Mechanisms of Azole Potentiation: Insights from Drug Repurposing Approaches
ACS Infectious Diseases,
Journal Year:
2025,
Volume and Issue:
unknown
Published: Jan. 3, 2025
The
emergence
of
azole
resistance
and
tolerance
in
pathogenic
fungi
has
emerged
as
a
significant
public
health
concern,
emphasizing
the
urgency
for
innovative
strategies
to
bolster
efficacy
azole-based
treatments.
Drug
repurposing
stands
promising
practical
avenue
advancing
antifungal
therapy,
with
potential
swift
clinical
translation.
This
review
offers
comprehensive
overview
synergistic
agents
uncovered
through
drug
strategies,
alongside
an
in-depth
exploration
mechanisms
by
which
these
augment
potency.
Drawing
from
mechanisms,
we
delineate
aimed
at
enhancing
effectiveness,
such
inhibiting
efflux
pumps
elevate
concentrations
within
fungal
cells,
intensifying
ergosterol
synthesis
inhibition,
mitigating
cell
azoles,
disrupting
biological
processes
extending
beyond
synthesis.
is
beneficial
development
potentiators,
it
meticulously
examines
instances
provides
nuanced
discussions
on
underlying
progression
potentiators
strategies.
Language: Английский
Marine-Derived Metabolites Act as Promising Antifungal Agents
Sijin Hang,
No information about this author
Hui Lu,
No information about this author
Yuanying Jiang
No information about this author
et al.
Marine Drugs,
Journal Year:
2024,
Volume and Issue:
22(4), P. 180 - 180
Published: April 17, 2024
The
incidence
of
invasive
fungal
diseases
(IFDs)
is
on
the
rise
globally,
particularly
among
immunocompromised
patients,
leading
to
significant
morbidity
and
mortality.
Current
clinical
antifungal
agents,
such
as
polyenes,
azoles,
echinocandins,
face
increasing
resistance
from
pathogenic
fungi.
Therefore,
there
a
pressing
need
for
development
novel
drugs.
Marine-derived
secondary
metabolites
represent
valuable
resources
that
are
characterized
by
varied
chemical
structures
pharmacological
activities.
While
numerous
compounds
exhibiting
promising
activity
have
been
identified,
comprehensive
review
elucidating
their
specific
underlying
mechanisms
remains
lacking.
In
this
review,
we
compiled
summary
derived
marine
organisms,
highlighting
diverse
action
targeting
various
cellular
components,
including
cell
wall,
membrane,
mitochondria,
chromosomes,
drug
efflux
pumps,
several
biological
processes,
vesicular
trafficking
growth
hyphae
biofilms.
This
helpful
subsequent
drugs
due
its
organisms.
Language: Английский
Geldanamycin confers fungicidal properties to azole by triggering the activation of succinate dehydrogenase
Juan Xiong,
No information about this author
Li Wang,
No information about this author
Yanru Feng
No information about this author
et al.
Life Sciences,
Journal Year:
2024,
Volume and Issue:
348, P. 122699 - 122699
Published: May 6, 2024
Azoles
have
been
widely
employed
for
the
treatment
of
invasive
fungal
diseases;
however,
their
efficacy
is
diminished
as
pathogenic
fungi
tolerate
them
due
to
fungistatic
properties.
Geldanamycin
(GdA)
can
render
azoles
fungicidal
by
inhibiting
ATPase
and
molecular
chaperone
activities
heat
shock
protein
90
(Hsp90).
Nonetheless,
clinical
applicability
GdA
restricted
its
cytotoxic
ansamycin
scaffold
structure,
induction
cytoprotective
responses,
conservative
nature
Hsp90.
Hence,
it
imperative
elucidate
mechanism
action
confer
properties
mitigate
toxic
adverse
effects
associated
with
GdA.
Through
various
experimental
methods,
including
construction
gene-deleted
Candida
albicans
mutants,
in
vitro
drug
sensitivity
experiments,
Western
blot
analysis,
reactive
oxygen
species
(ROS)
assays,
succinate
dehydrogenase
activity
we
identified
Hsp90
client
proteins
tolerance
C.
azoles.
It
was
observed
that
effectively
hindered
entry
into
mitochondria,
resulting
alleviation
inhibitory
effect
on
dehydrogenase.
Consequently,
activation
led
an
increased
production
ROS.
within
thereby
facilitating
antifungal
against
albicans.
This
research
presents
a
novel
approach
conferring
azoles,
which
involves
specifically
disrupting
interaction
between
rather
than
employing
non-specific
inhibition
Language: Английский
Pitavastatin Calcium Confers Fungicidal Properties to Fluconazole by Inhibiting Ubiquinone Biosynthesis and Generating Reactive Oxygen Species
Wanqian Li,
No information about this author
Yanru Feng,
No information about this author
Zhe Feng
No information about this author
et al.
Antioxidants,
Journal Year:
2024,
Volume and Issue:
13(6), P. 667 - 667
Published: May 29, 2024
Fluconazole
(FLC)
is
extensively
employed
for
the
prophylaxis
and
treatment
of
invasive
fungal
infections
(IFIs).
However,
fungistatic
nature
FLC
renders
pathogenic
fungi
capable
developing
tolerance
towards
it.
Consequently,
converting
into
a
fungicidal
agent
using
adjuvants
assumes
significance
to
circumvent
resistance
perpetuation
infections.
This
drug
repurposing
study
has
successfully
identified
pitavastatin
calcium
(PIT)
as
promising
adjuvant
enhancing
activity
from
comprehensive
library
2372
FDA-approved
drugs.
