The fungal CYP51s: their functions, structures, related drug resistance, and inhibitors

J Zhang, L Li, Q Lv, L Yan, Y Wang… - Frontiers in microbiology, 2019 - frontiersin.org
CYP51 (Erg11) belongs to the cytochrome P450 monooxygenase (CYP) superfamily and
mediates a crucial step of the synthesis of ergosterol, which is a fungal-specific sterol. It is …

Azole antifungals: 35 years of invasive fungal infection management

D Allen, D Wilson, R Drew, J Perfect - Expert review of anti-infective …, 2015 - Taylor & Francis
Prior to 1981, treatment options for invasive fungal infections were limited and associated
with significant toxicities. The introduction of ketoconazole marked the beginning of an era of …

Clinical Pharmacogenetics Implementation Consortium (CPIC) Guidelines for CYP2C19 and Voriconazole Therapy

B Moriyama, AO Obeng, J Barbarino… - Clinical …, 2017 - Wiley Online Library
Voriconazole, a triazole antifungal agent, demonstrates wide interpatient variability in serum
concentrations, due in part to variant CYP2C19 alleles. Individuals who are CYP2C19 …

Integrating rare genetic variants into pharmacogenetic drug response predictions

M Ingelman-Sundberg, S Mkrtchian, Y Zhou… - Human genomics, 2018 - Springer
Background Variability in genes implicated in drug pharmacokinetics or drug response can
modulate treatment efficacy or predispose to adverse drug reactions. Besides common …

Drug‐drug interactions between triazole antifungal agents used to treat invasive aspergillosis and immunosuppressants metabolized by cytochrome P450 3A4

AH Groll, R Townsend, A Desai, N Azie… - Transplant Infectious …, 2017 - Wiley Online Library
Patients undergoing treatment with immunosuppressant drugs following solid organ or
hematopoietic stem cell transplantation are at particular risk for development of serious …

Impact of CYP2C19 genetic polymorphisms on voriconazole dosing and exposure in adult patients with invasive fungal infections

F Lamoureux, T Duflot, JB Woillard, D Metsu… - International journal of …, 2016 - Elsevier
Voriconazole (VCZ) use is limited by its narrow therapeutic range and significant interpatient
variability in exposure. This study aimed to assess (i) the impact of CYP2C19 genotype on …

A physiologically based pharmacokinetic model of voriconazole integrating time-dependent inhibition of CYP3A4, genetic polymorphisms of CYP2C19 and …

X Li, S Frechen, D Moj, T Lehr, M Taubert, C Hsin… - Clinical …, 2020 - Springer
Background Voriconazole, a first-line antifungal drug, exhibits nonlinear pharmacokinetics
(PK), together with large interindividual variability but a narrow therapeutic range, and …

Precision medicine: does ethnicity information complement genotype-based prescribing decisions?

RR Shah, A Gaedigk - Therapeutic advances in drug safety, 2018 - journals.sagepub.com
Inter-ethnic differences in drug response are all too well known. These are underpinned by a
number of factors, including pharmacogenetic differences across various ethnic populations …

Variability and exposure–response relationships of isavuconazole plasma concentrations in the Phase 3 SECURE trial of patients with invasive mould diseases

T Kaindl, D Andes, M Engelhardt… - Journal of …, 2019 - academic.oup.com
Objectives This analysis evaluated the variability of isavuconazole plasma concentrations
between subjects and between sampling times, and assessed their relationship to outcomes …

Antifungals in clinical use and the pipeline

MD Johnson - Infectious Disease Clinics, 2021 - id.theclinics.com
Over the past 15 years, there has been an increase in development and utilization of newer
antifungal agents. The ideal antifungal agent in regard to spectrum of activity …