Antifungal chemicals promising function in disease prevention, method of action and mechanism

J A J Dominguez1, O M Luque-Vilca2, N E S Mallma3

  • 1Universidad Nacional de Piura, Piura, Perú.

Insights

Antimicrobial drug use fuels drug-resistant fungi. This review details antifungal mechanisms, resistance pathways, and strategies to combat rising fungal resistance, noting links to antibacterial resistance.

Area of Science:

  • Medical Mycology
  • Antimicrobial Resistance

Background:

  • Increasing antimicrobial drug use correlates with a rise in drug-resistant fungal infections.
  • Antimicrobial resistance poses significant clinical challenges, necessitating comprehensive study.

Purpose of the Study:

  • To review antifungal mechanisms of action and emergent resistance pathways.
  • To explore strategies for preventing and managing antifungal resistance.
  • To discuss the relationship between antibacterial and antifungal resistance.

Main Methods:

  • Literature review focusing on antifungal drug classes and resistance mechanisms.
  • Analysis of biochemical and cellular processes underlying resistance.
  • Comparative discussion of antibacterial and antifungal resistance.

Main Results:

  • Antifungals are categorized by mechanism: azoles (ergosterol synthesis), 5-fluorocytosine (macromolecular synthesis), and polyenes (membrane sterols).
  • Antifungal resistance mechanisms include target overexpression, target modification, altered biosynthesis, and reduced enzyme concentration.
  • Shared resistance mechanisms, like drug extrusion via membrane pumps, exist between bacteria and fungi.

Conclusions:

  • Understanding antifungal action and resistance is crucial for clinical management.
  • Developing novel antifungal compounds and strategies is essential to overcome resistance.
  • The interplay between antibacterial and antifungal resistance warrants further investigation.

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