Evidence map›Paper›PMID 23318794›Full record

ArticleAntimicrobial agents and chemotherapy2013

New insight into amphotericin B resistance in Aspergillus terreus.

Gerhard Blum, Caroline Hörtnagl, Emina Jukic, Thomas Erbeznik, Thomas Pümpel, Hermann Dietrich, Markus Nagl, Cornelia Speth, Günter Rambach, Cornelia Lass-Flörl

Open access · bronzeAbstract read
In one paragraph

Article in Antimicrobial agents and chemotherapy, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed
3.8field-weighted citation impact, top 6% 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

38 citing papers in PubMed, 81 citations in OpenAlex.

  1. Amphotericin B Resistance inbioRxiv : the preprint server for biology · 2026
    Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. mBio · 2025
    Article
  7. Review
  8. Overcoming amphotericin B resistance inAntimicrobial agents and chemotherapy · 2024
    Article
  9. Review
  10. Accelerating the understanding ofCurrent research in microbial sciences · 2024
    Review
  11. Azole Resistance andJournal of fungi (Basel, Switzerland) · 2022
    Article
  12. Species Identification and In Vitro Antifungal Susceptibility ofJournal of fungi (Basel, Switzerland) · 2022
    Article
  13. Article
  14. Antimicrobial agents and chemotherapy · 2022
    Article
  15. Studies in mycology · 2021
    Review
  16. Review
  17. Article
  18. Article
  19. Review
  20. Review
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

10 authors at 2 institutions in 1 country.

Gerhard BlumDepartment of Hygiene and Social Medicine, Innsbruck Medical University, Innsbruck, Austria. gerhard.blum@i-med.ac.at
Caroline Hörtnagl
Emina Jukic
Thomas Erbeznik
Thomas Pümpel
Hermann Dietrich
Markus Nagl
Cornelia Speth
Günter Rambach
Cornelia Lass-Flörl
Innsbruck Medical University · ATUniversität Innsbruck · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Amphotericin B (AMB) is the predominant antifungal drug, but the mechanism of resistance is not well understood. We compared the in vivo virulence of an AMB-resistant Aspergillus terreus (ATR) isolate with that of an AMB-susceptible A. terreus isolate (ATS) using a murine model for disseminated aspergillosis. Furthermore, we analyzed the molecular basis of intrinsic AMB resistance in vitro by comparing the ergosterol content, cell-associated AMB levels, AMB-induced intracellular efflux, and prooxidant effects between ATR and ATS. Infection of immunosuppressed mice with ATS or ATR showed that the ATS strain was more lethal than the ATR strain. However, AMB treatment improved the outcome in ATS-infected mice while having no positive effect on the animals infected with ATR. The in vitro data demonstrated that ergosterol content is not the molecular basis for AMB resistance. ATR absorbed less AMB, discharged more intracellular compounds, and had better protection against oxidative damage than the susceptible strain. Our experiments showed that ergosterol content plays a minor role in intrinsic AMB resistance and is not directly associated with intracellular cell-associated AMB content. AMB might exert its antifungal activity by oxidative injury rather than by an increase in membrane permeation.

Indexed as

Amphotericin BAnimalsAntifungal AgentsAspergillosisAspergillusDrug Resistance, FungalLipid PeroxidationMiceMice, Inbred BALB CMicrobial Sensitivity TestsAmphotericin BAntifungal Agents

Identifiers

PMID23318794
PMCPMC3623369
OpenAlexW2170468557

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.