth of pathogenic yeast C. albicans. e virulence factors of yeasts, including adhesion, hyphal germination, biofilm formation, and invasion abilities, were also investigated. Moreover, the adhesion hyphal-related genes were examined using real-time RT-PCR. is study has importantly gained new preparation method for EEP-NPs and their efficacy on inhibiting C. albicans growth and virulence factors.
e EEP was injected in HPLC equipment (Agilent 1100 Series, CA) and separated with an Agilent ZORBAX Eclipse XDB-C18 column; 4.6 × 150 mm, 5 μm chromatographic column. e mobile phases were (A) 0.1% formic acid in water and (B) methanol. Separations were performed at room temperature by linear gradient elution from 0 min at 50% A/50% B to 35 min at 75% A/25% B with a flow rate of 1.0 ml/min. e eluent was continuously monitored at a wavelength of 267 nm for 35 min. e identification of the phenolic compounds was carried out by comparing the retention time of the sample with gallic acid, quercetin, pinocembrin, chrysin, and galangin standards. All analyses were performed in triplicate.

Preparation and Characterization of Ethanolic Extract of
Propolis-Loaded PLGA Nanoparticles (EEP-NPs) 2.3.1. Preparation of EEP-NPs. ree formulations of EEP-NPs were prepared using PLGA matrix (EEP-NP 1, EEP-NP 2, and EEP-NP 3) and three formulations of polymer control nanoparticles (nanoparticles without EEP; polymer-NP 1, polymer-NP 2, and polymer-NP 3) were also prepared. e suspensions of nanoparticles (NPs) were prepared by the modified oil-in-water (o/w) single-emulsion solvent evaporation method [21]. In brief, the organic solution consisting of EEP and PLGA were dissolved in absolute ethanol and dichloromethane (DCM), respectively. e ratios of EEP and PLGA (1 : 2, 1 : 1, and 2 : 1 for EEP-NP 1, EEP-NP 2, and EEP-NP 3, respectively) were mixed at room temperature until all materials were completely dissolved. Each organic solution was emulsified into 4 ml polyvinyl alcohol (2% w/v, PVA) in a dropwise manner. e resulting solution was stirred and then sonicated (output power 70 W, 2 min) using an ultrasonic processor UP100H (Hielscher Ultrasonics, Germany) within an ice bath. Each mixed solution was incubated overnight at room temperature in dark condition for complete polymerization. e resulting nanoparticles were centrifuged at 8,800g for 40 min at 4°C (Beckman Coulter, CA), washed once with deionized water, and then lyophilized. e three formulations of polymer control nanoparticles (polymer-NPs) were prepared with a similar method. All nanoparticles were stored at − 20°C until used. e parameters for preparation of EEP-NPs and polymer-NPs are listed in Supplementary Table 1.

Physicochemical Property Characterization of NPs.
Dynamic light scattering (DLS) technique was used for determining the mean particle size and polydispersity index (PDI) values of EEP-NPs and polymer-NPs using a Zetasizer instrument (Malvern, UK) equipped with a 4.0 mV He-Ne laser (633 nm) [21]. Measurements were carried out in triplicate at 25 ± 0.1°C with using 0.8872 cP of viscosity. e number of runs and run time durations were chosen automatically. Zeta potential value of EEP-NPs and polymer-NPs was determined by the electrophoretic light scattering (ELS) technique and processed in a clear disposable zeta cell at 25 ± 0.1°C. All nanoparticle samples were diluted 1 : 10 with deionized water before measurement. Each sample was measured in triplicate, using 0.8872 cP for viscosity and 78.5 for dielectric constant. e measurement durations and voltage selections were set to automatic mode.

Scanning Electron Microscopy (SEM).
e morphology of nanoparticles was observed using scanning electron microscopy (SEM). e samples were diluted 10-fold with deionized water, dropped onto stubs with double-sided copper tape, and dried in the desiccator overnight. en, the samples were coated with gold film by using a JEOL JFC-1100E Ion Sputtering device (JEOL, Japan) under vacuum for 2 min and analyzed with a scanning electron microscope (SEM) (JEOL, Japan).

