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Review
. 2024 Apr:78:102439.
doi: 10.1016/j.mib.2024.102439. Epub 2024 Feb 23.

Beyond resistance: antifungal heteroresistance and antifungal tolerance in fungal pathogens

Affiliations
Review

Beyond resistance: antifungal heteroresistance and antifungal tolerance in fungal pathogens

Feng Yang et al. Curr Opin Microbiol. 2024 Apr.

Abstract

Fungal infections are increasing globally, causing alarmingly high mortality and economic burden. In addition to antifungal resistance, other more subtle drug responses appear to increase the likelihood of treatment failures. These responses include heteroresistance and tolerance, terms that are more well-defined for antibacterial drugs, but are also evident in pathogenic fungi. Here, we compare these antifungal responses with similarly named antibacterial responses, and we review recent advances in how we understand the routes by which antifungal heteroresistance and tolerance emerge.

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Conflict of interest statement

Declaration of Competing Interest I declare that I have no conflicts of interest and I am not involved in any commercial work that relates to this review.

References

    1. WHO. WHO fungal priority pathogens list to guide research, development and public health action. World Health Organization; Geneva: 2022. Licence: CC BY-NC-SA 3.0 IGO. Edited by; 2022.
    1. Bongomin F, Gago S, Oladele RO, Denning DW. Global and Multi-National Prevalence of Fungal Diseases-Estimate Precision. J Fungi (Basel) 2017;3 doi: 10.3390/jof3040057. - DOI - PMC - PubMed
    1. Pfaller MA, Diekema DJ, Turnidge JD, Castanheira M, Jones RN. Twenty Years of the SENTRY Antifungal Surveillance Program: Results for Candida Species From 1997-2016. Open Forum Infect Dis. 2019;6:S79–S94. doi: 10.1093/ofid/ofy358. - DOI - PMC - PubMed
    1. Rosenberg A, Ene IV, Bibi M, Zakin S, Segal ES, Ziv N, Dahan AM, Colombo AL, Bennett RJ, Berman J. Antifungal tolerance is a subpopulation effect distinct from resistance and is associated with persistent candidemia. Nat Commun. 2018;9:2470. doi: 10.1038/s41467-018-04926-x. - DOI - PMC - PubMed
    1. Astvad KMT, Sanglard D, Delarze E, Hare RK, Arendrup MC. Implications of the EUCAST Trailing Phenomenon in Candida tropicalis for the In Vivo Susceptibility in Invertebrate and Murine Models. Antimicrob Agents Chemother. 2018;62 doi: 10.1128/AAC.01624-18. - DOI - PMC - PubMed

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