Evidence map›Paper›PMID 18389063›Full record

ArticlePLoS pathogens2008

Stimulation of chitin synthesis rescues Candida albicans from echinocandins.

Louise A Walker, Carol A Munro, Irene de Bruijn, Megan D Lenardon, Alastair McKinnon, Neil A R Gow

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 226 papers.

0numbers the graph read from it
0cells of the map it votes in
226citing papers in PubMed
11.5field-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.

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

226 citing papers in PubMed, 429 citations in OpenAlex.

  1. Trial
  2. Trial
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  5. Review
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  7. Cascading damage toProceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  8. Micafungin exposure drives multidrug resistance inbioRxiv : the preprint server for biology · 2026
    Article
  9. Article
  10. Article
  11. Frontiers in cellular and infection microbiology · 2026
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Fungal Chitin Synthases: Structure, Function, and Regulation.Journal of fungi (Basel, Switzerland) · 2025
    Review
  17. Article
  18. Article
  19. Article
  20. Article

166 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

6 authors at 1 institution in 1 country.

Louise A WalkerSchool of Medical Sciences, Institute of Medical Sciences, University of Aberdeen, Foresterhill, Aberdeen, United Kingdom.
Carol A Munro
Irene de Bruijn
Megan D Lenardon
Alastair McKinnon
Neil A R Gow
University of Aberdeen · GB

Funding

Biotechnology and Biological Sciences Research Council BB/C510191/1Medical Research Council G0400284Wellcome Trust
6 · The paper itself

Abstract

Echinocandins are a new generation of novel antifungal agent that inhibit cell wall beta(1,3)-glucan synthesis and are normally cidal for the human pathogen Candida albicans. Treatment of C. albicans with low levels of echinocandins stimulated chitin synthase (CHS) gene expression, increased Chs activity, elevated chitin content and reduced efficacy of these drugs. Elevation of chitin synthesis was mediated via the PKC, HOG, and Ca(2+)-calcineurin signalling pathways. Stimulation of Chs2p and Chs8p by activators of these pathways enabled cells to survive otherwise lethal concentrations of echinocandins, even in the absence of Chs3p and the normally essential Chs1p, which synthesize the chitinous septal ring and primary septum of the fungus. Under such conditions, a novel proximally offset septum was synthesized that restored the capacity for cell division, sustained the viability of the cell, and abrogated morphological and growth defects associated with echinocandin treatment and the chs mutations. These findings anticipate potential resistance mechanisms to echinocandins. However, echinocandins and chitin synthase inhibitors synergized strongly, highlighting the potential for combination therapies with greatly enhanced cidal activity.

Indexed as

Antifungal AgentsBenzenesulfonatesCalcium ChlorideCandida albicansChitinChitin SynthaseDose-Response Relationship, DrugDrug AntagonismDrug Therapy, CombinationEchinocandinsEnzyme ActivatorsEnzyme InhibitorsGene Expression RegulationAntifungal AgentsBenzenesulfonatesCalcium ChlorideChitinChitin SynthaseC.I. Fluorescent Brightening Agent 28EchinocandinsEnzyme ActivatorsEnzyme Inhibitors

Identifiers

PMID18389063
PMCPMC2271054
OpenAlexW2038204439

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.