Targeting the fungal cell wall: current therapies and implications for development of alternative antifungal agents

Future Med Chem. 2019 Apr;11(8):869-883. doi: 10.4155/fmc-2018-0465. Epub 2019 Apr 17.

Abstract

Fungal infections are a worldwide problem associated with high morbidity and mortality. There are relatively few antifungal agents, and resistance has emerged within these pathogens for the newest antifungal drugs. As the fungal cell wall is critical for growth and development, it is one of the most important targets for drug development. In this review, the currently available cell wall inhibitors and suitable drug candidates for the treatment of fungal infections are explored. Future studies of the fungal cell wall and compounds that have detrimental effects on this important outer structural layer could aid in antifungal drug discovery and lead to the development of alternative cell wall inhibitors to fill gaps in clinical therapies for difficult-to-treat fungal infections.

Keywords: antifungal drug; chitin; fungal cell wall; mannoprotein; unmasking; β (1-3)-glucan.

Publication types

  • Research Support, N.I.H., Extramural
  • Review

MeSH terms

  • Animals
  • Antifungal Agents / chemistry
  • Antifungal Agents / pharmacology*
  • Antifungal Agents / therapeutic use
  • Cell Wall / drug effects*
  • Drug Discovery* / methods
  • Fungi / drug effects*
  • Humans
  • Molecular Targeted Therapy / methods
  • Mycoses / drug therapy*

Substances

  • Antifungal Agents