Kerridge D
Department of Biochemistry, University of Cambridge, UK.
Microbiol Sci. 1985;2(3):78, 83-6.
The four principal classes of antimycotic drugs used in clinical practice are the polyene macrolide antibiotics, the synthetic imidazole drugs, griseofulvin and 5-fluorocytosine. Drugs in the first two groups interfere with the synthesis and functioning of cell membranes and the others interfere with nuclear metabolism. The mode of action of 5-fluorocytosine is well understood, but the detailed molecular mechanisms by which the other compounds work have yet to be elucidated.
临床实践中使用的抗真菌药物主要有四类,即多烯大环内酯类抗生素、合成咪唑类药物、灰黄霉素和5-氟胞嘧啶。前两类药物干扰细胞膜的合成与功能,其他药物则干扰核代谢。5-氟胞嘧啶的作用方式已为人熟知,但其他化合物发挥作用的详细分子机制尚待阐明。