Evidence map›Paper›PMID 24733474›Full record

ArticleAntimicrobial agents and chemotherapy2014

In vitro antifungal susceptibility of Candida glabrata to caspofungin and the presence of FKS mutations correlate with treatment response in an immunocompromised murine model of invasive infection.

Fabiola Fernández-Silva, Michaela Lackner, Javier Capilla, Emilio Mayayo, Deanna Sutton, Mariana Castanheira, Annette W Fothergill, Cornelia Lass-Flörl, Josep Guarro

Open access · bronzeAbstract read
In one paragraph

Article in Antimicrobial agents and chemotherapy, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
0.7field-weighted citation impact, top 29% 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

8 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Candidiasis byJournal of fungi (Basel, Switzerland) · 2021
    Article
  3. Article
  4. Article
  5. Article
  6. Multilocus sequence typing of azole-resistantSouthern African journal of infectious diseases · 2020
    Article
  7. Article
  8. 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

9 authors at 5 institutions in 3 countries.

Fabiola Fernández-SilvaUnitat d'Anatomia Patològica, Facultat de Medicina i Ciències de la Salut, IISPV, Universitat Rovira i Virgili, Reus, Spain.
Michaela LacknerDivision of Hygiene and Medical Microbiology, Innsbruck Medical University, Innsbruck, Austria.
Javier CapillaUnitat de Microbiologia, Facultat de Medicina i Ciències de la Salut, IISPV, Universitat Rovira i Virgili, Reus, Spain.
Emilio MayayoUnitat d'Anatomia Patològica, Facultat de Medicina i Ciències de la Salut, IISPV, Universitat Rovira i Virgili, Reus, Spain.
Deanna SuttonFungus Testing Laboratory, University of Texas Health Science Center, San Antonio, Texas, USA.
Mariana CastanheiraJMI Laboratories, North Liberty, Iowa, USA.
Annette W FothergillFungus Testing Laboratory, University of Texas Health Science Center, San Antonio, Texas, USA.
Cornelia Lass-FlörlDivision of Hygiene and Medical Microbiology, Innsbruck Medical University, Innsbruck, Austria.
Josep GuarroUnitat de Microbiologia, Facultat de Medicina i Ciències de la Salut, IISPV, Universitat Rovira i Virgili, Reus, Spain josep.guarro@urv.cat.
Innsbruck Medical University · ATInstitut d'Investigació Sanitària Pere Virgili · ESThe University of Texas Health Science Center at San Antonio · USUniversidad Rovira i Virgili · ESJMI Laboratories · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

It has been argued that the in vitro activity of caspofungin (CSP) is not a good predictor of the outcome of echinocandin treatment in vivo. We evaluated the in vitro activity of CSP and the presence of FKS mutations in the hot spot 1 (HS1) region of the FKS1 and FKS2 genes in 17 Candida glabrata strains with a wide range of MICs. The efficacy of CSP against systemic infections from each of the 17 strains was evaluated in a murine model. No HS1 mutations were found in the eight strains showing MICs for CSP of ≤ 0.5 μg/ml, but they were present in eight of the nine strains with MICs of ≥ 1 μg/ml, i.e., three in the FKS1 gene and five in the FKS2 gene. CSP was effective for treating mice infected with strains with MICs of ≤ 0.5 μg/ml, showed variable efficacy in animals challenged with strains with MICs of 1 μg/ml, and did not work in those with strains with MICs of >1 μg/ml. In addition, mutations, including one reported for the first time, were found outside the HS1 region in the FKS2 gene of six strains with different MICs, but their presence did not influence drug efficacy. The in vitro activity of CSP was compared with that of another echinocandin, anidulafungin, suggesting that the MICs of both drugs, as well as mutations in the HS1 regions of the FKS1 and FKS2 genes, are predictive of outcome.

Indexed as

AnimalsAntifungal AgentsCandida glabrataCandidiasisCaspofunginDrug Resistance, FungalEchinocandinsFungal ProteinsGlucosyltransferasesKidneyLipopeptidesMaleMiceMicrobial Sensitivity TestsMutationSurvival Rate1,3-beta-glucan synthaseAntifungal AgentsCaspofunginEchinocandinsFungal ProteinsGlucosyltransferasesLipopeptides

Identifiers

PMID24733474
PMCPMC4068555
OpenAlexW2089846445

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.