2022
DOI: 10.1080/21505594.2022.2081291
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Biomarkers of caspofungin resistance in Candida albicans isolates: A proteomic approach

Abstract: Candida albicans is a clinically important polymorphic fungal pathogen that causes life-threatening invasive infections in immunocompromised patients. Antifungal therapy failure is a substantial clinical problem, due to the emergence of an increasing number of drug-resistant isolates. Caspofungin is a common antifungal drug, often used as first-line therapy that inhibits cell wall β-(1,3)-glucan synthesis. In this work, the cell surface of different echinocandin-resistant C. albicans … Show more

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Cited by 6 publications
(7 citation statements)
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“…The pH-responsive protein 2 (PHR2), also known as 1,3-beta-glucanosyltransferase, is an important component of the cell wall architecture. In C. albicans , PHR2 had an increased expression level after caspofungin treatment, and this protein was also detected in high levels in caspofungin-resistant isolates [ 40 ]. Our result reinforces the relevant role of PHR2 in responding to caspofungin in distinct Candida species.…”
Section: Discussionmentioning
confidence: 99%
“…The pH-responsive protein 2 (PHR2), also known as 1,3-beta-glucanosyltransferase, is an important component of the cell wall architecture. In C. albicans , PHR2 had an increased expression level after caspofungin treatment, and this protein was also detected in high levels in caspofungin-resistant isolates [ 40 ]. Our result reinforces the relevant role of PHR2 in responding to caspofungin in distinct Candida species.…”
Section: Discussionmentioning
confidence: 99%
“…that can be transmitted from patient to patient, population level resistance may also rise and spread 81,82 . Further development and wider adoption of stewardship programmes is needed to ensure that prescribing follows evidence-based guidelines, and future research may be guided by the identification of biomarkers of drug resistance 83,84 . A body of literature attests to the fact that stewardship programmes can reduce inappropriate prescribing, and thus reduce selective pressure, without adversely affecting clinical outcomesalthough such studies may often be insufficiently powered to detect changes in clinical endpoints compared with changes in drug use or expenditure 85,86 .…”
Section: Translational Pipeline and Strategies To Reduce And Mitigate...mentioning
confidence: 99%
“…Polyene drugs can be fungicidal but are toxic to the host, while azoles are fungistatic, therefore fungi are more prone to develop resistance. 2 C. albicans colonization occurs as a result of the fungus adhering to the epithelium, which then invades the vaginal epithelial cells, causing infection 1,3 and candidiasis. 4 Candidalysin is a fungal peptide poison that is important in mucosal infections because it directly damages epithelial membranes.…”
Section: Introductionmentioning
confidence: 99%
“…Polyene drugs can be fungicidal but are toxic to the host, while azoles are fungistatic, therefore fungi are more prone to develop resistance. 2 …”
Section: Introductionmentioning
confidence: 99%