Pathophysiological microenvironments in oral candidiasis DOI Creative Commons
Mette Rose Jørgensen

Apmis, Journal Year: 2024, Volume and Issue: unknown

Published: April 4, 2024

Oral candidiasis (OC), a prevalent opportunistic infection of the oral mucosa, presents considerable health challenge, particularly in individuals with compromised immune responses, advanced age, and local predisposing conditions. A part population carries Candida cavity, but only few develop OC. Therefore, pathogenesis OC may depend on factors other than attributes fungus, such as host factors. Mucosal trauma inflammation compromise epithelial integrity, fostering conducive environment for fungal invasion. Molecular insights into immunocompromised state reveal dysregulation innate adaptive immunity, creating permissive proliferation. Detailed examination species (spp.) their virulence uncovers nuanced understanding beyond traditional C. albicans focus, which embrace diverse spp. strategies, influencing adhesion, invasion, evasion, biofilm formation. Understanding pathophysiological microenvironments is crucial development targeted therapeutic interventions. This review aims to unravel focusing microbial, host, factors, considers resistance antifungal therapy. The comprehensive approach offers refined perspective OC, seeking briefly identify potential targets future effective management.

Language: Английский

Tackling the emerging threat of antifungal resistance to human health DOI Open Access
Matthew C. Fisher, Ana Alastruey‐Izquierdo, Judith Berman

et al.

Nature Reviews Microbiology, Journal Year: 2022, Volume and Issue: 20(9), P. 557 - 571

Published: March 29, 2022

Language: Английский

Citations

704

Architecture of the dynamic fungal cell wall DOI
Neil A. R. Gow, Megan D. Lenardon

Nature Reviews Microbiology, Journal Year: 2022, Volume and Issue: 21(4), P. 248 - 259

Published: Oct. 20, 2022

Language: Английский

Citations

181

Immune responses to human fungal pathogens and therapeutic prospects DOI Open Access
Michail S. Lionakis, Rebecca A. Drummond, Tobias M. Hohl

et al.

Nature reviews. Immunology, Journal Year: 2023, Volume and Issue: 23(7), P. 433 - 452

Published: Jan. 4, 2023

Language: Английский

Citations

167

Emerging Antifungal Targets and Strategies DOI Open Access
Marija Ivanov, Ana Ćirić, Dejan Stojković

et al.

International Journal of Molecular Sciences, Journal Year: 2022, Volume and Issue: 23(5), P. 2756 - 2756

Published: March 2, 2022

Despite abundant research in the field of antifungal drug discovery, fungal infections remain a significant healthcare burden. There is an emerging need for development novel antifungals since those currently available are limited and do not completely provide safe secure protection. Since current knowledge regarding physiology cells infection mechanisms greater than ever, we have opportunity to use this generations antifungals. In review, selected summarized recent studies describing agents employing different mechanisms. These include interference with resistance, including impact on efflux pumps heat shock protein 90. Additionally, virulence factors, such as biofilms hyphae; enzymes, metabolism, mitochondria, cell wall; vaccines explored. The investigated belong classes natural or synthetic molecules attention given also plant extracts. efficacy these has been studied mainly vitro some vivo, clinical needed. Nevertheless, there large quantity products that can be further explored new generation

Language: Английский

Citations

98

Fungal Drug Response and Antimicrobial Resistance DOI Creative Commons

Paloma Osset-Trénor,

Amparo Pascual‐Ahuir, Markus Proft

et al.

Journal of Fungi, Journal Year: 2023, Volume and Issue: 9(5), P. 565 - 565

Published: May 12, 2023

Antifungal resistance is a growing concern as it poses significant threat to public health. Fungal infections are cause of morbidity and mortality, especially in immunocompromised individuals. The limited number antifungal agents the emergence have led critical need understand mechanisms drug resistance. This review provides an overview importance resistance, classes agents, their mode action. It highlights molecular including alterations modification, activation, availability. In addition, discusses response drugs via regulation multidrug efflux systems drug–target interactions. We emphasize understanding develop effective strategies combat highlight for continued research identify new targets development explore alternative therapeutic options overcome Overall, its will be indispensable field clinical management fungal infections.

Language: Английский

Citations

47

Sources of Antifungal Drugs DOI Creative Commons
Giel Vanreppelen, Jurgen Wuyts, Patrick Van Dijck

et al.

