Evidence map›Paper›PMID 21666076›Full record

ArticleEukaryotic cell2011

Interface of Candida albicans biofilm matrix-associated drug resistance and cell wall integrity regulation.

Jeniel E Nett, Hiram Sanchez, Michael T Cain, Kelly M Ross, David R Andes

Abstract 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 93 papers.

0numbers the graph read from it
0cells of the map it votes in
93citing papers in PubMed
–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

93 citing papers in PubMed.

  1. Amphotericin B Resistance inbioRxiv : the preprint server for biology · 2026
    Article
  2. Review
  3. Biofilm · 2025
    Article
  4. Review
  5. Article
  6. In vitro Antifungal Susceptibility Profile of ClinicalInfection and drug resistance · 2025
    Article
  7. Microorganisms · 2024
    Review
  8. Article
  9. Article
  10. Applied spectroscopy · 2024
    Article
  11. Article
  12. Two promisingFrontiers in pharmacology · 2024
    Article
  13. Article
  14. Article
  15. Article
  16. A common vesicle proteome drives fungal biofilm development.Proceedings of the National Academy of Sciences of the United States of America · 2022
    Article
  17. Article
  18. Article
  19. The role ofiScience · 2022
    Review
  20. Article

33 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

5 authors.

Jeniel E NettUniversity of Wisconsin, Department of Medicine, Madison, WI 53705, USA.
Hiram Sanchez
Michael T Cain
Kelly M Ross
David R Andes

Funding

RESEARCH TRAINING IN HEMATOLOGYT32HL007899 · NHLBI · UNIVERSITY OF WISCONSIN-MADISON · PI Jane Ellen Churpek · 1998 to 2026
$8.2M
Vesicle-mediated drug resistance of Candida albicans biofilmR01AI073289 · NIAID · UNIVERSITY OF WISCONSIN-MADISON · PI ANDES, DAVID R, MITCHELL, AARON P · 2008 to 2025
$7.9M
NHLBI NIH HHS T32 HL007899NIAID NIH HHS R01 AI073289NIAID NIH HHS R01 AI073289-01
6 · The paper itself

Abstract

Candida albicans frequently infects medical devices by growing as a biofilm, i.e., a community of adherent organisms entrenched in an extracellular matrix. During biofilm growth, Candida spp. acquire the ability to resist high concentrations of antifungal drugs. One recently recognized biofilm resistance mechanism involves drug sequestration by matrix β-1,3 glucan. Using a candidate gene approach, we investigated potential C. albicans β-1,3-glucan regulators, based on their homology to Saccharomyces cerevisiae, including SMI1 and protein kinase C (PKC) pathway components. We identified a role for the SMI1 in biofilm matrix glucan production and development of the associated drug resistance phenotype. This pathway appears to act through transcription factor Rlmp and glucan synthase Fks1p. The phenotypes of these mutant biofilms mimicked those of the smi1Δ/smi1Δ biofilm, and overexpression of FKS1 in the smi1Δ/smi1Δ mutant restored the biofilm resistant phenotype. However, control of this pathway is distinct from that of the upstream PKC pathway because the pkc1Δ/pkc1Δ, bck1Δ/bck1Δ, mkk2Δ/mkk2Δ, and mkc1Δ/mkc1Δ biofilms retained the resistant phenotype of the parent strain. In addition, resistance to cell-perturbing agents and gene expression data do not support a significant role for the cell wall integrity pathway during the biofilm formation. Here we show that Smi1p functions in conjunction with Rlm1p and Fks1p to produce drug-sequestering biofilm β-glucan. Our work provides new insight into how the C. albicans biofilm matrix production and drug resistance pathways intersect with the planktonic cell wall integrity pathway. This novel connection helps explain how pathogens in a multicellular biofilm community are protected from anti-infective therapy.

Indexed as

BiofilmsDrug Resistance, FungalAnimalsAntifungal Agentsbeta-GlucansCandida albicansCandidiasisCathetersCell WallFluconazoleFungal ProteinsGene Expression Regulation, FungalGene Knockout TechniquesGlucosyltransferasesMiceProtein Kinase CAntifungal Agentsbeta-GlucansFluconazoleFungal Proteinsglucan synthaseGlucosyltransferasesProtein Kinase C

Identifiers

PMID21666076
PMCPMC3232725

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.