Evidence map›Paper›PMID 27325145›Full record

ReviewVirulence2017

Calcineurin in fungal virulence and drug resistance: Prospects for harnessing targeted inhibition of calcineurin for an antifungal therapeutic approach.

Praveen R Juvvadi, Soo Chan Lee, Joseph Heitman, William J Steinbach

Open access · goldAbstract readReview
In one paragraph

Review in Virulence, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 100 papers.

0numbers the graph read from it
0cells of the map it votes in
100citing papers in PubMed
10.3field-weighted citation impact, top 1% 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

100 citing papers in PubMed, 177 citations in OpenAlex.

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  15. Terbinafine Resistance inAntibiotics (Basel, Switzerland) · 2025
    Review
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  18. Recent innovations and challenges in the treatment of fungal infections.Frontiers in cellular and infection microbiology · 2025
    Review
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  20. Article

40 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

4 authors at 1 institution in 1 country.

Praveen R Juvvadia Department of Pediatrics , Division of Pediatric Infectious Diseases, Duke University School of Medicine , Durham , NC , USA.
Soo Chan Leeb Department of Molecular Genetics & Microbiology , Duke University School of Medicine , Durham , NC , USA.
Joseph Heitmanb Department of Molecular Genetics & Microbiology , Duke University School of Medicine , Durham , NC , USA.
William J Steinbacha Department of Pediatrics , Division of Pediatric Infectious Diseases, Duke University School of Medicine , Durham , NC , USA.
Duke University · US

Funding

Trehalose Pathway for Antifungal Targets and InhibitorsP01AI104533 · NIAID · DUKE UNIVERSITY · PI PERFECT, JOHN R. · 2015 to 2019
$9.0M
Structural Biological Development of Fungal-Specific Calcineurin InhibitorsR01AI112595 · NIAID · DUKE UNIVERSITY · PI HEITMAN, JOSEPH, SCHUMACHER, MARIA · 2014 to 2017
$2.5M
NIAID NIH HHS P01 AI104533NIAID NIH HHS R01 AI112595
6 · The paper itself

Abstract

Increases in the incidence and mortality due to the major invasive fungal infections such as aspergillosis, candidiasis and cryptococcosis caused by the species of Aspergillus, Candida and Cryptococcus, are a growing threat to the immunosuppressed patient population. In addition to the limited armamentarium of the current classes of antifungal agents available (pyrimidine analogs, polyenes, azoles, and echinocandins), their toxicity, efficacy and the emergence of resistance are major bottlenecks limiting successful patient outcomes. Although these drugs target distinct fungal pathways, there is an urgent need to develop new antifungals that are more efficacious, fungal-specific, with reduced or no toxicity and simultaneously do not induce resistance. Here we review several lines of evidence which indicate that the calcineurin signaling pathway, a target of the immunosuppressive drugs FK506 and cyclosporine A, orchestrates growth, virulence and drug resistance in a variety of fungal pathogens and can be exploited for novel antifungal drug development.

Indexed as

Drug Resistance, FungalAntifungal AgentsAspergillosisCalcineurinCalcineurin InhibitorsCandida albicansCandidiasisCyclosporineDrug DiscoveryEchinocandinsFungiHSP90 Heat-Shock ProteinsHumansMicrobial Sensitivity TestsSignal TransductionTacrolimusAntifungal AgentsCalcineurinCalcineurin InhibitorsCyclosporineEchinocandinsHSP90 Heat-Shock ProteinsTacrolimusTacrolimus Binding Protein 1Aantifungalsazolescalcineurincyclosporine Adrug resistanceechinocandinsFK506FKBP12Hsp90virulence

Identifiers

PMID27325145
PMCPMC5354160
OpenAlexW2467089962

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.