Candida glabrata: A Tale of Stealth and Endurance.

IF 4 2区 医学 Q2 CHEMISTRY, MEDICINAL
ACS Infectious Diseases Pub Date : 2025-01-10 Epub Date: 2024-12-13 DOI:10.1021/acsinfecdis.4c00477
Fizza Askari, Rupinder Kaur
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引用次数: 0

Abstract

Candida (Nakaseomyces) glabrata, an opportunistic human fungal pathogen, causes mucosal and deep-seated infections in immunocompromised individuals. Recently designated as a high-priority fungal pathogen by the World Health Organization (WHO), C. glabrata exhibits low inherent susceptibility to azole antifungals. In addition, about 10% clinical isolates of C. glabrata display co-resistance to both azole and echinocandin drugs. Molecular mechanisms of antifungal resistance and virulence in C. glabrata are currently being delineated in-depth. This Review provides an overview of the epidemiology, biology, drug resistance, tools and host model systems for C. glabrata. Additionally, we discuss the immune evasion strategies that aid C. glabrata in establishing infections in the host. Overall, this Review aims to contribute to ongoing efforts to raise awareness of human pathogenic fungi, the growing threat of antifungal drug resistance and the unmet need for novel antifungal therapies, with an ultimate goal of improving clinical outcomes of affected individuals.

念珠菌:一个秘密和忍耐的故事。
念珠菌是一种机会性的人类真菌病原体,在免疫功能低下的个体中引起粘膜和深层感染。最近被世界卫生组织(WHO)指定为高优先级真菌病原体,C. glabrata对唑类抗真菌药物表现出较低的固有敏感性。此外,约10%的临床分离株对唑和棘白菌素同时耐药。目前,人们正在深入研究光棘草抗真菌抗性和毒力的分子机制。本文就其流行病学、生物学、耐药性、工具和宿主模型系统等方面的研究进展进行综述。此外,我们讨论了免疫逃避策略,帮助C. glabrata在宿主建立感染。总的来说,本综述旨在为提高人们对人类致病真菌的认识、抗真菌药物耐药性日益增长的威胁以及对新型抗真菌疗法的需求做出贡献,最终目标是改善受感染个体的临床结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
ACS Infectious Diseases
ACS Infectious Diseases CHEMISTRY, MEDICINALINFECTIOUS DISEASES&nb-INFECTIOUS DISEASES
CiteScore
9.70
自引率
3.80%
发文量
213
期刊介绍: ACS Infectious Diseases will be the first journal to highlight chemistry and its role in this multidisciplinary and collaborative research area. The journal will cover a diverse array of topics including, but not limited to: * Discovery and development of new antimicrobial agents — identified through target- or phenotypic-based approaches as well as compounds that induce synergy with antimicrobials. * Characterization and validation of drug target or pathways — use of single target and genome-wide knockdown and knockouts, biochemical studies, structural biology, new technologies to facilitate characterization and prioritization of potential drug targets. * Mechanism of drug resistance — fundamental research that advances our understanding of resistance; strategies to prevent resistance. * Mechanisms of action — use of genetic, metabolomic, and activity- and affinity-based protein profiling to elucidate the mechanism of action of clinical and experimental antimicrobial agents. * Host-pathogen interactions — tools for studying host-pathogen interactions, cellular biochemistry of hosts and pathogens, and molecular interactions of pathogens with host microbiota. * Small molecule vaccine adjuvants for infectious disease. * Viral and bacterial biochemistry and molecular biology.
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