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Updated: Nov 17, 2025

Bio-energetics Investigation of Candida albicans Using Real-time Extracellular Flux Analysis
Published on: March 19, 2019
Candida albicans targets that potentially synergize with fluconazole
Hui Lu1, Manjari Shrivastava2, Malcolm Whiteway2
1Department of Pharmacology, Shanghai Tenth People's Hospital, Tongji University School of Medicine, Shanghai, China.
Abstract:
Fluconazole has characteristics that make it widely used in the clinical treatment of C. albicans infections. However, fluconazole has only a fungistatic activity in C. albicans, therefore, in the long-term treatment of C. albicans infection with fluconazole, C. albicans has the potential to acquire fluconazole resistance. A promising approach to increase fluconazole's efficacy is identifying potential targets of drugs that can enhance the antifungal effect of fluconazole, or even make the drug fungicidal. In this review, we systematically provide a global overview of potential targets of drugs synergistic with fluconazole in C. albicans, identify new avenues for research on fluconazole potentiation, and highlight the promise of combinatorial strategies with fluconazole in combatting C. albicans infections.
Insights
This review explores drug targets to enhance fluconazole
Area of Science:
- Mycology and Infectious Diseases
- Pharmacology and Drug Discovery
Background:
- Fluconazole is a key antifungal drug for *Candida albicans* infections.
- Fluconazole exhibits fungistatic activity, leading to potential resistance with prolonged use.
- Emerging drug resistance necessitates novel therapeutic strategies.
Purpose of the Study:
- To provide a comprehensive overview of drug targets that synergize with fluconazole against *C. albicans*.
- To identify novel research directions for potentiating fluconazole's antifungal efficacy.
- To highlight the potential of combination therapies in treating *C. albicans* infections.
Main Methods:
- Systematic review of existing literature.
- Analysis of drug targets and synergistic interactions.
- Identification of research gaps and future therapeutic avenues.
Main Results:
- Several drug targets show promise for synergistic activity with fluconazole.
- Combinatorial strategies can potentially overcome fluconazole resistance.
- New avenues for research in antifungal drug development are identified.
Conclusions:
- Targeting specific pathways can enhance fluconazole's fungicidal activity.
- Combination therapies offer a promising strategy against resistant *C. albicans* strains.
- Further research into drug synergy is crucial for advancing antifungal treatments.
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