Encapsulation Efficiency (EE) and Loading Capacity (LC).
e encapsulated EEP of nanoparticles was determined by an indirect quantification method by using UV-Vis spectrophotometer [21]. e supernatant of EEP-NPs was obtained after centrifugation at 8,800g for 40 min at 4°C. e supernatant was then diluted 1 : 2 with deionized water and the UV spectrum wavelength scanned over the range 258-400 nm by a UV-Vis spectrophotometer (Shimadzu, Columbia, MD). e EEP standard calibration curve was constructed by dissolved various concentrations of EEP in absolute ethanol. e amount of EEP in supernatant of EEP-NPs was calculated with the EEP standard calibration curve obtained by using the peak area. e EE and LC of EEP-NPs were quantified using the following equations [22]: amount of EEP encapsulated in NPs initial EEP added × 100, LC(%) � amount of EEP in NPs total amount of NPs × 100. (1)

In Vitro Release
Assay. e EEP release from nanoparticles was performed using a modified dissolution method [21]. One milligram of EEP-NPs was dissolved in 1 ml of phosphate buffer saline solution (PBS, pH 7.4) and shaken in an incubator at 37°C. e samples were collected at difference times (1, 2, 3, 6, 12, 18, and 24 h) and centrifuged at 8,800g for 20 min at 4°C. e supernatant was harvested and the pellet resuspended with 1 ml of fresh PBS. e release of EEP from the nanoparticles in the supernatant at different time points was measured by UV-Vis spectrophotometer over the spectral wavelength range as described above.
e percentage of EEP released from the nanoparticles (% EEP release) was compared with EEP standard calibration curve.

Biological Properties of EEP-NPs
2.4.1. Cytotoxicity Assay. Vero cells (African green monkey kidney epithelium) were maintained in Dulbecco's Modified Eagle's medium (DMEM) (Invitrogen, Green Island, NY) supplemented with 10% fetal bovine serum (FBS), penicillin (10 units/ml), and streptomycin (100 μg/ml) in ambient conditions of 37°C and 5% CO 2 . For the cytotoxicity assay, 1 × 10 4 cells were seeded in a 96-well plate and allowed to attach overnight. On the following day, five different concentrations of EEP-NPs and polymer-NPs were added and incubated at 37°C with 5% CO 2 for 24 h. Twenty microliters of 5 mg/ml MTT (3-[4,5-dimethylthiazol-2-yl]-2,5 diphenyltetrazolium bromide) solution was added into each well and incubated for 4 h. One hundred microliters of dimethyl sulfoxide (DMSO) was added to each well to solubilize MTT formazan product. e optical density (OD) was measured at 570 nm using a microplate reader (BioTek, VT). e percentage of cell viability was quantified and compared with a cell control, which was a cell culture in media without NPs.

2.4.2.
Antifungal Assay. C. albicans DMST 21424, a biofilm producing strain, was obtained from the Department of Medical Science, Ministry of Public Health (MOPH), ailand [23]. e yeast was cultured on Sabouraud dextrose agar (SDA) (HiMedia, Mumbai, India) at 37°C for 48 h. After the time of incubation, a single colony was picked into Sabouraud dextrose broth (SDB) (HiMedia, Mumbai, India) and incubated at 37°C overnight. e cells were harvested by centrifugation, resuspended with Roswell Park Memorial Institute (RPMI) 1640 (Gibco, Gaithersburg, MD), and adjusted to 1 × 10 4 cells/ml. e antifungal activity against C. albicans at an equal amount of EEP in free form and EEP-NPs was investigated in cell viability and growth.
Various concentrations of EEP in free form and EEP-NPs were added into a 96-well tissue culture plate. One hundred microliters of 1 × 10 4 cells/ml of C. albicans was then inoculated and incubated at 37°C overnight. e following day, the medium was removed and 50 μl of 2 mg/ml MTT solution was added into each well and incubated at 37°C for 5 h. Two hundred microliters of DMSO was added into each well and the optical density at 540 nm was measured using a microplate reader. e percentage of metabolic activity of EEP-NP-treated C. albicans was quantified and compared with the EEP in free form-treated C. albicans. To confirm the effect of EEP-NPs and EEP in free form on cell growth of C. albicans, the colony-forming unit (CFU) assay was performed. Yeast cells from respective wells were properly diluted and spread on SDA plates. e plates were incubated at 37°C for 24 h and counted, and the CFUs of yeast cells were calculated.

