Evidence map›Paper›PMID 21531874›Full record

ArticleEukaryotic cell2011

Calcineurin controls drug tolerance, hyphal growth, and virulence in Candida dubliniensis.

Ying-Lien Chen, Alexandra Brand, Emma L Morrison, Fitz Gerald S Silao, Ursela G Bigol, Fedelino F Malbas, Jeniel E Nett, David R Andes, Norma V Solis, Scott G Filler and 2 more

Open access · diamondAbstract read
In one paragraph

Article in Eukaryotic cell, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 59 papers.

0numbers the graph read from it
0cells of the map it votes in
59citing papers in PubMed
5.8field-weighted citation impact, top 3% 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

59 citing papers in PubMed, 106 citations in OpenAlex.

  1. Article
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  3. First Report ofJournal of fungi (Basel, Switzerland) · 2025
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  6. Roles of Different Signaling Pathways inJournal of fungi (Basel, Switzerland) · 2024
    Review
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  8. Review
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  10. Review
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  14. Review
  15. Article
  16. Aequorin as a Useful Calcium-Sensing Reporter inJournal of fungi (Basel, Switzerland) · 2021
    Article
  17. Lineage-specific selection and the evolution of virulence in theProceedings of the National Academy of Sciences of the United States of America · 2021
    Article
  18. The Effect of Honokiol on Ergosterol Biosynthesis and Vacuole Function inJournal of microbiology and biotechnology · 2020
    Article
  19. Combination Therapy to Treat Fungal Biofilm-Based Infections.International journal of molecular sciences · 2020
    Review
  20. 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

12 authors at 8 institutions in 3 countries.

Ying-Lien ChenDepartment of Molecular Genetics and Microbiology, Duke University Medical Center, Durham, NC 27710, USA.
Alexandra Brand
Emma L Morrison
Fitz Gerald S Silao
Ursela G Bigol
Fedelino F Malbas
Jeniel E Nett
David R Andes
Norma V Solis
Scott G Filler
Anna Averette
Joseph Heitman
Duke Medical Center · USUniversity of Aberdeen · GBWilliam S. Middleton Memorial Veterans Hospital · USDuke University Hospital · USHarbor–UCLA Medical Center · USResearch Institute for Tropical Medicine · PHUniversity of California, Los Angeles · USUniversity of Perpetual Help System DALTA · PH

Funding

Social and Behavioral Sciences CoreP30AI064518 · NIAID · DUKE UNIVERSITY · PI Nwora Lance Okeke · 2005 to 2026
$50.5M
RESEARCH TRAINING IN HEMATOLOGYT32HL007899 · NHLBI · UNIVERSITY OF WISCONSIN-MADISON · PI Jane Ellen Churpek · 1998 to 2026
$8.2M
Candida albicans Epithelial Cell Interactions and Oropharyngeal DiseaseR01DE017088 · NIDCR · LUNDQUIST INSTITUTE FOR BIOMEDICAL INNOVATION AT HARBOR-UCLA MEDICAL CENTER · PI FILLER, SCOTT G · 2005 to 2014
$3.4M
Novel Antifungal Therapeutic ApproachesR01AI050438 · NIAID · DUKE UNIVERSITY · PI HEITMAN, JOSEPH · 2001 to 2012
$3.3M
Role of Calcineurin in Fungal VirulenceR01AI042159 · NIAID · DUKE UNIVERSITY · PI HEITMAN, JOSEPH · 1998 to 2009
$2.5M
PATHOGENESIS OF OROPHARYNGEAL CANDIDIASISR01DE013974 · NIDCR · LA BIOMED RES INST/ HARBOR UCLA MED CTR · PI FILLER, SCOTT G · 2000 to 2004
$1.4M
Medical Research Council G0900211NHLBI NIH HHS T32 HL007899NIAID NIH HHS 2P30 AI064518-06NIAID NIH HHS P30 AI064518NIAID NIH HHS P30 AI64518NIAID NIH HHS R01 AI042159NIAID NIH HHS R01 AI050438NIAID NIH HHS R01 AI42159NIAID NIH HHS R01 AI50438NIDCR NIH HHS R01 DE013974NIDCR NIH HHS R01DE01708NIDCR NIH HHS R01 DE017088
6 · The paper itself

Abstract

Candida dubliniensis is an emerging pathogenic yeast species closely related to Candida albicans and frequently found colonizing or infecting the oral cavities of HIV/AIDS patients. Drug resistance during C. dubliniensis infection is common and constitutes a significant therapeutic challenge. The calcineurin inhibitor FK506 exhibits synergistic fungicidal activity with azoles or echinocandins in the fungal pathogens C. albicans, Cryptococcus neoformans, and Aspergillus fumigatus. In this study, we show that calcineurin is required for cell wall integrity and wild-type tolerance of C. dubliniensis to azoles and echinocandins; hence, these drugs are candidates for combination therapy with calcineurin inhibitors. In contrast to C. albicans, in which the roles of calcineurin and Crz1 in hyphal growth are unclear, here we show that calcineurin and Crz1 play a clearly demonstrable role in hyphal growth in response to nutrient limitation in C. dubliniensis. We further demonstrate that thigmotropism is controlled by Crz1, but not calcineurin, in C. dubliniensis. Similar to C. albicans, C. dubliniensis calcineurin enhances survival in serum. C. dubliniensis calcineurin and crz1/crz1 mutants exhibit attenuated virulence in a murine systemic infection model, likely attributable to defects in cell wall integrity, hyphal growth, and serum survival. Furthermore, we show that C. dubliniensis calcineurin mutants are unable to establish murine ocular infection or form biofilms in a rat denture model. That calcineurin is required for drug tolerance and virulence makes fungus-specific calcineurin inhibitors attractive candidates for combination therapy with azoles or echinocandins against emerging C. dubliniensis infections.

Indexed as

AnimalsAntifungal AgentsBiofilmsCalcineurinCandidaCandidemiaCandidiasis, OralCaspofunginColony Count, MicrobialDenturesDrug Resistance, FungalEchinocandinsEye Infections, FungalFluconazoleGene Knockdown TechniquesHumansAntifungal AgentsCalcineurinCaspofunginEchinocandinsFluconazoleLipopeptides

Identifiers

PMID21531874
PMCPMC3127677
OpenAlexW2129029003

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.