Journal of Fungi, Journal Year: 2023, Volume and Issue: 9(2), P. 171 - 171

Published: Jan. 28, 2023

Due to their eukaryotic heritage, the differences between a fungal pathogen’s molecular makeup and its human host are small. Therefore, discovery subsequent development of novel antifungal drugs extremely challenging. Nevertheless, since 1940s, researchers have successfully uncovered potent candidates from natural or synthetic sources. Analogs formulations these enhanced pharmacological parameters improved overall drug efficiency. These compounds ultimately became founding members classes were applied in clinical settings, offering valuable efficient treatment mycosis for decades. Currently, only five different exist, all characterized by unique mode action; polyenes, pyrimidine analogs, azoles, allylamines, echinocandins. The latter, being latest addition armamentarium, was introduced over two decades ago. As result this limited arsenal, resistance has exponentially increased and, with it, growing healthcare crisis. In review, we discuss original sources compounds, either synthetic. Additionally, summarize existing classes, potential pipeline, emerging non-traditional options.

Language: Английский

Citations

45

Candida albicans and Candida glabrata : global priority pathogens DOI
Myrto Katsipoulaki, Mark H. T. Stappers, Dhara Malavia

et al.

Microbiology and Molecular Biology Reviews, Journal Year: 2024, Volume and Issue: 88(2)

Published: June 4, 2024

SUMMARYA significant increase in the incidence of

Language: Английский

Citations

32

Current trends, limitations and future research in the fungi? DOI Creative Commons
Kevin D. Hyde, Petr Baldrián, Yanpeng Chen

et al.

Fungal Diversity, Journal Year: 2024, Volume and Issue: 125(1), P. 1 - 71

Published: March 20, 2024

Abstract The field of mycology has grown from an underappreciated subset botany, to a valuable, modern scientific discipline. As this study grown, there have been significant contributions science, technology, and industry, highlighting the value fungi in era. This paper looks at current research, along with existing limitations, suggests future areas where scientists can focus their efforts, mycology. We show how become important emerging diseases medical discuss trends potential drug novel compound discovery. explore phylogenomics, its potential, outcomes address question phylogenomics be applied fungal ecology. In addition, functional genomics studies are discussed importance unravelling intricate mechanisms underlying behaviour, interactions, adaptations, paving way for comprehensive understanding biology. look research building materials, they used as carbon sinks, biocircular economies. numbers always great interest often written about estimates varied greatly. Thus, we needs order obtain more reliable estimates. aspects machine learning (AI) it mycological research. Plant pathogens affecting food production systems on global scale, such, needed area, particularly disease detection. latest data High Throughput Sequencing if still gaining new knowledge same rate before. A review nanotechnology is provided addressed. Arbuscular Mycorrhizal Fungi addressed acknowledged. Fungal databases becoming important, therefore provide major databases. Edible medicinal huge medicines, especially Asia prospects discussed. Lifestyle changes (e.g., endophytes, pathogens, and/or saprobes) also extremely trend special issue Diversity.

Language: Английский

Citations

30

The pathobiology of human fungal infections DOI
Gordon D. Brown, Elizabeth R. Ballou, Steven Bates

et al.

Nature Reviews Microbiology, Journal Year: 2024, Volume and Issue: 22(11), P. 687 - 704

Published: June 25, 2024

Language: Английский

Citations

28

Advancements and challenges in antifungal therapeutic development DOI
Emily Puumala, Sara Fallah, Nicole Robbins

et al.

Clinical Microbiology Reviews, Journal Year: 2024, Volume and Issue: 37(1)

Published: Jan. 31, 2024

SUMMARY Over recent decades, the global burden of fungal disease has expanded dramatically. It is estimated that kills approximately 1.5 million individuals annually; however, true worldwide infection thought to be higher due existing gaps in diagnostics and clinical understanding mycotic disease. The development resistance antifungals across diverse pathogenic genera an increasingly common devastating phenomenon dearth available antifungal classes. These factors necessitate a coordinated response by researchers, clinicians, public health agencies, pharmaceutical industry develop new strategies, as continues grow. This review provides comprehensive overview therapeutics currently trials, highlighting their spectra activity progress toward implementation. We also profile up-and-coming intracellular proteins pathways primed for novel targeting activity. Ultimately, we aim emphasize importance increased investment into current continually evolving landscape infectious

Language: Английский

Citations

20