Prevalence and Therapeutic Challenges of Fungal Drug Resistance: Role for Plants in Drug Discovery

Antimicrobial resistance is a global issue that threatens the effective practice of modern medicine and global health. The emergence of multidrug-resistant (MDR) fungal strains of Candida auris and azole-resistant Aspergillus fumigatus were highlighted in the Centers for Disease Control and Prevention’s (CDC) 2019 report, Antibiotic Resistance Threats in the United States. Conventional antifungals used to treat fungal infections are no longer as effective, leading to increased mortality. Compounding this issue, there are very few new antifungals currently in development. Plants from traditional medicine represent one possible research path to addressing the issue of MDR fungal pathogens. In this commentary piece, we discuss how medical ethnobotany—the study of how people use plants in medicine—can be used as a guide to identify plant species for the discovery and development of novel antifungal therapies.

Medical ethnobotany of herbal practitioners in the Turkestan Range, southwestern Kyrgyzstan

This study recorded and analyzed traditional knowledge of medicinal plants in the Turkestan Range in southwestern Kyrgyzstan, where ethnobotanical knowledge has been largely under-documented to date. Data was collected through participant observation and both semi-structured and in-depth interviews with 10 herbal specialists. A total of 50 medicinal plant taxa were documented, distributed among 46 genera and 27 botanical families. In folk medicine they are applied in 75 different formulations, which cure 63 human and three animal ailments. Quantitative ethnobotanical indices were calculated to analyze traditional knowledge of the informants and to determine the cultural importance of particular medicinal plants. <em>Ziziphora pamiroalaica</em>, <em>Peganum harmala</em>, and <em>Inula orientalis</em> obtained the highest use value (UV). The best-represented and culturally important families were Lamiaceae, Asteraceae, and Apiaceae. Gastro-intestinal system disorders was the most prevalent ailment category. Most medicinal plants were gathered from nearby environments, however, species with a higher cultural value occurred at distant rather than nearby collection sites. The findings of this study proved the gap in documentation of traditional knowledge in Kyrgyzstan, indicating that further studies on the traditional use of wild plant resources could bring important insights into ecosystems’ diversity with implications to human ecology and bio-cultural diversity conservation in Central Asia.