ReviewJournal of biomedical science2026
Antifungal resistance: from classical mechanisms to the expanding role of acetyltransferases.
Review in Journal of biomedical science, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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.
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9 authors.
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Abstract
Antifungal resistance represents a growing global health challenge, driven by limited therapeutic options, inadequate use of both clinical and environmental drugs, and the remarkable adaptive capacity of fungal pathogens. While resistance has classically been attributed to genetic alterations affecting drug targets and efflux systems, accumulating evidence indicates that regulatory mechanisms play a critical role in shaping antifungal susceptibility. This review highlights that acetyltransferases constitute important and active components of antifungal resistance, operating through multiple integrated mechanisms. Notably, recent studies have extended this framework by identifying the direct enzymatic inactivation of antifungal agents by acetyltransferases, which emerges as an additional resistance mechanism and establishes a functional parallel with antibiotic acetylation in bacteria. These findings highlight acetyltransferases as clinically relevant drivers of antifungal resistance and suggest that targeting these enzymes may enhance the efficacy of existing antifungal therapies and reduce treatment failure.
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