Antivirulence Factors of C. albicans
2.5.1. Adhesion. Adhesion ability of C. albicans was determined using fluorescence assay [24]. Vero cells (1 × 10 5 cells) were grown in a 96-well black tissue culture plate and incubated at 37°C with 5% CO 2 . e yeast cells were labeled with 25 μg/ml of Concanavalin AAlexa 488 (Invitrogen, NY) for 1 h in dark condition. en, the labeled C. albicans were adjusted to 100 MOI and treated with various concentrations of EEP-NPs and polymer-NPs and inoculated into a 96-well black tissue culture plate that contained Vero cells.
e cocultivated cells were incubated at 37°C with 5% CO 2 for 90 min. en, nonadherent labeled C. albicans cells were washed thrice with PBS. Mean fluorescence intensity (MFI) was measured using a microplate reader at excitation and emission wavelengths of 495/519 nm. e MFI of adherent yeasts was converted to the percentage of adhesion compared with control with the following formula: Evidence-Based Complementary and Alternative Medicine where MFI test was the mean fluorescence intensity of the labeled yeast cells incubated with NP suspension and MFI control was the mean fluorescence intensity of the labeled yeast cells incubated with culture medium only.

Hyphal
Germination. C. albicans (1 × 10 7 cells) were inoculated into inducer media (10% FBS-RPMI 1640) and treated with various concentrations of EEP-NPs and polymer-NPs [25]. After 4 h incubation at 37°C, the hyphal form of yeast cells was observed under a light microscope. Five hundred yeast cells were counted, and the percentage of hyphal germination was calculated from the following formula: hyphal germination(%) � number of hyphal form number of total yeast cells × 100. (3)

Biofilm Formation.
Candida biofilm formation was determined by the XTT reduction assay [26]. In brief, overnight culture of C. albicans in SDB was centrifuged, washed, and adjusted to 1 × 10 7 CFU/ml in RPMI-1640 medium. One hundred microliters of C. albicans was seeded into a 96-well polystyrene plate and incubated for 90 min at 37°C with 5% CO 2 . Nonadhered cells were removed by washing thrice with sterile PBS. Two hundred microliters of various concentrations of EEP-NPs and polymer-NPs were then added, mixed well, and incubated at 37°C for 24 h. After incubation, biofilms were washed thrice with PBS and the biofilm mass measured by the XTT dye [2,3-bis (2-methoxy-4-nitro-5-sulfophenyl)-2H-tetrazolium-5-carboxanilide sodium salt] (Invitrogen, NY). In the prior assay, one hundred microliters of 0.5 mg/ml XTT solution was mixed with 1 μM menadione (Bio Basic Inc., Canada) and added into each well. After incubation for 1 h at 37°C, the colorimetric change of XTT reduction was measured by a microplate reader at 492 nm.

Hyphal Adhesion-Related Gene Expression.
Hyphal adhesion-related gene expression was investigated by realtime RT-PCR [27]. In brief, Vero cells (1 × 10 5 cells) were grown in a 96-well tissue culture plate and incubated at 37°C with 5% CO 2 . After reaching ∼80% confluence, the cells were cocultured with C. albicans (100 MOI) and treated with various concentrations of EEP-NPs and polymer-NPs. e cocultivated cells were incubated at 37°C in 5% CO 2 for 12 h. en, nonadherent Candida cells were washed thrice with PBS. After that, trypsin-EDTA solution was added and the cell suspension harvested. Vero cells were lysed with diethyl pyrocarbonate-(DEPC-) treated water and yeast cells were collected. e yeast pellet was treated with solution/lysis buffer for 1 h at 30°C and then centrifuged at 1,000g for 5 min [28]. Spheroplast cells were extracted for total RNA with the NucleoSpin RNA II extraction kit (Macherey-Nagel GmbH & Co. KG, Düren, Germany) and reverse-transcribed with the RevertAid First Strand cDNA Synthesis kit ( ermo Scientific, Rockford, IL), according to the instructions of the manufacturer. Complementary DNA (cDNA) was amplified with specific primers (as shown in Supplementary Table 2) by real-time RT-PCR. e reaction mixture contained 10 μl of SensiFAST ™ SYBR Green Master Mix (Bioline, Boston, MA), 300 nM of each primers and 2 μl of cDNA sample in a total volume of 20 μl. e PCR reactions were performed with initial denaturation at 95°C for 10 min, followed by 40 cycles of 15 s at 95°C, 30 s at 60°C, and 60 s at 72°C. e specific amplicon was detected by melting curve analysis. ACT1 was used as a house keeping gene and the mRNA expression was normalized using the 2 − ΔΔCT method [29].

