Molecules,
Год журнала:
2024,
Номер
29(19), С. 4739 - 4739
Опубликована: Окт. 7, 2024
Antifungal
substances
are
essential
for
managing
fungal
infections
in
humans,
animals,
and
plants,
their
usage
has
significantly
increased
due
to
the
global
rise
infections.
However,
extensive
application
of
antifungal
agents
pharmaceuticals,
personal
care
products,
agriculture
led
widespread
environmental
dissemination
through
various
pathways,
such
as
excretion,
improper
disposal,
agricultural
runoff.
Despite
advances
wastewater
treatment,
many
compounds
persist
environment,
affecting
non-target
organisms
contributing
resistance
development.
This
study
investigates
impact
two
novel
agents,
VT-1161
T-2307,
recently
introduced
alternatives
treating
resistant
Clinical Microbiology and Infection,
Год журнала:
2024,
Номер
unknown
Опубликована: Март 1, 2024
BackgroundYet
often
overlooked
in
public
health
discourse,
fungal
infections
pose
a
crucialglobal
disease
burden
associated
with
annual
mortality
rates
approximately
equal
to
tuberculosis
and
HIV.
In
response,
the
World
Health
Organization
(WHO)
published
its
first
global
priority
list
of
pathogens
2022
assigning
Aspergillus
fumigatus,
Candida
albicans,
auris,
Cryptococcus
neoformans
critical
group.ObjectivesThis
review
provides
succinct
insights
on
novel
antifungals
development,
aiming
contribute
valuable
information
perspectives
focus
recent
clinical
findings
new
treatment
approaches
for
members
WHO
pathogen
list.SourcesPubMed
literature
search
using
"Aspergillus
fumigatus,"
"Cryptococcus
neoformans,"
"Candida
auris,"
albicans,"
along
names
antifungal
substances,
including
"fosmanogepix",
"ibrexafungerp",
"opelconazole",
"oteseconazole",
"MAT2203",
"olorofim",
"rezafungin"
was
conducted.ContentForeach
pathogen,
current
issues
data
from
trials
are
covered.
The
remarkable
development
three
therapeutics
recently
receiving
Food
Drug
Administration
(FDA)
approval
(ibrexafungerp
-June
2021,
oteseconazole
-April
2022,
rezafungin
-March
2023)
is
outlined,
two
more
exciting
namely
olorofim
fosmanogepix
expecting
within
next
years.
Ibrexafungerp,
have
additionally
been
granted
orphan
drug
status
by
European
Medicines
Agency
(EMA)
Europe
-November
-July
-January
2024).ImplicationsWhile
limited
number
targets
emergence
resistance
posed
challenges
treatment,
drugs
such
as
ibrexafungerp,
rezafungin,
fosmanogepix,
or
shown
promising
efficacy.
These
not
only
provide
alternative
options
invasive
but
also
alleviate
outpatient
settings.
More
data,
implementation
stewardship
programs,
surveillance,
utilization
agriculture
necessary
prevent
ensure
safety
efficacy
these
agents.
Candida
species,
commensal
residents
of
human
skin,
are
recognized
as
the
cause
cutaneous
candidiasis
across
various
body
surfaces.
Individuals
with
weakened
immune
systems,
particularly
those
immunosuppressive
conditions,
significantly
more
susceptible
to
this
infection.
Diabetes
mellitus,
a
major
metabolic
disorder,
has
emerged
critical
factor
inducing
immunosuppression,
thereby
facilitating
colonization
and
subsequent
skin
infections.
This
comprehensive
review
examines
prevalence
different
types
albicans-induced
in
diabetic
patients.
It
explores
underlying
mechanisms
pathogenicity
offers
insights
into
recommended
preventive
measures
treatment
strategies.
notably
increases
vulnerability
oral
oesophageal
candidiasis.
Additionally,
it
can
precipitate
vulvovaginal
females,
balanitis
males,
diaper
young
children
diabetes.
Diabetic
individuals
may
also
experience
candidal
infections
on
their
nails,
hands
feet.
Notably,
diabetes
appears
be
risk
for
intertrigo
syndrome
obese
periodontal
disorders
denture
wearers.
In
conclusion,
intricate
relationship
between
necessitates
understanding
strategize
effective
management
planning.
Further
investigation
interdisciplinary
collaborative
efforts
crucial
address
multifaceted
challenge
uncover
novel
approaches
treatment,
prevention
both
health
including
development
safer
antifungal
agents.
Pharmaceutics,
Год журнала:
2024,
Номер
16(3), С. 312 - 312
Опубликована: Фев. 23, 2024
Curcumin
(CUR)
is
a
natural
compound
that
can
be
combined
with
miconazole
(MCZ)
to
improve
vulvovaginal
candidiasis
(VVC)
caused
by
Candida
albicans
treatment’s
efficacy.
This
study
aimed
develop
ureasil–polyether
(U-PEO)
vaginal
ovules
loaded
CUR
and
MCZ
for
the
treatment
of
VVC.
Physicochemical
characterization
was
performed
thermogravimetry
(TGA),
differential
thermal
analysis
(DTA),
Fourier
transform
infrared
spectroscopy
(FTIR),
in
vitro
release.
Antifungal
assays
were
used
determine
minimum
inhibitory
concentrations
(MICs)
synergism
between
MCZ,
activity
U-PEO
microdilution
agar
diffusion.
TGA
results
showed
high
stability
hybrid
ovules.
In
DTA,
amorphous
character
possible
interaction
observed.
