Optimization and Evaluation of Novel Antifungal Agents for the Treatment of Fungal Infection

Journal of Medicinal Chemistry
2021.0

Abstract

Due to the increased morbidity and mortality by fungal infections and the emergence of severe antifungal resistance, there is an urgent need for new antifungal agents. Here, we screened for antifungal activity in our in-house library through the minimum inhibitory concentration test and derived two hit compounds with moderate antifungal activities. The hit compounds' antifungal activities and drug-like properties were optimized by substituting various aryl ring, alkyl chain, and methyl groups. Among the optimized compounds, <b>22h</b> was the most promising candidate with good drug-like properties and exhibited potent fast-acting fungicidal antifungal effects against various fungal pathogens and synergistic antifungal activities with some known antifungal drugs. Additionally, <b>22h</b> was further confirmed to disturb fungal cell wall integrity by activating multiple cell wall integrity pathways. Furthermore, <b>22h</b> exerted significant antifungal efficacy in both the subcutaneous infection mouse model and <i>ex vivo</i> human nail infection model.

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