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Broth Microdilution In Vitro Screening: An Easy and Fast Method to Detect New Antifungal Compounds
Published on: February 14, 2018
Emerging azole antifungals
1Wayne State University, Detroit Medical Center, 3990 Harper Street, 5 Hudson, Detroit, MI 48201, USA.
Abstract:
Systemic and superficial fungal infections have progressively emerged over the past few decades as an increasing cause of human disease, especially in the immunocompromised host. Control of fungal disease has proved difficult because few risk factors are potentially preventable; the population at highest risk for fungal disease, the immunocompromised patient, has been steadily increasing. There is a clear need for additional safe and effective therapeutic agents for the treatment of systemic fungal disease. A new generation of triazoles that includes voriconazole, posaconazole, ravuconazole and albaconazole has emerged and are presently in different phases of clinical investigation. These new triazoles have demonstrated a broad spectrum of activity, in particular against fungal pathogens previously resistant to previously available antifungals. This review highlights the emerging azole antifungals, both those available and in clinical development, and discusses their prospects for the future.
Insights
New triazole antifungals show broad-spectrum activity against resistant fungal infections, offering hope for treating immunocompromised patients. This review covers emerging azole antifungals in development and their future potential.
Area of Science:
- Mycology
- Infectious Diseases
- Pharmacology
Background:
- Fungal infections are a growing global health concern, particularly in immunocompromised individuals.
- Existing antifungal treatments face challenges due to increasing drug resistance and a rising high-risk population.
- There is a critical need for novel, safe, and effective therapies for systemic fungal diseases.
Purpose of the Study:
- To review emerging azole antifungal agents.
- To discuss their clinical development and spectrum of activity.
- To evaluate their future prospects in combating fungal infections.
Main Methods:
- Literature review of clinical investigations and development phases of new azole antifungals.
- Analysis of reported activity against resistant fungal pathogens.
- Synthesis of current data on voriconazole, posaconazole, ravuconazole, and albaconazole.
Main Results:
- A new generation of triazoles (voriconazole, posaconazole, ravuconazole, albaconazole) is in clinical development.
- These agents exhibit broad-spectrum activity, including against previously resistant fungal strains.
- They represent promising therapeutic options for systemic fungal infections.
Conclusions:
- Emerging azole antifungals offer a vital advancement in treating difficult fungal infections.
- These drugs are crucial for managing infections in the immunocompromised population.
- Continued research and development are essential to expand the arsenal against fungal diseases.
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