Volume 20 No 9 (2022)
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Fungal Cell Wall: Modifying Antifungals and Drug Resistance
Gudepu Renuka, Smriti Aluri
Abstract
Antifungal therapy is a critical component of patient management for invasive fungal diseases. Yet,
therapeutic choices are limited as only a few drug classes are available to treat systemic disease, and
some infecting strains are resistant to one or more drug classes. The ideal antifungal inhibits a fungalspecific essential target not present in human cells to avoid off-target toxicities. The fungal cell wall is an
ideal drug target because its integrity is critical to cell survival and a majority of biosynthetic enzymes
and wall components is unique to fungi. Fungal infections are a worldwide problem associated with high
morbidity and mortality. There are relatively few antifungal agents, and resistance has emerged within
these pathogens for the newest antifungal drugs. As the fungal cell wall is critical for growth and
development, it is one of the most important targets for drug development. The ideal antifungal inhibits
a fungal-specific essential target not present in human cells to avoid off-target toxicities. The fungal cell
wall is an ideal drug target because its integrity is critical to cell survival and a majority of biosynthetic
enzymes and wall components is unique to fungi. Among currently approved antifungal agents and those
in clinical development, drugs targeting biosynthetic enzymes of the cell wall show safe and efficacious
antifungal properties, which validates the cell wall as a target.
Keywords
Cell wall , Antifungal , Drug, Antifungal Drugs, Fungal
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