Medical Research Council (MRC) Laboratory of Molecular Biology, Francis Crick Avenue, Cambridge CB2 0QH, UK.
MRC Centre for Medical Mycology, Stocker Road, University of Exeter, Exeter EX4 4QD, UK.
Trends Pharmacol Sci. 2023 Mar;44(3):162-174. doi: 10.1016/j.tips.2022.12.002.
Up to 1.5 million people die yearly from fungal disease, but the repertoire of antifungal drug classes is minimal and the incidence of drug resistance is rising rapidly. This dilemma was recently declared by the World Health Organization as a global health emergency, but the discovery of new antifungal drug classes remains excruciatingly slow. This process could be accelerated by focusing on novel targets, such as G protein-coupled receptor (GPCR)-like proteins, that have a high likelihood of being druggable and have well-defined biology and roles in disease. We discuss recent successes in understanding the biology of virulence and in structure determination of yeast GPCRs, and highlight new approaches that might pay significant dividends in the urgent search for novel antifungal drugs.
每年有多达 150 万人死于真菌感染,但抗真菌药物种类极少,而且耐药性的发生率正在迅速上升。世界卫生组织最近宣布这一困境为全球卫生紧急情况,但新的抗真菌药物类别的发现仍然极其缓慢。通过关注新的靶点,如 G 蛋白偶联受体 (GPCR) 样蛋白,可以加速这一进程,因为这些靶点很有可能具有成药性,并且在疾病中有明确的生物学和作用。我们讨论了最近在理解毒力生物学和酵母 GPCR 结构测定方面的成功,并强调了可能在迫切寻找新型抗真菌药物方面带来显著收益的新方法。