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977 Results Found

  • Review
  • Open Access
12 Citations
3,813 Views
16 Pages

The mortality rates of invasive fungal infections remain high because of the limited number of antifungal drugs available and antifungal drug resistance, which can rapidly evolve during treatment. Mutations in key resistance genes such as ERG11 were...

  • Review
  • Open Access
142 Citations
16,072 Views
13 Pages

Antifungal Drug Resistance: An Emergent Health Threat

  • Antonio Vitiello,
  • Francesco Ferrara,
  • Mariarosaria Boccellino,
  • Annarita Ponzo,
  • Carla Cimmino,
  • Emilio Comberiati,
  • Andrea Zovi,
  • Salvatore Clemente and
  • Michela Sabbatucci

Fungal infections, named mycosis, can cause severe invasive and systemic diseases that can even lead to death. In recent years, epidemiological data have recorded an increase in cases of severe fungal infections, caused mainly by a growing number of...

  • Entry
  • Open Access
91 Citations
40,328 Views
16 Pages

Antifungals and Drug Resistance

  • Chowdhury Mobaswar Hossain,
  • Lisa Kathleen Ryan,
  • Meeta Gera,
  • Sabyasachi Choudhuri,
  • Nazmun Lyle,
  • Kazi Asraf Ali and
  • Gill Diamond

10 October 2022

Antifungal drugs prevent topical or invasive fungal infections (mycoses) either by stopping growth of fungi (termed fungistatic) or by killing the fungal cells (termed fungicidal). Antibiotics also prevent bacterial infections through either bacterio...

  • Review
  • Open Access
227 Citations
15,024 Views
29 Pages

Drug-Resistant Fungi: An Emerging Challenge Threatening Our Limited Antifungal Armamentarium

  • Amir Arastehfar,
  • Toni Gabaldón,
  • Rocio Garcia-Rubio,
  • Jeffrey D. Jenks,
  • Martin Hoenigl,
  • Helmut J. F. Salzer,
  • Macit Ilkit,
  • Cornelia Lass-Flörl and
  • David S. Perlin

The high clinical mortality and economic burden posed by invasive fungal infections (IFIs), along with significant agricultural crop loss caused by various fungal species, has resulted in the widespread use of antifungal agents. Selective drug pressu...

  • Review
  • Open Access
20 Citations
5,770 Views
16 Pages

Epigenetic Regulation of Antifungal Drug Resistance

  • Sandip Patra,
  • Mayur Raney,
  • Aditi Pareek and
  • Rupinder Kaur

19 August 2022

In medical mycology, epigenetic mechanisms are emerging as key regulators of multiple aspects of fungal biology ranging from development, phenotypic and morphological plasticity to antifungal drug resistance. Emerging resistance to the limited therap...

  • Review
  • Open Access
23 Citations
5,405 Views
12 Pages

Clinical isolates of Candida yeast are the most common cause of opportunistic fungal infections resistant to certain antifungal drugs. Therefore, it is necessary to detect more effective antifungal agents that would be successful in overcoming such i...

  • Article
  • Open Access
7 Citations
2,641 Views
15 Pages

9 November 2022

Azole antifungal drugs have been shown to enhance the cytotoxicity of antimitotic drugs in P-glycoprotein (P-gp)-overexpressing-resistant cancer cells. Herein, we examined two azole antifungal drugs, terconazole (TCZ) and butoconazole (BTZ), previous...

  • Review
  • Open Access
53 Citations
7,372 Views
20 Pages

Immunodepression, whether due to HIV infection or organ transplantation, has increased human vulnerability to fungal infections. These conditions have created an optimal environment for the emergence of opportunistic infections, which is concomitant...

  • Review
  • Open Access
7,436 Views
24 Pages

19 August 2025

Invasive fungal infections (IFIs) are one of the most significant public health challenges worldwide. Yet, research and communication thereof were left behind for a long time, until the WHO published a priority pathogens list to guide research, devel...

