4.5 Review

The fungal resistome: a risk and an opportunity for the development of novel antifungal therapies

期刊

FUTURE MEDICINAL CHEMISTRY
卷 8, 期 12, 页码 1503-1520

出版社

FUTURE SCI LTD
DOI: 10.4155/fmc-2016-0051

关键词

chemosensitizer; clinical resistance; collateral sensitivity; intrinsic resistome; inhibitor of resistance

资金

  1. Spanish Ministry of Economy and Competitivity from Madrid Autonomous Community [BIO2012-31767, BIO2014-54507-R, JPIW2013-089-C02-01, S2010/BMD2414 [PROMPT]]
  2. Instituto de Salud Carlos III (Spanish Network for Research on Infectious Diseases [REIPI RD12/0015, PT13/0001/0004, PT13/0001/0008]
  3. European Union [HEALTH-F3-2011-282004 (EVOTAR)]

向作者/读者索取更多资源

The risks for toxicity of novel antifungal compounds, together with the emergence of resistance, makes the use of inhibitors of resistance, in combination with antifungal compounds, a suitable strategy for developing novel antifungal formulations. Among them, inhibitors of efflux pumps are suitable candidates. Increasing drug influx or interfering with the stress response may also improve the efficacy of antifungals. Therapies as induction of fungal apoptosis or immunostimulation are also good strategies for reducing the risks for resistance and to improve antifungals' efficacy. Understanding the effect of the acquisition of resistance on the fungal physiology and determining the collateral sensitivity networks are useful for the development of novel strategies based on combination of antifungals for improving the efficacy of the therapy.

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