Lanosterol 14α-demethylase (CYP51)/histone deacetylase (HDAC) dual inhibitors for treatment of Candida tropicalis and Cryptococcus neoformans infections

Eur J Med Chem. 2021 Oct 5:221:113524. doi: 10.1016/j.ejmech.2021.113524. Epub 2021 May 7.

Abstract

Invasive fungal infections remain a challenge due to lack of effective antifungal agents and serious drug resistance. Discovery of antifungal agents with novel antifungal mechanism is important and urgent. Previously, we designed the first CYP51/HDAC dual inhibitors with potent activity against resistant Candida albicans infections. To better understand the antifungal spectrum and synergistic mechanism, herein new CYP51/HDAC dual inhibitors were designed which showed potent in vitro and in vivo antifungal activity against C. neoformans and C. tropicalis infections. Antifungal mechanism studies revealed that the CYP51/HDAC dual inhibitors acted by inhibiting various virulence factors of C. tropicalis and C. neoformans and down-regulating resistance-associated genes. This study highlights the potential of CYP51/HDAC dual inhibitors as a promising strategy for the discovery of novel broad-spectrum antifungal agents.

Keywords: Antifungal; CYP51/HDAC dual Inhibitors; Candida tropicalis; Cryptococcus neoformans; Virulence factors.

MeSH terms

  • 14-alpha Demethylase Inhibitors / chemical synthesis
  • 14-alpha Demethylase Inhibitors / chemistry
  • 14-alpha Demethylase Inhibitors / pharmacology*
  • Antifungal Agents / chemical synthesis
  • Antifungal Agents / chemistry
  • Antifungal Agents / pharmacology*
  • Candida tropicalis / drug effects
  • Candida tropicalis / metabolism
  • Candidiasis, Cutaneous / drug therapy*
  • Candidiasis, Cutaneous / metabolism
  • Cryptococcosis / drug therapy*
  • Cryptococcosis / metabolism
  • Cryptococcus neoformans / drug effects
  • Cryptococcus neoformans / metabolism
  • Cytochrome P450 Family 51 / antagonists & inhibitors
  • Cytochrome P450 Family 51 / metabolism
  • Dose-Response Relationship, Drug
  • Drug Resistance, Fungal / drug effects
  • Histone Deacetylase Inhibitors / chemical synthesis
  • Histone Deacetylase Inhibitors / chemistry
  • Histone Deacetylase Inhibitors / pharmacology*
  • Histone Deacetylases / metabolism
  • Microbial Sensitivity Tests
  • Molecular Structure
  • Structure-Activity Relationship

Substances

  • 14-alpha Demethylase Inhibitors
  • Antifungal Agents
  • Histone Deacetylase Inhibitors
  • Cytochrome P450 Family 51
  • Histone Deacetylases