  • Review
  • Open Access
53 Citations
14,600 Views
18 Pages

11 January 2011

Candida glabrata is a major opportunistic human fungal pathogen causing superficial as well as systemic infections in immunocompromised individuals and several other patient cohorts. C. glabrata represents the second most prevalent cause of candidemi...

  • Review
  • Open Access
58 Citations
11,568 Views
20 Pages

Fungal Drug Response and Antimicrobial Resistance

  • Paloma Osset-Trénor,
  • Amparo Pascual-Ahuir and
  • Markus Proft

12 May 2023

Antifungal resistance is a growing concern as it poses a significant threat to public health. Fungal infections are a significant cause of morbidity and mortality, especially in immunocompromised individuals. The limited number of antifungal agents a...

  • Review
  • Open Access
64 Citations
17,784 Views
26 Pages

Antifungals: From Pharmacokinetics to Clinical Practice

  • Anália Carmo,
  • Marilia Rocha,
  • Patricia Pereirinha,
  • Rui Tomé and
  • Eulália Costa

The use of antifungal drugs started in the 1950s with polyenes nystatin, natamycin and amphotericin B-deoxycholate (AmB). Until the present day, AmB has been considered to be a hallmark in the treatment of invasive systemic fungal infections. Neverth...

  • Article
  • Open Access
49 Citations
3,349 Views
22 Pages

28 February 2022

Drug resistance of filamentous fungi to the commonly used antifungal agents is a major concern in medicine. Therefore, an effective approach to treat several opportunistic fungal infections is the need of the hour. Mentha piperita is used in home rem...

  • Review
  • Open Access
54 Citations
10,835 Views
28 Pages

Linking Cellular Morphogenesis with Antifungal Treatment and Susceptibility in Candida Pathogens

  • Jehoshua Sharma,
  • Sierra Rosiana,
  • Iqra Razzaq and
  • Rebecca S. Shapiro

21 February 2019

Fungal infections are a growing public health concern, and an increasingly important cause of human mortality, with Candida species being amongst the most frequently encountered of these opportunistic fungal pathogens. Several Candida species are pol...

  • Communication
  • Open Access
23 Citations
6,193 Views
14 Pages

High Efficiency Drug Repurposing Design for New Antifungal Agents

  • Jong H. Kim,
  • Kathleen L. Chan,
  • Luisa W. Cheng,
  • Lisa A. Tell,
  • Barbara A. Byrne,
  • Kristin Clothier and
  • Kirkwood M. Land

Current antifungal interventions have often limited efficiency in treating fungal pathogens, particularly those resistant to commercial drugs or fungicides. Antifungal drug repurposing is an alternative intervention strategy, whereby new utility of v...

  • Perspective
  • Open Access
56 Citations
10,476 Views
29 Pages

Antifungal Drug Repurposing

  • Jong H. Kim,
  • Luisa W. Cheng,
  • Kathleen L. Chan,
  • Christina C. Tam,
  • Noreen Mahoney,
  • Mendel Friedman,
  • Mikhail Martchenko Shilman and
  • Kirkwood M. Land

15 November 2020

Control of fungal pathogens is increasingly problematic due to the limited number of effective drugs available for antifungal therapy. Conventional antifungal drugs could also trigger human cytotoxicity associated with the kidneys and liver, includin...

  • Systematic Review
  • Open Access
45 Citations
5,020 Views
23 Pages

Global Prevalence of Antifungal-Resistant Candida parapsilosis: A Systematic Review and Meta-Analysis

  • Dina Yamin,
  • Mutiat Hammed Akanmu,
  • Abbas Al Mutair,
  • Saad Alhumaid,
  • Ali A. Rabaan and
  • Khalid Hajissa

A reliable estimate of Candida parapsilosis antifungal susceptibility in candidemia patients is increasingly important to track the spread of C. parapsilosis bloodstream infections and define the true burden of the ongoing antifungal resistance. A sy...

  • Article
  • Open Access
2 Citations
2,119 Views
25 Pages

Background/Objectives: Developing antifungal drugs with lower potential for interactions with food may help to optimize treatment and reduce the risk of antimicrobial resistance. Chemometrics uses statistical and mathematical methods to analyze multi...

