2023
DOI: 10.3390/biom13111572
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Natural Polyketides Act as Promising Antifungal Agents

Li Wang,
Hui Lu,
Yuanying Jiang

Abstract: Invasive fungal infections present a significant risk to human health. The current arsenal of antifungal drugs is hindered by drug resistance, limited antifungal range, inadequate safety profiles, and low oral bioavailability. Consequently, there is an urgent imperative to develop novel antifungal medications for clinical application. This comprehensive review provides a summary of the antifungal properties and mechanisms exhibited by natural polyketides, encompassing macrolide polyethers, polyether polyketide… Show more

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Cited by 7 publications
(3 citation statements)
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“…Azoles have been widely employed as a therapeutic intervention for the treatment of IFDs [5][6][7]. Furthermore, alternative categories of antifungal agents, including polyenes (such as nystatin (1) and amphotericin B (2)), flucytosine (3), and echinocandins (such as anidulafungin (4) and caspofungin (5)), have been utilized for the management of IFDs [8,9]. However, drug-resistant fungal pathogens have emerged as a consequence of antifungal treatment.…”
Section: Introductionmentioning
confidence: 99%
“…Azoles have been widely employed as a therapeutic intervention for the treatment of IFDs [5][6][7]. Furthermore, alternative categories of antifungal agents, including polyenes (such as nystatin (1) and amphotericin B (2)), flucytosine (3), and echinocandins (such as anidulafungin (4) and caspofungin (5)), have been utilized for the management of IFDs [8,9]. However, drug-resistant fungal pathogens have emerged as a consequence of antifungal treatment.…”
Section: Introductionmentioning
confidence: 99%
“…This issue is further compounded by increased drug-resistant fungal infections [ 2 , 3 , 4 ]. While novel approaches may offer potential solutions for treating IFIs [ 5 , 6 ], azoles, functioning as inhibitors of lanosterol 14-α demethylase, continue to hold paramount importance as clinically approved antifungal medications for managing these infections [ 7 ]. Fluconazole (FLC) is a prominent antifungal azole that is extensively utilized in clinical practice owing to its wide-ranging antifungal activity, remarkable safety record, and diverse modes of administration [ 8 ].…”
Section: Introductionmentioning
confidence: 99%
“…Invasive fungal diseases (IFDs) are increasingly recognized as a growing concern associated with elevated morbidity and mortality rates, particularly among immunocompromised individuals. , Recent epidemiological data suggests that IFDs are responsible for more than 65 million severe cases and 25 million deaths annually . Nevertheless, the existing antifungal options are constrained and inadequate in effective addressing. , These include polyenes, which directly interact with the fungal membrane ergosterol, echinocandins that inhibit β-1,3-glucan synthase, and azoles that target lanosterol 14-α-demethylase . Furthermore, the escalating resistance of fungi to current drugs, particularly azoles, and the emergence of the highly resistant Candida aruis underscore the critical necessity for the exploration of novel antifungal compounds and the identification of new therapeutic targets.…”
mentioning
confidence: 99%