抗真菌药。

Antifungals.

机构信息

Neol Biosolutions, S.A., c/Avicena, 4, Parque Tecnológico de la Salud, 18016 Granada, Spain.

Neol Biosolutions, S.A., c/Avicena, 4, Parque Tecnológico de la Salud, 18016 Granada, Spain.

出版信息

Biochem Pharmacol. 2017 Jun 1;133:86-96. doi: 10.1016/j.bcp.2016.11.019. Epub 2016 Nov 21.

Abstract

The need for new antifungal agents is undeniable. Current therapeutic choices for the treatment of invasive fungal infections are limited to three classes of drugs. Most used antifungal agents are not completely effective due to the development of resistance, host toxicity and undesirable side effects that limit their use in medical practice. Invasive fungal infections have significantly increased over the last decades and the mortality rates remain unacceptably high. More threatening, new resistance patterns have been observed including simultaneous resistance to different antifungal classes. In the last years, deeper insights into the molecular mechanisms for fungal resistance and virulence have yielded some new potential targets for antifungal therapeutics. Chemical genomics-based screenings, high throughput screenings of natural products and repurposing of approved drugs are some of the approaches being followed for the discovery of new antifungal molecules. However, despite the emerging need for effective antifungal agents, the current pipeline contains only a few promising molecules, with novel modes of action, in early clinical development stages.

摘要

对抗真菌药物的需求是不可否认的。目前用于治疗侵袭性真菌感染的治疗选择仅限于三类药物。由于耐药性的发展、宿主毒性和不良副作用,大多数使用的抗真菌药物并不完全有效,这限制了它们在医学实践中的应用。过去几十年中,侵袭性真菌感染显著增加,死亡率仍然高得不可接受。更具威胁性的是,已经观察到新的耐药模式,包括对不同抗真菌类别的同时耐药性。近年来,对真菌耐药性和毒力的分子机制的深入了解为抗真菌治疗提供了一些新的潜在靶点。基于化学基因组学的筛选、天然产物的高通量筛选和已批准药物的再利用是发现新的抗真菌分子的一些方法。然而,尽管对抗真菌药物的需求不断增加,但目前的研发管道中只有少数具有新颖作用机制的有前途的分子处于早期临床开发阶段。

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