Evidence map›Paper›PMID 29642960›Full record

ReviewParasitology2018

CYP51 as drug targets for fungi and protozoan parasites: past, present and future.

Galina I Lepesheva, Laura Friggeri, Michael R Waterman

Open access · greenAbstract readReview
In one paragraph

Review in Parasitology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 60 papers.

0numbers the graph read from it
0cells of the map it votes in
60citing papers in PubMed
8.1field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

60 citing papers in PubMed, 116 citations in OpenAlex.

  1. Data-driven optimization of siderophore fermentation byApplied and environmental microbiology · 2026
    Article
  2. Article
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  5. Article
  6. Review
  7. Article
  8. Review
  9. Article
  10. Article
  11. Review
  12. Cytochrome P450 Enzymes as Drug Targets in Human Disease.Drug metabolism and disposition: the biological fate of chemicals · 2024
    Review
  13. Identification of Potent and Selective Inhibitors ofJournal of medicinal chemistry · 2024
    Article
  14. Structure-Function Analysis of the EssentialInternational journal of molecular sciences · 2024
    Article
  15. Article
  16. Review
  17. Review
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

Galina I LepeshevaDepartment of Biochemistry,Vanderbilt University School of Medicine,Nashville, Tennessee 37232,USA.
Laura FriggeriDepartment of Biochemistry,Vanderbilt University School of Medicine,Nashville, Tennessee 37232,USA.
Michael R WatermanDepartment of Biochemistry,Vanderbilt University School of Medicine,Nashville, Tennessee 37232,USA.
Vanderbilt University · US

Funding

Structural Requirements for Sterol 14alpha-DemethylasesR01GM067871 · NIGMS · VANDERBILT UNIVERSITY · PI LEPESHEVA, GALINA I · 2004 to 2023
$7.2M
NIGMS NIH HHS R01 GM067871
6 · The paper itself

Abstract

The efficiency of treatment of human infections with the unicellular eukaryotic pathogens such as fungi and protozoa remains deeply unsatisfactory. For example, the mortality rates from nosocomial fungemia in critically ill, immunosuppressed or post-cancer patients often exceed 50%. A set of six systemic clinical azoles [sterol 14α-demethylase (CYP51) inhibitors] represents the first-line antifungal treatment. All these drugs were discovered empirically, by monitoring their effects on fungal cell growth, though it had been proven that they kill fungal cells by blocking the biosynthesis of ergosterol in fungi at the stage of 14α-demethylation of the sterol nucleus. This review briefs the history of antifungal azoles, outlines the situation with the current clinical azole-based drugs, describes the attempts of their repurposing for treatment of human infections with the protozoan parasites that, similar to fungi, also produce endogenous sterols, and discusses the most recently acquired knowledge on the CYP51 structure/function and inhibition. It is our belief that this information should be helpful in shifting from the traditional phenotypic screening to the actual target-driven drug discovery paradigm, which will rationalize and substantially accelerate the development of new, more efficient and pathogen-oriented CYP51 inhibitors.

Indexed as

14-alpha Demethylase InhibitorsAnimalsAntifungal AgentsCytochrome P450 Family 51FungemiaFungiHumansModels, MolecularParasitesProtein BindingSubstrate SpecificityTrypanosoma brucei bruceiTrypanosoma cruzi14-alpha Demethylase InhibitorsAntifungal AgentsCytochrome P450 Family 51Amoebaantifungal azolescrystal structureCYP51inhibitionLeishmaniasterol 14α-demethylasesterol biosynthesisTrypanosoma bruceiTrypanosoma cruzi

Identifiers

PMID29642960
PMCPMC6185833
OpenAlexW2899503880

What OpenQuestion holds

Textmetadata
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.