Evidence map›Paper›PMID 23592982›Full record

ArticlePLoS pathogens2013

Brain inositol is a novel stimulator for promoting Cryptococcus penetration of the blood-brain barrier.

Tong-Bao Liu, Jong-Chul Kim, Yina Wang, Dena L Toffaletti, Eliseo Eugenin, John R Perfect, Kee Jun Kim, Chaoyang Xue

Open access · goldAbstract read
In one paragraph

Article in PLoS pathogens, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed
3.7field-weighted citation impact, top 7% 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

53 citing papers in PubMed, 88 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. The Pain Is in the Brain With the Sugar-Coated Killer.The Journal of infectious diseases · 2025
    Review
  5. Review
  6. Article
  7. Article
  8. Cryptococcal nutrient acquisition and pathogenesis: dining on the host.Microbiology and molecular biology reviews : MMBR · 2025
    Review
  9. The emergence of neuroinvasiveFrontiers in cellular and infection microbiology · 2025
    Article
  10. Review
  11. Review
  12. Mechanisms and Virulence Factors ofJournal of fungi (Basel, Switzerland) · 2024
    Review
  13. Review
  14. Macropinocytosis as a potential mechanism driving neurotropism ofFrontiers in cellular and infection microbiology · 2023
    Review
  15. The Dynamics ofCells · 2022
    Article
  16. Article
  17. Journal of fungi (Basel, Switzerland) · 2022
    Review
  18. Journal of fungi (Basel, Switzerland) · 2022
    Review
  19. Article
  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

8 authors at 3 institutions in 2 countries.

Tong-Bao LiuPublic Health Research Institute Center, University of Medicine and Dentistry of New Jersey, Newark, New Jersey, United States of America.
Jong-Chul Kim
Yina Wang
Dena L Toffaletti
Eliseo Eugenin
John R Perfect
Kee Jun Kim
Chaoyang Xue
Duke Medical Center · USUniversity of Kansas Medical Center · USTianjin Medical University · CN

Funding

Astrocyte connexin43 containing channels amplify CNS dysfunction in NeuroAIDSR01MH096625 · NIMH · UNIV OF MED/DENT OF NJ-NJ MEDICAL SCHOOL · PI EUGENIN, ELISEO A · 2012 to 2020
$4.5M
Cocaine & HIV: Role of PDGF/PDGF-Receptor Axis in Blood Brain Barrier DisruptionR01DA027729 · NIDA · UNIVERSITY OF NEBRASKA MEDICAL CENTER · PI BUCH, SHILPA J., KIM, KEE JUN · 2009 to 2013
$1.8M
NIDA NIH HHS R01 DA027729NIDA NIH HHS R01DA027729NIMH NIH HHS R01 MH096625PHS HHS R01A17386
6 · The paper itself

Abstract

Cryptococcus neoformans is the most common cause of fungal meningitis, with high mortality and morbidity. The reason for the frequent occurrence of Cryptococcus infection in the central nervous system (CNS) is poorly understood. The facts that human and animal brains contain abundant inositol and that Cryptococcus has a sophisticated system for the acquisition of inositol from the environment suggests that host inositol utilization may contribute to the development of cryptococcal meningitis. In this study, we found that inositol plays an important role in Cryptococcus traversal across the blood-brain barrier (BBB) both in an in vitro human BBB model and in in vivo animal models. The capacity of inositol to stimulate BBB crossing was dependent upon fungal inositol transporters, indicated by a 70% reduction in transmigration efficiency in mutant strains lacking two major inositol transporters, Itr1a and Itr3c. Upregulation of genes involved in the inositol catabolic pathway was evident in a microarray analysis following inositol treatment. In addition, inositol increased the production of hyaluronic acid in Cryptococcus cells, which is a ligand known to binding host CD44 receptor for their invasion. These studies suggest an inositol-dependent Cryptococcus traversal of the BBB, and support our hypothesis that utilization of host-derived inositol by Cryptococcus contributes to CNS infection.

Indexed as

AnimalsBiological TransportBlood-Brain BarrierBrainCentral Nervous System InfectionsCryptococcosisCryptococcus neoformansFemaleHumansHyaluronan ReceptorsHyaluronic AcidInositolMaleMeningitis, CryptococcalMiceMice, Inbred AHyaluronan ReceptorsHyaluronic AcidInositolMonosaccharide Transport Proteins

Identifiers

PMID23592982
PMCPMC3617100
OpenAlexW2083908866

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.