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The evolution of antifungal therapy: Traditional agents, current challenges and future perspectives

Highlights

  • Over 6.5 million people face invasive fungal infections annually, with high mortality rates due to limited drug options, toxicity, costs, and increasing resistance.

  • Current antifungal drugs primarily target the fungal cell membrane, DNA synthesis, or cell wall, limiting treatment efficacy and promoting resistance.

  • New antifungal agents are in clinical trial stages with new mechanisms of action and/or improvements in the activity of the former.

  • Drug repurposing, nanotechnology, antifungal peptides, combination therapies, and immunotherapies are tools with great potential to provide new antifungal alternatives.

  • The urgent development of safer, affordable antifungals with diverse targets is essential to save millions of lives annually.




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