Invasion.
Invasion ability of C. albicans was detected by the cell damage assay [30]. In brief, Vero cells (5 × 10 4 cells) were cultured in a 96-well tissue culture plate and incubated at 37°C in 5% CO 2 . e cells were cocultured with C. albicans (5 × 10 6 cells), which were treated with various concentrations of EEP-NPs and polymer-NPs. e cocultivation was incubated for 48 h at 37°C in 5% CO 2 . Supernatants were collected and the lactate dehydrogenase (LDH) measured by using an LDH-cytotoxicity colorimetric assay kit (BioVision, CA). Samples containing only Vero cells or yeast cells alone were used as controls. Percentage of Vero cells damage was calculated by the following formula: where OD Treatment was the optical density of coincubation between NP-treated yeast cells and Vero cells, OD Cell subtracted was the optical density of NP-treated Vero cells, OD yeast subtracted was the optical density of NP-treated yeast cells, and OD Control was the optical density of coincubation between yeast cells and Vero cells. e invasion of yeast cells was confirmed by a scanning electron microscope (SEM) [31]. In brief, a sterile cover glass (12 mm) was placed into a 24-well tissue culture plate and coated with 2 μg/ml poly-lysine for 1 h at RT. Vero cells (1 × 10 5 cells) were seeded into each well and incubated at 37°C for 24 h in 5% CO 2 . en, the cells were cocultured with C. albicans (100 MOI), which were treated with various concentrations of EEP-NPs and polymer-NPs for 48 h at 37°C in 5% CO 2 . e media was removed, washed thrice with PBS, and fixed with 2.5% glutaraldehyde (pH 7.2) for 2 h at 4°C. Afterwards, the samples were washed thrice with PBS and postfixed with 2% osmium tetroxide (OsO 4 ) for 2 h. All 4 Evidence-Based Complementary and Alternative Medicine samples were dehydrated by stepwise ethanol gradients: 50% and 70% (twice for 10 min), and 95% (twice for 5 min) and 100% (twice for 1 min), respectively. Finally, the samples were coated with gold film using a JEOL JFC-1100E Ion Sputtering device (JEOL, Japan) under vacuum for 2 min and the cell morphology was determined using a scanning electron microscope (SEM).
2.6. Statistical Analysis. All data were represented as the mean ± standard error of the mean (SEM) of three independent experiments in triplicate. Significant differences ( * p < 0.05) when compared with the control group were determined by one-way ANOVA with the Tukey-Kramer multiple comparisons posttest.

Physicochemical Properties of NPs.
e EEP-NPs were successfully formulated and the water solubility was observed by visualization.
e results showed EEP was incompletely dissolved in the water and exhibited the aggregation as shown in Figure 2(a). In particular, the lyophilized form of EEP-NPs exhibited a water-soluble property and presented the homogeneous solution (Figure 2(b)). e morphology of NPs was confirmed under a scanning electron microscope (SEM). All formulation of EEP-NPs and polymer-NPs exhibited a spherical shape with a smooth surface as shown in Figures 2(c)-2(h).
All formulations of NPs demonstrated mean particle size in diameter less than 500 nm by dynamic light scattering (DLS) analysis. ese particle sizes indicated that all formulations are particles in nanometer scale. In addition, zeta potential was used to evaluate particles surface charge. e zeta potential values of all NP formulations were negative charge in the range between − 1.2 ± 1.1 mV and − 3.9 ± 0.5 mV. e PDI values of EEP-NP 1 and EEP-NP 2 represented 0.36 ± 0.02 and 0.57 ± 0.08, respectively. e PDI value of EEP-NP 3 was 0.73 ± 0.13. e percentage of encapsulation efficacy (EE) of all NP formulation represented approximately 90% of EE, which was successfully encapsulated into NPs. In addition, the percentage of loading capacity (LC) of EEP-NPs tended to increase in the proportion of EEP, which was 28.6 ± 1.1% of EEP-NP 1 to 56.7 ± 3.4% of EEP-NP 3.
e summarized results of physicochemical properties of NPs are shown in Table 1.

