Evidence map›Paper›PMID 29668825›Full record

ReviewMemorias do Instituto Oswaldo Cruz2018

Cryptococcal pathogenic mechanisms: a dangerous trip from the environment to the brain.

Shannon K Esher, Oscar Zaragoza, James Andrew Alspaugh

Abstract readReview
In one paragraph

Review in Memorias do Instituto Oswaldo Cruz, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 62 papers.

0numbers the graph read from it
0cells of the map it votes in
62citing 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

62 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. A review of the current anti-New microbes and new infections · 2026
    Review
  5. Article
  6. Article
  7. Article
  8. Review
  9. Cryptococcal Endocarditis in Humans-A Narrative Review.Pathogens (Basel, Switzerland) · 2025
    Review
  10. Review
  11. Review
  12. Article
  13. Regulation of melanin production in fungi.Frontiers in fungal biology · 2025
    Review
  14. Article
  15. A fungal protein organizes both glycogen and cell wall glucans.Proceedings of the National Academy of Sciences of the United States of America · 2024
    Article
  16. Article
  17. Article
  18. Article
  19. Global trends inFrontiers in immunology · 2024
    Article
  20. Review

2 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

3 authors.

Shannon K EsherDepartment of Medicine, Department of Molecular Genetics and Microbiology, Duke University School of Medicine, Durham, USA.
Oscar ZaragozaMycology Reference Laboratory, National Centre for Microbiology, Instituto de Salud Carlos III, Madrid, Spain.
James Andrew AlspaughDepartment of Medicine, Department of Molecular Genetics and Microbiology, Duke University School of Medicine, Durham, USA.

Funding

Trehalose Pathway for Antifungal Targets and InhibitorsP01AI104533 · NIAID · DUKE UNIVERSITY · PI PERFECT, JOHN R. · 2015 to 2019
$9.0M
Coordinated Regulation of Virulence Genes in C. neoformansR01AI074677 · NIAID · DUKE UNIVERSITY · PI ALSPAUGH, ANDREW, WORMLEY, FLOYD L. · 2011 to 2020
$4.0M
Mining the Coprophilous Mycobiome for New Cryptococcus Antiinfectives and Antifungal SynergistsR01GM121458 · NIGMS · UNIVERSITY OF IOWA · PI ALSPAUGH, ANDREW, AN, ZHIQIANG · 2017 to 2020
$2.1M
NIAID NIH HHS P01 AI104533NIAID NIH HHS R01 AI074677NIGMS NIH HHS R01 GM121458
6 · The paper itself

Abstract

Cryptococcus neoformans is an opportunistic pathogenic yeast that causes serious infections, most commonly of the central nervous system (CNS). C. neoformans is mainly found in the environment and acquired by inhalation. It could be metaphorically imagined that cryptococcal disease is a "journey" for the microorganism that starts in the environment, where this yeast loads its suitcase with virulence traits. C. neoformans first encounters the infected mammalian host in the lungs, a site in which it must choose the right elements from its "virulence suitcase" to survive the pulmonary immune response. However, the lung is often only the first stop in this journey, and in some individuals the fungal trip continues to the brain. To enter the brain, C. neoformans must "open" the main barrier that protects this organ, the blood brain barrier (BBB). Once in the brain, C. neoformans expresses a distinct set of protective attributes that confers a strong neurotropism and the ability to cause brain colonisation. In summary, C. neoformans is a unique fungal pathogen as shown in its ability to survive in the face of multiple stress factors and to express virulence factors that contribute to the development of disease.

Indexed as

Blood-Brain BarrierAnimalsCentral Nervous System Bacterial InfectionsCryptococcosisCryptococcus neoformansDisease Models, AnimalHumansVirulence

Identifiers

PMID29668825
PMCPMC5909089

What OpenQuestion holds

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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.