侵袭性真菌感染的发病机制、系统疗法和治疗的最新进展。

IF 3 4区 医学 Q2 PHARMACOLOGY & PHARMACY Current drug targets Pub Date : 2024-10-17 DOI:10.2174/0113894501337502241015121015
Sushil Kumar Singh, Shyam Sundar Pancholi
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引用次数: 0

摘要

真菌感染对健康的危害不一而足,从无症状的病例到可能致命的侵袭性疾病,对免疫系统受损的人来说尤其危险。导致这些疾病的主要原因是机会性真菌,即曲霉菌、念珠菌和隐球菌。侵袭性真菌感染(IFIs)需要全球性的应对措施,包括开发疫苗、标准化诊断方案、强效抗真菌药物以及阻止耐药菌株的策略。改善高危人群的诊断和治疗对降低死亡率至关重要。这篇综述强调了与真菌感染相关的重大健康问题,尤其是免疫力低下的人群,并指出曲霉菌、念珠菌和隐球菌是主要病原体。报告强调了国际社会为防治这些侵袭性感染所做努力的必要性,如开发新型诊断仪器、成像方法和抗真菌药物。鉴于对广泛使用的抗真菌药物的抗药性不断增加,该综述还探讨了对新型治疗方法的日益增长的需求。此外,还探讨了分泌蛋白在真菌致病性中的重要性以及联合疗法的潜力。鉴于多价疫苗的前景,研究还建议采用多模式策略来对抗这些疾病。总之,这项研究强调了开发更好的诊断和治疗策略对于成功控制和减少侵袭性真菌疾病对全球健康的影响是多么重要。
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Current Updates on Pathogenesis, Systemic Therapy, and Treatment of Invasive Fungal Infections.

Numerous health hazards are associated with fungal infections, ranging from asymptomatic cases to potentially fatal invasive diseases that are especially dangerous for those with impaired immune systems. The main causes behind these diseases are opportunistic fungi, namely Aspergillus, Candida, and Cryptococcus. Invasive fungal infections (IFIs) require a global response that includes the development of vaccines, standardized protocols for diagnosis, potent antifungal medications, and strategies to stop drug-resistant strains. Improving high-risk group diagnosis and treatment is essential to lowering death rates. This review highlights the substantial health concerns associated with fungal infections, especially in immunocompromised individuals, and identifies Aspergillus, Candida, and Cryptococcus as the main pathogens. It highlights the necessity of international efforts, such as the development of novel diagnostic instruments, imaging methods, and antifungal drugs, to combat these invasive infections. The review also addresses the increasing need for novel treatment approaches in light of the developing resistance to widely used antifungal medications. Furthermore, the significance of secretory proteins in fungal pathogenicity and the potential of combination therapy are investigated. It is also suggested that a multimodal strategy be used to fight these illnesses, given the promise of multivalent vaccinations. Overall, this study emphasizes how critical it is to develop better diagnostic and treatment strategies in order to successfully control and lessen the impact of invasive fungal diseases on the health of the world.

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来源期刊
Current drug targets
Current drug targets 医学-药学
CiteScore
6.20
自引率
0.00%
发文量
127
审稿时长
3-8 weeks
期刊介绍: Current Drug Targets aims to cover the latest and most outstanding developments on the medicinal chemistry and pharmacology of molecular drug targets e.g. disease specific proteins, receptors, enzymes, genes. Current Drug Targets publishes guest edited thematic issues written by leaders in the field covering a range of current topics of drug targets. The journal also accepts for publication mini- & full-length review articles and drug clinical trial studies. As the discovery, identification, characterization and validation of novel human drug targets for drug discovery continues to grow; this journal is essential reading for all pharmaceutical scientists involved in drug discovery and development.
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