Resistance to antifungal therapies

Essays Biochem. 2017 Mar 3;61(1):157-166. doi: 10.1042/EBC20160067. Print 2017 Feb 28.

Abstract

The evolution of antifungal resistance among fungal pathogens has rendered the limited arsenal of antifungal drugs futile. Considering the recent rise in the number of nosocomial fungal infections in immunocompromised patients, the emerging clinical multidrug resistance (MDR) has become a matter of grave concern for medical professionals. Despite advances in therapeutic interventions, it has not yet been possible to devise convincing strategies to combat antifungal resistance. Comprehensive understanding of the molecular mechanisms of antifungal resistance is essential for identification of novel targets that do not promote or delay emergence of drug resistance. The present study discusses features and limitations of the currently available antifungals, mechanisms of antifungal resistance and highlights the emerging therapeutic strategies that could be deployed to combat MDR.

Keywords: antifungal drugs; fungal pathogens; multidrug resistance.

Publication types

  • Review
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Antifungal Agents / pharmacology*
  • Drug Resistance, Fungal / drug effects*
  • Drug Resistance, Multiple / drug effects
  • Drug Therapy, Combination
  • Membrane Transport Proteins / metabolism
  • Molecular Targeted Therapy

Substances

  • Antifungal Agents
  • Membrane Transport Proteins