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Updated: May 3, 2026

A Whole Cell Bioreporter Approach to Assess Transport and Bioavailability of Organic Contaminants in Water Unsaturated Systems
Published on: December 24, 2014
Efflux in fungi: la pièce de résistance
Jeffrey J Coleman1, Eleftherios Mylonakis
1Division of Infectious Diseases, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts, United States of America.
Abstract:
Pathogens must be able to overcome both host defenses and antimicrobial treatment in order to successfully infect and maintain colonization of the host. One way fungi accomplish this feat and overcome intercellular toxin accumulation is efflux pumps, in particular ATP-binding cassette transporters and transporters of the major facilitator superfamily. Members of these two superfamilies remove many toxic compounds by coupling transport with ATP hydrolysis or a proton gradient, respectively. Fungal genomes encode a plethora of members of these families of transporters compared to other organisms. In this review we discuss the role these two fungal superfamilies of transporters play in virulence and resistance to antifungal agents. These efflux transporters are responsible not only for export of compounds involved in pathogenesis such as secondary metabolites, but also export of host-derived antimicrobial compounds. In addition, we examine the current knowledge of these transporters in resistance of pathogens to clinically relevant antifungal agents.
Insights
Fungal efflux pumps, including ATP-binding cassette transporters and major facilitator superfamily transporters, are crucial for pathogen virulence and antifungal resistance by exporting toxins and antimicrobial compounds.
Area of Science:
- Mycology
- Molecular Biology
- Biochemistry
Background:
- Pathogens must overcome host defenses and antimicrobial treatments for successful infection.
- Efflux pumps, particularly ATP-binding cassette (ABC) transporters and major facilitator superfamily (MFS) transporters, are key mechanisms fungi use to export toxic compounds.
- Fungal genomes exhibit a high number of these transporter families compared to other organisms.
Purpose of the Study:
- To review the role of ABC and MFS transporters in fungal virulence.
- To examine the involvement of these transporters in resistance to antifungal agents.
- To synthesize current knowledge on fungal efflux transporters in pathogenesis and drug resistance.
Main Methods:
- Literature review of scientific publications.
- Analysis of genomic data regarding transporter families in fungi.
- Synthesis of existing research on efflux pump function in fungal pathogens.
Main Results:
- ABC and MFS transporters export not only pathogenic compounds like secondary metabolites but also host-derived antimicrobials.
- These efflux pumps play a significant role in enabling fungi to resist antifungal treatments.
- Fungal pathogens utilize a wide array of these transporters to evade host defenses and antimicrobial pressure.
Conclusions:
- ABC and MFS transporters are critical for fungal survival, virulence, and the development of antifungal resistance.
- Understanding these efflux mechanisms is vital for developing new strategies to combat fungal infections.
- Targeting these transporter superfamilies may offer a promising approach for novel antifungal therapies.
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