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Published on: March 19, 2019
Targeting Unconventional Pathways in Pursuit of Novel Antifungals
Stephanie Nguyen1, Jia Q Truong2, John B Bruning1
1Institute of Photonics and Advanced Sensing (IPAS), School of Biological Sciences, The University of Adelaide, Adelaide, SA, Australia.
Abstract:
The impact of invasive fungal infections on human health is a serious, but largely overlooked, public health issue. Commonly affecting the immunocompromised community, fungal infections are predominantly caused by species of Candida, Cryptococcus, and Aspergillus. Treatments are reliant on the aggressive use of pre-existing antifungal drug classes that target the fungal cell wall and membrane. Despite their frequent use, these drugs are subject to unfavorable drug-drug interactions, can cause undesirable side-effects and have compromised efficacy due to the emergence of antifungal resistance. Hence, there is a clear need to develop novel classes of antifungal drugs. A promising approach involves exploiting the metabolic needs of fungi by targeted interruption of essential metabolic pathways. This review highlights potential antifungal targets including enolase, a component of the enolase-plasminogen complex, and enzymes from the mannitol biosynthesis and purine nucleotide biosynthesis pathways. There has been increased interest in the enzymes that comprise these particular pathways and further investigation into their merits as antifungal targets and roles in fungal survival and virulence are warranted. Disruption of these vital processes by targeting unconventional pathways with small molecules or antibodies may serve as a promising approach to discovering novel classes of antifungals.
Insights
Novel antifungal drugs are needed due to resistance and side effects of current treatments. Targeting essential fungal metabolic pathways, like enolase and purine biosynthesis, offers a promising strategy for new antifungal therapies.
Area of Science:
- Mycology
- Infectious Diseases
- Drug Discovery
Background:
- Invasive fungal infections pose a significant public health threat, particularly to immunocompromised individuals.
- Current antifungal treatments, targeting the fungal cell wall/membrane, face challenges including drug interactions, side effects, and emerging resistance.
- There is a critical need for novel antifungal drug classes with improved efficacy and safety profiles.
Purpose of the Study:
- To review and highlight potential novel antifungal drug targets within essential fungal metabolic pathways.
- To discuss the merits of targeting enzymes in pathways such as enolase, mannitol biosynthesis, and purine nucleotide biosynthesis.
- To explore the potential of small molecules and antibodies for disrupting these vital fungal processes.
Main Methods:
- Literature review of current antifungal treatments and emerging resistance mechanisms.
- Identification and analysis of essential fungal metabolic pathways as potential drug targets.
- Evaluation of specific enzymes (e.g., enolase, mannitol biosynthesis enzymes, purine biosynthesis enzymes) as targets for novel antifungal agents.
Main Results:
- Enolase, and enzymes in mannitol and purine nucleotide biosynthesis pathways are identified as promising antifungal targets.
- Targeting these unconventional pathways offers a strategy to overcome existing drug resistance.
- Further investigation into these pathways is warranted to assess their role in fungal survival and virulence.
Conclusions:
- Disrupting essential fungal metabolic pathways presents a viable strategy for developing novel antifungal drugs.
- Targeting enzymes like enolase and those in biosynthesis pathways can lead to new therapeutic agents against invasive fungal infections.
- Exploiting unconventional targets may overcome limitations of current antifungal therapies and combat resistance.
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