Molecules 27 07295 v4
Molecules 27 07295 v4
Review
Beyond the Bark: An Overview of the Chemistry and Biological
Activities of Selected Bark Essential Oils †
Melanie Graf and Iris Stappen *
Abstract: Essential oils have been used by indigenous peoples for medicinal purposes since ancient
times. Their easy availability played an important role. Even today, essential oils are used in
various fields—be it as aromatic substances in the food industry, as an aid in antibiotic therapy, in
aromatherapy, in various household products or in cosmetics. The benefits they bring to the body and
health are proven by many sources. Due to their complex composition, they offer properties that will
be used more and more in the future. Synergistic effects of various components in an essential oil are
also part of the reason for their effectiveness. Infectious diseases will always recur, so it is important
to find active ingredients for different therapies or new research approaches. Essential oils extracted
from the bark of trees have not been researched as extensively as from other plant components.
Therefore, this review will focus on bringing together previous research on selected bark oils to
provide an overview of barks that are economically, medicinally, and ethnopharmaceutically relevant.
The bark oils described are Cinnamomum verum, Cedrelopsis grevei, Drypetes gossweileri, Cryptocarya
massoy, Vanillosmopsis arborea and Cedrus deodara. Literature from various databases, such as Scifinder,
Scopus, Google Scholar, and PubMed, among others, were used.
which underscores the importance of these EOs for centuries. Especially in the context
of traditional use, herbal medicine is more accessible to most people than conventional
medicine. EOs are used against a wide range of diseases and are particularly appreciated
for their multiple properties. As for the various bark oils and their main components to
be presented here, these properties include antimicrobial, insecticidal, anti-tyrosinase, and
antioxidant activities. However, often not only one main component of the EO is involved
in the mechanism of action, but there is a synergistic effect between several components of
the oil. EOs also play an increasingly important role in modern medicine. In view of the
increasing resistance to antibiotics and emerging infectious diseases, EOs appear to have
great potential for future applications and development in terms of their antibiotic and
also efficacy-enhancing properties [4]. However, it is not only the pharmacological sector
that is interested in the study of EOs. The anti-inflammatory properties and non-toxicity
that some EOs exhibit are also used in cosmetics. In the cosmetic and perfume industry,
EOs additionally play an important role due to their unique odor [5]. The food industry
also tries more and more to limit the use of conventional antibiotics and replace them with
natural substances. The approach of using EOs as additives seems to bring good results.
Agriculture also benefits from their repellent or larvicidal activity as new insecticides [6].
The various healing properties of these oils have already been used by indigenous peoples
and are increasingly being explored for other purposes. In the course of this review, bark
EOs of selected trees have been viewed regarding their chemistry, their different properties
and fields of application, as well as their prospect to the future medical development. These
trees are: Cinnamomum verum, Cedrelopsis grevei, Drypetes gossweileri, Cryptocarya massoy,
Vanillosmopsis arborea and Cedrus deodara. They were chosen for their economic but also for
their ethnopharmaceutical importance as well as their unique chemical composition. An
overview of their main activities described in this review is listed in Table 1. Moreover,
their main constituents—listed in Figure 1—as well as the EOs compositions regarding
their variations are discussed.
Table 1. Cont.
cis-ocimene (k)
C10 massoia lactone (j) longifolene (l)
were tested. The inhibition of the enzyme increased by up to 38.74%. This was the highest
measured α-amylase inhibitory activity obtained in this study by different mixtures of the
individual components of the EO [10].
In the field of Alzheimer’s disease, in a study by Tepe and Ozaslan, the oil and both
main compounds of the oil showed comparable results in the inhibition of MAO-A and
MAO-B with rasagiline, as well as a 99.0 % inhibitory effect on cholinesterases. The EO
and (E)-cinnamaldehyde therefore seem to have great potential for the future treatment
of Alzheimer’s disease [10]. Natural antioxidants play an important role in nutrition and
are believed to prevent many diseases, including cancer. Additionally, they are used in
the food industry to limit food spoilage [37]. An in vitro study of antioxidant properties
showed inhibition of 3-nitrotyrosine formation by the EO and eugenol with IC50 values of
18.4 µg/mL and 46.7 µM/mL, respectively. In contrast, (E)-cinnamaldehyde and linalool
showed no activity in inhibiting peroxynitrite-induced nitration and lipid peroxidation [11].
