Due to the limit
of available treatments and the emergence of drug
resistance in the clinic, invasive fungal infections are an intractable
problem with high morbidity and mortality. The cell wall, as a fungi-specific
structure, is an appealing target for the discovery and development
of novel and low-toxic antifungal agents. In an attempt to accelerate
the discovery of novel cell wall targeted drugs, this Perspective
will provide a comprehensive review of the progress made to date on
the development of fungal cell wall inhibitors. Specifically, this
review will focus on the targets, discovery process, chemical structures,
antifungal activities, and structure–activity relationships.
Although two types of cell wall antifungal agents are clinically available
or in clinical trials, it is still a long way for the other cell wall
targeted inhibitors to be translated into clinical applications. Future
efforts should be focused on the identification of inhibitors against
novel conserved cell wall targets.