Most antifungal medications exert their effect by disrupting the synthesis or function of ergosterol. Ergosterol is a crucial component of fungal cell membranes, analogous to cholesterol in animal cells. By targeting this specific molecule, antifungal drugs can selectively damage fungal cells while leaving human cells relatively unharmed. For instance, azole antifungals inhibit an enzyme necessary for ergosterol production.
The selective action of these medications is essential for effective treatment of fungal infections. Disrupting ergosterol biosynthesis weakens the fungal cell membrane, leading to cell death and controlling the infection. This focused mechanism minimizes damage to the patients own cells, reducing the likelihood of adverse effects. The development of drugs targeting ergosterol has significantly advanced the treatment of fungal diseases, offering improved efficacy and safety compared to earlier, less specific therapies.