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Drug resistance and tolerance in fungi
Journal article   Open access   Peer reviewed

Drug resistance and tolerance in fungi

Judith Berman and Damian J Krysan
Nature reviews. Microbiology, Vol.18(6), pp.319-331
06/2020
DOI: 10.1038/s41579-019-0322-2
PMCID: PMC7231573
PMID: 32047294
url
https://www.ncbi.nlm.nih.gov/pmc/articles/7231573View
Open Access

Abstract

Systemic fungal infections pose a serious clinical problem. Treatment options are limited, and antifungal drug resistance is increasing. In addition, a substantial proportion of patients do not respond to therapy despite being infected with fungi that are susceptible to the drug. The discordance between overall treatment outcome and low levels of clinical resistance may be attributable to antifungal drug tolerance. In this Review, we define and distinguish resistance and tolerance and discuss the current understanding of the molecular, genetic and physiological mechanisms that contribute to those phenomena. Distinguishing tolerance from resistance might provide important insights into the reasons for treatment failure in some settings.
Antifungal Agents - pharmacology Candida - drug effects Drug Resistance, Fungal Drug Tolerance Humans Microbial Sensitivity Tests

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