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Updated: Mar 23, 2026

Whole Genome Sequencing of Candida glabrata for Detection of Markers of Antifungal Drug Resistance
Published on: December 28, 2017
Emerging Threats in Antifungal-Resistant Fungal Pathogens
1Institute of Microbiology, University Hospital Center, University of Lausanne , Lausanne , Switzerland.
Abstract:
The use of antifungal drugs in the therapy of fungal diseases can lead to the development of antifungal resistance. Resistance has been described for virtually all antifungal agents in diverse pathogens, including Candida and Aspergillus species. The majority of resistance mechanisms have also been elucidated at the molecular level in these pathogens. Drug resistance genes and genome mutations have been identified. Therapeutic choices are limited for the control of fungal diseases, and it is tempting to combine several drugs to achieve better therapeutic efficacy. In the recent years, several novel resistance patterns have been observed, including antifungal resistance originating from environmental sources in Aspergillus fumigatus and the emergence of simultaneous resistance to different antifungal classes (multidrug resistance) in different Candida species. This review will summarize these current trends.
Insights
Antifungal drug resistance is a growing concern in treating fungal infections. This review highlights emerging resistance patterns, including environmental sources and multidrug resistance in Candida and Aspergillus species.
Area of Science:
- Mycology
- Infectious Diseases
- Pharmacology
Background:
- Antifungal drug resistance is a significant challenge in managing fungal infections, affecting treatment efficacy.
- Mechanisms of resistance, including genetic mutations and specific genes, have been identified in key pathogens like Candida and Aspergillus species.
- Limited therapeutic options necessitate exploring combination therapies and understanding novel resistance trends.
Purpose of the Study:
- To review current trends in antifungal resistance.
- To summarize novel resistance patterns observed in fungal pathogens.
- To provide an overview of molecular mechanisms underlying antifungal resistance.
Main Methods:
- Literature review of recent studies on antifungal resistance.
- Analysis of reported cases of antifungal resistance in Candida and Aspergillus species.
- Synthesis of information on molecular mechanisms and emerging resistance patterns.
Main Results:
- Antifungal resistance is prevalent across various antifungal agents and pathogens.
- Molecular mechanisms, including drug resistance genes and genome mutations, are increasingly understood.
- Novel resistance patterns include environmental antifungal resistance in Aspergillus fumigatus and multidrug resistance in Candida species.
Conclusions:
- Understanding emerging antifungal resistance is crucial for effective treatment strategies.
- Continued research into molecular mechanisms and novel resistance patterns is essential.
- Addressing antifungal resistance requires a comprehensive approach, including monitoring and development of new therapies.
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