Sangamwar A T, Deshpande U D, Pekamwar S S
Department of Pharmaceutics, Nanded Pharmacy College, Nanded-431 605, India.
Indian J Pharm Sci. 2008 Jul-Aug;70(4):423-30. doi: 10.4103/0250-474X.44588.
In the 1990s, drug resistance has become an important problem in a variety of infectious diseases including human immunodeficiency virus infection, tuberculosis, and other bacterial infections which have profound effects on human health. At the same time, there have been dramatic increase in the incidence of fungal infections, which are probably the result of alterations in immune status associated with the acquired immuno deficiency syndrome epidemic, cancer chemotherapy, and organ and bone marrow transplantation. The rise in the incidence of fungal infections has exacerbated the need for the next generation of antifungal agents, since many of the currently available drugs have undesirable side effects, are ineffective against new or reemerging fungi, or lead to the rapid development of the resistance. This review will focus on the pathogenic yeast Candida albicans, since a large body of work on the factors and mechanism associated with antifungal drug resistance in this organism is reported sufficiently. It will certainly elaborate the probable molecular targets for drug design, discovered to date.
20世纪90年代,耐药性已成为包括人类免疫缺陷病毒感染、结核病以及其他对人类健康有深远影响的细菌感染在内的多种传染病中的一个重要问题。与此同时,真菌感染的发病率急剧上升,这可能是与获得性免疫缺陷综合征流行、癌症化疗以及器官和骨髓移植相关的免疫状态改变所致。真菌感染发病率的上升加剧了对新一代抗真菌药物的需求,因为许多现有药物具有不良副作用,对新出现或再次出现的真菌无效,或者会导致耐药性的迅速产生。本综述将聚焦于致病性酵母白色念珠菌,因为关于该生物体中与抗真菌药物耐药性相关的因素和机制已有大量研究报道。它肯定会阐述迄今为止发现的药物设计可能的分子靶点。