The biology and chemistry of antifungal agents: A review
Abstract
In recent years their has been an increased use of antifungal agents and has resulted in the development of resistance to drugs. Currently, use of standard antifungal therapies can be limited because of toxicity, low efficacy rates. Different types of mechanisms contribute to the development of resistance to antifungals. This has given raise to search for a new heterocycle with distinct action or multitargeted combination therapy. This review addresses the areas such as the underlying mechanisms, eight different targets such as ergosterol synthesis, chitin synthesis, ergosterol disruptors, glucan synthesis, squalene epoxidase, nucleic acid synthesis, protein synthesis, microtubules synthesis. The clinically employed drugs along with the current research work going on worldwide on different heterocycles are discussed. In recent advances various heterocycles including imidazole, benzimidazole etc., twenty three scaffolds and their lead identification are discussed.
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Polyenes bind to and remove ergosterol from the fungal cell membrane, causing loss of membrane permeability, membrane leakage, and cell death.
“Their antimycotic action is mediated by direct binding to and removal of ergosterol present in the fungal cell membrane. This results in the loss of membrane permeability, subsequent membrane leakage, and eventually cell death [24].”
From Evolutionary Emergence of Drug Resistance in Candida Opportunistic Pathogens (2018) · cites this paper as [24]
Flucytosine is not used in monotherapy due to the rapid development of resistance towards this drug.
“Although the most effective and safest antimycotic in the health system [28], it is not used in monotherapy due to the rapid development of resistance towards this drug [24,29].”
From Evolutionary Emergence of Drug Resistance in Candida Opportunistic Pathogens (2018) · cites this paper as [24]
Only few classes of antifungal agents are currently available to treat mucosal or systemic infections with Candida spp.
“Although the antifungal drugs used in clinical treatments appear to be diverse and numerous, only few classes of antifungal agents are currently available to treat mucosal or systemic infections with Candida spp. (Figure 1) [18–20].”
From <i>Candida</i>Infections, Causes, Targets, and Resistance Mechanisms: Traditional and Alternative Antifungal Agents (2013) · cites this paper as [19]
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- Authors
- Kathiravan, M. K., Salake, A. B., Chothe, A. S., Dudhe, P. B., Watode, R. P., Mukta, M. S., & Gadhwe, S.
- Affiliations
- Savitribai Phule Pune University (IN)
- Corresponding author
- Kathiravan, Muthu K
- Venue
- Bioorganic & Medicinal Chemistry
- Publisher
- Elsevier BV
- Published
- 2012-10
- Volume
- 20
- Issue
- 19
- Pages
- 5678-5698
- ISSN
- 0968-0896 (ISSN-L)
- OpenAlex
- W2075093963
- Cited by
- 664
- References
- 157
- Citations by year
- 2026: 25 · 2025: 29 · 2024: 43 · 2023: 57 · 2022: 62 · 2021: 57 · 2020: 56 · 2019: 63 · 2018: 49 · 2017: 45 · 2016: 37 · 2015: 43 · 2014: 55 · 2013: 41 · 2012: 1
- FWCI
- 5.59
- Type
- journal article
- Language
- en
- Update notices
- Open access
- closed
- Locations
- Bioorganic & Medicinal Chemistry (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Infectious Diseases › Antifungal resistance and susceptibility
- Life Sciences › Agricultural and Biological Sciences › Ecology, Evolution, Behavior and Systematics › Fungal Plant Pathogen Control
- Physical Sciences › Chemistry › Organic Chemistry › Synthesis and Characterization of Heterocyclic Compounds
- Keywords
- antifungal agents, antifungal resistance, fungal cell wall biosynthesis, ergosterol biosynthesis, chitin synthesis, glucan synthesis, squalene epoxidase, nucleic acid synthesis, protein synthesis, heterocyclic scaffolds, imidazole, benzimidazole, antifungal toxicity
- MeSH terms
- Animals, Antifungal Agents, Azoles, Fungi, Humans, Imidazoles, Mycoses
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