Evidence map›Paper›PMID 22427900›Full record

ArticlePloS one2012

Resistance of Asian Cryptococcus neoformans serotype A is confined to few microsatellite genotypes.

Weihua Pan, Kantarawee Khayhan, Ferry Hagen, Retno Wahyuningsih, Arunaloke Chakrabarti, Anuradha Chowdhary, Reiko Ikeda, Saad J Taj-Aldeen, Ziauddin Khan, Darma Imran and 10 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 8% 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

26 citing papers in PubMed, 1 synthesis or guideline pooled it, 50 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. The Predominance of a Specific Genotype ofComputational and mathematical methods in medicine · 2022
    Article
  5. In Silico Structural Modeling and Analysis of Interactions ofInternational journal of molecular sciences · 2021
    Article
  6. A Short-Tandem-Repeat Assay (Journal of clinical microbiology · 2021
    Article
  7. Molecular epidemiology and antifungal susceptibilities of Cryptococcus species isolates from HIV and non-HIV patients in Southwest China.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2021
    Article
  8. Review
  9. Infection and drug resistance · 2020
    Article
  10. Article
  11. Article
  12. IPVirulence · 2017
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Molecular epidemiology of Cryptococcus neoformans and Cryptococcus gattii in China between 2007 and 2013 using multilocus sequence typing and the DiversiLab system.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2015
    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

20 authors at 14 institutions in 8 countries.

Weihua PanShanghai Key Laboratory of Molecular Medical Mycology, Institute of Dermatology and Medical Mycology, Changzheng Hospital, Second Military Medical University, Shanghai, People's Republic of China. panweihua@medmail.com.cn
Kantarawee Khayhan
Ferry Hagen
Retno Wahyuningsih
Arunaloke Chakrabarti
Anuradha Chowdhary
Reiko Ikeda
Saad J Taj-Aldeen
Ziauddin Khan
Darma Imran
Ridhawati Sjam
Pojana Sriburee
Wanqing Liao
Kunyaluk Chaicumpar
Natnicha Ingviya
Johan W Mouton
Ilse Curfs-Breuker
Teun Boekhout
Jacques F Meis
Corné H W Klaassen
Canisius-Wilhelmina Ziekenhuis · NLWesterdijk Fungal Biodiversity Institute · NLSecond Military Medical University · CNUniversity of Indonesia · IDChiang Mai University · THHamad Medical Corporation · QAKhon Kaen University · THKuwait University · KWMeiji Pharmaceutical University · JPPost Graduate Institute of Medical Education and Research · INPrince of Songkla University · THRadboud University Nijmegen · NLRumah Sakit Umum Pusat Nasional Dr. Cipto Mangunkusumo · IDUniversity of Delhi · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCryptococcus neoformans is a pathogenic yeast that causes cryptococcosis, a life threatening disease. The prevalence of cryptococcosis in Asia has been rising after the onset of the AIDS epidemic and estimates indicate more than 120 cases per 1,000 HIV-infected individuals per year. Almost all cryptococcal disease cases in both immunocompromised and immunocompetent patients in Asia are caused by C. neoformans var. grubii. Epidemiological studies on C. neoformans in pan-Asia have not been reported. The present work studies the genetic diversity of the fungus by microsatellite typing and susceptibility analysis of approximately 500 isolates from seven Asian countries. METHODOLOGY/PRINCIPAL

findingsGenetic diversity of Asian isolates of C. neoformans was determined using microsatellite analysis with nine microsatellite markers. The analysis revealed eight microsatellite complexes (MCs) which showed different distributions among geographically defined populations. A correlation between MCs and HIV-status was observed. Microsatellite complex 2 was mainly associated with isolates from HIV-negative patients, whereas MC8 was associated with those from HIV-positive patients. Most isolates were susceptible to amphotericin B, itraconazole, voriconazole, posaconazole, and isavuconazole, but 17 (3.4%) and 10 (2%) were found to be resistant to 5-flucytosine and fluconazole, respectively. Importantly, five Indonesian isolates (approximately 12.5% from all Indonesian isolates investigated and 1% from the total studied isolates) were resistant to both antifungals. The majority of 5-flucytosine resistant isolates belonged to MC17.

conclusionsThe findings showed a different distribution of genotypes of C. neoformans var. grubii isolates from various countries in Asia, as well as a correlation of the microsatellite genotypes with the original source of the strains and resistance to 5-flucytosine.

Indexed as

Genetic VariationAsiaCryptococcus neoformansDrug Resistance, FungalFluconazoleFlucytosineGenotypeHIV InfectionsHumansMicrosatellite RepeatsPolymerase Chain ReactionSerotypingFluconazoleFlucytosine

Identifiers

PMID22427900
PMCPMC3302784
OpenAlexW2013351561

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Registered trials

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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.