The neuroprotective activity of C. zeylanicum EO was also demonstrated in an in vitro
model testing the viability of PC12 cells and reactive oxygen species after exposure to 6-
hydroxydopamine. Pretreatment of PC12 cells with the EO and its main compound cin-
namaldehyde reduced ROS and cytochrome C and increased survivin. This demonstrated
efficacy against the cytotoxicity of 6-OHDA by inhibiting the p44/42 pathway in PC12 cells
suggesting future application in the treatment of Parkinson’s disease. [12]
An MTT (3-(4,5-Dimethylthiazol-2-yl)-2,5-diphenyltetrazoliumbromid) assay was pre-
pared to access the EOs’ future use in tumor therapy. A dose above 15 µg/mL of EO
was able to show cytotoxicity against cell lines 5RP7 (H-ras active-rat fibroblasts) and
F2408 (normal rat fibroblasts). The time-dependent cytotoxicity towards H-ras-active cells,
which was also found, could probably indicate an application in ras-oncogene-induced
carcinomas, which has also been demonstrated for monoterpenes such as limonene. [8,39]
However, further studies need to be conducted to confirm this activity. The authors of the
study also described that low concentrations of the oil induced controlled cell death and
high doses induced necrotic death [8].
Further investigations tested the anti-inflammatory effects and tissue remodeling of
C. verum EO. Biomarker proteins for inflammatory processes such as vascular cell adhesion
molecule-1 (VCAM-1) and intercellular cell adhesion molecule-1, as well as epidermal
growth factor receptor (EGFR), matrix metalloproteinase 1, and plasminogen activator
inhibitor-1 could be inhibited by the EO. An immunomodulatory effect on macrophage
colony-stimulating factor was also noted. Some signaling pathways that trigger inflamma-
tory responses could be inhibited. Although many studies sound very promising, further
studies are needed to determine clinical application and safety [13].
results and another analysis of bark oil was that no cis-sesquisabine hydrate was found
in that case. Rakotobe et al. also concluded that there are four distinct chemotypes that
show their variability in EO composition probably due to differences in native soils [41].
Gauvin et al. analyzed the EO derived by steam distillation of the bark by GC-MS and
found β-pinene (17.1%), cis-sesquisabinene hydrate (12.8%), caryophyllene oxide (7.0%)
and δ-3-carene (4.2%) as main compounds [42].
Already in 2003, in the first report on the composition of the bark oil of C. grevei by
Cavalli et al., the variability of this EO was noted. In one sample, (E)-β-caryophyllene (9.3%),
α-copaene (7.7%), α-selinene (5.8%), δ-cadinene (4.9%), β-selinene (4.5%), α-humulene
(3.3%), and β-bisabolene (2.8%) were detected. Over 114 compounds were identified. The
main components ishwaren and (E)-β-caryophyllene were also found in other samples.
Overall, all studies confirm the main occurrence of sesquiterpene hydrocarbons in the bark
oil of C. grevei [43].
The EO was described by a perfumer from France as an amber oil with the odor
of terpene hydrocarbons with woody, spicy, green, chypre and oriental notes [42]. The
Malagasy use the bark of the trunk for various ailments. These include muscle fatigue
and reduction of capillary fragility. It is also used as an ingredient in a cough syrup
against persistent catarrh or in anti-hypertensive beverages according to the Madagascan
pharmacopoeia [14,44,45]. Aphrodisiac properties have also been described [40]. The bark
is further used for rheumatism or pulmonary and cardiovascular diseases, as well as a
febrifuge. In addition, antifungal and antibiotic properties were reported [14].