  • Review
  • Open Access
217 Views
23 Pages

Irrational and Inappropriate Use of Antifungals in the NICU: A Narrative Review

  • Niki Dermitzaki,
  • Foteini Balomenou,
  • Chrysoula Kosmeri,
  • Maria Baltogianni,
  • Aikaterini Nikolaou,
  • Anastasios Serbis and
  • Vasileios Giapros

Invasive Candida infections in the neonatal intensive care unit (NICU) are associated with significant morbidity and mortality, particularly among extremely preterm neonates. Early treatment with antifungals is critical to improve survival rates and...

  • Review
  • Open Access
20 Citations
5,768 Views
23 Pages

The increasing cases of drug resistance and high toxicity associated with the currently used antifungal agents are a worldwide public health concern. There is an urgent need to develop new antifungal drugs with unique target mechanisms. Plant-based c...

  • Review
  • Open Access
4 Citations
10,078 Views
27 Pages

Antifungal Agents in the 21st Century: Advances, Challenges, and Future Perspectives

  • Francesco Branda,
  • Nicola Petrosillo,
  • Giancarlo Ceccarelli,
  • Marta Giovanetti,
  • Andrea De Vito,
  • Giordano Madeddu,
  • Fabio Scarpa and
  • Massimo Ciccozzi

Invasive fungal infections (IFIs) represent a growing global health threat, particularly for immunocompromised populations, with mortality exceeding 1.5 million deaths annually. Despite their clinical and economic burden—costing billions in hea...

  • Review
  • Open Access
10 Citations
7,325 Views
25 Pages

15 December 2024

This review explores current advancements and challenges in antifungal therapies amid rising fungal infections, particularly in immunocompromised patients. We detail the limitations of existing antifungal classes—azoles, echinocandins, polyenes...

  • Review
  • Open Access
11 Citations
6,501 Views
33 Pages

22 February 2024

Life-threatening systemic fungal infections occur in immunocompromised patients at an alarming rate. Current antifungal therapies face challenges like drug resistance and patient toxicity, emphasizing the need for new treatments. Membrane-bound enzym...

  • Review
  • Open Access
191 Citations
13,800 Views
25 Pages

19 September 2018

Fungal infections, such as candidiasis caused by Candida, pose a problem of growing medical concern. In developed countries, the incidence of Candida infections is increasing due to the higher survival of susceptible populations, such as immunocompro...

  • Review
  • Open Access
229 Citations
26,686 Views
16 Pages

Antifungal Drugs

  • Jiří Houšť,
  • Jaroslav Spížek and
  • Vladimír Havlíček

12 March 2020

We reviewed the licensed antifungal drugs and summarized their mechanisms of action, pharmacological profiles, and susceptibility to specific fungi. Approved antimycotics inhibit 1,3-β-d-glucan synthase, lanosterol 14-α-demethylase, protei...

  • Article
  • Open Access
20 Citations
4,576 Views
16 Pages

30 March 2023

Garlic (Allium sativa L.) is a traditional plant with antimicrobial activity. This study aimed to discover new antifungal peptides from garlic, identify their structure, and explore the antimicrobial mechanism. Peptides were separated by chromatograp...

  • Review
  • Open Access
764 Views
21 Pages

Drug Discovery and Repurposing for Coccidioides: A Systematic Review

  • Sarah Saeger,
  • Sofia Lozano,
  • Nathan Wiederhold,
  • Jieh-Juen Yu,
  • Jose L. Lopez-Ribot and
  • Chiung-Yu Hung

10 December 2025

Coccidioides immitis and C. posadasii are the causative agents of coccidioidomycosis (CM) or Valley Fever, endemic to the alkaline deserts of North and South America. Clinical treatment of CM is predominantly limited to the triazole and polyene drug...

  • Review
  • Open Access
249 Citations
24,410 Views
21 Pages

Amphotericin B and Other Polyenes—Discovery, Clinical Use, Mode of Action and Drug Resistance

  • Hans Carolus,
  • Siebe Pierson,
  • Katrien Lagrou and
  • Patrick Van Dijck

27 November 2020

Although polyenes were the first broad spectrum antifungal drugs on the market, after 70 years they are still the gold standard to treat a variety of fungal infections. Polyenes such as amphotericin B have a controversial image. They are the antifung...

