ISB L1.2 Antifungal Classes Flashcards
Fluorinated pyramidine analogues mode of action
Target RNA and DNA biosynthesis (misincorporation of 5-fluorouridine)
E.g of Fluorinated pyramidine analogues
5-flucytosine
E.g of polyenes (2)
nyastin
amphotericin B
polyenes moved of action
Target cell membrane ergosterol (increased permeability of plasma membrane and oxidative damage).
E.g. Allylamines and thiocarbamates
What is it used for?
Terbinafine (for Dermatophytes)
Allylamines and thiocarbamates mode of action
Target: Ergosterol biosynthesis Squalene epoxidases Erg1p (Fungi static inhibition of ergosterol biosynthesis)
Why is interfering with ergosterol biosynthesis an absolutely top plan
Cuz us humans don’t have ergosterol
E.g. azoles and triazoles
Miconazole Triazoles Fluconazole Itraconazole Posaconzole Voriconazole Ravuconazole
Mode of action of azoles
Target Ergosterol biosynthesis Lanosterol 14alpha-demethylase Erg11p (Fungastatic inhibition of ergosterol biosynthesis and accumulation of toxic sterol intermediates)
E.g. Echinocandins (3)
Caspofungin
Micofungin
Anidulofungin
Echinocandins mode of action
Target cell wall biosynthesis
1,3-beta-D-glucan synthase (humans don’t have)
Fks1/2p
(Fungicidal or fungistatic inhibition of 1,3-beta-D-glucan biosynthesis)