In Vitro Release of Propolis from EEP-NPs.
e EEP release from NPs was carried out in PBS in pH 7.4 at 37°C. e supernatant was aspirated, and the release profile of EEP from NPs was measured. As shown in Figure 3, all formulations of NPs showed a typical two-phase release pattern.
e initial burst release of EEP from EEP-NP 1, EEP-NP 2, and EEP-NP 3 was found in the first 6 h of the incubation period and was 57.3 ± 0.3%, 57.5 ± 4.2%, and 67.2 ± 4.3%, respectively. e second phase, referred to as the sustained release, was observed from 7 to 24 h, which was related to the diffusion mechanism and polymer chain cleavage. e sustained release reached 72.1 ± 1.7%, 71.5 ± 4.5%, and 78.8 ± 2.7% at 24 h for EEP-NP 1, EEP-NP 2, and EEP-NP 3, respectively. It was clearly seen that the percentage of EEP release in EEP-NP 3 was higher than that of EEP-NP 1 and EEP-NP 2 as shown in Figure 3. ere were no difference in the percentage of EEP release in EEP-NP 1 and EEP-NP 2.
EEP-NP 1 and EEP-NP 2 were chosen for biological experiments due to the appropriate value of PDI and release profile. e lower PDI values of EEP-NP 1 and EEP-NP 2 were highly monodispersed than that of EEP-NP 3. In addition, the release profiles of EEP-NP 1 and EEP-NP 2 were lower than that of EEP-NP 3. e high burst release of EEP-NP 3 was not suitable for the drug release property of nanoparticles.
is phenomenon might not reach to the target tissue or cells, thus resulting in loss of drug efficacy [20].

Cytotoxicity of EEP-NPs.
e 50% cytotoxic concentration (CC 50 ) of EEP-NPs on Vero cells was investigated and chosen for antifungal testing. e CC 50 of EEP-NP 1 and EEP-NP 2 was less than 5 mg/ml and 2.5 mg/ml, respectively. On the contrary, both polymer-NPs had not affected the growth of Vero cells as shown in Figure 4.

Antifungal
Activity. Antifungal activity of EEP in free form and EEP-NPs against C. albicans was investigated by MTT assay (Figure 5(a)) and colony-forming unit (CFU) assay ( Figure 5(b)). Inhibitory effects of EEP-NP 1 on the metabolic activity of C. albicans were approximately 10% when compare with polymer control 1. However, the metabolic activity of EEP-NP 2-treated C. albicans reduced by dose-dependent manner. Interestingly, EEP-NP 2 at the concentration of 2.5 mg/ml had significantly decreased the metabolic activity of C. albicans approximately 60% when compared to polymer control 2. Both EEP-NP 1 and EEP-NP 2 at concentration of 2.5 mg/ml showed significantly reduced the metabolic activity of C. albicans approximately 20% when compare with the free form of EEP. However, all concentrations of EEP-NPs and EEP in free form-treated yeasts did not affect the growth of C. albicans in CFU assay ( Figure 5(b)). We, therefore, conclude that EEP NP 2 has superior antimetabolic activity than EEP-NP 1, and it was chosen for further experiments.  Figure 6(a).

