Signalling mechanisms involved in stress response to antifungal drugs

Res Microbiol. 2021 Jan-Feb;172(1):103786. doi: 10.1016/j.resmic.2020.10.001. Epub 2020 Oct 8.

Abstract

The emergence of antifungal resistance is a serious threat in the treatment of mycoses. The primary susceptible fungal cells may evolve a resistance after longer exposure to antifungal agents. The exposure itself causes stress condition, to which the fungus needs to adapt. This review provides detailed description of evolutionary conserved molecular mechanisms contributing to the adaptation response to stress caused by antifungal agents as well as their interconnection. The knowledge may help us to find new ways to delay the emergence of drug resistance as the same mechanisms are used regardless of what antifungal compound causes stress.

Keywords: Antifungal drugs; Hsp90; Signalling pathways; Stress adaptation; Tor kinases.

Publication types

  • Review

MeSH terms

  • Adaptation, Physiological / genetics*
  • Antifungal Agents / therapeutic use
  • Aspergillus fumigatus / drug effects*
  • Aspergillus fumigatus / genetics
  • Candida albicans / drug effects*
  • Candida albicans / genetics
  • Cell Wall / metabolism
  • Cryptococcus neoformans / drug effects*
  • Cryptococcus neoformans / genetics
  • Drug Resistance, Fungal / genetics*
  • Humans
  • Mycoses / drug therapy*
  • Mycoses / microbiology
  • Osmotic Pressure / physiology
  • Signal Transduction

Substances

  • Antifungal Agents