Journal of Medicinal Chemistry,
Journal Year:
2020,
Volume and Issue:
63(10), P. 5341 - 5359
Published: April 29, 2020
Invasive
fungal
infections
(particularly
candidiasis)
are
emerging
as
severe
infectious
diseases
worldwide.
Because
of
serious
antifungal
drug
resistance,
therapeutic
efficacy
the
current
treatment
for
candidiasis
is
limited
and
associated
with
high
mortality.
However,
it
highly
challenging
to
develop
novel
strategies
effective
agents
combat
resistance.
Herein,
first
generation
lanosterol
14α-demethylase
(CYP51)-histone
deacetylase
(HDAC)
dual
inhibitors
was
designed,
which
exhibited
potent
activity
against
azole-resistant
clinical
isolates.
In
particular,
compounds
12h
15j
were
active
both
in
vitro
vivo
treat
candidiasis.
Antifungal
mechanism
studies
revealed
that
they
acted
by
blocking
ergosterol
biosynthesis
HDAC
catalytic
fungus,
suppressing
function
efflux
pump,
yeast-to-hypha
morphological
transition,
biofilm
formation.
Therefore,
CYP51-HDAC
represent
a
promising
strategy
Chemical Reviews,
Journal Year:
2018,
Volume and Issue:
118(14), P. 6573 - 6655
Published: June 22, 2018
Many
oxidation–reduction
(redox)
enzymes,
particularly
oxygenases,
have
roles
in
reactions
that
make
and
break
C–C
bonds.
The
list
includes
cytochrome
P450
other
heme-based
monooxygenases,
dioxygenases,
nonheme
iron
mono-
flavoproteins,
radical
S-adenosylmethionine
copper
peroxidases.
Reactions
involve
steroids,
intermediary
metabolism,
secondary
natural
products,
drugs,
industrial
agricultural
chemicals.
bonds
are
formed
via
either
(i)
coupling
of
diradicals
or
(ii)
generation
unstable
products
rearrange.
cleavage
several
themes:
rearrangement
oxidized
produced
by
the
oxidation
collapse
radicals
cations
rearrangement,
(iii)
oxygenation
to
yield
readily
hydrolyzed
(iv)
activation
O2
systems
which
binding
a
substrate
facilitates
activation.
enzymes
metals,
but
these,
is
clearly
predominant.
Frontiers in Microbiology,
Journal Year:
2019,
Volume and Issue:
10
Published: April 24, 2019
CYP51
(Erg11)
belongs
to
the
cytochrome
P450
monooxygenase
(CYP)
superfamily
and
mediates
a
crucial
step
of
synthesis
ergosterol,
which
is
fungal-specific
sterol.
It
also
target
azole
drugs
in
clinical
practice.
In
recent
years,
researches
on
fungal
have
stepped
into
new
stage
attributing
discovery
crystal
structures
homologs
C.
albicans,
neoformans
A.
fumigatus.
This
review
summarizes
functions,
proteins,
inhibitors
targeting
these
homologs.
particular,
several
drug-resistant
mechanisms
associated
with
CYP51s
are
introduced.
The
sequences
proteins
different
species
compared.
These
will
provide
insights
for
advancement
research
antifungal
agents.
npj Antimicrobials and Resistance,
Journal Year:
2023,
Volume and Issue:
1(1)
Published: July 17, 2023
Abstract
Fungal
pathogens
are
a
severe
public
health
problem.
The
leading
causative
agents
of
systemic
fungal
infections
include
species
from
the
Candida
,
Cryptococcus
and
Aspergillus
genera.
As
opportunistic
pathogens,
these
fungi
generally
harmless
in
healthy
hosts;
however,
they
can
cause
significant
morbidity
mortality
immunocompromised
patients.
Despite
profound
impact
pathogenic
on
global
human
health,
current
antifungal
armamentarium
is
limited
to
only
three
major
classes
drugs,
all
which
face
complications,
including
host
toxicity,
unfavourable
pharmacokinetics,
or
spectrum
activity.
Further
exacerbating
this
issue
growing
prevalence
antifungal-resistant
emergence
multidrug-resistant
pathogens.
In
review,
we
discuss
diverse
strategies
employed
by
evolve
resistance,
drug
target
alterations,
enhanced
efflux,
induction
cellular
stress
response
pathways.
Such
mechanisms
resistance
occur
through
genetic
point
mutations,
aneuploidy
formation,
epigenetic
changes
given
plasticity
observed
many
genomes.
Additionally,
highlight
recent
literature
surrounding
governing
emerging
auris
glabrata
.
Advancing
our
knowledge
molecular
adapt
challenge
exposure
imperative
for
designing
therapeutic
tackle
threat
resistance.
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.
Archiv der Pharmazie,
Journal Year:
2024,
Volume and Issue:
357(4)
Published: Jan. 21, 2024
Abstract
In
the
face
of
escalating
challenges
microbial
resistance
strains,
this
study
describes
design
and
synthesis
5‐({1‐[(1
H
‐1,2,3‐triazol‐4‐yl)methyl]‐1
‐indol‐3‐yl}methylene)thiazolidine‐2,4‐dione
derivatives,
which
have
demonstrated
significant
antimicrobial
properties.