Hyphal Germination.
e ability of yeast-to-hyphal transition represents one of the key virulence factors associated with the pathogenesis of C. albicans infections. erefore, the effect of EEP-NP 2 on hyphal germination of C. albicans was investigated. Results showed that the conversion to germ tubes was reduced in EEP-NP 2-treated C. albicans by a dose-dependent manner after 4 h of incubation (Supplementary Figure 1). e percentage of hyphal   Figure 6(b)). Furthermore, there was no significant difference in the percentage of hyphal germination between polymer-NP 2-treated and untreated C. albicans. ese results indicated that PLGA was nontoxic to C. albicans and EEP-NP 2 contained some inhibitors of C. albicans morphogenesis.

Biofilm Formation.
A further important virulence factor of C. albicans is its ability to form biofilms. Mature biofilm was resistant to various antifungal agents [32]. To examine the effects of EEP-NP 2 on C. albicans biofilm formation, the biofilm metabolic activity was determined by XTT assay. e results showed that EEP-NP 2 significantly reduced C. albicans biofilm formation in a dose-dependent manner (Figure 6(c)). Specifically, EEP-NP 2 inhibited biofilm formation approximately by 34.6%, 44.1%, and 55.3% at concentrations of 0.625, 1.25, and 2.5 mg/ml, respectively, compared with polymer-NP 2 (Figure 6(c)).

Adhesion Hyphal-Related Gene Expression.
From the previous results, the EEP-NP 2 was able to functionally inhibit the adhesion of C. albicans. is effect leads to reduce biofilm formation of C. albicans. Transcriptional changes in adhesion and hyphal related-genes during the early phase of Candida pathogenesis were deeply investigated. e cDNA synthesis and real-time RT-PCR were performed for determination agglutinin-like sequence 3 (ALS3) and hyphal wall protein 1 (HWP1) genes expression. e results showed that HWP1 mRNA expression was slightly downregulated by the dose-dependent characteristic of EEP-NP 2. Interestingly, the ALS3 mRNA expression was remarkably decreased at 2.0-fold changes at concentrations of 1.25 and 2.5 mg/ml (Figure 6(d)).

Invasion.
Besides adhesion and hyphal germination abilities, invasion of C. albicans is also an important step in the physiopathology of Candidiasis. erefore, the effect of EEP-NP 2 on the invasion of C. albicans has been observed by a scanning electron microscope (SEM). e results showed that polymer-NP 2-treated C. albicans had successfully possessed the ability to germinate with long filamentous hyphae and actively penetrated into Vero cells, resulting in cell damage (Figure 7(a)). Short hyphae and yeast cells were observed in EEP-NP 2-treated C. albicans at concentrations of 0.625 mg/ml and also adhered to the Vero cells (Figures 7(b) and 7(c)). Notably, C. albicans existed in planktonic cells when treated with EEP-NP 2 at a concentration of 1.25 and 2.5 mg/ml and reduced the ability to damage the Vero cells (Figure 7(d)).
In addition, the cell damage by C. albicans was confirmed using LDH release assay. e releasing of LDH from Vero cells was markedly decreased in C. albicans treated with all concentrations of EEP-NP 2 when compared with polymer-NP 2, as shown in Figure 7(e). ese exhibited the inhibitory ability to invade epithelial cells of C. albicans and resulting in reduction of cell damage.

