Molecular association of Candida albicans and vulvovaginal candidiasis: focusing on a solution

Candida albicans-mediated vulvovaginal candidiasis (VVC) is a significant challenge in clinical settings, owing to the inefficacy of current antifungals in modulating virulence, development of resistance, and poor penetration into the biofilm matrix. Various predisposition factors are molecular driv...

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Main Authors: Helma David, Adline Princy Solomon
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-10-01
Series:Frontiers in Cellular and Infection Microbiology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fcimb.2023.1245808/full
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author Helma David
Adline Princy Solomon
author_facet Helma David
Adline Princy Solomon
author_sort Helma David
collection DOAJ
description Candida albicans-mediated vulvovaginal candidiasis (VVC) is a significant challenge in clinical settings, owing to the inefficacy of current antifungals in modulating virulence, development of resistance, and poor penetration into the biofilm matrix. Various predisposition factors are molecular drivers that lead to the dysbiosis of normal microflora of the vagina, upregulation of central metabolic pathways, morphogenesis, hyphal extension, adhesion, invasion, and biofilm formation leading to chronic infection and recurrence. Hence, it is crucial to understand the molecular mechanism behind the virulence pathways driven by those drivers to decode the drug targets. Finding innovative solutions targeting fungal virulence/biofilm may potentiate the antifungals at low concentrations without affecting the recurrence of resistance. With this background, the present review details the critical molecular drivers and associated network of virulence pathways, possible drug targets, target-specific inhibitors, and probable mode of drug delivery to cross the preclinical phase by appropriate in vivo models.
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spelling doaj.art-51aaeee806b645c79b350d0c5b892c022023-10-13T07:37:19ZengFrontiers Media S.A.Frontiers in Cellular and Infection Microbiology2235-29882023-10-011310.3389/fcimb.2023.12458081245808Molecular association of Candida albicans and vulvovaginal candidiasis: focusing on a solutionHelma DavidAdline Princy SolomonCandida albicans-mediated vulvovaginal candidiasis (VVC) is a significant challenge in clinical settings, owing to the inefficacy of current antifungals in modulating virulence, development of resistance, and poor penetration into the biofilm matrix. Various predisposition factors are molecular drivers that lead to the dysbiosis of normal microflora of the vagina, upregulation of central metabolic pathways, morphogenesis, hyphal extension, adhesion, invasion, and biofilm formation leading to chronic infection and recurrence. Hence, it is crucial to understand the molecular mechanism behind the virulence pathways driven by those drivers to decode the drug targets. Finding innovative solutions targeting fungal virulence/biofilm may potentiate the antifungals at low concentrations without affecting the recurrence of resistance. With this background, the present review details the critical molecular drivers and associated network of virulence pathways, possible drug targets, target-specific inhibitors, and probable mode of drug delivery to cross the preclinical phase by appropriate in vivo models.https://www.frontiersin.org/articles/10.3389/fcimb.2023.1245808/fullC. albicansvaginal candidiasispredisposition factorsmorphogenesismultidrug resistancepossible drug targets
spellingShingle Helma David
Adline Princy Solomon
Molecular association of Candida albicans and vulvovaginal candidiasis: focusing on a solution
Frontiers in Cellular and Infection Microbiology
C. albicans
vaginal candidiasis
predisposition factors
morphogenesis
multidrug resistance
possible drug targets
title Molecular association of Candida albicans and vulvovaginal candidiasis: focusing on a solution
title_full Molecular association of Candida albicans and vulvovaginal candidiasis: focusing on a solution
title_fullStr Molecular association of Candida albicans and vulvovaginal candidiasis: focusing on a solution
title_full_unstemmed Molecular association of Candida albicans and vulvovaginal candidiasis: focusing on a solution
title_short Molecular association of Candida albicans and vulvovaginal candidiasis: focusing on a solution
title_sort molecular association of candida albicans and vulvovaginal candidiasis focusing on a solution
topic C. albicans
vaginal candidiasis
predisposition factors
morphogenesis
multidrug resistance
possible drug targets
url https://www.frontiersin.org/articles/10.3389/fcimb.2023.1245808/full
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