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Updated: Nov 5, 2025

Whole Genome Sequencing of Candida glabrata for Detection of Markers of Antifungal Drug Resistance
Published on: December 28, 2017
Resistance to Antifungal Drugs
Ronen Ben-Ami1, Dimitrios P Kontoyiannis2
1Infectious Diseases Department, Sackler School of Medicine, Tel Aviv University, Tel Aviv Sourasky Medical Center, 6 Weizmann, Tel Aviv 64239, Israel.
Abstract:
Pathogenic fungi have several mechanisms of resistance to antifungal drugs, driven by the genetic plasticity and versatility of their homeostatic responses to stressful environmental cues. We critically review the molecular mechanisms of resistance and cellular adaptations of pathogenic fungi in response to antifungals and discuss the factors contributing to such resistance. We offer suggestions for the translational and clinical research agenda of this rapidly evolving and medically important field. A better understanding of antifungal resistance should assist in developing better detection tools and inform optimal strategies for preventing and treating refractory mycoses in the future.
Insights
Pathogenic fungi develop drug resistance through genetic adaptability and stress responses. Understanding these mechanisms is crucial for developing new treatments for fungal infections.
Area of Science:
- Mycology
- Molecular Biology
- Antimicrobial Resistance
Background:
- Pathogenic fungi exhibit significant genetic plasticity.
- Fungal resistance to antifungal drugs is a growing clinical concern.
- Homeostatic responses to environmental stress contribute to fungal adaptability.
Purpose of the Study:
- To critically review the molecular mechanisms of antifungal resistance in pathogenic fungi.
- To discuss cellular adaptations and contributing factors to antifungal resistance.
- To suggest future directions for translational and clinical research.
Main Methods:
- Comprehensive literature review of molecular mechanisms.
- Analysis of genetic and cellular adaptations.
- Discussion of contributing factors to resistance.
Main Results:
- Pathogenic fungi employ diverse mechanisms to resist antifungal drugs.
- Genetic plasticity and homeostatic responses are key drivers of resistance.
- Understanding these mechanisms is vital for clinical applications.
Conclusions:
- Enhanced understanding of antifungal resistance is needed.
- Development of better detection tools and treatment strategies is a priority.
- Future research should focus on translational and clinical applications to combat refractory mycoses.
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