antifungals Flashcards
action of antifungals?
treat and prevent fungal disease
what do superficial mycoses affect?
scalp, nails, skin, mucous membranes (oral cavity, vagina)
what do systemic mycoses affect?
internal organs; kidneys, lung, brain
examples of fungal pathogens?
eukaryotes; candida albicans, aspergiullus fumigatus, Cryptococcus neoformans
main targets for antifungal drugs?
fungal cell wall, plasma membrane, nucleus (RNA and DNA synthesis)
an antifungal that targets the cell wall?
echinocandins
what is the key component within the fungal cell wall?
B1,3 glucan - a skeletal component
mechanism of action of: echinocandins
(caspofungin, micafungin) - they inhibit B1,3 glucan synthesize, to block the synthesis of glucan (a component within the cell wall, essential for the fungal cell’s survival)
examples of ‘fungicidal’ antifungals?
echinocandins, polyene antifungals - they kill fungal pathogens
examples of ‘fungastatic’ antifungals?
Azoles and Allylamines - drugs that inhibit growth
antifungals that target the plasma membrane?
polyene antifungals, azoles, allylamines
mechanism of action of: polyene antifungals
bind to resident ergosterol, to form pores in the PM and disrupt plasma membrane integrity, causing a leakage of cell constituents
examples of polyene antifungals?
amphotericin B, nystatin (used for oral and GI infections)
side effects of polyene antifungals?
kidney failure with prolonged application
Mechanism of action of: azoles (ergosterol biosynthesis inhibitors)
inhibit the enzyme; lanosterol C-14 demethylase, which then blocks ergosterol biosynthesis. this leads to an accumulation of toxic intermediates and causes growth arrest.