Discovery of Novel Fungal Lanosterol 14α-Demethylase (CYP51)/Histone Deacetylase Dual Inhibitors to Treat Azole-Resistant Candidiasis

Journal of Medicinal Chemistry
2020.0

Abstract

Invasive fungal infections (particularly candidiasis) are emerging as severe infectious diseases worldwide. Because of serious antifungal drug resistance, therapeutic efficacy of the current treatment for candidiasis is limited and associated with high mortality. However, it is highly challenging to develop novel strategies and effective therapeutic agents to combat drug resistance. Herein, the first generation of lanosterol 14α-demethylase (CYP51)-histone deacetylase (HDAC) dual inhibitors was designed, which exhibited potent antifungal activity against azole-resistant clinical isolates. In particular, compounds 12h and 15j were highly active both in vitro and in vivo to treat azole-resistant candidiasis. Antifungal mechanism studies revealed that they acted by blocking ergosterol biosynthesis and HDAC catalytic activity in fungus, suppressing the function of efflux pump, yeast-to-hypha morphological transition, and biofilm formation. Therefore, CYP51-HDAC dual inhibitors represent a promising strategy to develop novel antifungal agents against azole-resistant candidiasis.

Knowledge Graph

Similar Paper

Discovery of Novel Fungal Lanosterol 14α-Demethylase (CYP51)/Histone Deacetylase Dual Inhibitors to Treat Azole-Resistant Candidiasis
Journal of Medicinal Chemistry 2020.0
Lanosterol 14α-demethylase (CYP51)/histone deacetylase (HDAC) dual inhibitors for treatment of Candida tropicalis and Cryptococcus neoformans infections
European Journal of Medicinal Chemistry 2021.0
Heat shock protein 90 (Hsp90)/Histone deacetylase (HDAC) dual inhibitors for the treatment of azoles-resistant Candida albicans
European Journal of Medicinal Chemistry 2022.0
Novel Carboline Fungal Histone Deacetylase (HDAC) Inhibitors for Combinational Treatment of Azole-Resistant Candidiasis
Journal of Medicinal Chemistry 2021.0
New azole derivatives showing antimicrobial effects and their mechanism of antifungal activity by molecular modeling studies
European Journal of Medicinal Chemistry 2017.0
Novel Aryl Alkamidazole Derivatives as Multifunctional Antifungal Inhibitors: Design, Synthesis, and Biological Evaluation
Journal of Medicinal Chemistry 2022.0
Discovery of highly potent novel antifungal azoles by structure-based rational design
Bioorganic & Medicinal Chemistry Letters 2009.0
Design, Synthesis, and Biological Evaluation of Dual-Target COX-2/CYP51 Inhibitors for the Treatment of Fungal Infectious Diseases
Journal of Medicinal Chemistry 2022.0
New azoles with potent antifungal activity: Design, synthesis and molecular docking
European Journal of Medicinal Chemistry 2009.0
Discovery of new azoles with potent activity against Candida spp. and Candida albicans biofilms through virtual screening
European Journal of Medicinal Chemistry 2019.0