THE IMPACT OF ANTIFUNGALS ON TOLL-LIKE RECEPTORS

Fungi are increasingly recognized as major pathogens in immunocompromised individuals. The most common invasive fungal infections are caused by Candida spp., Aspergillus spp. and Cryptococcus spp. Amphotericin B has remained the cornerstone of therapy against many fulminant fungal infections but i...

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Main Authors: Mircea Radu Mihu, Rodney ePattabhi, Joshua D Nosanchuk
Format: Article
Language:English
Published: Frontiers Media S.A. 2014-03-01
Series:Frontiers in Microbiology
Subjects:
Online Access:http://journal.frontiersin.org/Journal/10.3389/fmicb.2014.00099/full
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author Mircea Radu Mihu
Rodney ePattabhi
Joshua D Nosanchuk
author_facet Mircea Radu Mihu
Rodney ePattabhi
Joshua D Nosanchuk
author_sort Mircea Radu Mihu
collection DOAJ
description Fungi are increasingly recognized as major pathogens in immunocompromised individuals. The most common invasive fungal infections are caused by Candida spp., Aspergillus spp. and Cryptococcus spp. Amphotericin B has remained the cornerstone of therapy against many fulminant fungal infections but its use is limited by its multitude of side effects. Echinocandins are a newer class of antifungal drugs with activity against Candida spp. and Aspergillus spp. and constitutes an alternative to amphotericin B due to superior patient tolerability and fewer side effects. Due to their excellent bioavailability and oral availability, azoles continue to be heavily used for simple, such as fluconazole for candidal vaginitis, and complex diseases, such as voriconazole for aspergilloisis. The objective of this paper is to present current knowledge regarding the multiple interactions between the broad spectrum antifungals and the innate immune response, primarily focusing on the toll-like receptors.
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spelling doaj.art-4b9249ee14ac47259e39ac686e7f33362022-12-21T23:55:33ZengFrontiers Media S.A.Frontiers in Microbiology1664-302X2014-03-01510.3389/fmicb.2014.0009978923THE IMPACT OF ANTIFUNGALS ON TOLL-LIKE RECEPTORSMircea Radu Mihu0Rodney ePattabhi1Joshua D Nosanchuk2Albert Einstein College of Medicine - Montefiore Medical CenterAlbert Einstein College of MedicineAlbert Einstein College of Medicine - Montefiore Medical CenterFungi are increasingly recognized as major pathogens in immunocompromised individuals. The most common invasive fungal infections are caused by Candida spp., Aspergillus spp. and Cryptococcus spp. Amphotericin B has remained the cornerstone of therapy against many fulminant fungal infections but its use is limited by its multitude of side effects. Echinocandins are a newer class of antifungal drugs with activity against Candida spp. and Aspergillus spp. and constitutes an alternative to amphotericin B due to superior patient tolerability and fewer side effects. Due to their excellent bioavailability and oral availability, azoles continue to be heavily used for simple, such as fluconazole for candidal vaginitis, and complex diseases, such as voriconazole for aspergilloisis. The objective of this paper is to present current knowledge regarding the multiple interactions between the broad spectrum antifungals and the innate immune response, primarily focusing on the toll-like receptors.http://journal.frontiersin.org/Journal/10.3389/fmicb.2014.00099/fullAmphotericin BEchinocandinsToll-Like ReceptorsAntifungalVoriconazolecaspofungin
spellingShingle Mircea Radu Mihu
Rodney ePattabhi
Joshua D Nosanchuk
THE IMPACT OF ANTIFUNGALS ON TOLL-LIKE RECEPTORS
Frontiers in Microbiology
Amphotericin B
Echinocandins
Toll-Like Receptors
Antifungal
Voriconazole
caspofungin
title THE IMPACT OF ANTIFUNGALS ON TOLL-LIKE RECEPTORS
title_full THE IMPACT OF ANTIFUNGALS ON TOLL-LIKE RECEPTORS
title_fullStr THE IMPACT OF ANTIFUNGALS ON TOLL-LIKE RECEPTORS
title_full_unstemmed THE IMPACT OF ANTIFUNGALS ON TOLL-LIKE RECEPTORS
title_short THE IMPACT OF ANTIFUNGALS ON TOLL-LIKE RECEPTORS
title_sort impact of antifungals on toll like receptors
topic Amphotericin B
Echinocandins
Toll-Like Receptors
Antifungal
Voriconazole
caspofungin
url http://journal.frontiersin.org/Journal/10.3389/fmicb.2014.00099/full
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