FTIR
no
chemical
incompatibility
drugs.
release
resulted
80%
95%
released
within
144
h.
The
MICs
256
2.5
µg/mL,
respectively.
After
combining
drugs,
MIC
decreased
four-fold
0.625
while
eight-fold
32
µg/mL.
Synergism
confirmed
fractional
concentration
index
(FICI)
equal
0.375.
alone
antifungal
activity.
U-PEO/MCZ
U-PEO/CUR/MCZ
greatest
zones
inhibition
(≥18
mm).
highlight
potential
administered
at
lower
frequency
reduced
doses
compared
available
formulations.
Expert Opinion on Pharmacotherapy,
Год журнала:
2024,
Номер
25(4), С. 339 - 347
Опубликована: Март 3, 2024
Introduction
Invasive
fungal
infections,
especially
candidemia
and
invasive
candidiasis,
continue
to
cause
substantial
morbidity
mortality.
In
addition,
the
emergence
of
drug-resistant
Candida
species,
notably
C.
glabrata
auris,
along
with
limitations
in
available
treatments,
highlights
urgent
need
for
novel,
effective
antifungal
agents.
Antimicrobial Agents and Chemotherapy,
Год журнала:
2024,
Номер
68(8)
Опубликована: Июль 12, 2024
Rezafungin
is
an
echinocandin
characterized
by
a
long
elimination
half-life
which
allows
for
weekly
administration.
It
has
been
recently
approved
the
treatment
of
candidemia.
Few
data
are
available
about
long-term
use
rezafungin
and
its
deep
infections
like
endocarditis
osteomyelitis.
We
describe
our
experience
with
prolonged
in
two
azole-resistant
Journal of Functional Biomaterials,
Год журнала:
2025,
Номер
16(2), С. 70 - 70
Опубликована: Фев. 18, 2025
This
study
introduces
innovative
varnishes
incorporating
natural
bioactive
compounds
to
inhibit
the
formation
of
oral
dual
biofilms,
a
critical
contributor
dental
caries
and
other
diseases.
The
purpose
this
was
evaluate
effectiveness
containing
tt-farnesol,
quercetin,
theobromine
in
inhibiting
mixed
Streptococcus
mutans
Candida
albicans
biofilms.
Mixed
biofilms
UA159
SC5314
were
grown
96-well
plates
specialized
culture
medium.
Approximately
0.2
mL
experimental
with
A-1.5%
or
B-4.5%
concentrations
separately
added
wells
using
disposable
applicator,
vehicle
varnish
(lacking
bioactives)
serving
as
control.
Biofilms
incubated
at
37
°C
5%
CO2
for
24
h.
Microbial
viability
determined
terms
colony-forming
units
per
milliliter
(CFU/mL),
biofilm
morphology
evaluated
qualitatively
via
scanning
electron
microscopy
(SEM).
Statistical
analyses
performed
ANOVA/Tukey
tests
significance
level.
Varnishes
A
B
achieved
significant
reductions
microbial
populations
within
(p
<
0.05)
compared
control
(C).
SEM
imaging
revealed
marked
structural
disruptions
validating
quantitative
results.
Higher
demonstrated
enhanced
inhibitory
effects.
Bioactive
enriched
theobromine,
tt-farnesol
represent
novel
effective
strategy
development,
offering
promising
advancement
preventive
dentistry.
Expert Opinion on Investigational Drugs,
Год журнала:
2024,
Номер
33(7), С. 677 - 698
Опубликована: Май 3, 2024
Urinary
tract
infections
(UTIs)
are
a
prevalent
health
challenge
characterized
by
the
invasion
and
multiplication
of
microorganisms
in
urinary
system.
The
continuous
exploration
novel
therapeutic
interventions
is
imperative.
Advances
research
offer
hope
for
revolutionizing
management
UTIs
improving
overall
outcomes
individuals
affected
these
infections.
Pharmacotherapy The Journal of Human Pharmacology and Drug Therapy,
Год журнала:
2024,
Номер
44(6), С. 467 - 479
Опубликована: Май 9, 2024
Abstract
Management
of
invasive
fungal
infections
is
challenging
with
growing
antifungal
resistance.
Broad
use
has
resulted
in
greater
intrinsic
and
acquired
resistance
among
Candida
spp.
It
important
for
clinicians
to
recognize
the
relationship
between
host
susceptibility,
site
infection,
profiles,
specific
drug
pharmacokinetics
pharmacodynamics,
role
novel
agents.
This
narrative
review
covers
rezafungin,
ibrexafungerp,
fosmanogepix
management
candidiasis
(IC).
The
PubMed
Database,
Embase,
ClinicalTrials.gov
were
searched
January
2006
2024
using
following
terms:
CD101,
SCY‐078,
fosmanogepix,
APX001,
candidemia,
candidiasis.
Review
articles,
prospective
clinical
trials,
observational
studies
published
English
language
reviewed.
Studies
evaluating
pharmacology,
pharmacokinetics,
efficacy,
safety
animals
humans
also
Promising
data
continues
emerge
support
therapies
IC
candidemia.
Rezafungin
possesses
a
unique
pharmacodynamic
profile
that
might
be
advantageous
compared
other
echinocandins,
practical,
once‐weekly
dosing
interval.
Ibrexafungerp,
currently
approved
vulvovaginal
candidiasis,
been
studied
off‐label
initial
encouraging.
Lastly,
mechanistically
novel,
investigational
agent,
may
potential
future
option
Future
research
needed
evaluate
these
agents
diverse
patient
populations.