Evidence map›Paper›PMID 29924357›Full record

ArticleMedical mycology2019

Galleria mellonella as a model system to study virulence potential of mucormycetes and evaluation of antifungal treatment.

Elisabeth Maurer, Caroline Hörtnagl, Michaela Lackner, Denise Grässle, Verena Naschberger, Patrizia Moser, Esther Segal, Margarita Semis, Cornelia Lass-Flörl, Ulrike Binder

Open access · hybridAbstract read
In one paragraph

Article in Medical mycology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 54 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
54citing papers in PubMed, 1 pooled it
5.2field-weighted citation impact, top 4% 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

54 citing papers in PubMed, 1 synthesis or guideline pooled it, 71 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Drug Discovery and Repurposing forJournal of fungi (Basel, Switzerland) · 2025
    Review
  5. Journal of fungi (Basel, Switzerland) · 2025
    Review
  6. Article
  7. Article
  8. Article
  9. Mucormycosis: A Rare disease to Notifiable Disease.Brazilian journal of microbiology : [publication of the Brazilian Society for Microbiology] · 2024
    Review
  10. Article
  11. Molecular mechanisms that govern infection and antifungal resistance in Mucorales.Microbiology and molecular biology reviews : MMBR · 2024
    Review
  12. Article
  13. Pathogens (Basel, Switzerland) · 2024
    Review
  14. Journal of fungi (Basel, Switzerland) · 2024
    Article
  15. Article
  16. AlternativeFrontiers in cellular and infection microbiology · 2024
    Review
  17. Biofilm · 2023
    Article
  18. Article
  19. Journal of fungi (Basel, Switzerland) · 2023
    Article
  20. Hyphae ofJournal of fungi (Basel, Switzerland) · 2023
    Article
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

10 authors at 3 institutions in 3 countries.

Elisabeth MaurerDepartment of Hygiene, Microbiology and Public Health, Division of Hygiene and Medical Microbiology, Medical University Innsbruck, Austria.
Caroline HörtnaglDepartment of Hygiene, Microbiology and Public Health, Division of Hygiene and Medical Microbiology, Medical University Innsbruck, Austria.
Michaela LacknerDepartment of Hygiene, Microbiology and Public Health, Division of Hygiene and Medical Microbiology, Medical University Innsbruck, Austria.
Denise GrässleDepartment of Hygiene, Microbiology and Public Health, Division of Hygiene and Medical Microbiology, Medical University Innsbruck, Austria.
Verena NaschbergerDepartment of Hygiene, Microbiology and Public Health, Division of Hygiene and Medical Microbiology, Medical University Innsbruck, Austria.
Patrizia MoserDepartment of Pathology, Medical University Innsbruck, Austria.
Esther SegalDepartment of Clinical Microbiology and Immunology, Tel-Aviv University, Israel.
Margarita SemisCity of Hope, Beckman research Institute, Department of Molecular Immunology, Duarte, CA, USA.
Cornelia Lass-FlörlDepartment of Hygiene, Microbiology and Public Health, Division of Hygiene and Medical Microbiology, Medical University Innsbruck, Austria.
Ulrike BinderDepartment of Hygiene, Microbiology and Public Health, Division of Hygiene and Medical Microbiology, Medical University Innsbruck, Austria.
Innsbruck Medical University · ATBeckman Research InstituteTel Aviv University · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Mucorales can cause cutaneous to deep-seated infections, mainly in the immunocompromised host, resulting in high mortality rates due to late and inefficient treatment. In this study, Galleria mellonella larvae were evaluated as a heterologous invertebrate host to study pathogenicity of clinically relevant mucormycetes (Rhizopus spp., Rhizomucor spp., Lichtheimia spp., Mucor spp.). All tested species were able to infect G. mellonella larvae. Virulence potential was species-specific and correlated to clinical relevance. Survival of infected larvae was dependent on (a) the species (growth speed and spore size), (b) the infection dose, (c) the incubation temperature, (d) oxidative stress tolerance, and (e) iron availability in the growth medium. Moreover, we exploited the G. mellonella system to determine antifungal efficacy of liposomal amphotericin B, posaconazole, isavuconazole, and nystatin-intralipid. Outcome of in vivo treatment was strongly dependent upon the drug applied and the species tested. Nystatin-intralipid exhibited best activity against Mucorales, followed by posaconazole, while limited efficacy was seen for liposomal amphotericin B and isavuconazole. Pharmacokinetic properties of the tested antifungals within this alternative host system partly explain the limited treatment efficacy. In conclusion, G. mellonella represents a useful invertebrate infection model for studying virulence of mucormycetes, while evaluation of treatment response was limited.

Indexed as

Disease Models, AnimalAmphotericin BAnimalsAntifungal AgentsDrug Resistance, FungalLarvaLepidopteraMicrobial Sensitivity TestsMucorMucoralesMucormycosisNitrilesPyridinesRhizopusTriazolesVirulenceAmphotericin BAntifungal Agentsisavuconazoleliposomal amphotericin BNitrilesposaconazolePyridinesTriazolesantifungal susceptibilityGalleria mellonellain vivo modelmucormycosisnystatin-intralipid

Identifiers

PMID29924357
PMCPMC6398984
OpenAlexW2808732329

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.