It seems that the widespread benefits of the EO can be attributed to the terpene compo-
sition it contains. To conduct further studies on the biological activities, Tardugno et al. [14]
performed a DPPH (2,2- diphenyl-1-picrylhydrazyl) assay and an ABTS+ spectrophoto-
metric assay (2,20 - azino-bis (3-ethylbenzothiazoline-6-sulfonic acid)). For this purpose, the
EO was divided into three different fractions. The entire EO was also examined. C. grevei
EO showed a percentage inhibition of the radical scavenger of 4.65 ± 0.03, while Trolox
as a positive control showed an inhibition of 54.10 ± 0.22%. The ABTS activity of the EO
showed an inhibition of 19.41 ± 1.22% compared to the control of 98.40 ± 4.10%. The
fraction containing the oxygenated sesquiterpenoids as components indicated a particularly
significant increase in antioxidant activity: 4.78 ± 0.13 % in the DPPH and 88.56 ± 4.38 %
in the ABTS+ assay [14].
Inhibition of microbial growth was determined using various human bacterial strains,
yeasts, and dermatophytes. A closer look at the inhibition of bacterial growth by C. grevei
EO revealed differences depending on the bacterial strain used. For Escherichia coli and
P. aeruginosa it showed MIC values of >1.90 mg/L, for Staphylococcus aureus and S. epidermidis
MIC values of 0.47 mg/L, respectively, and for E. faecalis a MIC of 0.95 mg/L was found.
As a positive control the antibiotic chloramphenicol was used, which showed MIC values
of 6.2 mg/L for P. aeruginosa, 25 mg/L for E. coli and 3.1 mg/L for S. epidermidis and
S. aureus, respectively. Thymus vulgaris L. (Lamiaceae) EO, as a second positive control,
demonstrated MIC values reaching from 0.5 to >2.00 mg/L. Thus, C. grevei EO showed a
higher antibacterial activity compared to positive controls. In contrast to these findings,
the EO of C. grevei did not indicate efficient growth inhibition on C. albicans as yeast and
dermatophytes such as Micosporum gypseum, Nannizzia gypsea, Tricophyton mentagrophytes
and T. tonsurans. However, the fraction of oxygenated sesquiterpenoids delivered selective
activity against Gram-negative bacteria. Tardugno et al. concluded that this could be
due either to the high percentage of oxygenated mono- and sesquiterpenoidss or also to
a possible synergistic effect of the compounds in this fraction, which contained mainly
sesquiterpene-alcohols palustrol, ledol, elemol and cubenol, as well as monoterpene-alcohol
α-terpineol [14].
Finally, an MTT assay was performed to determine the effect on viability of A549 and
CaCo-2 cancer cell lines. The EO showed an IC50 (µg/mL) value of 27.08 ± 1.90 against the
A549 cancer cells and 54.06 ± 3.12 µg/mL against the CaCo2 cell line. Since the IC50 value
(µg/mL) for A549 cancer cells was less than 30, the cytostatic property of this EO may have
Molecules 2022, 27, 7295 7 of 17
more practical uses and applications in the future. However, more research is needed for
this purpose [14].
the EO of D. gossweileri with other EOs, like Syzygium aromaticum (L.) Merr. and L.M. Perry
(Mytraceae) EO, were able to enhance antibacterial activity, which the authors attributed to
the synergistic effect of benzyl isocyanate and other active compounds. Phenylpropanoids
thymol and eugenol, as well as terpenoid hydrocarbons trans-β-caryophyllene and neral
found in the combined EOs, seemed to support the transport of benzyl isocyanate into the
cell [15].
Concentrations of 0.25, 0.5, and 1 µg/mL of D. gossweileri bark EO in orange juice
and milk demonstrated increased sensitivity of spores to radiation sterilization procedures,
which could be valuable to the food industry in the future. The authors suggested that
the increased UV sensitivity to spores was due to the photosensitizing effect of benzyl
isothiocyanate. The increased reactivity of this constituent could lead to binding to DNA
and, with increased energy absorption trough exposure of UV, increased breakage and ROS
formation. However, the characteristics of the food used also influences the sensitivity of a
bacterium to EO. A stronger anti-spore effect was observed in milk than in orange juice.
This could be due to the different pH values (orange juice: 4.65 versus milk: 6.75). A low
pH increases the hydrophobicity of EO, thus facilitating access to the germinant receptors
in the spore membranes. The high content of protein and high lipid concentration in the
milk probably also plays a role in the mode of action. Nevertheless, it should be noted that
the high concentration of isothiocyanates, which have a particularly strong pungent odor
and taste, may be undesirable in food. However, in this study, only a slight change in the
taste or odor of the orange juice was observed at 2.5 µg/mL, but a significant change was
noted at 10 µg/mL [16].
