2022
DOI: 10.3390/biom12060845
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Genomic Variation-Mediating Fluconazole Resistance in Yeast

Abstract: Fungal infections pose a serious and growing threat to public health. These infections can be treated with antifungal drugs by killing hazardous fungi in the body. However, the resistance can develop over time when fungi are exposed to antifungal drugs by generating genomic variations, including mutation, aneuploidy, and loss of heterozygosity. The variations could reduce the binding affinity of a drug to its target or block the pathway through which drugs exert their activity. Here, we review genomic variatio… Show more

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Cited by 10 publications
(5 citation statements)
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“…However, Esc7 did not show large changes to CDR1 , CDR2 , or MDR1 expression in the conditions we examined. Previously this was thought to be part of the mechanism of fluconazole resistance in strains with Chr3 trisomies as CDR1 , CDR2 , and MRR1 reside on Chr3 [ 59 , 85 ].…”
Section: Discussionmentioning
confidence: 99%
“…However, Esc7 did not show large changes to CDR1 , CDR2 , or MDR1 expression in the conditions we examined. Previously this was thought to be part of the mechanism of fluconazole resistance in strains with Chr3 trisomies as CDR1 , CDR2 , and MRR1 reside on Chr3 [ 59 , 85 ].…”
Section: Discussionmentioning
confidence: 99%
“…The most common resistance mechanisms are molecular mutations of the antifungal enzyme target, alteration of enzymes related to ergosterol synthesis, and alterations in efflux pumps, ATP binding cassette (ABC), or major facilitators (MF) [92][93][94][95] For instance, azole resistance of Candida and Aspergillus species generally occurs by two main mechanisms: Alteration of genes in the metabolic pathways of ergosterol synthesis and changes in drug efflux [95]. Overexpression of the ERG11 gene has been observed in several Candida species, such as C. albicans, C. parapsilosis, and C. tropicalis [96].…”
Section: Susceptibility Resistance To Antifungals and Resistant Fungi...mentioning
confidence: 99%
“…The genus examined may also affect the results seen with azoles. Fluconazole and itraconazole both block the 14-demethylase in Cryptococcus neoformans, which leads to a buildup of methylated sterol precursors (Wang et al, 2022;Debnath et al, 2017). To a far greater extent than in fungi, azoles suppress mammalian cholesterol production at the 14-demethylation stage (Aderiye and Oluwole, 2015).…”
Section: Mechanism Of Action Of Allylaminesmentioning
confidence: 99%