Molecular Mechanisms of 5-Fluorocytosine Resistance in Yeasts and Filamentous Fungi

被引:46
作者
Delma, Fatima Zohra [1 ]
Al-Hatmi, Abdullah M. S. [2 ,3 ,4 ]
Bruggemann, Roger J. M. [3 ,5 ]
Melchers, Willem J. G. [1 ,3 ]
de Hoog, Sybren [3 ,4 ]
Verweij, Paul E. [1 ,3 ]
Buil, Jochem B. [1 ,3 ]
机构
[1] Radboud Univ Nijmegen Med Ctr, Dept Med MicroBiol, NL-6252 AG Nijmegen, Netherlands
[2] Univ Nizwa, Nat & Med Sci Res Ctr, Nizwa 616, Oman
[3] Radboudumc Ctr Infect Dis RCI, Ctr Expertise Mycol Radboudumc CWZ, NL-6252 AG Nijmegen, Netherlands
[4] Fdn Atlas Clin Fungi, NL-1214 GP Hilversum, Netherlands
[5] Radboud Univ Nijmegen Med Ctr, Dept Pharm, NL-6252 AG Nijmegen, Netherlands
关键词
5-fluorocytosine; resistance; molecular mechanisms; INFECTIOUS-DISEASES SOCIETY; IN-VITRO ACTIVITIES; FLUCONAZOLE CROSS-RESISTANCE; FLUCYTOSINE RESISTANCE; AMPHOTERICIN-B; CANDIDA-ALBICANS; CRYPTOCOCCUS-GATTII; PRACTICE GUIDELINES; ANTIFUNGAL AGENTS; 2016; UPDATE;
D O I
10.3390/jof7110909
中图分类号
Q93 [微生物学];
学科分类号
071005 ; 100705 ;
摘要
Effective management and treatment of fungal diseases is hampered by poor diagnosis, limited options for antifungal therapy, and the emergence of antifungal drug resistance. An understanding of molecular mechanisms contributing to resistance is essential to optimize the efficacy of currently available antifungals. In this perspective, one of the oldest antifungals, 5-fluorocytosine (5-FC), has been the focus of recent studies applying advanced genomic and transcriptomic techniques to decipher the order of events at the molecular level that lead to resistance. These studies have highlighted the complexity of resistance and provided new insights that are reviewed in the present paper.
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页数:14
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