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Updated: Aug 6, 2026

Whole Genome Sequencing of Candida glabrata for Detection of Markers of Antifungal Drug Resistance
Published on: December 28, 2017
Multiple resistance mechanisms to azole antifungals in yeast clinical isolates
D Sanglard1, F Ischer, D Calabrese
1Institut de Microbiologie, Centre Hospitulier Universitaire Vaudois, Lausanne, Switzerland. dsanglar@eliot.unil.ch
Abstract:
The use of antifungal agents, especially the azole class, has increased in parallel with a higher incidence of fungal infections, particularly in immunocompromised patients. This situation has favored the appearance of Candida species, prominent among them C. albicans and C. globrata, with acquired resistance to these agents. This review focuses on the latest developments in investigations of molecular mechanisms contributing to azole resistance. Multiple resistance mechanisms have been described that can coexist in resistant clinical isolates. Understanding resistance mechanisms is of value not only for the design of new antifungal agents but also the development of strategies of overcome or delay the emergence of resistance.
Insights
Antifungal azole resistance is rising in Candida species due to increased use of these drugs. Understanding molecular mechanisms is key to developing new treatments and strategies against fungal infections.
Area of Science:
- Medical Mycology
- Molecular Biology
- Antimicrobial Resistance
Background:
- Increased incidence of fungal infections, especially in immunocompromised patients.
- Widespread use of azole antifungals has led to rising resistance.
- Candida species, including C. albicans and C. glabrata, are significant pathogens exhibiting acquired resistance.
Purpose of the Study:
- To review the latest research on molecular mechanisms of azole resistance in Candida species.
- To highlight the significance of understanding these mechanisms for future therapeutic strategies.
Main Methods:
- Literature review of recent investigations into azole resistance mechanisms.
- Analysis of molecular pathways and genetic factors contributing to resistance.
Main Results:
- Multiple resistance mechanisms have been identified in azole-resistant Candida isolates.
- These mechanisms can be present concurrently in clinical isolates, complicating treatment.
- Key molecular targets and pathways involved in azole resistance have been elucidated.
Conclusions:
- Understanding azole resistance mechanisms is crucial for developing novel antifungal agents.
- Strategies to overcome or delay the emergence of resistance are needed.
- Further research into the molecular basis of resistance will inform clinical practice and drug development.
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