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Updated: Dec 15, 2025

An Ex vivo Assay to Study Candida albicans Hyphal Morphogenesis in the Gastrointestinal Tract
Published on: July 1, 2020
Innovative therapies for invasive fungal infections in preclinical and clinical development
Yidong Yu1, Krystyna Albrecht2, Jürgen Groll2
1Interdisciplinary Center for Clinical Research Laboratory for Experimental Stem Cell Transplantation, Department of Internal Medicine II, University Hospital of Würzburg , Würzburg, Germany.
Introduction:
The incidence of life-threatening invasive fungal infections (IFIs) has increased significantly in recent years. Current therapeutic options for IFIs are limited. Only four major classes of antifungal agents are available to clinicians, namely polyenes, azoles, echinocandins, and flucytosine. These antifungals have particular drawbacks, including toxicity, drug-drug interactions, and increasing antifungal resistance. Consequently, there is an urgent need for new antifungals to combat IFIs.
Areas Covered:
This review illuminates new classes of synthetic antifungal drugs under preclinical and clinical investigations that have novel mechanisms of action; it also examines innovative strategies for the in vivo delivery of antifungal drugs.
Expert Opinion:
It is imperative to expand the pipeline of antifungals to tackle emerging fungal resistance against conventional antimycotic drugs, toxicity, and drug-drug interactions. This unmet medical need should not be underappreciated.
Insights
New antifungal drugs and delivery methods are crucial for combating rising invasive fungal infections (IFIs). Current treatments face challenges like resistance and toxicity, highlighting the need for novel antifungal agents.
Area of Science:
- Medical Mycology
- Infectious Diseases
- Pharmacology
Background:
- Invasive fungal infections (IFIs) are a growing global health concern.
- Existing antifungal therapies (polyenes, azoles, echinocandins, flucytosine) have significant limitations including toxicity, drug interactions, and emerging resistance.
- There is a critical need for novel antifungal agents to address these challenges.
Purpose of the Study:
- To review emerging synthetic antifungal drugs with novel mechanisms of action.
- To explore innovative in vivo drug delivery strategies for antifungals.
- To highlight the urgent need for expanding the antifungal drug pipeline.
Main Methods:
- Literature review of preclinical and clinical investigations.
- Analysis of novel antifungal drug classes.
- Examination of advanced drug delivery systems.
Main Results:
- Identification of new synthetic antifungal drug candidates.
- Exploration of innovative strategies for antifungal drug delivery.
- Emphasis on the limitations of current antifungal treatments.
Conclusions:
- Expanding the antifungal drug pipeline is essential to overcome resistance, toxicity, and drug-drug interactions.
- Novel antifungal agents and improved delivery systems are critical for managing IFIs.
- The unmet medical need for effective antifungals must be addressed urgently.
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