Cosio Terenzio, Gaziano Roberta, Zuccari Guendalina, Costanza Gaetana, Grelli Sandro, Di Francesco Paolo, Bianchi Luca, Campione Elena
Dermatology Unit, Department of Systems Medicine, University of Rome Tor Vergata, Via Montpellier 1, 00133 Rome, Italy.
Department of Experimental Medicine, University of Rome Tor Vergata, 00133 Rome, Italy.
Pharmaceuticals (Basel). 2021 Sep 24;14(10):962. doi: 10.3390/ph14100962.
Retinoids-a class of chemical compounds derived from vitamin A or chemically related to it-are used especially in dermatology, oncohematology and infectious diseases. It has been shown that retinoids-from their first generation-exert a potent antimicrobial activity against a wide range of pathogens, including bacteria, fungi and viruses. In this review, we summarize current evidence on retinoids' efficacy as antifungal agents. Studies were identified by searching electronic databases (MEDLINE, EMBASE, PubMed, Cochrane, Trials.gov) and reference lists of respective articles from 1946 to today. Only articles published in the English language were included. A total of thirty-nine articles were found according to the criteria. In this regard, to date, In vitro and In vivo studies have demonstrated the efficacy of retinoids against a broad-spectrum of human opportunistic fungal pathogens, including yeast fungi that normally colonize the skin and mucosal surfaces of humans such as spp., and , as well as environmental moulds such as spp., and many species of dermatophytes associated with fungal infections both in humans and animals. Notwithstanding a lack of double-blind clinical trials, the efficacy, tolerability and safety profile of retinoids have been demonstrated against localized and systemic fungal infections.
维甲酸类化合物——一类从维生素A衍生而来或与其化学结构相关的化合物——尤其用于皮肤病学、肿瘤血液学和传染病领域。研究表明,从第一代维甲酸类化合物开始,它们就对包括细菌、真菌和病毒在内的多种病原体具有强大的抗菌活性。在本综述中,我们总结了关于维甲酸类化合物作为抗真菌剂疗效的现有证据。通过检索电子数据库(MEDLINE、EMBASE、PubMed、Cochrane、Trials.gov)以及1946年至今各文章的参考文献列表来确定研究。仅纳入以英文发表的文章。根据标准共找到39篇文章。就此而言,迄今为止,体外和体内研究均已证明维甲酸类化合物对多种人类机会性真菌病原体有效,包括通常定植于人类皮肤和黏膜表面的酵母真菌,如白色念珠菌、光滑念珠菌和热带念珠菌,以及环境霉菌,如曲霉属、青霉属,还有许多与人类和动物真菌感染相关的皮肤癣菌。尽管缺乏双盲临床试验,但维甲酸类化合物对局部和全身性真菌感染的疗效、耐受性和安全性已得到证实。