Recent insights into the mechanisms of antifungal resistance
Abstract
The incidence of fungal infections has increased in recent years, particularly among immunocompromised individuals. Treatment of invasive fungal infections has been hampered by a limited number of available antifungal agents and both intrinsic and acquired resistance to these agents among many fungal pathogens. Therefore, much interest has focused on elucidating the molecular basis for antifungal resistance. Recent efforts have increased our understanding of this process, including the transcriptional regulation of azole resistance in Candida spp, mechanisms of intrinsic resistance to amphotericin B, and mechanisms of acquired resistance to the new echinocandin class of antifungal agents. This review discusses these and other newly clarified resistance mechanisms, as well as the direction of future antifungal resistance research. Despite these advances, undiscovered resistance determinants exist, and resistance to newer agents likely will continue to emerge.
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Expression of the ATP binding cassette transporters MDR1, CDR1, and CDR2 is often higher in resistant clinical isolates.
“Indeed, expression of these ATP binding cassette transporters (ABC) is often higher in resistant clinical isolates [46,48].”
From Known Antimicrobials Versus Nortriptyline in Candida albicans: Repositioning an Old Drug for New Targets (2020) · cites this paper as [48]
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Caetano, L. A., Costa, N. A., & Oliveira, C. V. D. S. (2020) · Elsevier eBooks · doi:10.1016/b978-0-12-809633-8.21351-4
Japutra, C. (2014) · Digital WPI
Antifungal activity of raw honey collected from Apis dorsata Fabricius Honeybee
Ansari, H., Agnihotri, M., Khan, M. S., Baweja, H. S., & Khan, A. A. (2024) · International Journal of Advanced Biochemistry Research · doi:10.33545/26174693.2024.v8.i1e.378
Groll, A. H., & Walsh, T. J. (2025) · Elsevier eBooks · doi:10.1016/b978-0-323-82763-8.00256-9
Ação in vitro de extratos de Arrabidaea chica sobre Candida albicans
Berla, S. M. C., Damasceno, A. P. L. G., Leão, M. V. P., & dos Santos, S. S. F. (2020) · Revista Brasileira de Plantas Medicinais · doi:10.70151/wsdqp791
- Authors
- Barker, K. S., & Rogers, P. D.
- Affiliations
- Le Bonheur Children's Hospital (US)
- Corresponding author
- Rogers, P. David
- Venue
- Current Infectious Disease Reports
- Published
- 2006-11
- Volume
- 8
- Issue
- 6
- Pages
- 449-456
- ISSN
- 1523-3847 (ISSN-L)
- 1534-3146
- OpenAlex
- W2034131452
- Cited by
- 54
- References
- 47
- Citations by year
- 2025: 1 · 2024: 1 · 2021: 2 · 2020: 4 · 2019: 5 · 2017: 4 · 2016: 2 · 2015: 2 · 2014: 3 · 2013: 8 · 2012: 4
- FWCI
- 1.85
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Current Infectious Disease Reports (publishedVersion)
- PubMed (publishedVersion)
- Funders
- U.S. Public Health Service
- National Institute of Allergy and Infectious Diseases
- Topics
- Health Sciences › Medicine › Infectious Diseases › Antifungal resistance and susceptibility
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Fungal and yeast genetics research
- Life Sciences › Agricultural and Biological Sciences › Ecology, Evolution, Behavior and Systematics › Fungal Plant Pathogen Control
- Keywords
- antifungal resistance, invasive fungal infections, Candida, azole resistance, transcriptional regulation, amphotericin B resistance, echinocandin resistance, acquired resistance, immunocompromised patients, molecular mechanisms of resistance
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