The bark EO of D. gossweileri was further investigated for its antioxidant and an-
tiinflammatory properties by Ndoye Foe et al. [18]. For this purpose, a DPPH radical
scavenging assay was performed and the EO showed an antioxidant activity index (AAI)
of 12.821 (scavenging concentration (µg/mL) was 0.20), which was ten times higher than
that of ascorbic acid (AAI = 1.262 and SC50 of 1.98 µg/mL (SC50 = concentration of sample
required to scavenge 50 % of free radicals)). According to the criteria of Scherer and Godoy
AAI > 2 means that it has a very strong antioxidant activity [49]. The authors concluded that
the antioxidant properties probably were caused by synergetic effects between different
components in the oil. The ferric reducing capacity of D. gossweilei EO was reported to
be 0.76 ± 0.03 µg AAE/mg (ascorbic acid equivalent per mg EO) and the total phenolic
content was 365.38 ± 0.66 µg AAE/mg. Anti-inflammatory activity was determined by
bovine serum albumin anti-denaturation assay. D. gossweileri bark EO showed an IC50
value (µg/mL) of 88.30 compared to a 104.44 µg/mL IC50 value of diclofenac sodium [18].
Another study showed antimycobacterial activity of D. gossweileri bark EO against
virulent strain H37Rv and two isolates IS53 and IS310 of Mycobacterium tuberculosis. The EO
exhibited cell membrane lysis and DNA inhibition. Disruption of cellular homeostasis by
structural changes in the membrane and cell wall caused bacterial death. The MIC values
(µg/mL) against H37Rv, IS53 and IS310 were 4.88, 9.76 and 4.88, respectively. In contrast,
no mycobacterial activity was detected against the multidrug resistant and extensive
drug resistant MJ and UJ isolates and the isoniazid resistant isolate AC79. Against the
rifampicin resistant isolate AC45, the bark EO showed moderate activity with a MIC of
156.25 µg/mL [17].
Traditional uses of the bark include stomach cramps during pregnancy, post-pregnancy
recovery, and fever. It further is applied as a tranquillizer/sedative, to stimulate sex
hormones, as a tonic, as an antispasmodic, and as an anthelmintic [50]. It is part of an
indigenous herbal medicine from Indonesia called “pilis” to restore vitality and stimulate
recovery after childbirth [52].
An analysis of the EO of the bark identified over 20 constituents. Of the 98.61%
identified oil massoia lactones were the main components of the EO. This term describes
α, β-unsaturated δ-lactones. Some of them could be chemically identified: C-10 massoia
lactone (5,6-Dihydro6-pentylpyran-2-one; Figure 1j) with a 56.25% relative content, C-12
massoia lactone (5,6- Dihydro-6-heptylpyran-2-one) with 16.51%, C-8 massoia lactone
(5,6-Dihydro-6-propylpyran2-one) with 3.4% and C-14 massoia lactone (5,6-Dihydro-6-
nonylpyran-2-one) with 0.56%. Additionally, the saturated compounds δ-decalactone
(1.53%), δ-dodecalactone (0.49%), tuberolactone (0.67%) were identified. Benzyl benzoate
(12.72%) and benzyl salycilate (1.79%) as aromatic esters are also part of the EO. It is
very interesting that common dimethylallyl pyrophosphate or phenylpropanoid pathway
derivatives were hardly detected in the EO of the bark. No typical monoterpenes and
sesquiterpenes are found, which distinguishes this EO from others. The entire Cryptocarya
genus has very unique secondary metabolites [21]. A comparative study of the bark and
heartwood oils again revealed C-10 massoia lactone as the main constituent of the bark EO,
as well as C-12 massoia lactone and benzyl benzoate. In contrast to the previous analysis, a
very small amount of linalool, borneol and β-bisabolene were found in the bark oil. The
heartwood oil also contained C-10, C-12, and C-14 massoia lactones and δ-decalactone [53].
