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Progress of polymer-based strategies in fungal disease management: Designed for different roles
Siyu Wu1, Wenlai Guo1, Bo Li2
1Department of Hand Surgery, The Second Hospital of Jilin University, Changchun, China.
Abstract:
Fungal diseases have posed a great challenge to global health, but have fewer solutions compared to bacterial and viral infections. Development and application of new treatment modalities for fungi are limited by their inherent essential properties as eukaryotes. The microorganism identification and drug sensitivity analyze are limited by their proliferation rates. Moreover, there are currently no vaccines for prevention. Polymer science and related interdisciplinary technologies have revolutionized the field of fungal disease management. To date, numerous advanced polymer-based systems have been developed for management of fungal diseases, including prevention, diagnosis, treatment and monitoring. In this review, we provide an overview of current needs and advances in polymer-based strategies against fungal diseases. We high light various treatment modalities. Delivery systems of antifungal drugs, systems based on polymers' innate antifungal activities, and photodynamic therapies each follow their own mechanisms and unique design clues. We also discuss various prevention strategies including immunization and antifungal medical devices, and further describe point-of-care testing platforms as futuristic diagnostic and monitoring tools. The broad application of polymer-based strategies for both public and personal health management is prospected and integrated systems have become a promising direction. However, there is a gap between experimental studies and clinical translation. In future, well-designed in vivo trials should be conducted to reveal the underlying mechanisms and explore the efficacy as well as biosafety of polymer-based products.
Insights
Polymer science offers innovative solutions for fungal disease management, addressing challenges in treatment, diagnosis, and prevention. These advanced polymer-based systems show promise for public and personal health, though clinical translation requires further research.
Area of Science:
- Polymer Science
- Biomedical Engineering
- Mycology
- Infectious Diseases
Background:
- Fungal diseases present significant global health challenges with limited therapeutic options compared to bacterial and viral infections.
- Eukaryotic nature of fungi and slow proliferation rates hinder the development of effective treatments, diagnostics, and preventive measures like vaccines.
- Existing antifungal strategies face limitations in drug delivery, sensitivity analysis, and broad-spectrum efficacy.
Purpose of the Study:
- To provide a comprehensive overview of current needs and recent advancements in polymer-based strategies for managing fungal diseases.
- To highlight diverse polymer-based approaches for fungal disease prevention, diagnosis, treatment, and monitoring.
- To discuss the potential and challenges of translating polymer-based fungal disease solutions from experimental studies to clinical applications.
Main Methods:
- Review of existing literature on polymer science applications in combating fungal infections.
- Analysis of various polymer-based treatment modalities including drug delivery systems, innate antifungal polymers, and photodynamic therapies.
- Exploration of polymer-based prevention strategies (immunization, medical devices) and diagnostic tools (point-of-care testing).
Main Results:
- Numerous advanced polymer-based systems have been developed for the multifaceted management of fungal diseases.
- Polymer strategies encompass drug delivery, direct antifungal activity, photodynamic therapy, immunization, medical devices, and diagnostic platforms.
- Integrated polymer systems show significant potential for both public and personal health management of fungal infections.
Conclusions:
- Polymer science offers a revolutionary platform for addressing critical unmet needs in fungal disease control.
- Further well-designed in vivo trials are essential to validate efficacy, elucidate mechanisms, and ensure biosafety for clinical translation.
- Bridging the gap between experimental research and clinical application is crucial for realizing the full potential of polymer-based antifungal strategies.
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