Evidence map›Paper›PMID 11796623›Full record

ArticleInfection and immunity2002

Comparison of biofilms formed by Candida albicans and Candida parapsilosis on bioprosthetic surfaces.

D M Kuhn, J Chandra, P K Mukherjee, M A Ghannoum

Open access · greenAbstract readComparative Study
In one paragraph

Article in Infection and immunity, 2002. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 182 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
182citing papers in PubMed, 1 pooled it
7.8field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

182 citing papers in PubMed, 1 synthesis or guideline pooled it, 478 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Effects of cleaning agents andJournal of Taibah University Medical Sciences · 2026
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  6. Antifungal Therapy in Candida Infective Endocarditis: A Comparison of Echinocandins and Other Treatment Regimens in a Nationwide Cohort Study.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2026
    Article
  7. Review
  8. Review
  9. Article
  10. Fungal Prosthetic Joint Infection byAntibiotics (Basel, Switzerland) · 2025
    Article
  11. Article
  12. Article
  13. Evaluation of biofilm formation and antimicrobial susceptibility (drug resistance) of Candida albicans isolates.Brazilian journal of microbiology : [publication of the Brazilian Society for Microbiology] · 2025
    Article
  14. Article
  15. Adhesion ofThe Saudi dental journal · 2024
    Article
  16. Article
  17. Article
  18. Article
  19. Review
  20. The role ofJournal of medical microbiology · 2024
    Article

122 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

D M KuhnCase Western Reserve University. Division of Infectious DiseasesDepartment of Medicine, Department of Dermatology, University Hospitals of Cleveland, Cleveland, Ohio 44106.
J Chandra
P K Mukherjee
M A Ghannoum
Case Western Reserve University · USUniversity Hospitals of Cleveland · US

Funding

TUMOR METABOLISM PROGRAMP30CA043703 · NCI · CASE WESTERN RESERVE UNIVERSITY · PI MARK R CHANCE · 1987 to 2026
$142.3M
TRAINING IN GEOGRAPHIC MEDICINE &INFECTIOUS DISEASET32AI007024 · NIAID · CASE WESTERN RESERVE UNIVERSITY · PI KAZURA, JAMES WALTER · 1985 to 2020
$4.5M
PHOSPHOLIPASES AND THE VIRULENCE OF C ALBICANSR01AI035097 · NIAID · LA BIOMED RES INST/ HARBOR UCLA MED CTR · PI GHANNOUM, MAHMOUD A · 1995 to 2009
$2.6M
NCI NIH HHS P30 CA043703NCI NIH HHS P30 CA43703-12NIAID NIH HHS AI07024NIAID NIH HHS AI35097NIAID NIH HHS R01 AI035097NIAID NIH HHS T32 AI007024
6 · The paper itself

Abstract

Little is known about fungal biofilms, which may cause infection and antibiotic resistance. In this study, biofilm formation by different Candida species, particularly Candida albicans and C. parapsilosis, was evaluated by using a clinically relevant model of Candida biofilm on medical devices. Candida biofilms were allowed to form on silicone elastomer and were quantified by tetrazolium (XTT) and dry weight (DW) assays. Formed biofilm was visualized by using fluorescence microscopy and confocal scanning laser microscopy with Calcofluor White (Sigma Chemical Co., St. Louis, Mo.), concanavalin A-Alexafluor 488 (Molecular Probes, Eugene, Oreg.), and FUN-1 (Molecular Probes) dyes. Although minimal variations in biofilm production among invasive C. albicans isolates were seen, significant differences between invasive and noninvasive isolates (P < 0.001) were noted. C. albicans isolates produced more biofilm than C. parapsilosis, C. glabrata, and C. tropicalis isolates, as determined by DW assays (P was <0.001 for all comparisons) and microscopy. Interestingly, noninvasive isolates demonstrated a higher level of XTT activity than invasive isolates. On microscopy, C. albicans biofilms had a morphology different from that of other species, consisting of a basal blastospore layer with a dense overlying matrix composed of exopolysaccharides and hyphae. In contrast, C. parapsilosis biofilms had less volume than C. albicans biofilms and were comprised exclusively of clumped blastospores. Unlike planktonically grown cells, Candida biofilms rapidly (within 6 h) developed fluconazole resistance (MIC, >128 microg/ml). Importantly, XTT and FUN-1 activity showed biofilm cells to be metabolically active. In conclusion, our data show that C. albicans produces quantitatively larger and qualitatively more complex biofilms than other species, in particular, C. parapsilosis.

Indexed as

Antifungal AgentsBiofilmsBioprosthesisCandidaCandida albicansCandidiasisDrug Resistance, FungalFluconazoleHumansMicroscopy, ConfocalMicroscopy, FluorescenceProsthesis-Related InfectionsSilicone ElastomersTime FactorsAntifungal AgentsFluconazoleSilicone Elastomers

Identifiers

PMID11796623
PMCPMC127692
OpenAlexW2104246944

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.