Evidence map›Paper›PMID 25630649›Full record

ArticleThe Journal of antimicrobial chemotherapy2015

Identification and properties of plasma membrane azole efflux pumps from the pathogenic fungi Cryptococcus gattii and Cryptococcus neoformans.

Luiz R Basso, Charles E Gast, Igor Bruzual, Brian Wong

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of antimicrobial chemotherapy, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
2.2field-weighted citation impact, top 12% 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

30 citing papers in PubMed, 50 citations in OpenAlex.

  1. Article
  2. Multidrug efflux pumps and innate azole resistance of Mucor lusitanicus.The Journal of antimicrobial chemotherapy · 2025
    Article
  3. Article
  4. Induction of pan-azole resistance inFrontiers in cellular and infection microbiology · 2025
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  5. Review
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  7. Article
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  10. Article
  11. Combating increased antifungal drug resistance inActa biochimica et biophysica Sinica · 2023
    Review
  12. Antimicrobial agents and chemotherapy · 2022
    Article
  13. Article
  14. Review
  15. Article
  16. Lack of Association between Fluconazole Susceptibility andJournal of fungi (Basel, Switzerland) · 2022
    Article
  17. Review
  18. Review
  19. Low Glucose Mediated Fluconazole Tolerance inJournal of fungi (Basel, Switzerland) · 2021
    Article
  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

4 authors at 1 institution in 2 countries.

Luiz R BassoInfectious Diseases Division, Department of Medicine, Oregon Health & Science University, Portland, OR, USA Department of Cellular and Molecular Biology and Pathogenic Bioagents, Faculty of Medicine of Ribeirão Preto, University of São Paulo, Ribeirão Preto, SP, Brazil.
Charles E GastInfectious Diseases Division, Department of Medicine, Oregon Health & Science University, Portland, OR, USA.
Igor BruzualInfectious Diseases Division, Department of Medicine, Oregon Health & Science University, Portland, OR, USA.
Brian WongInfectious Diseases Division, Department of Medicine, Oregon Health & Science University, Portland, OR, USA wongbri@ohsu.edu.
Oregon Health & Science University · US

Funding

Medical Research CouncilNIAID NIH HHS U54 AI-811680
6 · The paper itself

Abstract

objectivesCryptococcus gattii from the North American Northwest (NW) have higher azole MICs than do non-NW C. gattii or Cryptococcus neoformans. Since mechanisms of azole resistance in C. gattii are not known, we identified C. gattii and C. neoformans plasma membrane azole efflux pumps and characterized their properties.

methodsThe C. gattii R265 genome was searched for orthologues of known fungal azole efflux genes, expression of candidate genes was assessed by RT-PCR and the expressed genes' cDNAs were cloned and expressed in Saccharomyces cerevisiae. Azole MICs and intracellular [(3)H]fluconazole were measured in C. gattii and C. neoformans and in S. cerevisiae expressing each cDNA of interest, as was [(3)H]fluconazole uptake by post-Golgi vesicles (PGVs) isolated from S. cerevisiae sec6-4 mutants expressing each cDNA of interest.

resultsIntracellular [(3)H]fluconazole concentrations were inversely correlated with fluconazole MICs only in 25 NW C. gattii strains. S. cerevisiae expressing three C. gattii cDNAs (encoded by orthologues of C. neoformans AFR1 and MDR1 and the previously unstudied gene AFR2) and their C. neoformans counterparts had higher azole MICs and lower intracellular [(3)H]fluconazole concentrations than did empty-vector controls. PGVs from S. cerevisiae expressing all six Cryptococcus cDNAs also accumulated more [(3)H]fluconazole than did controls, and [(3)H]fluconazole transport by all six transporters of interest was ATP dependent and was inhibited by excess unlabelled fluconazole, voriconazole, itraconazole and posaconazole.

conclusionsWe conclude that C. gattii and C. neoformans AFR1, MDR1 and AFR2 encode ABC transporters that pump multiple azoles out of S. cerevisiae cells, thereby causing azole resistance.

Indexed as

Antifungal AgentsAzolesBiological Transport, ActiveCloning, MolecularCryptococcosisCryptococcus gattiiCryptococcus neoformansGene ExpressionGene Expression ProfilingHumansIsotope LabelingMembrane Transport ProteinsMicrobial Sensitivity TestsNorthwestern United StatesReal-Time Polymerase Chain ReactionReverse Transcriptase Polymerase Chain ReactionAntifungal AgentsAzolesMembrane Transport Proteinsazole resistanceC. gattiiC. neoformans

Identifiers

PMID25630649
PMCPMC4398472
OpenAlexW2138705841

What OpenQuestion holds

Textmetadata
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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.