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Published on: January 13, 2023
Current Antimycotics, New Prospects, and Future Approaches to Antifungal Therapy
Gina Wall1, Jose L Lopez-Ribot1
1Department of Biology and The South Texas Center for Emerging Infectious Diseases, The University of Texas at San Antonio, One UTSA Circle, San Antonio, TX 78249, USA.
Abstract:
Fungal infections represent an increasing threat to a growing number of immune- and medically compromised patients. Fungi are eukaryotic organisms and, as such, there is a limited number of selective targets that can be exploited for antifungal drug development. This has also resulted in a very restricted number of antifungal drugs that are clinically available for the treatment of invasive fungal infections at the present time-polyenes, azoles, echinocandins, and flucytosine. Moreover, the utility of available antifungals is limited by toxicity, drug interactions and the emergence of resistance, which contribute to high morbidity and mortality rates. This review will present a brief summary on the landscape of current antifungals and those at different stages of clinical development. We will also briefly touch upon potential new targets and opportunities for novel antifungal strategies to combat the threat of fungal infections.
Insights
Fungal infections pose a growing threat, especially to vulnerable patients. This review summarizes current antifungal drugs and explores new strategies to combat drug resistance and improve treatment outcomes.
Area of Science:
- Medical Mycology
- Infectious Diseases
- Pharmacology
Background:
- Fungal infections are an increasing global health concern, particularly for immunocompromised and medically treated individuals.
- Limited selective targets in eukaryotic fungi restrict antifungal drug development.
- Current antifungal arsenal (polyenes, azoles, echinocandins, flucytosine) faces challenges including toxicity, drug interactions, and emerging resistance.
Purpose of the Study:
- To provide a concise overview of the current landscape of antifungal therapies.
- To summarize antifungal agents in various stages of clinical development.
- To explore novel antifungal targets and strategies for future therapeutic interventions.
Main Methods:
- Literature review of existing antifungal drugs.
- Analysis of agents currently undergoing clinical trials.
- Exploration of emerging research on potential new antifungal targets.
Main Results:
- The current antifungal drug market is limited, with significant challenges in efficacy and resistance.
- Several novel antifungal candidates are in different phases of clinical development.
- Research is actively pursuing new molecular targets and innovative strategies to overcome resistance.
Conclusions:
- There is an urgent need for new and effective antifungal agents due to increasing resistance and limited treatment options.
- Continued research into novel targets and drug development is crucial to address the growing threat of invasive fungal infections.
- A multi-pronged approach combining existing and novel therapies is essential for effective antifungal treatment.
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