期刊
JOURNAL OF APPLIED MICROBIOLOGY
卷 126, 期 5, 页码 1304-1317出版社
WILEY
DOI: 10.1111/jam.14126
关键词
antifungal activity; drug combination; drug resistance; fluconazole; fungi; immunosuppressants
资金
- Department of Science and Technology of Shandong Province of China [2015GSF121052]
- Shandong Provincial Administration of Traditional Chinese Medicine of China [2017-166]
Fungal infections remain a challenge to clinicians due to the limited available antifungals. With the increasing use of antifungals in clinical practice, drug resistance has been emerging continuously, especially to fluconazole (FLC). Thus, a search for new antifungals and approaches to overcome antifungal resistance is needed. However, the development of new antifungals is usually costly and time consuming; discovering the antifungal activity of non-antifungal agents is one way to address these problems. Interestingly, some researchers have demonstrated that several classes of immunosuppressants (calcineurin inhibitors, glucocorticoids, etc) also displayed potent antifungal activity when used alone or in combination with antifungals, especially with FLC. Some of them could increase FLC's susceptibility against resistant Candida albicans significantly reversing fungal resistance to FLC. This article reviews the antifungal activities of immunosuppressants used alone or in combination with antifungals and their potential antifungal mechanisms that have been discovered so far. Although immunosuppressive agents have been identified as risk factors for fungal infection, we believe these findings are very important for overcoming drug resistance and developing new antifungals.
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