Novel antifungals and treatment approaches to tackle resistance and improve outcomes of invasive fungal disease Article Swipe
Martin Hoenigl
,
Amir Arastehfar
,
Maiken Cavling Arendrup
,
Roger J. M. Brüggemann
,
Agostinho Carvalho
,
Tom Chiller
,
Wen Chen
,
Matthias Egger
,
Simon Feys
,
Jean‐Pierre Gangneux
,
Jeremy A.W. Gold
,
Andreas H. Groll
,
Jannes Heylen
,
Jeffrey D. Jenks
,
Robert Krause
,
Katrien Lagrou
,
Frédéric Lamoth
,
Juergen Prattes
,
Sarah Sedik
,
Joost Wauters
,
Nathan P. Wiederhold
,
George R. Thompson
·
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1128/cmr.00074-23
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1128/cmr.00074-23
SUMMARY Fungal infections are on the rise, driven by a growing population at risk and climate change. Currently available antifungals include only five classes, and their utility and efficacy in antifungal treatment are limited by one or more of innate or acquired resistance in some fungi, poor penetration into “sequestered” sites, and agent-specific side effect which require frequent patient reassessment and monitoring. Agents with novel mechanisms, favorable pharmacokinetic (PK) profiles including good oral bioavailability, and fungicidal mechanism(s) are urgently needed. Here, we provide a comprehensive review of novel antifungal agents, with both improved known mechanisms of actions and new antifungal classes, currently in clinical development for treating invasive yeast, mold (filamentous fungi), Pneumocystis jirovecii infections, and dimorphic fungi (endemic mycoses). We further focus on inhaled antifungals and the role of immunotherapy in tackling fungal infections, and the specific PK/pharmacodynamic profiles, tissue distributions as well as drug-drug interactions of novel antifungals. Finally, we review antifungal resistance mechanisms, the role of use of antifungal pesticides in agriculture as drivers of drug resistance, and detail detection methods for antifungal resistance.
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Metadata
- Type
- review
- Language
- en
- Landing Page
- https://doi.org/10.1128/cmr.00074-23
- OA Status
- green
- Cited By
- 83
- References
- 485
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4394716478
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4394716478Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1128/cmr.00074-23Digital Object Identifier
- Title
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Novel antifungals and treatment approaches to tackle resistance and improve outcomes of invasive fungal diseaseWork title
- Type
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reviewOpenAlex work type
- Language
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enPrimary language
- Publication year
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2024Year of publication
- Publication date
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2024-04-11Full publication date if available
- Authors
-
Martin Hoenigl, Amir Arastehfar, Maiken Cavling Arendrup, Roger J. M. Brüggemann, Agostinho Carvalho, Tom Chiller, Wen Chen, Matthias Egger, Simon Feys, Jean‐Pierre Gangneux, Jeremy A.W. Gold, Andreas H. Groll, Jannes Heylen, Jeffrey D. Jenks, Robert Krause, Katrien Lagrou, Frédéric Lamoth, Juergen Prattes, Sarah Sedik, Joost Wauters, Nathan P. Wiederhold, George R. ThompsonList of authors in order
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https://doi.org/10.1128/cmr.00074-23Publisher landing page
- Open access
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YesWhether a free full text is available
- OA status
-
greenOpen access status per OpenAlex
- OA URL
-
https://www.ncbi.nlm.nih.gov/pmc/articles/11237431Direct OA link when available
- Concepts
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Fungal disease, Intensive care medicine, Medicine, Disease, Resistance (ecology), Microbiology, Biology, Internal medicine, EcologyTop concepts (fields/topics) attached by OpenAlex
- Cited by
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83Total citation count in OpenAlex
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2025: 61, 2024: 21, 2023: 1Per-year citation counts (last 5 years)
- References (count)
-
485Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.development | 104 |
| abstract_inverted_index.infections, | 114, 134 |
| abstract_inverted_index.mechanisms, | 65, 155 |
| abstract_inverted_index.monitoring. | 61 |
| abstract_inverted_index.penetration | 47 |
| abstract_inverted_index.resistance, | 169 |
| abstract_inverted_index.resistance. | 176 |
| abstract_inverted_index.(filamentous | 110 |
| abstract_inverted_index.Pneumocystis | 112 |
| abstract_inverted_index.antifungals. | 149 |
| abstract_inverted_index.interactions | 146 |
| abstract_inverted_index.mechanism(s) | 76 |
| abstract_inverted_index.reassessment | 59 |
| abstract_inverted_index.comprehensive | 84 |
| abstract_inverted_index.distributions | 141 |
| abstract_inverted_index.immunotherapy | 130 |
| abstract_inverted_index.agent-specific | 52 |
| abstract_inverted_index.pharmacokinetic | 67 |
| abstract_inverted_index.bioavailability, | 73 |
| abstract_inverted_index.“sequestered” | 49 |
| abstract_inverted_index.PK/pharmacodynamic | 138 |
| cited_by_percentile_year.max | 100 |
| cited_by_percentile_year.min | 89 |
| corresponding_author_ids | https://openalex.org/A5066774127, https://openalex.org/A5060121384 |
| countries_distinct_count | 9 |
| institutions_distinct_count | 22 |
| corresponding_institution_ids | https://openalex.org/I202276237, https://openalex.org/I4210117258, https://openalex.org/I4210160527 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/13 |
| sustainable_development_goals[0].score | 0.5 |
| sustainable_development_goals[0].display_name | Climate action |
| citation_normalized_percentile.value | 0.99918872 |
| citation_normalized_percentile.is_in_top_1_percent | True |
| citation_normalized_percentile.is_in_top_10_percent | True |