Evidence map›Paper›PMID 18322056›Full record

ArticleJournal of clinical microbiology2008

Immunoglobulin G responses to a panel of Candida albicans antigens as accurate and early markers for the presence of systemic candidiasis.

Cornelius J Clancy, Minh-Ly Nguyen, Shaoji Cheng, Hong Huang, Guixiang Fan, Reia A Jaber, John R Wingard, Christina Cline, M Hong Nguyen

Abstract readEvaluation Study
In one paragraph

Article in Journal of clinical microbiology, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

28 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Clinical Practice Guideline for the Management of Candidiasis: 2016 Update by the Infectious Diseases Society of America.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2016
    Guideline
  2. Review
  3. Review
  4. Advancing Peptide-Based Vaccines AgainstJournal of fungi (Basel, Switzerland) · 2025
    Article
  5. Article
  6. Article
  7. Article
  8. Multi-Omics Profiling ofMicroorganisms · 2023
    Article
  9. Association of Antibody Immunity With Cryptococcal Antigenemia and Mortality in a South African Cohort With Advanced Human Immunodeficiency Virus Disease.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2023
    Article
  10. Quantitatively detectingFrontiers in microbiology · 2023
    Article
  11. Review
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Review
  19. Review
  20. Improved detection of deeply invasive candidiasis with DNA aptamers specific binding to (1→3)-β-D-glucans from Candida albicans.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2016
    Article
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

9 authors.

Cornelius J ClancyDepartment of Medicine, University of Florida College of Medicine, Gainesville, Florida, USA.
Minh-Ly Nguyen
Shaoji Cheng
Hong Huang
Guixiang Fan
Reia A Jaber
John R Wingard
Christina Cline
M Hong Nguyen

Funding

Mycology Research Unit: In Vivo Induced Fungal AntigensP01AI061537 · NIAID · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI WINGARD, JOHN R. · 2004 to 2008
$3.7M
NIAID NIH HHS P01 AI061537NIAID NIH HHS P01 AI061537-01
6 · The paper itself

Abstract

Despite shortcomings, cultures of blood and sterile sites remain the "gold standard" for diagnosing systemic candidiasis. Alternative diagnostic markers, including antibody detection, have been developed, but none are widely accepted. In this study, we used an enzyme-linked immunosorbent assay to measure serum antibody responses against 15 recombinant Candida albicans antigens among 60 patients with systemic candidiasis due to various Candida spp. and 24 uninfected controls. Mean immunoglobulin G (IgG) responses against all 15 antigens were significantly higher among patients with systemic candidiasis than among controls, whereas IgM responses were higher against only seven antigens. Using discriminant analysis that included IgG responses against the 15 antigens, we derived a mathematical prediction model that identified patients with systemic candidiasis with an error rate of 3.7%, a sensitivity of 96.6%, and a specificity of 95.6%. Furthermore, a prediction model using a subset of four antigens (SET1, ENO1, PGK1-2, and MUC1-2) identified through backward elimination and canonical correlation analyses performed as accurately as the full panel. Using the simplified model, we predicted systemic candidiasis in a separate test sample of 32 patients and controls with 100% sensitivity and 87.5% specificity. We also demonstrated that IgG titers against each of the four antigens included in the prediction model were significantly higher in convalescent-phase sera than in paired acute-phase sera. Taken together, our findings suggest that IgG responses against a panel of candidal antigens might represent an accurate and early marker of systemic candidiasis, a hypothesis that should be tested in future trials.

Indexed as

Antigens, FungalAdolescentAdultAgedAged, 80 and overAntibodies, FungalCandida albicansCandidiasisChildChild, PreschoolEnzyme-Linked Immunosorbent AssayHumansImmunoglobulin GImmunoglobulin MInfantInfant, NewbornAntibodies, FungalAntigens, FungalImmunoglobulin GImmunoglobulin MRecombinant Proteins

Identifiers

PMID18322056
PMCPMC2395065

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.