Understanding fluconazole tolerance in Candida albicans: implications for effective treatment of candidiasis and combating invasive fungal infections.

Candida albicans Fluconazole synergistic lethal adjuvants Fluconazole synergistic lethal targets Fluconazole tolerance Invasive fungal disease

Journal

Journal of global antimicrobial resistance
ISSN: 2213-7173
Titre abrégé: J Glob Antimicrob Resist
Pays: Netherlands
ID NLM: 101622459

Informations de publication

Date de publication:
Dec 2023
Historique:
received: 04 05 2023
revised: 07 10 2023
accepted: 22 10 2023
medline: 4 12 2023
pubmed: 3 11 2023
entrez: 2 11 2023
Statut: ppublish

Résumé

Fluconazole (FLC) tolerant phenotypes in Candida species contribute to persistent candidemia and the emergence of FLC resistance. Therefore, making FLC fungicidal and eliminating FLC tolerance are important for treating invasive fungal diseases (IFDs) caused by Candida species. However, the mechanisms of FLC tolerance in Candida species remain to be fully explored. This review discusses the high incidence of FLC tolerance in Candida species and the importance of successfully clearing FLC tolerance in treating candidiasis. We further define and characterize FLC tolerance in C. albicans. This review identifies global factors affecting FLC tolerance and suggest that FLC tolerance is a strategy of C. albicans response to FLC damage whose mechanism differs from FLC resistance. This review highlights the significance of the cell membrane and cell wall integrity in FLC tolerance, guiding approaches to combat IFDs caused by Candida species..

Identifiants

pubmed: 37918789
pii: S2213-7165(23)00188-1
doi: 10.1016/j.jgar.2023.10.019
pii:
doi:

Substances chimiques

Fluconazole 8VZV102JFY
Antifungal Agents 0

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

314-321

Informations de copyright

Copyright © 2023 The Author(s). Published by Elsevier Ltd.. All rights reserved.

Auteurs

Yanru Feng (Y)

Department of Pharmacy, Shanghai Tenth People's Hospital, School of Medicine, Tongji University, Shanghai, China.

Hui Lu (H)

Department of Pharmacy, Shanghai Tenth People's Hospital, School of Medicine, Tongji University, Shanghai, China.

Malcolm Whiteway (M)

Department of Biology, Concordia University, Montreal, Canada.

Yuanying Jiang (Y)

Department of Pharmacy, Shanghai Tenth People's Hospital, School of Medicine, Tongji University, Shanghai, China. Electronic address: jiangyy@tongji.edu.cn.

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Classifications MeSH