Evidence map›Paper›PMID 29667487›Full record

ArticleGut microbes2018

Pre-colonization with the commensal fungus Candida albicans reduces murine susceptibility to Clostridium difficile infection.

Laura Markey, Lamyaa Shaban, Erin R Green, Katherine P Lemon, Joan Mecsas, Carol A Kumamoto

Open access · goldAbstract read
In one paragraph

Article in Gut microbes, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 66 papers.

0numbers the graph read from it
0cells of the map it votes in
66citing papers in PubMed
5.3field-weighted citation impact, top 3% 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

66 citing papers in PubMed, 86 citations in OpenAlex.

  1. Review
  2. Review
  3. Review
  4. Article
  5. An update on clinically relevant, rare, and emergingClinical microbiology reviews · 2025
    Review
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  7. Infection and immunity · 2025
    Review
  8. Review
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  10. Article
  11. Article
  12. Review
  13. Review
  14. Article
  15. Article
  16. Clinical microbiology reviews · 2024
    Review
  17. Review
  18. Review
  19. Review
  20. Frontiers in microbiology · 2024
    Article

6 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

6 authors at 2 institutions in 1 country.

Laura Markeya Graduate Program in Molecular Microbiology, Sackler School of Graduate Biomedical Sciences and Department of Molecular Biology and Microbiology , Tufts University , Boston , MA.
Lamyaa Shabana Graduate Program in Molecular Microbiology, Sackler School of Graduate Biomedical Sciences and Department of Molecular Biology and Microbiology , Tufts University , Boston , MA.
Erin R Greena Graduate Program in Molecular Microbiology, Sackler School of Graduate Biomedical Sciences and Department of Molecular Biology and Microbiology , Tufts University , Boston , MA.ORCID 0000-0002-0110-4632
Katherine P Lemonb The Forsyth Institute (Microbiology), Cambridge, MA and Division of Infectious Diseases, Boston Children's Hospital, Harvard Medical School , Boston , MA.
Joan Mecsasa Graduate Program in Molecular Microbiology, Sackler School of Graduate Biomedical Sciences and Department of Molecular Biology and Microbiology , Tufts University , Boston , MA.
Carol A Kumamotoa Graduate Program in Molecular Microbiology, Sackler School of Graduate Biomedical Sciences and Department of Molecular Biology and Microbiology , Tufts University , Boston , MA.
Tufts University · USBoston Children's Hospital · US

Funding

MOLECULAR ANALYSIS OF MICROBIAL PATHOGENST32AI007422 · NIAID · TUFTS UNIVERSITY BOSTON · PI Ralph R. Isberg · 1992 to 2026
$5.7M
Antibiotics from nose and throat commensals that impact pathogen colonizationR01AI101018 · NIAID · BAYLOR COLLEGE OF MEDICINE · PI FISCHBACH, MICHAEL ANDREW, LEMON, KATHERINE PAIGE · 2012 to 2021
$4.4M
C ALBICANS IN THE GI TRACT ENVIRONMENTR01AI118898 · NIAID · TUFTS UNIVERSITY BOSTON · PI KUMAMOTO, CAROL A. · 2016 to 2020
$2.5M
Contact sensing and C. albicans-host interactionR01AI081794 · NIAID · TUFTS UNIVERSITY BOSTON · PI KUMAMOTO, CAROL A. · 2010 to 2014
$2.2M
Contact sensing and C. albicans-host interactionR56AI081794 · NIAID · TUFTS UNIVERSITY BOSTON · PI KUMAMOTO, CAROL A. · 2009 to 2009
$412k
NIAID NIH HHS R01 AI081794NIAID NIH HHS R01 AI101018NIAID NIH HHS R01 AI118898NIAID NIH HHS R56 AI081794NIAID NIH HHS T32 AI007422
6 · The paper itself

Abstract

Clostridium difficile is a major nosocomial pathogen responsible for close to half a million infections and 27,000 deaths annually in the U.S. Preceding antibiotic treatment is a major risk factor for C. difficile infection (CDI) leading to recognition that commensal microbes play a key role in resistance to CDI. Current antibiotic treatment of CDI is only partially successful due to a high rate of relapse. As a result, there is interest in understanding the effects of microbes on CDI susceptibility to support treatment of patients with probiotic microbes or entire microbial communities (e.g., fecal microbiota transplantation). The results reported here demonstrate that colonization with the human commensal fungus Candida albicans protects against lethal CDI in a murine model. Colonization with C. albicans did not increase the colonization resistance of the host. Rather, our findings showed that one effect of C. albicans colonization was to enhance a protective immune response. Mice pre-colonized with C. albicans expressed higher levels of IL-17A in infected tissue following C. difficile challenge compared to mice that were not colonized with C. albicans. Administration of cytokine IL-17A was demonstrated to be protective against lethal murine CDI in mice not colonized with C. albicans. C. albicans colonization was associated with changes in the abundance of some bacterial components of the gut microbiota. Therefore, C. albicans colonization altered the gut ecosystem, enhancing survival after C. difficile challenge. These findings demonstrate a new, beneficial role for C. albicans gut colonization.

Indexed as

Clostridium InfectionsAnimalsCandida albicansCecumClostridioides difficileDisease Models, AnimalDisease SusceptibilityFecesFemaleGastrointestinal MicrobiomeHost Microbial InteractionsInterleukin-17Mice, Inbred C57BLMicrobial InteractionsSurvival AnalysisUp-RegulationIl17a protein, mouseInterleukin-17Candida albicansClostridium difficilecolonizationIL-17Asusceptibility

Identifiers

PMID29667487
PMCPMC6287688
OpenAlexW2799450956

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.