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抗真菌肽:一类在念珠菌病治疗中具有迷人治疗前景的新兴物质。

Anti-fungal peptides: an emerging category with enthralling therapeutic prospects in the treatment of candidiasis.

作者信息

Prusty Jyoti Sankar, Kumar Ashwini, Kumar Awanish

机构信息

Department of Biotechnology, National Institute of Technology Raipur, Raipur, India.

Department of Life Sciences, School of Basic Sciences and Research, Sharda University, Greater Noida, India.

出版信息

Crit Rev Microbiol. 2024 Oct 23:1-37. doi: 10.1080/1040841X.2024.2418125.

Abstract

infections, particularly invasive candidiasis, pose a serious global health threat.  is the most prevalent species causing candidiasis, and resistance to key antifungal drugs, such as azoles, echinocandins, polyenes, and fluoropyrimidines, has emerged. This growing multidrug resistance (MDR) complicates treatment options, highlighting the need for novel therapeutic approaches. Antifungal peptides (AFPs) are gaining recognition for their potential as new antifungal agents due to their diverse structures and functions. These natural or recombinant peptides can effectively target fungal virulence and viability, making them promising candidates for future antifungal development. This review examines infections caused by  species, the limitations of current antifungal treatments, and the therapeutic potential of AFPs. It emphasizes the importance of identifying novel AFP targets and their production for advancing treatment strategies. By discussing the therapeutic development of AFPs, the review aims to draw researchers' attention to this promising field. The integration of knowledge about AFPs could pave the way for novel antifungal agents with broad-spectrum activity, reduced toxicity, targeted action, and mechanisms that limit resistance in pathogenic fungi, offering significant advancements in antifungal therapeutics.

摘要

感染,尤其是侵袭性念珠菌病,对全球健康构成严重威胁。是引起念珠菌病最常见的菌种,并且对唑类、棘白菌素类、多烯类和氟嘧啶类等关键抗真菌药物的耐药性已经出现。这种日益增长的多重耐药性(MDR)使治疗选择变得复杂,凸显了对新型治疗方法的需求。抗真菌肽(AFP)因其多样的结构和功能,作为新型抗真菌剂的潜力正得到认可。这些天然或重组肽可以有效靶向真菌的毒力和生存能力,使其成为未来抗真菌药物开发的有希望的候选者。本综述研究了由菌种引起的感染、当前抗真菌治疗的局限性以及AFP的治疗潜力。它强调了识别新型AFP靶点及其生产对于推进治疗策略的重要性。通过讨论AFP的治疗开发,本综述旨在引起研究人员对这一有希望的领域的关注。整合有关AFP的知识可为具有广谱活性、降低毒性、靶向作用以及限制致病真菌耐药性机制的新型抗真菌剂铺平道路,在抗真菌治疗方面取得重大进展。

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