Advances in Understanding Candida Species: Mechanisms of Antifungal Resistance and Emerging Therapies

  • Abdullah Abasyn University, Peshawar, Pakistan; Bioscan Labs and Research Center, Dargai, Malakand, Pakistan
  • Muhammad Taimur Khan Abdul Wali Khan University Mardan, Pakistan
  • Zamarak Khan Shandong Second Medical University, China
  • Hajira Iqbal Shandong Second Medical University, China
  • Syeda Mahnoor Bukhari Shandong Second Medical University, China
  • Himmat Khan Shandong Second Medical University, China
  • Sajjad Ahmad Lasbela University of Agriculture, Water and Marine Sciences, Uthal, Pakistan
  • Muhammad Salman Abasyn University, Peshawar, Pakistan
Keywords: biofilm, Candida albicans, nanotechnology, quorum sensing, transcription factors

Abstract

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Background. The rising incidence of fungal infections and the growing threat of antifungal resistance have heightened the clinical importance of medical mycology. Candida species, particularly Candida albicans, are major contributors to fungal diseases, including vulvovaginal and oral candidiasis.

Methods. This mini review critically analyzed the current literature on Candida infection, primarily Candida albicans, growing antifungal resistance, and therapeutic limitations.  Furthermore, this review also explored the emerging therapeutic strategies, including novel antifungal agents and nanotechnology-based strategies to overcome biofilm-related resistance.

Results. Recent studies highlight a rising prevalence of non-albicans Candida species (NAC), many of which exhibit increased antifungal resistance and a tendency for persistent infections. Nevertheless, Candida albicans remains a major pathogenic species, capable of evading the host immune response through robust biofilm formation and other virulence factors.

Conclusion. Infections caused by Candida species pose a significant healthcare challenge due to their rising incidence and increasing resistance to conventional antifungals. The complexity of the infection(s) is due to C.albicans accompanied by non-albicans species. This review emphasized on urgent need of emerging therapeutic strategies for biofilm-associated resistance.

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Published
2025-09-20
How to Cite
Abdullah, Khan, M. T., Khan, Z., Iqbal, H., Bukhari, S. M., Khan, H., Ahmad, S., & Salman, M. (2025). Advances in Understanding Candida Species: Mechanisms of Antifungal Resistance and Emerging Therapies. BioScientific Review, 7(3), 20-42. https://doi.org/10.32350/bsr.73.03
Section
Review Article