Dantas Thainá Dos Santos, Machado Janaina Carla Barbosa, Ferreira Magda Rhayanny Assunção, Soares Luiz Alberto Lira
Postgraduate Program in Therapeutic Innovation, Federal University of Pernambuco, Recife 50670-901, Brazil.
Postgraduate Program in Pharmaceutical Sciences, Federal University of Pernambuco, Recife 50670-901, Brazil.
Pharmaceutics. 2025 May 23;17(6):687. doi: 10.3390/pharmaceutics17060687.
The pathogenicity of spp. poses a persistent challenge, particularly in hospital environments where these species proliferate and cause opportunistic infections. Many strains have developed resistance to commonly used antifungal agents, including azoles, polyenes, and echinocandins, complicating treatment, especially in immuno-compromised patients. Understanding the mechanisms underlying antifungal resistance, such as mutations in genes involved in ergosterol biosynthesis, efflux pump activity, and enzymatic pathways, is crucial for developing targeted interventions. Given the challenges associated with discovering new antifungal agents, medicinal plants have emerged as a promising source of bioactive compounds with anti- activity. Secondary metabolites, including terpenoids, alkaloids, flavonoids, and tannins, exhibit various mechanisms of action, such as biofilm inhibition, membrane disruption, and oxidative stress induction. However, challenges such as extract standardization, and the lack of clinical studies continue to limit their therapeutic application. This review underscores the potential of medicinal plants as complementary or alternative strategies to conventional antifungal therapies, emphasizing the need for multidisciplinary research to overcome these hurdles and harness the therapeutic potential of natural products.
某类菌属的致病性构成了持续的挑战,尤其是在医院环境中,这些菌属大量繁殖并引发机会性感染。许多菌株已对常用抗真菌药物产生耐药性,包括唑类、多烯类和棘白菌素类,这使得治疗变得复杂,尤其是在免疫功能低下的患者中。了解抗真菌耐药性的潜在机制,如参与麦角固醇生物合成、外排泵活性和酶促途径的基因突变,对于开发针对性干预措施至关重要。鉴于发现新型抗真菌药物存在挑战,药用植物已成为具有抗真菌活性的生物活性化合物的一个有前景的来源。次生代谢产物,包括萜类、生物碱、黄酮类和单宁,表现出多种作用机制,如生物膜抑制、膜破坏和氧化应激诱导。然而,提取物标准化等挑战以及缺乏临床研究继续限制了它们的治疗应用。本综述强调了药用植物作为传统抗真菌疗法的补充或替代策略的潜力,强调需要多学科研究来克服这些障碍并利用天然产物的治疗潜力。