Find in Library
Search millions of books, articles, and more
Indexed Open Access Databases
<i>Candida glabrata</i> Antifungal Resistance and Virulence Factors, a Perfect Pathogenic Combination
oleh: María Guadalupe Frías-De-León, Rigoberto Hernández-Castro, Esther Conde-Cuevas, Itzel H. García-Coronel, Víctor Alfonso Vázquez-Aceituno, Marvin A. Soriano-Ursúa, Eunice D. Farfán-García, Esther Ocharán-Hernández, Carmen Rodríguez-Cerdeira, Roberto Arenas, Maura Robledo-Cayetano, Tito Ramírez-Lozada, Patricia Meza-Meneses, Rodolfo Pinto-Almazán, Erick Martínez-Herrera
Format: | Article |
---|---|
Diterbitkan: | MDPI AG 2021-09-01 |
Deskripsi
In recent years, a progressive increase in the incidence of invasive fungal infections (IFIs) caused by <i>Candida glabrata</i> has been observed. The objective of this literature review was to study the epidemiology, drug resistance, and virulence factors associated with the <i>C. glabrata</i> complex. For this purpose, a systematic review (January 2001–February 2021) was conducted on the PubMed, Scielo, and Cochrane search engines with the following terms: “<i>C. glabrata</i> complex (<i>C. glabrata sensu stricto</i>, <i>C. nivariensis</i>, <i>C. bracarensis</i>)” associated with “pathogenicity” or “epidemiology” or “antibiotics resistance” or “virulence factors” with language restrictions of English and Spanish. One hundred and ninety-nine articles were found during the search. Various mechanisms of drug resistance to azoles, polyenes, and echinocandins were found for the <i>C. glabrata</i> complex, depending on the geographical region. Among the mechanisms found are the overexpression of drug transporters, gene mutations that alter thermotolerance, the generation of hypervirulence due to increased adhesion factors, and modifications in vital enzymes that produce cell wall proteins that prevent the activity of drugs designed for its inhibition. In addition, it was observed that the <i>C. glabrata</i> complex has virulence factors such as the production of proteases, phospholipases, and hemolysins, and the formation of biofilms that allows the complex to evade the host immune response and generate fungal resistance. Because of this, the <i>C. glabrata</i> complex possesses a perfect pathogenetic combination for the invasion of the immunocompromised host.