In addition to Cryptocarya, massoia lactones can also be found in Aeollanthus suaveolens
Mart. ex Spreng. (Lamiaceae), Baccharis magellanica Pers. (Asteraceae), Isolona cooperi Hutch.
and Dalziel ex G.P.Cooper and Record (Annonaceae), and Cenchrus macrounrus (Trin.) Mor-
rone (cattail balm; Poaceae). In addition, they are part of the defense substances of two ant
species (genus Camponotus) [21], C-10 massoia lactone being the most important one in the
ants’ defense mechanism [53].
In particular, the massoia lactones and benzyl esters in the EO have shown phototoxic
properties against the germination and growth of Lycopersicon esculentum Mill. (Solanaceae)
and Cucumis sativus L. (Cucurbitaceae) plantlets, which were used in a study as representa-
tives of typical target plants for herbicides. They were equivalent to or better than EO in
commercial weed and pest control products [21,51].
As for antifungal activity, C. massoy EO showed potential as an anti-biofilm compound.
C. albicans causes many opportunistic infections, especially in people with compromised
immune systems. It can form biofilms that are very difficult to treat because they can also
grow on medical devices such as implants, catheters, and ventilators. Therefore, the way
of action the EO affects the formation and degradation of biofilms was investigated. It
was found that C. massoy bark EO showed synergistic effects with several other EOs, such
as Cinnamomum burmanii (Nees and T. Nees) Blume (Lauraceae) and Ocimum basilicum L.
(Lamiaceae), in the intermediate phase of C. albicans biofilm. Further synergistic effects
with the EO of C. burmanii and Citrus hystrix D.C. (Rutaceae) in the mature phase were
reported [19]. In another study, anti-biofilm activity, specifically of the C-10 massoia lactone,
against C. albicans showed an IC50 of 0.026 µg/mL [20]. The antimicrobial activity of the
EO of the bark was tested against four phytopathogenic bacteria. Agrobacterium tumefaciens,
A. vitis, Clavibacter michiganensis and Pseudomonas syringae. The EO showed MIC (µL/L)
values of 250, 2000, 250 and 125, respectively. S. aromaticum EO was used as reference and
showed MIC (µL/L) values of 250, 2000, 1000 and 500, respectively [21]. Breakpoints of
MIC values for EOs have not been defined so far, impeding the interpretation of reported
antibacterial activities. Comparing drugs with EOs, a MIC value of 2000 is rather high
and therefore indicates low to no activity. In our opinion it could be concluded that
C. massoy EO showed a promising effect against A. tumefaciens, C. michiganensis and P.
syringae, but was inactive against A. vitis. S. aromaticum indicated a good effect against
A. tumefaciens and a fair antimicrobial activity against C. michiganensis and P. syringae.
Molecules 2022, 27, 7295 10 of 17
However, another problem in the evaluation of antimicrobial activity of EOs is the fact,
that research groups use different methods to determine antimicrobial activity, making a
comparison of results impossible. For future research in this important field it would be
necessary to create and use standardized methods. The immunomodulatory effect of C.
massoy EO was demonstrated using an in vitro mouse macrophage phagocyte assay. The
response of macrophages to latex beads and C. albicans was observed. The oil and lactone
successfully increased the phagocytosis activity of macrophages and inhibited C. albicans.
In an in vitro lymphocyte proliferation assay, no proliferative effect on lymphocytes was
observed. A Cytotoxicity assay with the bark EO and the isolated C-10 massoia lactone
revealed concentration dependent cytotoxicity to the test cell lines. Vero and primary
culture of fibroblast cells were used. In fibroblast cells, the IC50 of C10 massoia lactone and
EO were 11.29 µg/mL and 26.07 µg/mL, respectively. The IC50 values of Vero cells were
28.35 µg/mL (C-10 massoia lactone) and 37.34 µg/mL (EO), respectively. The study results
indicated that massoia oil and its isolated main compound C-10 massoia lactone seems to
have the capability as an immunmodulator [20].
The α,β-unsaturated δ-lactone structure, which is also part of massoia lactones, plays
a central role in various studies on anti-inflammatory and immunomodulatory properties.