PIT
could
render
even
at
concentrations
low
1
μM.
The
median
lethal
dose
(LD50)
was
determined
be
103.6
mg/kg.
We
have
discovered
that
achieves
its
synergistic
effect
by
inhibiting
3-hydroxy-3-methylglutaryl-coenzyme
A
(HMG-CoA)
reductase,
thereby
impeding
ubiquinone
biosynthesis,
inducing
reactive
oxygen
species
(ROS)
generation,
triggering
apoptosis,
disrupting
Golgi
function.
Candida
albicans
strain
demonstrated
notable
infect
mice
found
effectively
augmented
antifungal
efficacy
against
IFIs.
an
illustrative
example
how
drugs
can
eliminate
FLC.
Language: Английский
The Role of Oxidative Stress in the Antifungal Activity of Two Mollusk Fractions on Resistant Fungal Strains
International Journal of Molecular Sciences,
Journal Year:
2025,
Volume and Issue:
26(3), P. 985 - 985
Published: Jan. 24, 2025
Fungal
infections
are
a
significant
global
public
health
challenge
because
of
their
widespread
occurrence,
morbidity,
and
profound
social
economic
consequences.
Antifungal
resistance
is
also
an
increasing
concern,
posing
substantial
risk
to
health.
There
growing
interest
in
searching
for
new
antifungal
drugs
isolated
from
natural
sources.
This
study
aimed
evaluate
the
activity
novel
mollusk
fractions
against
fungal
strains
resistant
nystatin
amphotericin
B.
In
addition,
role
oxidative
stress
mechanism
damage
was
determined.
The
mucus
garden
snail
Cornu
aspersum
(MCa/1-20)
hemolymph
fraction
marine
Rapana
venosa
(HLRv/3-100)
were
obtained
characterized
via
12%
sodium
dodecyl
sulfate–polyacrylamide
gel
electrophoresis
(SDS-PAGE)
mass
spectrometric
-analyses.
results
demonstrate
that
spores
biomass
both
have
fungicidal
effect
Penicillium
griseofulvum,
Aspergillus
niger.
Compared
control
group,
release
intracellular
proteins
reducing
sugars
significantly
increased
treated
groups.
data
showed
levels
biomarkers
(lipid
peroxidation
oxidatively
damaged
proteins)
downregulated
antioxidant
enzyme
defense,
corresponding
activity.
To
our
knowledge,
this
first
evaluating
as
factor
fractions’
Language: Английский
Isobavachalcone Exhibits Potent Antifungal Efficacy by Inhibiting Enolase Activity and Glycolysis in Candida albicans
Hao Wu,
No information about this author
Zhe Ji,
No information about this author
Xin Huang
No information about this author
et al.
ACS Infectious Diseases,
Journal Year:
2024,
Volume and Issue:
10(8), P. 3059 - 3070
Published: July 12, 2024
Invasive
fungal
diseases
(IFDs)
are
becoming
increasingly
acknowledged
as
a
significant
concern
linked
to
heightened
rates
of
morbidity
and
mortality.
Regrettably,
the
available
antifungal
therapies
for
managing
IFDs
constrained.
Emerging
evidence
indicates
that
enolase
holds
promise
potential
target
protein
combating
IFDs;
however,
there
is
currently
deficiency
in
medications
specifically
targeting
enolase.
This
study
establishes
isobavachalcone
(IBC)
exhibits
noteworthy
efficacy
both
vitro
vivo.
Moreover,
our
has
demonstrated
IBC
effectively
targets
Eno1
Language: Английский
Plumbagin inhibits fungal growth, HMGB1/LOX-1 pathway and inflammatory factors in A. fumigatus keratitis
Frontiers in Microbiology,
Journal Year:
2024,
Volume and Issue:
15
Published: April 9, 2024
To
investigate
the
anti-inflammatory
and
antifungal
effects
of
plumbagin
(PL)
in
Aspergillus
fumigatus
(
A.
)
keratitis,
minimum
inhibitory
concentration
(MIC),
time-killing
curve,
spore
adhesion,
crystal
violet
staining,
calcium
fluoride
white
Propidium
Iodide
(PI)
staining
were
employed
to
assess
activity
PL
vitro
against
.
The
cytotoxicity
was
assessed
using
Cell
Counting
Kit-8
(CCK8).
impact
on
expression
HMGB1,
LOX-1,
TNF-α,
IL-1β,
IL-6,
IL-10
ROS
keratitis
investigated
RT-PCR,
ELISA,
Western
blot,
Reactive
oxygen
species
(ROS)
assay.
therapeutic
efficacy
through
clinical
scoring,
plate
counting,
Immunofluorescence
Hematoxylin-Eosin
(HE)
staining.
Finally,
we
found
that
inhibited
growth,
biofilm
formation
disrupted
integrity
its
cell
membrane
wall.
decreased
IL-1β
levels
while
increasing
fungi-infected
mice
corneas
peritoneal
macrophages.
Additionally,
significantly
attenuated
HMGB1/LOX-1
pathway
reversing
promoting
effect
Boxb
(an
HMGB1
agonist)
HMGB1/LOX-1.
Moreover,
level
ROS.
In
vivo
,
scores,
neutrophil
recruitment,
fungal
burden
all
reduced
infected
treated
with
PL.
summary,
inflammatory
process
can
be
by
regulation
HMGB-1/LOX-1
pathway.
Simultaneously,
exert
limiting
adhesion
formation,
as
well
causing
destruction
membranes
walls.
Language: Английский