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抗真菌药物耐药性矿井中的金丝雀

: The Canary in the Mine of Antifungal Drug Resistance.

作者信息

Montoya Marhiah C, Moye-Rowley W Scott, Krysan Damian J

机构信息

Clinical and Translational Science Institute , University of Rochester School of Medicine and Dentistry , 601 Elmwood Avenue , Rochester , New York 14642 , United States.

Departments of Pediatrics and Microbiology, Carver College of Medicine , University of Iowa , 250 South Grand Avenue , Iowa City , Iowa 52242 , United States.

出版信息

ACS Infect Dis. 2019 Sep 13;5(9):1487-1492. doi: 10.1021/acsinfecdis.9b00239. Epub 2019 Aug 1.

Abstract

has rapidly emerged as a fungal pathogen of worldwide importance. Its impact on global health is due in large part to the high frequency of multidrug resistance among clinical isolates. Although resistance to amphotericin B is an unusual feature of this organism, its notoriety should also serve as notice that other more commonly encountered fungal pathogens also show multidrug resistance. Here, we review the epidemiology and mechanisms of resistance and discuss why the emergence of provides justification for increased research into mechanisms of drug resistance and the development of novel antifungal drugs.

摘要

已迅速成为一种具有全球重要性的真菌病原体。它对全球健康的影响在很大程度上归因于临床分离株中多药耐药的高频率。尽管对两性霉素B耐药是该生物体的一个不寻常特征,但它的恶名也应提醒人们,其他更常见的真菌病原体也表现出多药耐药。在这里,我们综述了耐药的流行病学和机制,并讨论了为什么[该病原体名称缺失]的出现为加强对耐药机制的研究和开发新型抗真菌药物提供了理由。

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