Antifungal persistence: Clinical relevance and mechanisms.

IF 4.9 1区 医学 Q1 MICROBIOLOGY
PLoS Pathogens Pub Date : 2025-09-11 eCollection Date: 2025-09-01 DOI:10.1371/journal.ppat.1013456
Rui Wang, Jingnan Lv, Liang Chen, Yanan Zhao, Hong Du
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引用次数: 0

Abstract

Antifungal persistence is the phenomenon that occurs when a subpopulation of fungal cells can survive in the presence of high concentrations of antifungal drugs, which is different from the concepts of antifungal resistance and tolerance. Fungal persisters are not mutants but phenotypic variants of normal cells, entering a dormant state with low metabolism and proliferation. Previous studies have shown that antifungal persistence may lead to therapeutic failure, as well as chronic or recurrent fungal infections in clinical settings. This review provides a comprehensive overview of antifungal persistence covering its definition, distinctions from other related concepts, detection methods, and molecular mechanisms of formation. Importantly, we discuss relevant in vivo experiments and clinical observations to assess clinical relevance of antifungal persistence.

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抗真菌持久性:临床相关性和机制。
抗真菌持久性是指一种真菌细胞亚群能够在高浓度抗真菌药物存在下存活的现象,这与抗真菌耐药性和耐受性的概念不同。真菌持久者不是突变体,而是正常细胞的表型变异,进入低代谢和增殖的休眠状态。先前的研究表明,抗真菌的持久性可能导致治疗失败,以及临床环境中的慢性或复发性真菌感染。本文综述了抗真菌持久性的定义、与其他相关概念的区别、检测方法和形成的分子机制。重要的是,我们讨论了相关的体内实验和临床观察,以评估抗真菌持久性的临床相关性。
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
PLoS Pathogens
PLoS Pathogens MICROBIOLOGY-PARASITOLOGY
自引率
3.00%
发文量
598
期刊介绍: Bacteria, fungi, parasites, prions and viruses cause a plethora of diseases that have important medical, agricultural, and economic consequences. Moreover, the study of microbes continues to provide novel insights into such fundamental processes as the molecular basis of cellular and organismal function.
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