Antifungals: MOAs Flashcards
Amphotericin B
Binds ergosterol–> membrane pores–> leakage of electrolytes
Nystatin
Binds ergosterol–> membrane pores–> leakage of electrolytes
Azoles (class)
Inhibit fungal ergosterol synthesis by inhibiting lanosterol 14-alpha demethylase, the fungal p450 enz that normally converts lanosterol–> ergosterol
Fluconazole
Azole
(Inhibit fungal ergosterol synthesis by inhibiting lanosterol 14-alpha demethylase, the fungal p450 enz that normally converts lanosterol–> ergosterol)
Ketoconazole
Azole
(Inhibit fungal ergosterol synthesis by inhibiting lanosterol 14-alpha demethylase, the fungal p450 enz that normally converts lanosterol–> ergosterol)
Clotrimazole
Azole
(Inhibit fungal ergosterol synthesis by inhibiting lanosterol 14-alpha demethylase, the fungal p450 enz that normally converts lanosterol–> ergosterol)
Miconazole
Azole
(Inhibit fungal ergosterol synthesis by inhibiting lanosterol 14-alpha demethylase, the fungal p450 enz that normally converts lanosterol–> ergosterol)
Itraconazole
Azole
(Inhibit fungal ergosterol synthesis by inhibiting lanosterol 14-alpha demethylase, the fungal p450 enz that normally converts lanosterol–> ergosterol)
Voriconazole
Azole
(Inhibit fungal ergosterol synthesis by inhibiting lanosterol 14-alpha demethylase, the fungal p450 enz that normally converts lanosterol–> ergosterol)
Flucytosine
Converted to 5-FU by cytosine deaminase–> inhibits RNA and DNA biosynth
Echinocandins (class)
Inhibit synthesis of beta-glucan–> inhibits fungal cell wall synth
Caspofungin
Echinocandin
Inhibit synthesis of beta-glucan–> inhibits fungal cell wall synth
Micafungin
Echinocandin
Inhibit synthesis of beta-glucan–> inhibits fungal cell wall synth
Anidulafungin
Echinocandin
Inhibit synthesis of beta-glucan–> inhibits fungal cell wall synth
Terbinafine
Inhibits squalene epoxidase–> build-up of intracellular squalene–> toxic