Antifungal Resistance and New Strategies to Control Fungal Infections

Despite improvement of antifungal therapies over the last 30 years, the phenomenon of antifungal resistance is still of major concern in clinical practice. In the last 10 years the molecular mechanisms underlying this phenomenon were extensively unraveled. In this paper, after a brief overview of cu...

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Main Authors: Patrick Vandeputte, Selene Ferrari, Alix T. Coste
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:International Journal of Microbiology
Online Access:http://dx.doi.org/10.1155/2012/713687
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author Patrick Vandeputte
Selene Ferrari
Alix T. Coste
author_facet Patrick Vandeputte
Selene Ferrari
Alix T. Coste
author_sort Patrick Vandeputte
collection DOAJ
description Despite improvement of antifungal therapies over the last 30 years, the phenomenon of antifungal resistance is still of major concern in clinical practice. In the last 10 years the molecular mechanisms underlying this phenomenon were extensively unraveled. In this paper, after a brief overview of currently available antifungals, molecular mechanisms of antifungal resistance will be detailed. It appears that major mechanisms of resistance are essential due to the deregulation of antifungal resistance effector genes. This deregulation is a consequence of point mutations occurring in transcriptional regulators of these effector genes. Resistance can also follow the emergence of point mutations directly in the genes coding antifungal targets. In addition we further describe new strategies currently undertaken to discover alternative therapy targets and antifungals. Identification of new antifungals is essentially achieved by the screening of natural or synthetic chemical compound collections. Discovery of new putative antifungal targets is performed through genome-wide approaches for a better understanding of the human pathogenic fungi biology.
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spelling doaj-art-d82ab58c8a48423e81ebd6c0090440952025-02-03T01:06:13ZengWileyInternational Journal of Microbiology1687-918X1687-91982012-01-01201210.1155/2012/713687713687Antifungal Resistance and New Strategies to Control Fungal InfectionsPatrick Vandeputte0Selene Ferrari1Alix T. Coste2Institute of Microbiology, University of Lausanne and University Hospital, Rue du Bugnon 48, 1011 Lausanne, SwitzerlandInstitute of Microbiology, University of Lausanne and University Hospital, Rue du Bugnon 48, 1011 Lausanne, SwitzerlandInstitute of Microbiology, University of Lausanne and University Hospital, Rue du Bugnon 48, 1011 Lausanne, SwitzerlandDespite improvement of antifungal therapies over the last 30 years, the phenomenon of antifungal resistance is still of major concern in clinical practice. In the last 10 years the molecular mechanisms underlying this phenomenon were extensively unraveled. In this paper, after a brief overview of currently available antifungals, molecular mechanisms of antifungal resistance will be detailed. It appears that major mechanisms of resistance are essential due to the deregulation of antifungal resistance effector genes. This deregulation is a consequence of point mutations occurring in transcriptional regulators of these effector genes. Resistance can also follow the emergence of point mutations directly in the genes coding antifungal targets. In addition we further describe new strategies currently undertaken to discover alternative therapy targets and antifungals. Identification of new antifungals is essentially achieved by the screening of natural or synthetic chemical compound collections. Discovery of new putative antifungal targets is performed through genome-wide approaches for a better understanding of the human pathogenic fungi biology.http://dx.doi.org/10.1155/2012/713687
spellingShingle Patrick Vandeputte
Selene Ferrari
Alix T. Coste
Antifungal Resistance and New Strategies to Control Fungal Infections
International Journal of Microbiology
title Antifungal Resistance and New Strategies to Control Fungal Infections
title_full Antifungal Resistance and New Strategies to Control Fungal Infections
title_fullStr Antifungal Resistance and New Strategies to Control Fungal Infections
title_full_unstemmed Antifungal Resistance and New Strategies to Control Fungal Infections
title_short Antifungal Resistance and New Strategies to Control Fungal Infections
title_sort antifungal resistance and new strategies to control fungal infections
url http://dx.doi.org/10.1155/2012/713687
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AT seleneferrari antifungalresistanceandnewstrategiestocontrolfungalinfections
AT alixtcoste antifungalresistanceandnewstrategiestocontrolfungalinfections