  • Article
  • Open Access
15 Citations
3,840 Views
13 Pages

Hydrophilic Linear Peptide with Histidine and Lysine Residues as a Key Factor Affecting Antifungal Activity

  • Seong-Cheol Park,
  • Jin-Young Kim,
  • Eun-Ji Kim,
  • Gang-Won Cheong,
  • Yongjae Lee,
  • Wonkyun Choi,
  • Jung Ro Lee and
  • Mi-Kyeong Jang

28 November 2018

Increases in the numbers of immunocompromised patients and the emergence of drug-resistance fungal pathogens have led to the need for new, safe, efficacious antifungal agents. In this study, we designed a histidine-lysine-lysine (HKK) motif and synth...

  • Review
  • Open Access
42 Citations
7,681 Views
25 Pages

An Overview on Conventional and Non-Conventional Therapeutic Approaches for the Treatment of Candidiasis and Underlying Resistance Mechanisms in Clinical Strains

  • Sara B. Salazar,
  • Rita S. Simões,
  • Nuno A. Pedro,
  • Maria Joana Pinheiro,
  • Maria Fernanda N. N. Carvalho and
  • Nuno P. Mira

10 February 2020

Fungal infections and, in particular, those caused by species of the Candida genus, are growing at an alarming rate and have high associated rates of mortality and morbidity. These infections, generally referred as candidiasis, range from common supe...

  • Article
  • Open Access
4 Citations
2,846 Views
18 Pages

Synergistic Effect of Essential Oils and Antifungal Agents in Fighting Resistant Clinical Isolates of Candida auris

  • Lorenza Cavallo,
  • Francesca Menotti,
  • Janira Roana,
  • Cristina Costa,
  • Fabio Longo,
  • Claudia Pagano,
  • Antonio Curtoni,
  • Alessandro Bondi,
  • Giuliana Banche and
  • Narcisa Mandras
  • + 1 author

Recently, a large number of nosocomial infections have been caused by an emerging pathogen that is rising as a worldwide issue in human health: Candida auris. This yeast is considered resistant to antifungals of the first-line therapies, and conseque...

  • Article
  • Open Access
39 Citations
7,805 Views
15 Pages

Antifungal Activity of Select Essential Oils against Candida auris and Their Interactions with Antifungal Drugs

  • Ryan A. Parker,
  • Kyle T. Gabriel,
  • Kayla D. Graham,
  • Bethany K. Butts and
  • Christopher T. Cornelison

Candida auris is an emerging fungal pathogen that commonly causes nosocomial blood infections in the immunocompromised. Several factors make this pathogen a global threat, including its misidentification as closely related species, its ability to sur...

  • Article
  • Open Access
3 Citations
2,891 Views
19 Pages

Molecular Cloning, Heterologous Expression, Purification, and Evaluation of Protein–Ligand Interactions of CYP51 of Candida krusei Azole-Resistant Fungal Strain

  • Tatsiana V. Tsybruk,
  • Leonid A. Kaluzhskiy,
  • Yuri V. Mezentsev,
  • Tatyana N. Makarieva,
  • Kseniya M. Tabakmaher,
  • Natalia V. Ivanchina,
  • Pavel S. Dmitrenok,
  • Alexander V. Baranovsky,
  • Andrei A. Gilep and
  • Alexis S. Ivanov

Due to the increasing prevalence of fungal diseases caused by fungi of the genus Candida and the development of pathogen resistance to available drugs, the need to find new effective antifungal agents has increased. Azole antifungals, which are inhib...

  • Article
  • Open Access
8 Citations
2,678 Views
14 Pages

Autophagy Alters the Susceptibility of Candida albicans Biofilms to Antifungal Agents

  • Jiadi Shen,
  • Ming Ma,
  • Wei Duan,
  • Yun Huang,
  • Banruo Shi,
  • Qiaochu Wu and
  • Xin Wei

Candida albicans (C. albicans) reigns as a major cause of clinical candidiasis. C. albicans biofilms are known to increase resistance to antifungal agents, making biofilm-related infections particularly challenging to treat. Drug resistance is of par...

