Evidence map›Paper›PMID 25384768›Full record

ReviewCold Spring Harbor perspectives in medicine2014

Mechanisms of Antifungal Drug Resistance.

Leah E Cowen, Dominique Sanglard, Susan J Howard, P David Rogers, David S Perlin

Open access · bronzeAbstract readReview
In one paragraph

Review in Cold Spring Harbor perspectives in medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 302 papers.

0numbers the graph read from it
0cells of the map it votes in
302citing 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

302 citing papers in PubMed, 606 citations in OpenAlex.

  1. Anandamide Targets Membrane Integrity in Non-Journal of fungi (Basel, Switzerland) · 2026
    Article
  2. Article
  3. Article
  4. Pyrrolidine-Based Antifungal Agents AgainstPharmaceuticals (Basel, Switzerland) · 2026
    Review
  5. Review
  6. Voriconazole Activity AgainstMolecules (Basel, Switzerland) · 2026
    Article
  7. Escalating Antifungal Resistance AmongPathogens (Basel, Switzerland) · 2026
    Article
  8. Article
  9. Trends in antifungal use characteristics in primary care in Spain, 2019 to 2024: a nationwide study.Revista espanola de quimioterapia : publicacion oficial de la Sociedad Espanola de Quimioterapia · 2026
    Observational
  10. Article
  11. Review
  12. Review
  13. Review
  14. Review
  15. Comprehensive Insights into Sugar Transporters ofJournal of fungi (Basel, Switzerland) · 2026
    Article
  16. Article
  17. Article
  18. Article
  19. Review
  20. Article

242 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 at 5 institutions in 4 countries.

Leah E CowenDepartment of Molecular Genetics, University of Toronto, Toronto, Ontario M5S 1A8, Canada.
Dominique SanglardUniversity of Lausanne and University Hospital Center, Institute of Microbiology, 1011 Lausanne, Switzerland.
Susan J HowardUniversity of Liverpool, Sherrington Building, Ashton Street, Liverpool L69 3GE, United Kingdom.
P David RogersCollege of Pharmacy, The University of Tennessee Health Science Center, Memphis, Tennessee 38163.
David S PerlinPublic Health Research Institute, New Jersey Medical School, Rutgers, The State University of New Jersey, Newark, New Jersey 07103.
Rutgers, The State University of New Jersey · USUniversity of Lausanne · CHUniversity of Liverpool · GBUniversity of Tennessee Health Science Center · USUniversity of Toronto · CA

Funding

Critical Factors Influencing Echinocandin Resistance in CandidaglabrataR01AI109025 · NIAID · RBHS-NEW JERSEY MEDICAL SCHOOL · PI PERLIN, DAVID S · 2014 to 2025
$9.8M
Novel Azole Resistance Mechanisms in Candida albicansR01AI058145 · NIAID · UNIVERSITY OF TENNESSEE HEALTH SCI CTR · PI ROGERS, P. DAVID · 2005 to 2021
$5.8M
NIAID NIH HHS R01 AI058145NIAID NIH HHS R01 AI109025
6 · The paper itself

Abstract

Antifungal therapy is a central component of patient management for acute and chronic mycoses. Yet, treatment choices are restricted because of the sparse number of antifungal drug classes. Clinical management of fungal diseases is further compromised by the emergence of antifungal drug resistance, which eliminates available drug classes as treatment options. Once considered a rare occurrence, antifungal drug resistance is on the rise in many high-risk medical centers. Most concerning is the evolution of multidrug- resistant organisms refractory to several different classes of antifungal agents, especially among common Candida species. The mechanisms responsible are mostly shared by both resistant strains displaying inherently reduced susceptibility and those acquiring resistance during therapy. The molecular mechanisms include altered drug affinity and target abundance, reduced intracellular drug levels caused by efflux pumps, and formation of biofilms. New insights into genetic factors regulating these mechanisms, as well as cellular factors important for stress adaptation, provide a foundation to better understand the emergence of antifungal drug resistance.

Indexed as

Antifungal AgentsBiofilmsDrug Resistance, FungalHumansMycosesRNA StabilityAntifungal Agents

Identifiers

PMID25384768
PMCPMC4484955
OpenAlexW2136677555

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.