Discussion
Currently, problems with the empiric regimen, including inappropriate use and a delayed treatment, might be caused  by the rapid and extensive emergence of antimicrobial resistance or more toxic effects to patients [33]. Natural products have played a very important role in health care and prevention of diseases. Ethanolic extract of propolis (EEP) is one of the most natural products that has antimicrobial activity. However, the variation in antimicrobial potential of propolis is linked to a particular chemical composition due to the different continents, regions, and plant species used to produce propolis by honey bees [34]. More than 300 different components have been identified in propolis in general, polyphenol (flavonoids, phenolic acids, and esters), phenolic aldehydes, ketones, etc. [35][36][37]. e chemical analysis of the brown propolis, herein, revealed the presence of flavones (chrysin), flavanones (pinocembrin), and flavonols (galangin) being the most common brown propolis components as described elsewhere [38][39][40]. EEP not only has a potential antifungal activity to inhibit the growth of C. albicans and non-albicans Candida (NAC) species [41] but also exhibited an inhibitory effect on the biofilm formation of C. albicans [42]. However, the utilization of EEP has been limited to its poor water solubility. To overcome this problem, nanoparticle delivery system is very important to improve water solubility. Nanoparticle delivery systems can be defined as drugcarrying particles having size in nanometers (nm).
is system is more superior for reducing toxicity, improving solubility, and bioavailability of drugs. One of the most popular techniques for encapsulation of drug into NPs is the emulsion solvent evaporation technique. Previous studies had applied this strategy for natural products encapsulation such as juglone [43], caffeic acid phenethyl ester (CAPE) [21], and curcumin [44]. In this study, EEP-NPs were formulated and both their physiochemical and biological properties characterized. e ratio of EEP and PLGA was investigated in terms of mean particle size, particle surface charge, polydispersity index (PDI), surface morphology, encapsulation efficiency (EE), loading capacity (LC), and releasing profiles. All formulations of NPs demonstrated particles in nanometer scale according to elsewhere [18]. e zeta potential of NPs from all formulations was negative charge. ese results implied the presence of ionized carboxyl groups of PLGA on the surface of NPs. Likewise, the zeta potential value of PLGA dissolved in neutral buffer without any PVA was − 45 mV. However, the zeta potential value became less negative or close-to-neutral charge when PVA surrounded the PLGA nanoparticles [45]. Nanoparticles with zeta potential values greater than +30 mV or less than − 30 mV typically have high degrees of stability [46]. Previous study used the chitosan-coated PLGA nanoparticles and improved the zeta potential from − 2.8 mV to +33.47 mV [46]. e PDI values of EEP-NP 1 and EEP-NP 2 were nearly monodispersed, PDI values range from 0.1 to 0.7. On the contrary, the PDI value of EEP-NP 3 indicated a broad range of particle size and non-monomodal distribution, PDI value more than 0.7 [47]. Lyophilized form of NPs were kept at − 20°C and dissolved immediately prior to use due to the prevention of NPs aggregation. e high EE may be related to the EEP miscibility in PLGA. Concordance to previous study, the high miscibility of drugs and polymer interaction leads to high drug encapsulation efficacy in nanoparticles [48]. Moreover, Budhian et al. reported that the increase in initial haloperidol to polymer ratio in the emulsion leads to an increase in the amount of free drug, while the amount of encapsulated drug remains constant [49]. e efficient encapsulation of small hydrophilic/amphiphilic molecules from natural products into PLGA microspheres using conventional emulsification methods has been reported [50].
EEP-NPs showed a typical two-phase release pattern. e initial burst release of EEP from EEP-NPs was found in the first 6 h of incubation period. is rapid phase of EEP releasing from NPs might be EEP absorbed on the surface of EEP-NPs [51]. e second phase of release was observed from 7 to 24 h. A sustained release of EEP was caused by EEP diffusion and polymer chain cleavage. e increasing burst release of EEP-NPs resulted from the reduction of PLGA/EEP ratio. erefore, the lowest of PLGA/EEP ratio indicated that PLGA was not enough to encapsulate EEP. Most EEP was absorbed or close to the surface of EEP-NPs, which resulted in high burst release [52]. e cytotoxicity of EEP-NPs demonstrated that the EEP-NPs represented less toxicity to Vero cells. In line with several studies, EEP had no cytotoxic effect on Vero cells. For example, Brazilian green propolis displayed antiproliferative effect on lung cancer cell lines (A549), but it did not suppress the growth of Vero cells [53]. In addition, propolis collected from different geographic regions of Indonesia showed cytotoxicity against tumor cell lines (T47D, MCF-7, and HeLa) and did not inhibit the growth of Vero cells [54]. Moreover, many studies demonstrated that the encapsulation of drug into PLGA nanoparticles can decrease the toxicity of drug. Gómez-Sequeda et al. showed that the encapsulation of fluconazole into PLGA nanoparticles showed less toxicity to Vero cells when compare with its free form [55].