They are considered to be cytotoxic. In particular, C-10 massoia lactone is thought to be
responsible for cytotoxic effects on different cancer cell lines [20,22]. This structural part
is found in various components of plants and marine organisms and many of them have
specific biological activities. Therefore, because of its particularly simple structure, further
reports on the (-)-massoia lactone from the bark of C. massoy may provide more informa-
tion on future syntheses of various complex natural products that also include this core
functional group. Further modification of the core structure may lead to the preservation
of various biological properties of already known complex natural products [22].
Batubara et al. studied the effects of C. massoy EO and its major constituent massoia
lactones after inhalation in Dawley rats in vivo. The animals that inhaled the fraction of
EO rich in massoia lactones reduced their body weight due to the appetite suppressant
effect it showed. It also prevented fat deposition in liver cells. It further was found that the
fractionated EO had a limiting effect on triglycerides and cholesterol concentration in the
blood [23].
The fear that C. massoy could be overharvested because of its many uses as a medicine
and in food industry is pervasive. In Indonesia, C. massoy EO is the eighth most pro-
duced EO. However, studies show that it is possible to grow C. massoy outside its natural
habitat [54].
transition. This is associated with the translocation of cytochrome C, suggesting that the
whole process triggers the intrinsic pathway of apoptosis. This process of cytotoxicity on
glioma cells has been shown to be time and dose dependent. However, the advantage of
this compound is at the same time its low toxic effect on animals, as shown in an animal
experiment with a rat administered 120 mg/kg α-bisabolol, which showed no toxic effects
after 24 h [57]. The low toxicity is also a reason why α-bisabolol is popular in cosmetics
and perfumes [27]. These results underscore the potential inherent in this compound. With
a CL50 of 15.9 mg/mL and CL90 of 28.5 mg/mL the EO of V. arborea further showed very
high larvicidal activity [58].
In contrast, Tripathi et al. found atlantones and himachalene epoxides to be major con-
stituents in their study of cedarwood oil [62].
Several studies have demonstrated the analgesic and anti-inflammatory effects of
wood EO in chronic and acute stages. One main cause is the inhibition of the release of
inflammatory prostaglandins through the inhibition of cyclooxygenase enzymes. Other
studies also supported the membrane stabilizing effect of the oil. More research needs to
be done to investigate exactly which molecules cause the underlying mechanisms. In this
anti-inflammatory context, stabilization of mast cells was observed in rats, which could be
part of the anti-asthmatic mechanism. There are too few studies to fully explain this [33].
In addition, studies have looked at the insecticidal property. Fractions containing
himachalene as the main component showed particularly pronounced insecticidal proper-
ties against Musca domestica (house fly) and Callosobruchus chinensis (pulse beetle). Further
development of these components could provide a potent insecticide [33].
Finally, the toxicity of the wood oil was studied in mice. Animals receiving a dose
of 200–400 mg/kg showed signs of depression and mice receiving 500 mg/kg of the oil
showed 50% mortality [33]. Its traditional use as a remedy against gastric ulcers was
further investigated in another animal experiment on Wistar rats. C. deodara EO at a dose
of 100 mg/kg successfully reduced the number of ulcers, ulcer score and ulcer index. It
indicated inhibition of pyloric ligation induced gastric ulcers with 41.49%. Standard drug
rabeprazole, used as control in the investigation, inhibited 67.74% at 20 mg/kg. Ethanol-
induced ulcers showed inhibition of 50.17% at a dose of 100 mg/kg, while rabeprazole
20 mg/kg showed inhibition of 69.95% of ulcers. The exact mode of action remains to be
investigated [34]. Against K562 cancer cell lines, C. deodara wood oils revealed an IC50
of 37.79 µg/mL. According to other investigations, reviewed by Kumar and coworkers,
the active compounds causing the cytotoxic effect are believed to be α-pinene, β-pinene,
caryophyllene, and terpineol. β-Pinene showed antiproliferative properties against MCF-
7 breast cancer, A375 lung cancer and HepG2 liver cancer cells in various studies [32].
Recent studies on a virulence agent of SARS-CoV-2 investigated molecules containing the
backbone of α,β,γ-himachalenes from C. deodara. The goal was to find a potential inhibitor
of nonstructural protein 1 that restricts viral replication. The reason was that himachalene
scaffolds are known for their anti-inflammatory and antiviral properties [63].
