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Related Concept Videos

Antifungal Agents01:15

Antifungal Agents

Amphotericin B is a broad-spectrum antifungal agent that exploits structural differences between fungal and mammalian cell membranes. Its amphipathic structure—featuring a hydrophobic polyene-lactone ring and a hydrophilic region containing mycosamine and carboxylic acid groups—enables selective binding to ergosterol, a sterol predominantly found in fungal plasma membranes. This selective interaction underlies the drug’s antifungal activity, although weak binding to cholesterol contributes to...
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Impact of Pharmacokinetic–Pharmacodynamic Models: Regulatory Decisions

PK–PD modeling has significantly influenced FDA regulatory decisions, particularly drug approval, dosage optimization, and labeling. These models integrate pharmacokinetics (PK) and pharmacodynamics (PD) to predict drug behavior and effects, aiding in optimizing dosing regimens and enhancing the probability of clinical trial success.One notable example is Nesiritide (Natrecor®), a recombinant human brain natriuretic peptide for treating acute decompensated congestive heart failure (CHF).
Fungal Phylum Microsporidia01:28

Fungal Phylum Microsporidia

Microsporidia are a group of obligate intracellular fungi that were initially classified as protists but were later reclassified based on phylogenetic, molecular, and structural evidence linking them to the Chytridiomycota. These unicellular, non-motile organisms are highly specialized parasites that infect a wide range of animal hosts, including humans. They have evolved extensive genomic and metabolic reductions, making them highly dependent on their hosts for survival.Morphology and Genomic...

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Related Experiment Video

Updated: May 11, 2026

Whole Genome Sequencing of Candida glabrata for Detection of Markers of Antifungal Drug Resistance
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Published on: December 28, 2017

Echinocandins in invasive candidiasis.

John Simon1, Hsin-Yun Sun, Hoe Nam Leong

  • 1University of Hong Kong, Pokfulam, Hong Kong, China.

Mycoses
|May 8, 2013
PubMed
Summary

Echinocandins show efficacy and a favorable safety profile for invasive candidiasis (IC) management. They are well-tolerated, especially in vulnerable patient groups, and offer fewer drug interactions than azoles.

Keywords:
Echinocandinscandidaemiacritically ill

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Area of Science:

  • Infectious Diseases
  • Pharmacology
  • Clinical Medicine

Background:

  • Invasive candidiasis (IC) poses a significant clinical challenge, particularly with rising azole-resistant non-albicans strains.
  • Current treatment guidelines require careful consideration of drug interactions and patient-specific factors.

Framework:

  • Echinocandins exhibit potent antifungal activity against a broad spectrum of Candida species, including azole-resistant isolates.
  • Clinical trials and expert experience highlight the efficacy of echinocandins in treating IC.

Implementation:

  • Echinocandins are well-tolerated across diverse inpatient populations, including transplant recipients and patients with renal or hepatic impairment.
  • Their favorable safety profile minimizes adverse events and simplifies management in complex cases.

Implications:

  • Echinocandins offer a favorable safety profile with minimal drug-drug interactions, contrasting with oral azoles.
  • Due to increasing azole resistance, echinocandins are emerging as a potential first-line treatment for invasive candidiasis.