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Updated: Jul 31, 2025

An Ex vivo Assay to Study Candida albicans Hyphal Morphogenesis in the Gastrointestinal Tract
Published on: July 1, 2020
Advances in the treatment of invasive fungal disease
Zhuan Zhang1, Gerald F Bills1, Zhiqiang An1
1Texas Therapeutics Institute, The Brown Foundation Institute of Molecular Medicine, University of Texas Health Science Center at Houston, Houston, Texas, United States of America.
Abstract:
With over 300 million severe cases and 1.5 million deaths annually, invasive fungal diseases (IFDs) are a major medical burden and source of global morbidity and mortality. The World Health Organization (WHO) recently released the first-ever fungal priority pathogens list including 19 fungal pathogens, considering the perceived public health importance. Most of the pathogenic fungi are opportunistic and cause diseases in patients under immunocompromised conditions such as HIV infection, cancer, chemotherapy, transplantation, and immune suppressive drug therapy. Worryingly, the morbidity and mortality caused by IFDs are continuously on the rise due to the limited available antifungal therapies, the emergence of drug resistance, and the increase of population that is vulnerable to IFDs. Moreover, the COVID-19 pandemic worsened IFDs as a globe health threat as it predisposes the patients to secondary life-threatening fungi. In this mini-review, we provide a perspective on the advances and strategies for combating IFDs with antifungal therapies.
Insights
Invasive fungal diseases (IFDs) cause millions of deaths yearly. This review explores advances and strategies in antifungal therapies to combat the rising threat of these opportunistic infections.
Area of Science:
- Medical Mycology
- Infectious Diseases
- Public Health
Background:
- Invasive fungal diseases (IFDs) represent a significant global health challenge, causing over 300 million severe cases and 1.5 million deaths annually.
- The World Health Organization (WHO) has identified 19 priority fungal pathogens, highlighting their public health importance.
- IFDs disproportionately affect immunocompromised individuals, including those with HIV, cancer, undergoing chemotherapy, transplantation, or on immunosuppressive therapy.
Approach:
- This mini-review provides a perspective on current advances and emerging strategies for managing IFDs.
- It discusses the challenges posed by limited antifungal therapies and the rise of drug resistance.
- The impact of the COVID-19 pandemic on the exacerbation of IFDs is also considered.
Key Points:
- The increasing incidence of IFDs is driven by a growing vulnerable population and the emergence of antifungal resistance.
- Limited therapeutic options and the rise of drug-resistant fungal strains complicate treatment and increase mortality.
- Secondary fungal infections in COVID-19 patients have further amplified the global health threat of IFDs.
Conclusions:
- There is an urgent need for novel and effective antifungal therapies to combat the rising morbidity and mortality associated with IFDs.
- Developing new treatment strategies is crucial to address the limitations of current antifungal drugs and overcome resistance.
- Continued research and global collaboration are essential to mitigate the impact of invasive fungal diseases.
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