天然产物作为抗临床相关病原体的抗真菌剂。
Natural products as antifungal agents against clinically relevant pathogens.
机构信息
Istituto Pasteur-Fondazione Cenci Bolognetti, Dipartimento di Chimica e Tecnologie del Farmaco, Sapienza University of Rome, Piazzale Aldo Moro 5, Rome.
出版信息
Nat Prod Rep. 2010 Jul;27(7):1084-98. doi: 10.1039/b914961a. Epub 2010 May 18.
Fungi have emerged worldwide as increasingly frequent causes of healthcare-associated infections, but fungal infections have generally been considered curable, and thus the demand for new antifungal agents has been very low. Although superficial fungal infections of the skin and nails are common and are for the most part treated successfully with existing antifungal agents, serious fungal infections are becoming a growing danger for human health. This is particularly true for AIDS patients, but also for recipients of transplants, and users of antineoplastic agents, corticoids, and even antibiotics. A major problem is the increasing emergence of resistance to antimycotic agents, and since azoles--the most used class of antifungals--suffer a significant incidence of resistance, new efforts are now devoted to the discovery of new agents with different mechanisms of action. Not so long ago, combinatorial chemistry appeared to be the future for drug discovery, but in the late 1990s synthetic chemists realized that combinatorial libraries lacked the "complexity" usually associated with natural compounds. Research into biologically active natural products has thus had a reprise, in particular with the advent of the concept of diversity-oriented synthesis. This review reports what is so far known about natural products as antifungal agents, and provides an overview of natural compounds with both known and unknown mechanisms of action.
真菌已在全球范围内成为越来越频繁的医源性感染的原因,但真菌感染通常被认为是可治愈的,因此对新型抗真菌药物的需求一直很低。尽管皮肤和指甲的浅部真菌感染很常见,并且大部分都可以用现有的抗真菌药物成功治疗,但严重的真菌感染对人类健康来说正成为一个日益严重的威胁。这对于艾滋病患者来说尤其如此,但对于接受移植的患者、抗肿瘤药物、皮质类固醇甚至抗生素的使用者也是如此。一个主要问题是抗真菌药物耐药性的不断增加,由于唑类药物(最常用的一类抗真菌药物)耐药性发生率很高,因此现在新的努力致力于发现具有不同作用机制的新药物。就在不久前,组合化学似乎是药物发现的未来,但在 20 世纪 90 年代后期,合成化学家意识到组合文库缺乏与天然化合物相关的“复杂性”。因此,对生物活性天然产物的研究再次受到关注,特别是随着多样性导向合成概念的出现。这篇综述报告了迄今为止已知的作为抗真菌剂的天然产物,并概述了具有已知和未知作用机制的天然化合物。