3. Conclusions
This overview is intended to illustrate the different biological properties and chemical
composition of the various bark oils. Ultimately, however, it is also important to put the
commercial benefits into a realistic perspective. It must be clarified whether the plants can
be grown sustainably on plantations and thus used on a large scale. Soil conditions also
affect the essential oil, which will certainly present some challenges in the future. From a
European perspective, the bark oils seem to come from trees that are rather uncommon or
exotic. One reason for this could be that in Europe the trees are cut down producing EO
from wood and bark while in certain other areas of the world the outer bark is scraped
off and used independently from the wood. The centuries-long use of bark for clothing,
building materials, or simply as traditional medicine provided a great deal of traditional
knowledge. The easier accessibility of bark plays an important role. Due to the many
documented applications of bark oils [64], they will continue to gain importance in various
research areas in the future.
The antimicrobial properties of some bark oils mentioned, such as V. arborea, are
particularly noteworthy. The World Health Organization’s global report on surveillance
on antimicrobial resistance has highlighted that emerging resistance is a global threat.
The treatment of multidrug-resistant pathogens is a major challenge for medicine [65].
Reasons for this include the high use of antibiotics and inefficient or incorrect use. It is also
important to consider current world events. Approximately 15% of hospitalized COVID-19
patients develop secondary bacterial infections such as bacterial pneumonia or require
antibiotics for prophylaxis because they are on a ventilator [66]. This again highlights
Molecules 2022, 27, 7295 14 of 17
the need for alternatives and new solutions. One approach could be to focus on plants
with constituents that have antibiotic potential. EOs can influence the mode of action
of antibiotic substances. Studies have shown that the oil from the bark of V. arborea had
an enhancing effect when combined with various antibiotics. Exactly such synergistic
enhancing effects with antibiotics have also been observed with cinnamon oil and its
main constituent [67]. This supportive effect could be used in the future to circumvent
the resistance of multidrug-resistant pathogens and reduce the use of antibiotics. Thus,
they could also help to reduce the high incidence of ever-increasing antibiotic resistance.
Lowering the dose of antibiotics by combining them with an adjuvant such as EOs could
also reduce side effects by lowering the minimum effective dose of the drugs.
However, most of the studies discussed in this review were performed in vitro (Table 1)
and—although their results give a direction for future research—their outcome may not
be directly transferable to a clinical setup. Therefore, clinical studies as well as applied
investigations using EOs have to be performed and supported. Recently, for example,
Hawkins and coworkers determined the energy-level-increasing effect of various EOs
in women with post-COVID-19. In a randomized double bind trial, patients inhaled
blends of EOs for two weeks. Compared to the control group, fatigue level significantly
decreased (p = 0.02) [68]. In another study Lavandula angustifolia L. (Lamiaciae) EO showed
an antimicrobial effect especially against Staphylococcus when being dispensed over two
months in hospital environments [69]. A further investigation determined a significant
reduction of microbial contamination in a hospital by vaporizing a mixture of lemon and
fir EO. That way, concentrations of bacteria and fungi in the air was reduced by around
40% after two hours [70]. Nevertheless, in vivo studies further need to be conducted in the
future to provide a more accurate picture of the toxicity of certain antimicrobial bark EOs
on the human body and additionally their effect on the human microbiome. The routes of
administration also need to be clarified, as well as pharmacodynamic and pharmacokinetic
properties, which will certainly be a challenge for the future. More studies need to be done
to get a better understanding of the mechanism of action of bark EOs and their components.
Additionally, studies should focus on the efficacy and use of various bark oils, which have
not yet been extensively researched.
Author Contributions: Conceptualization, M.G. and I.S.; Writing—original draft preparation, M.G.;
Writing—review and editing, I.S.; Supervision, I.S. All authors have read and agreed to the published
version of the manuscript.
Funding: This research received no external funding.
Institutional Review Board Statement: Not applicable.
Informed Consent Statement: Not applicable.
Data Availability Statement: Not applicable.
Acknowledgments: The authors are thankful to Open Access Funding by the University of Vienna.
Conflicts of Interest: The authors declare no conflict of interest.
Sample Availability: Not applicable.
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