Combined Antifungal Resistance and Biofilm Tolerance: the Global Threat of <named-content content-type="genus-species">Candida auris</named-content>

ABSTRACT The enigmatic yeast Candida auris has emerged over the last decade and rapidly penetrated our consciousness. The global threat from this multidrug-resistant yeast has generated a call to arms from within the medical mycology community. Over the past decade, our understanding of how this yea...

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Main Authors: Ryan Kean, Gordon Ramage
Format: Article
Language:English
Published: American Society for Microbiology 2019-08-01
Series:mSphere
Subjects:
Online Access:https://journals.asm.org/doi/10.1128/mSphere.00458-19
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author Ryan Kean
Gordon Ramage
author_facet Ryan Kean
Gordon Ramage
author_sort Ryan Kean
collection DOAJ
description ABSTRACT The enigmatic yeast Candida auris has emerged over the last decade and rapidly penetrated our consciousness. The global threat from this multidrug-resistant yeast has generated a call to arms from within the medical mycology community. Over the past decade, our understanding of how this yeast has spread globally, its clinical importance, and how it tolerates and resists antifungal agents has expanded. This review highlights the clinical importance of antifungal resistance in C. auris and explores our current understanding of the mechanisms associated with azole, polyene, and echinocandin resistance. We also discuss the impact of phenotypic tolerance, with particular emphasis on biofilm-mediated resistance, and present new pipelines of antifungal drugs that promise new hope in the management of C. auris infection.
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spelling doaj.art-26a53634015443a9b3763c7ec760007c2022-12-21T20:29:13ZengAmerican Society for MicrobiologymSphere2379-50422019-08-014410.1128/mSphere.00458-19Combined Antifungal Resistance and Biofilm Tolerance: the Global Threat of <named-content content-type="genus-species">Candida auris</named-content>Ryan Kean0Gordon Ramage1Department of Biological and Biomedical Sciences, School of Health and Life Sciences, Glasgow Caledonian University, Glasgow, United KingdomOral Sciences Research Group, School of Medicine, Dentistry and Nursing, College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow, United KingdomABSTRACT The enigmatic yeast Candida auris has emerged over the last decade and rapidly penetrated our consciousness. The global threat from this multidrug-resistant yeast has generated a call to arms from within the medical mycology community. Over the past decade, our understanding of how this yeast has spread globally, its clinical importance, and how it tolerates and resists antifungal agents has expanded. This review highlights the clinical importance of antifungal resistance in C. auris and explores our current understanding of the mechanisms associated with azole, polyene, and echinocandin resistance. We also discuss the impact of phenotypic tolerance, with particular emphasis on biofilm-mediated resistance, and present new pipelines of antifungal drugs that promise new hope in the management of C. auris infection.https://journals.asm.org/doi/10.1128/mSphere.00458-19Candidaantifungal resistancebiofilmstolerance
spellingShingle Ryan Kean
Gordon Ramage
Combined Antifungal Resistance and Biofilm Tolerance: the Global Threat of <named-content content-type="genus-species">Candida auris</named-content>
mSphere
Candida
antifungal resistance
biofilms
tolerance
title Combined Antifungal Resistance and Biofilm Tolerance: the Global Threat of <named-content content-type="genus-species">Candida auris</named-content>
title_full Combined Antifungal Resistance and Biofilm Tolerance: the Global Threat of <named-content content-type="genus-species">Candida auris</named-content>
title_fullStr Combined Antifungal Resistance and Biofilm Tolerance: the Global Threat of <named-content content-type="genus-species">Candida auris</named-content>
title_full_unstemmed Combined Antifungal Resistance and Biofilm Tolerance: the Global Threat of <named-content content-type="genus-species">Candida auris</named-content>
title_short Combined Antifungal Resistance and Biofilm Tolerance: the Global Threat of <named-content content-type="genus-species">Candida auris</named-content>
title_sort combined antifungal resistance and biofilm tolerance the global threat of named content content type genus species candida auris named content
topic Candida
antifungal resistance
biofilms
tolerance
url https://journals.asm.org/doi/10.1128/mSphere.00458-19
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