Evidence map›Paper›PMID 18282097›Full record

ArticlePLoS pathogens2008

Mucosal damage and neutropenia are required for Candida albicans dissemination.

Andrew Y Koh, Julia R Köhler, Kathleen T Coggshall, Nico Van Rooijen, Gerald B Pier

Open access · goldAbstract read
In one paragraph

Article in PLoS pathogens, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 207 papers.

0numbers the graph read from it
0cells of the map it votes in
207citing papers in PubMed
8.3field-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

207 citing papers in PubMed, 360 citations in OpenAlex.

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  18. Ire1 inhibitors attenuateFrontiers in microbiology · 2025
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147 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 4 institutions in 2 countries.

Andrew Y KohChanning Laboratory, Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, United States of America. Andrew_koh@dfci.harvard.edu
Julia R Köhler
Kathleen T Coggshall
Nico Van Rooijen
Gerald B Pier
Harvard University · USBoston Children's Hospital · USDana-Farber Cancer Institute · USUniversity of Amsterdam · NL

Funding

POLYSACCHARIDE VACCINE FOR PSEUDOMONAS AERUGINOSAR01AI022535 · NIAID · BRIGHAM AND WOMEN'S HOSPITAL · PI PIER, GERALD B · 1985 to 2009
$3.4M
Mucosal colonization and dissemination of P. aeruginosaK08AI062983 · NIAID · UT SOUTHWESTERN MEDICAL CENTER · PI KOH, ANDREW · 2005 to 2009
$619k
Hypha-to-yeast morphogenetic step in C. albicansR21AI064715 · NIAID · CHILDREN'S HOSPITAL BOSTON · PI KOEHLER, JULIA R · 2005 to 2006
$452k
NIAID NIH HHS AI22535NIAID NIH HHS AI62983NIAID NIH HHS K08 AI062983NIAID NIH HHS R01 AI022535NIAID NIH HHS R21 AI064715
6 · The paper itself

Abstract

Candida albicans fungemia in cancer patients is thought to develop from initial gastrointestinal (GI) colonization with subsequent translocation into the bloodstream after administration of chemotherapy. It is unclear what components of the innate immune system are necessary for preventing C. albicans dissemination from the GI tract, but we have hypothesized that both neutropenia and GI mucosal damage are critical for allowing widespread invasive C. albicans disease. We investigated these parameters in a mouse model of C. albicans GI colonization that led to systemic spread after administration of immunosuppression and mucosal damage. After depleting resident GI intestinal flora with antibiotic treatment and achieving stable GI colonization levels of C. albicans, it was determined that systemic chemotherapy with cyclophosphamide led to 100% mortality, whereas selective neutrophil depletion, macrophage depletion, lymphopenia or GI mucosal disruption alone resulted in no mortality. Selective neutrophil depletion combined with GI mucosal disruption led to disseminated fungal infection and 100% mortality ensued. GI translocation and dissemination by C. albicans was also dependent on the organism's ability to transform from the yeast to the hyphal form. This mouse model of GI colonization and fungemia is useful for studying factors of innate host immunity needed to prevent invasive C. albicans disease as well as identifying virulence factors that are necessary for fungal GI colonization and dissemination. The model may also prove valuable for evaluating therapies to control C. albicans infections.

Indexed as

AnimalsAnti-Bacterial AgentsBacterial TranslocationCandida albicansCandidiasisCyclophosphamideDisease Models, AnimalFemaleGastrointestinal TractGene SilencingImmunosuppression TherapyLongevityMiceMice, Inbred C3HMice, KnockoutMucous MembraneAnti-Bacterial AgentsCyclophosphamide

Identifiers

PMID18282097
PMCPMC2242836
OpenAlexW2012600634

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.