Compared
with
minimum
inhibitory
concentrations
(MIC)
values
ciprofloxacin
on
respective
compounds
5a
,
5d
5g
5l
5m
exhibited
potent
antibacterial
activity
MIC
ranging
from
16
to
25
µM.
Almost
all
synthesized
showed
lower
compared
standards
against
vancomycin‐resistant
enterococcus
methicillin‐resistant
Staphylococcus
aureus
strains.
Additionally,
majority
remarkable
antifungal
activity,
Candida
albicans
Aspergillus
niger
as
nystatin,
griseofulvin,
fluconazole.
Furthermore,
notable
effects
Plasmodium
falciparum
strain,
having
IC
50
1.31
2.79
μM
standard
quinine
(2.71
μM).
Cytotoxicity
evaluation
5a–q
SHSY‐5Y
cells
at
up
100
μg/mL
no
adverse
effects.
Comparison
control
groups
highlights
their
noncytotoxic
characteristics.
Molecular
docking
confirmed
compound
binding
target
active
sites,
stable
protein–ligand
complexes
displaying
drug‐like
molecules.
dynamics
simulations
revealed
dynamic
stability
interactions.
Rigorous
tests
molecular
modeling
unveil
effectiveness
drug‐resistant
microbes,
providing
hope
for
new
potential
safety.
Expert Opinion on Pharmacotherapy,
Journal Year:
2018,
Volume and Issue:
19(9), P. 971 - 977
Published: June 13, 2018
Clinicians
are
increasingly
challenged
by
patients
with
refractory
vulvovaginal
candidiasis
(VVC)
caused
azole-resistant
Candida
species.
Fluconazole
resistant
C.albicans
is
a
growing
and
perplexing
problem
following
years
of
indiscriminate
drug
prescription
unnecessary
exposure
for
which
there
few
therapeutic
alternatives.
Regrettably,
although
the
azole
class
drugs
has
expanded,
new
classes
antifungal
have
not
been
forthcoming,
limiting
effective
treatment
options
in
vaginitis.This
review
covers
published
data
on
epidemiology,
pathophysiology
women
VVC.Fluconazole
adds
to
challenge
non-albicans
spp.
Both
issues
follow
fluconazole
exposure.
Although
an
understanding
resistance
yeast
established,
this
knowledge
translated
into
useful
advantage.
Treatment
such
symptoms
extremely
limited.
New
strategies
urgently
needed
meet
resistance.
Journal of Medicinal Chemistry,
Journal Year:
2018,
Volume and Issue:
61(13), P. 5484 - 5511
Published: Jan. 2, 2018
With
the
increasing
morbidity
and
mortality
of
invasive
fungal
infections
emergence
severe
antifungal
drug
resistance,
new
targets
novel
agents
are
urgently
needed.
Recently,
better
understanding
pathogenesis
has
contributed
to
rapid
potential
targets.
This
perspective
aims
provide
a
comprehensive
review
medicinal
chemistry
efforts
toward
inhibitor
discovery.
Particular
focus
will
be
placed
on
druggability
their
treat
resistant
infections.
Innovative
strategies
for
next
generation
therapy,
such
as
virulence
factors,
protein-protein
interactions,
immune
response-based
proteins,
also
highlighted.
Chemical Society Reviews,
Journal Year:
2020,
Volume and Issue:
49(8), P. 2426 - 2480
Published: Jan. 1, 2020
The
emergence
of
new
fungal
pathogens
makes
the
development
antifungal
drugs
a
medical
imperative
that
in
recent
years
motivates
talents
numerous
investigators
across
world.
Parasitology,
Journal Year:
2018,
Volume and Issue:
145(14), P. 1820 - 1836
Published: April 12, 2018
Abstract
The
efficiency
of
treatment
human
infections
with
the
unicellular
eukaryotic
pathogens
such
as
fungi
and
protozoa
remains
deeply
unsatisfactory.
For
example,
mortality
rates
from
nosocomial
fungemia
in
critically
ill,
immunosuppressed
or
post-cancer
patients
often
exceed
50%.
A
set
six
systemic
clinical
azoles
[sterol
14
α
-demethylase
(CYP51)
inhibitors]
represents
first-line
antifungal
treatment.
All
these
drugs
were
discovered
empirically,
by
monitoring
their
effects
on
fungal
cell
growth,
though
it
had
been
proven
that
they
kill
cells
blocking
biosynthesis
ergosterol
at
stage
-demethylation
sterol
nucleus.
This
review
briefs
history
azoles,
outlines
situation
current
azole-based
drugs,
describes
attempts
repurposing
for
protozoan
parasites
that,
similar
to
fungi,
also
produce
endogenous
sterols,
discusses
most
recently
acquired
knowledge
CYP51
structure/function
inhibition.
It
is
our
belief
this
information
should
be
helpful
shifting
traditional
phenotypic
screening
actual
target-driven
drug
discovery
paradigm,
which
will
rationalize
substantially
accelerate
development
new,
more
efficient
pathogen-oriented
inhibitors.