Evidence map›Paper›PMID 16652171›Full record

ArticlePLoS pathogens2006

A drug-sensitive genetic network masks fungi from the immune system.

Robert T Wheeler, Gerald R Fink

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in PLoS pathogens, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00934934 (Candida in the Respiratory Tract Secretions of Critically Ill Patients and The Efficacy of Antifungal Treatment), which is not on this map. Cited by 183 papers.

0numbers the graph read from it
0cells of the map it votes in
183citing papers in PubMed
13.7field-weighted citation impact, top 1% 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.

NCT00934934 phase2terminatednot on this mapstarted 2010, after this paper: background citation

Candida in the Respiratory Tract Secretions of Critically Ill Patients and The Efficacy of Antifungal Treatment (The CANTREAT Study): A Prospective, Randomized, Double Blind, Placebo Controlled Pilot Study

TypeinterventionalSponsorDaren K. HeylandRan2010 to 2012Enrolled61ConditionsVentilator Associated Pneumonia, Respiratory Tract InfectionArmsNormal Saline, anidulafungin
3 · Its place in the literature

Who cites it

183 citing papers in PubMed, 353 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Insights intomSphere · 2026
    Article
  5. Article
  6. Loss of Fgr41 inInfection and immunity · 2026
    Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Homeostasis of Gut Microbiota Protects against Susceptibility to Fungal Pneumonia.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2025
    Article
  14. Article
  15. Disruption tomSphere · 2024
    Article
  16. Article
  17. Article
  18. Article
  19. Impact of secreted glucanases upon the cell surface and fitness ofCell surface (Amsterdam, Netherlands) · 2024
    Article
  20. A COmBio · 2024
    Article

123 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

2 authors at 2 institutions in 1 country.

Robert T WheelerWhitehead Institute for Biomedical Research, Cambridge, Massachusetts, USA. wheeler@wi.mit.edu
Gerald R Fink
Massachusetts Institute of Technology · USWhitehead Institute for Biomedical Research · US

Funding

The Role of Genetic Variation in the Fungal/Host InteractionR01GM040266 · NIGMS · WHITEHEAD INSTITUTE FOR BIOMEDICAL RES · PI FINK, GERALD R · 1988 to 2012
$8.6M
NIGMS NIH HHS GM40266NIGMS NIH HHS R01 GM040266
6 · The paper itself

Abstract

Fungal pathogens can be recognized by the immune system via their beta-glucan, a potent proinflammatory molecule that is present at high levels but is predominantly buried beneath a mannoprotein coat and invisible to the host. To investigate the nature and significance of "masking" this molecule, we characterized the mechanism of masking and consequences of unmasking for immune recognition. We found that the underlying beta-glucan in the cell wall of Candida albicans is unmasked by subinhibitory doses of the antifungal drug caspofungin, causing the exposed fungi to elicit a stronger immune response. Using a library of bakers' yeast (Saccharomyces cerevisiae) mutants, we uncovered a conserved genetic network that is required for concealing beta-glucan from the immune system and limiting the host response. Perturbation of parts of this network in the pathogen C. albicans caused unmasking of its beta-glucan, leading to increased beta-glucan receptor-dependent elicitation of key proinflammatory cytokines from primary mouse macrophages. By creating an anti-inflammatory barrier to mask beta-glucan, opportunistic fungi may promote commensal colonization and have an increased propensity for causing disease. Targeting the widely conserved gene network required for creating and maintaining this barrier may lead to novel broad-spectrum antimycotics.

Indexed as

ImmunityAnimalsAntifungal Agentsbeta-GlucansCandida albicansCaspofunginCells, CulturedCell WallEchinocandinsGenome, FungalLipopeptidesMacrophagesMiceOrganisms, Genetically ModifiedPeptides, CyclicSaccharomyces cerevisiaeAntifungal Agentsbeta-GlucansCaspofunginEchinocandinsLipopeptidesPeptides, CyclicTumor Necrosis Factor-alpha

Identifiers

PMID16652171
PMCPMC1447670
OpenAlexW2074233079

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.