  • Article
  • Open Access
4 Citations
3,195 Views
19 Pages

Diversity and Antifungal Susceptibilities of Yeasts from Mangroves in Hong Kong, China—A One Health Aspect

  • Pak-Ting Hau,
  • Anson Shiu,
  • Emily Wan-Ting Tam,
  • Eddie Chung-Ting Chau,
  • Michaela Murillo,
  • Eva Humer,
  • Wai-Wai Po,
  • Ray Chun-Wai Yu,
  • Joshua Fung and
  • Franklin Wang-Ngai Chow
  • + 2 authors

20 October 2024

While mangrove ecosystems are rich in biodiversity, they are increasingly impacted by climate change and urban pollutants. The current study provides first insights into the emergence of potentially pathogenic yeasts in Hong Kong’s mangroves. S...

  • Review
  • Open Access
43 Citations
6,320 Views
17 Pages

13 January 2023

Fungal pathogens cause significant human morbidity and mortality globally, where there is a propensity to infect vulnerable people such as the immunocompromised ones. There is increasing evidence of resistance to antifungal drugs, which has significa...

  • Article
  • Open Access
12 Citations
3,704 Views
13 Pages

Experience of Isavuconazole as a Salvage Therapy in Chronic Pulmonary Fungal Disease

  • Lisa Nwankwo,
  • Desmond Gilmartin,
  • Sheila Matharu,
  • Ali Nuh,
  • Jackie Donovan,
  • Darius Armstrong-James and
  • Anand Shah

31 March 2022

Background: Instances of resistant fungal infection are rising in pulmonary disease, with limited therapeutic options. Therapeutic drug monitoring of azole antifungals has been necessary to ensure safety and efficacy but is considered unnecessary for...

  • Article
  • Open Access
20 Citations
4,311 Views
25 Pages

Venoms from ants comprise a rich source of bioactive peptides, including antimicrobial peptides. From the proteome and peptidome of the giant ant Dinoponera quadriceps venom, members of five known classes of antimicrobial peptides were disclosed (e.g...

  • Review
  • Open Access
34 Citations
5,752 Views
15 Pages

10 April 2017

The resistance among various opportunistic Fusarium species to different antifungal agents has emerged as a cause of public health problems worldwide. Considering the significance of multi-drug resistant (MDR), this paper emphasizes the problems asso...

  • Review
  • Open Access
106 Citations
16,616 Views
26 Pages

Emerging Antifungal Targets and Strategies

  • Marija Ivanov,
  • Ana Ćirić and
  • Dejan Stojković

Despite abundant research in the field of antifungal drug discovery, fungal infections remain a significant healthcare burden. There is an emerging need for the development of novel antifungals since those currently available are limited and do not c...

  • Article
  • Open Access
7 Citations
3,727 Views
18 Pages

Nagilactone E, an antifungal agent derived from the root bark of Podocarpus nagi, inhibits 1,3-β glucan synthesis; however, its inhibitory activity is weak. Anethole, the principal component of anise oil, enhances the antifungal activity of nagilacto...

  • Review
  • Open Access
26 Citations
5,060 Views
9 Pages

20 August 2019

Recently, global health professionals have been significantly challenged by the emergence of Candida auris and its propensity to colonize human skin, persist in the healthcare environment, and cause healthcare-associated outbreaks. Additionally, C. a...

  • Article
  • Open Access
2,485 Views
10 Pages

Dereplication of Natural Product Antifungals via Liquid Chromatography–Tandem Mass Spectrometry and Chemical Genomics

  • Nathaniel J. Brittin,
  • David J. Aceti,
  • Doug R. Braun,
  • Josephine M. Anderson,
  • Spencer S. Ericksen,
  • Scott R. Rajski,
  • Cameron R. Currie,
  • David R. Andes and
  • Tim S. Bugni

28 December 2024

Recently expanded reports of multidrug-resistant fungal infections underscore the need to develop new and more efficient methods for antifungal drug discovery. A ubiquitous problem in natural product drug discovery campaigns is the rediscovery of kno...

