Treatment strategies for cryptococcal infection: challenges, advances and future outlook

KR Iyer, NM Revie, C Fu, N Robbins… - Nature Reviews …, 2021 - nature.com
Cryptococcus spp., in particular Cryptococcus neoformans and Cryptococcus gattii, have an
enormous impact on human health worldwide. The global burden of cryptococcal meningitis …

The fungal CYP51s: their functions, structures, related drug resistance, and inhibitors

J Zhang, L Li, Q Lv, L Yan, Y Wang… - Frontiers in microbiology, 2019 - frontiersin.org
CYP51 (Erg11) belongs to the cytochrome P450 monooxygenase (CYP) superfamily and
mediates a crucial step of the synthesis of ergosterol, which is a fungal-specific sterol. It is …

The Cryptococcus neoformans Titan cell is an inducible and regulated morphotype underlying pathogenesis

IM Dambuza, T Drake, A Chapuis, X Zhou… - PLoS …, 2018 - journals.plos.org
Fungal cells change shape in response to environmental stimuli, and these morphogenic
transitions drive pathogenesis and niche adaptation. For example, dimorphic fungi switch …

[HTML][HTML] Facilitators of adaptation and antifungal resistance mechanisms in clinically relevant fungi

MWJ Hokken, BJ Zwaan, WJG Melchers… - Fungal genetics and …, 2019 - Elsevier
Opportunistic fungal pathogens can cause a diverse range of diseases in humans. The
increasing rate of fungal infections caused by strains that are resistant to commonly used …

A titanic drug resistance threat in Cryptococcus neoformans

H Zafar, S Altamirano, ER Ballou, K Nielsen - Current opinion in …, 2019 - Elsevier
Increasing resistance to frontline antifungals is a growing threat to global health. In the face
of high rates of relapse for patients with cryptococcal meningitis and frequent drug …

Dynamic ploidy changes drive fluconazole resistance in human cryptococcal meningitis

NRH Stone, J Rhodes, MC Fisher… - The Journal of …, 2019 - Am Soc Clin Investig
BACKGROUND. Cryptococcal meningitis (CM) causes an estimated 180,000 deaths
annually, predominantly in sub-Saharan Africa, where most patients receive fluconazole …

Emerging issues in antifungal resistance

JR Perfect, M Ghannoum - Infectious Disease Clinics, 2020 - id.theclinics.com
This review attempts to frame the issues around antifungal drug resistance. From its
epidemiology, mechanisms, measurements, and clinical significance, invasive fungal …

Antifungal tolerance and resistance emerge at distinct drug concentrations and rely upon different aneuploid chromosomes

F Yang, EFC Scopel, H Li, L Sun, N Kawar, Y Cao… - MBio, 2023 - Am Soc Microbiol
Antifungal drug tolerance is a response distinct from resistance, in which cells grow slowly
above the MIC. Here, we found that the majority (69.2%) of 133 Candida albicans clinical …

A double-edged sword: aneuploidy is a prevalent strategy in fungal adaptation

HJ Tsai, A Nelliat - Genes, 2019 - mdpi.com
Aneuploidy, a deviation from a balanced genome by either gain or loss of chromosomes, is
generally associated with impaired fitness and developmental defects in eukaryotic …

Adaptation to fluconazole via aneuploidy enables cross-adaptation to amphotericin B and flucytosine in Cryptococcus neoformans

F Yang, V Gritsenko, H Lu, C Zhen, L Gao… - Microbiology …, 2021 - Am Soc Microbiol
The high morbidity and mortality of cryptococcal meningitis is due to the limited range of
therapeutic options: only three classes of antifungal drugs are available (polyenes …