Department of Pharmacy, Shanghai Tenth People's Hospital, School of Medicine, Tongji University, 200092 Shanghai, China.
Mar Drugs. 2024 Apr 17;22(4):180. doi: 10.3390/md22040180.
The incidence of invasive fungal diseases (IFDs) is on the rise globally, particularly among immunocompromised patients, leading to significant morbidity and mortality. Current clinical antifungal agents, such as polyenes, azoles, and echinocandins, face increasing resistance from pathogenic fungi. Therefore, there is a pressing need for the development of novel antifungal drugs. Marine-derived secondary metabolites represent valuable resources that are characterized by varied chemical structures and pharmacological activities. While numerous compounds exhibiting promising antifungal activity have been identified, a comprehensive review elucidating their specific underlying mechanisms remains lacking. In this review, we have compiled a summary of antifungal compounds derived from marine organisms, highlighting their diverse mechanisms of action targeting various fungal cellular components, including the cell wall, cell membrane, mitochondria, chromosomes, drug efflux pumps, and several biological processes, including vesicular trafficking and the growth of hyphae and biofilms. This review is helpful for the subsequent development of antifungal drugs due to its summary of the antifungal mechanisms of secondary metabolites from marine organisms.
全球侵袭性真菌病(IFD)的发病率呈上升趋势,特别是在免疫功能低下的患者中,导致发病率和死亡率显著增加。目前的临床抗真菌药物,如多烯类、唑类和棘白菌素类,面临着致病性真菌耐药性的增加。因此,迫切需要开发新型抗真菌药物。海洋来源的次级代谢产物是一种有价值的资源,具有多样化的化学结构和药理学活性。虽然已经鉴定出许多具有潜在抗真菌活性的化合物,但缺乏对其具体作用机制的全面综述。在这篇综述中,我们总结了来源于海洋生物的抗真菌化合物,强调了它们针对各种真菌细胞成分(包括细胞壁、细胞膜、线粒体、染色体、药物外排泵以及包括囊泡运输和菌丝和生物膜生长在内的几个生物过程)的不同作用机制。由于综述了海洋生物次级代谢产物的抗真菌机制,因此对后续抗真菌药物的开发具有一定的帮助。