  • Article
  • Open Access
2 Citations
2,467 Views
12 Pages

Evaluation of Systemic Antifungal Use in a Latin American General Care Hospital: A Retrospective Study

  • Abigail Fallas-Mora,
  • Jose Pablo Díaz-Madriz,
  • Jose Miguel Chaverri-Fernández and
  • Esteban Zavaleta-Monestel

24 June 2023

Background: Invasive fungal infections significantly contribute to mortality and morbidity rates. Despite the presence of all four major classes of antifungal medications, it is estimated that these infections result in the death of 1.5 million peopl...

  • Review
  • Open Access
5 Citations
2,902 Views
23 Pages

Antifungal Plant Defensins as an Alternative Tool to Combat Candidiasis

  • Ekaterina I. Finkina,
  • Olga V. Shevchenko,
  • Serafima I. Fateeva,
  • Andrey A. Tagaev and
  • Tatiana V. Ovchinnikova

29 May 2024

Currently, the spread of fungal infections is becoming an urgent problem. Fungi of the Candida genus are opportunistic microorganisms that cause superficial and life-threatening systemic candidiasis in immunocompromised patients. The list of antifung...

  • Article
  • Open Access
4 Citations
3,383 Views
15 Pages

Rationalisation of Antifungal Properties of α-Helical Pore-Forming Peptide, Mastoparan B

  • Edward Jianyang Lim,
  • Eunice Goh Tze Leng,
  • Nhan Dai Thien Tram,
  • Mercy Halleluyah Periayah,
  • Pui Lai Rachel Ee,
  • Timothy Mark Sebastian Barkham,
  • Zhi Sheng Poh,
  • Navin Kumar Verma and
  • Rajamani Lakshminarayanan

21 February 2022

The high mortality associated with invasive fungal infections, narrow spectrum of available antifungals, and increasing evolution of antifungal resistance necessitate the development of alternative therapies. Host defense peptides are regarded as the...

  • Review
  • Open Access
25 Citations
8,842 Views
15 Pages

Detecting Azole-Antifungal Resistance in Aspergillus fumigatus by Pyrosequencing

  • Mireille H. van der Torre,
  • Lilyann Novak-Frazer and
  • Riina Rautemaa-Richardson

10 January 2020

Guidelines on the diagnosis and management of Aspergillus disease recommend a multi-test approach including CT scans, culture, fungal biomarker tests, microscopy and fungal PCR. The first-line treatment of confirmed invasive aspergillosis (IA) consis...

  • Article
  • Open Access
5 Citations
2,609 Views
15 Pages

In Vitro and In Vivo Activity of Citral in Combination with Amphotericin B, Anidulafungin and Fluconazole against Candida auris Isolates

  • Iñigo de-la-Fuente,
  • Andrea Guridi,
  • Nerea Jauregizar,
  • Elena Eraso,
  • Guillermo Quindós and
  • Elena Sevillano

6 June 2023

Candida auris is an emerging fungal pathogen responsible for hospital outbreaks of invasive candidiasis associated with high mortality. The treatment of these mycoses is a clinical challenge due to the high resistance levels of this species to curren...

  • Article
  • Open Access
10 Citations
3,629 Views
9 Pages

In Vitro Antifungal Susceptibility Profile of Miltefosine against a Collection of Azole and Echinocandins Resistant Fusarium Strains

  • Mohsen Nosratabadi,
  • Javad Akhtari,
  • Leila Faeli,
  • Iman Haghani,
  • Seyed Reza Aghili,
  • Tahereh Shokohi,
  • Mohammad Taghi Hedayati,
  • Hossein Zarrinfar,
  • Rasoul Mohammadi and
  • Mahdi Abastabar
  • + 9 authors

4 July 2022

Fusarium species are filamentous fungi that cause a variety of infections in humans. Because they are commonly resistant to many antifungal drugs currently available in clinical settings, research into alternative targets in fungal cells and therapeu...

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