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Advances in Antifungal Drugs
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Advances in Antifungal Drugs

A special issue of Journal of Fungi (ISSN 2309-608X). This special issue belongs to the section "Fungal Pathogenesis and Disease Control".

Deadline for manuscript submissions: 30 May 2024 | Viewed by 2588

Special Issue Editors

Dr. Antonella Lupetti

E-Mail Website
Guest Editor
Department of Translational Research and of New Technologies in Medicine and Surgery, University of Pisa, via San Zeno, 37, 56127 Pisa, Italy
Interests: antifungal drugs; antifungal resistance; fungal diseases; Candida spp.; Aspergillus spp.; antimicrobial peptides; fungal biofilm; Candida parapsilosis; candidemia; health-care associated fungal infections
Dr. Iacopo Franconi

E-Mail Website
Guest Editor
Department of Translational Research and of New Technologies in Medicine and Surgery, University of Pisa, via San Zeno, 37, 56127 Pisa, Italy
Interests: antifungal drugs; antifungal resistance; fungal diseases

Special Issue Information

Dear Colleagues,

Fungal infections cause milions of death world wide each year. Candida spp. and Aspergillus spp. are among the two principal opportunistic fungi associated with high mortality rates and detrimental impacts on healthcare resources. The population at risk of acquiring an invasive fungal infection is increasing at an alarming pace as the rates of antifungal resistance rise. This is primarily true in Candida spp., especially for azole resistance in Candida parapsilosis and echinocandin resistance in Candida glabrata, but also for azole resistance in Aspergillus fumigatus. In order to better highlight the magnitude of the problem, the WHO has recently released the fungal pathogen priority list to point out the direction future research should pursue. To this point, scholars should aim for the discovery of new molecules. The optimization of existing therapeutic strategies and the clinical evaluation of the potential and effectiveness of the new antifungal molecules recently introduced in the antifungal pipeline are of outmost importance and therefore will constitute the primary focus of this Special Issue.

Dr. Antonella Lupetti
Dr. Iacopo Franconi
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Journal of Fungi is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • new antifungal drugs
  • antifungal resistance
  • antifungal therapy
  • Candida spp. infections
  • Aspergillus spp. infections
  • fungal infections
  • antifungal compounds

Published Papers (2 papers)

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Review

19 pages, 789 KiB  
Review
Natural Substances as Valuable Alternative for Improving Conventional Antifungal Chemotherapy: Lights and Shadows
by Juan Carlos Argüelles, Ruth Sánchez-Fresneda, Alejandra Argüelles and Francisco Solano
J. Fungi 2024, 10(5), 334; https://doi.org/10.3390/jof10050334 - 5 May 2024
Viewed by 418
Abstract
Fungi are eukaryotic organisms with relatively few pathogenic members dangerous for humans, usually acting as opportunistic infections. In the last decades, several life-threatening fungal infections have risen mostly associated with the worldwide extension of chronic diseases and immunosuppression. The available antifungal therapies cannot [...] Read more.
Fungi are eukaryotic organisms with relatively few pathogenic members dangerous for humans, usually acting as opportunistic infections. In the last decades, several life-threatening fungal infections have risen mostly associated with the worldwide extension of chronic diseases and immunosuppression. The available antifungal therapies cannot combat this challenge because the arsenal of compounds is scarce and displays low selective action, significant adverse effects, and increasing resistance. A growing isolation of outbreaks triggered by fungal species formerly considered innocuous is being recorded. From ancient times, natural substances harvested from plants have been applied to folk medicine and some of them recently emerged as promising antifungals. The most used are briefly revised herein. Combinations of chemotherapeutic drugs with natural products to obtain more efficient and gentle treatments are also revised. Nevertheless, considerable research work is still necessary before their clinical use can be generally accepted. Many natural products have a highly complex chemical composition, with the active principles still partially unknown. Here, we survey the field underlying lights and shadows of both groups. More studies involving clinical strains are necessary, but we illustrate this matter by discussing the potential clinical applications of combined carnosic acid plus propolis formulations. Full article
(This article belongs to the Special Issue Advances in Antifungal Drugs)
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Graphical abstract

22 pages, 2038 KiB  
Review
In Vitro Susceptibility Tests in the Context of Antifungal Resistance: Beyond Minimum Inhibitory Concentration in Candida spp.
by Iacopo Franconi and Antonella Lupetti
J. Fungi 2023, 9(12), 1188; https://doi.org/10.3390/jof9121188 - 12 Dec 2023
Viewed by 1626
Abstract
Antimicrobial resistance is a matter of rising concern, especially in fungal diseases. Multiple reports all over the world are highlighting a worrisome increase in azole- and echinocandin-resistance among fungal pathogens, especially in Candida species, as reported in the recently published fungal pathogens priority [...] Read more.
Antimicrobial resistance is a matter of rising concern, especially in fungal diseases. Multiple reports all over the world are highlighting a worrisome increase in azole- and echinocandin-resistance among fungal pathogens, especially in Candida species, as reported in the recently published fungal pathogens priority list made by WHO. Despite continuous efforts and advances in infection control, development of new antifungal molecules, and research on molecular mechanisms of antifungal resistance made by the scientific community, trends in invasive fungal diseases and associated antifungal resistance are on the rise, hindering therapeutic options and clinical cures. In this context, in vitro susceptibility testing aimed at evaluating minimum inhibitory concentrations, is still a milestone in the management of fungal diseases. However, such testing is not the only type at a microbiologist’s disposal. There are other adjunctive in vitro tests aimed at evaluating fungicidal activity of antifungal molecules and also exploring tolerance to antifungals. This plethora of in vitro tests are still left behind and performed only for research purposes, but their role in the context of invasive fungal diseases associated with antifungal resistance might add resourceful information to the clinical management of patients. The aim of this review was therefore to revise and explore all other in vitro tests that could be potentially implemented in current clinical practice in resistant and difficult-to-treat cases. Full article
(This article belongs to the Special Issue Advances in Antifungal Drugs)
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