is study compared the antifungal activity between EEP in free form and EEP-NPs by MTT assay. is assay is based on the ability of a cell to convert MTT to formazan, it reflects metabolic cell activity rather than direct cell viability. EEP-NP 2 showed the greater inhibition effect on metabolic activity of C. albicans when compared with EEP in free form.
is might have been occurred in the high solubility of EEP-NPs and exhibited the potential inhibitory effect on mitochondrial enzyme activity [56,57]. Another relevant study by Gómez-Sequeda et al. demonstrated that the fluconazoleloaded PLGA nanoparticles represented higher antifungal activity than free fluconazole [55]. e number of viable proliferative yeast was evaluated by the CFU assay. At all concentrations of EEP in free form and EEP-NPs, there was no effect on the growth of C. albicans. Notably, we found the small colonies of EEP-NP-treated yeasts compared with the control group grown on the SDA plate after incubation for 48 h.
is phenomenon can be explained by the trailing effect (TE) as a reduced but persistent yeast growth [58]. e mechanisms underlying TE have been described, e.g., inoculum size [59], the incubation temperature [60], genetic diversity in C. albicans [61], and upregulation of drug-resistant genes [62]. According to Mello et al., the Brazilian green propolis affected the cell wall of C. albicans and may be the main reason for the decrease in the rate of yeast budding [63]. Likewise, the decrease in the ergosterol content of C. albicans indicates that these organisms show trailing growth in the presence of Cassia fistula extracts [64].
us, a compensatory increase in cell wall chitin synthesis might be the other reason of TE.
Adhesion ability of C. albicans is an important first step for pathogenesis. It has been reported that the possible mode of action of phenolic compound was an anti-adhesion ability of C. albicans. Feldman et al. reported the A-type cranberry proanthocyanidins (AC-PACs) reduced C. albicans adherence to oral epithelial cells. e mode of action of AC-PACs involves the reduction of cell surface hydrophobicity of C. albicans. e hydrophobic interaction generally plays an important role for the adherence of C. albicans to host cells or abiotic surface; it is usually considered as a good predictor for adhesion ability [24]. Furthermore, other phenolic compounds were studied, e.g., caffeic acid derivatives which may inhibit 1,3-β-glucan synthase [65], and curcumin can disrupt the cell membrane of C. albicans [66]. Moreover, eugenol and methyleugenol showed a potential to inhibit ergosterol biosynthesis in Candida and subsequently damaging the cell membrane [67]. e deep investigation of the adhesion hyphal-related gene expression, ALS3 and HWP1, was determined by realtime RT-PCR. We found that the reduction of HWP1 and ALS3 mRNA expression supported our hypothesis by resulting in the reduction of the adhesion ability, hyphal germination, and biofilm formation. Similarly to de Groot et al., HWP1 and ALS3 genes were important for adhesion and biofilm formation of C. albicans [68]. In a previous study, Shahzad et al. reported two polyphenol compounds, curcumin and pyrocatechol, which downregulated HWP1 and ALS3 expressions, leading to the decrease of the biofilm formation of C. albicans [69]. EEP-NP 2 was capable to reduce the C. albicans hyphal germination and consequently decrease the expression of HWP1. Simultaneously, the inhibitory effect and the invasive ability of C. albicans are reduced by the release of LDH from Vero cells, which is an indicator for the cell damage. It was clearly seen that the reduction of adhesion and hyphal formation by EEP-NP 2 decreased the ability of C. albicans to penetrate the Vero cell membrane. A study by Saville et al., described that the inhibiting hyphal germination in the early stage of infection significantly increased the survival of the host cells [70].

Conclusion
Ethanolic extract of propolis-loaded PLGA nanoparticles (EEP-NPs) were successfully synthesized by using the single emulsion solvent evaporation method. EEP-NP 2 possessed unique physicochemical properties and less cytotoxicity due to their biodegradable and biocompatible properties. Moreover, EEP-NP 2 exhibited inhibitory effects on the growth of C. albicans. Importantly, it altered the expression of geneencoding virulence-associated hyphal adhesion proteins of C. albicans, causing the yeast to lose their characteristic features that enable colonization, germination, biofilm formation, and invasion. Finally, the ultimate challenge will be in developing the appropriate pharmaceutical drug and studying the animal models that are predictive in treating candidiasis in the future.

Data Availability
e data used to support the findings of this study are available from the corresponding author upon request.

Conflicts of Interest
e authors declare that there are no conflicts of interest regarding the publication of this paper.