Research progress of voriconazole in the treatment of cryptococcal infection

Jiejun Shi, G. Qian, N. Yang
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Abstract

Voriconazole (C16H14N5OF3) is a novel triazole antifungal drug with broad spectrum, strong potency, good tolerance and high safety.It is a derivative of fluconazole, but it has a broader antibacterial spectrum and stronger bactericidal action than fluconazole.It can highly selectively inhibit the biosynthesis of ergosterol in various fungal cell membranes.Voriconazole has high permeability to the blood-brain barrier and blood-eye barrier, thus it can reach multiple sites of cryptococcal infection with effective drug concentration.In addition, it has a certain effect on drug-resistant fungi.What′s more, voriconazole can regulate immunity to accelerate the clearance of fungi in the lesion.Therefore, voriconazole is widely used in clinical practice.This article reviews the pharmacological effects, basic research of voriconazole and its application in cryptococcal infection. Key words: Cryptococcosis; Voriconazole
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伏立康唑治疗隐球菌感染的研究进展
伏立康唑(Voriconazole, C16H14N5OF3)是一种广谱、强效、耐受性好、安全性高的新型三唑类抗真菌药物。它是氟康唑的衍生物,但具有比氟康唑更广泛的抗菌谱和更强的杀菌作用。它能高度选择性地抑制麦角甾醇在多种真菌细胞膜上的生物合成。伏立康唑对血脑屏障和血眼屏障具有较高的渗透性,能以有效的药物浓度到达隐球菌感染的多个部位。此外,对耐药真菌也有一定的作用。伏立康唑还能调节免疫,加速病灶内真菌的清除。因此伏立康唑被广泛应用于临床。本文综述伏立康唑的药理作用、基础研究及其在隐球菌感染中的应用。关键词:隐球菌病;伏立康唑
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