Evidence map›Paper›PMID 30267801›Full record

ArticleThe Journal of infection2019

Triacetylfusarinine C: A urine biomarker for diagnosis of invasive aspergillosis.

Martin Hoenigl, Thomas Orasch, Klaus Faserl, Juergen Prattes, Juergen Loeffler, Jan Springer, Fabio Gsaller, Frederike Reischies, Wiebke Duettmann, Reinhard B Raggam and 2 more

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in The Journal of infection, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05860387 (Early Diagnosis of Invasive Lung Aspergillosis), which is not on this map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
3.9field-weighted citation impact, top 5% 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.

NCT05860387 recruitingnot on this mapstarted 2023, after this paper: background citation

Early Diagnosis of Invasive Lung Aspergillosis

TypeobservationalSponsorUniversity Hospital OstravaRan2023 to 2026Enrolled150ConditionsRespiratory Infection, Invasive Pulmonary AspergillosisArmsNext generation improvement of early invasive aspergillosis
3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 47 citations in OpenAlex.

  1. Article
  2. Article
  3. Biomarkers in the Diagnosis of Aspergillosis.Journal of fungi (Basel, Switzerland) · 2026
    Review
  4. Recent developments inMicrobiology and molecular biology reviews : MMBR · 2025
    Review
  5. Article
  6. Novel Monoclonal Antibodies 1D2 and 4E4 AgainstJournal of fungi (Basel, Switzerland) · 2024
    Article
  7. Review
  8. Article
  9. Article
  10. Review
  11. Review
  12. Article
  13. Article
  14. Review
  15. Article
  16. Studies in mycology · 2021
    Review
  17. Review
  18. Journal of fungi (Basel, Switzerland) · 2020
    Article
  19. Article
  20. Recent developments in siderotyping: procedure and application.World journal of microbiology & biotechnology · 2020
    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

12 authors at 3 institutions in 3 countries.

Martin HoeniglSection of Infectious Diseases and Tropical Medicine, Medical University of Graz, Graz, Austria; CBmed Center for Biomarker Research in Medicine, Graz, Austria; Division of Infectious Diseases, Department of Medicine, University of California San Diego, San Diego, CA, USA.
Thomas OraschDivision of Molecular Biology, Medical University of Innsbruck, Innrain 80/82, 6020 Innsbruck, Austria.
Klaus FaserlDivision of Clinical Biochemistry, Medical University of Innsbruck, Innrain 80/82, 6020 Innsbruck, Austria.
Juergen PrattesSection of Infectious Diseases and Tropical Medicine, Medical University of Graz, Graz, Austria; CBmed Center for Biomarker Research in Medicine, Graz, Austria.
Juergen LoefflerDepartment for Internal Medicine II, University of Wuerzburg Medical Centre, Wuerzburg, Germany.
Jan SpringerDepartment for Internal Medicine II, University of Wuerzburg Medical Centre, Wuerzburg, Germany.
Fabio GsallerDivision of Molecular Biology, Medical University of Innsbruck, Innrain 80/82, 6020 Innsbruck, Austria.
Frederike ReischiesSection of Infectious Diseases and Tropical Medicine, Medical University of Graz, Graz, Austria.
Wiebke DuettmannSection of Infectious Diseases and Tropical Medicine, Medical University of Graz, Graz, Austria.
Reinhard B RaggamClinical Institute of Medical and Chemical Laboratory Diagnostics, Medical University of Graz, Graz, Austria; Division of Angiology, Medical University of Graz, Graz, Austria.
Herbert LindnerDivision of Clinical Biochemistry, Medical University of Innsbruck, Innrain 80/82, 6020 Innsbruck, Austria. Electronic address: herbert.lindner@i-med.ac.at.
Hubertus HaasDivision of Molecular Biology, Medical University of Innsbruck, Innrain 80/82, 6020 Innsbruck, Austria. Electronic address: hubertus.haas@i-med.ac.at.
Innsbruck Medical University · ATMedical University of Graz · ATUniversity of Würzburg · DE

Funding

UC San Diego Clinical and Translational Research InstituteUL1TR001442 · NCATS · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI FIRESTEIN, GARY S, HOGARTH, MICHAEL · 2015 to 2024
$88.3M
VirologyP30AI036214 · NIAID · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI David Mitchell Smith · 1994 to 2026
$78.4M
Perception of repeated negative HIV test results in young men who have sex with menR21MH113477 · NIMH · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI HOENIGL, MARTIN · 2018 to 2019
$441k
Austrian Science Fund FWF W 1253NCATS NIH HHS UL1 TR001442NIAID NIH HHS P30 AI036214NIMH NIH HHS R21 MH113477
6 · The paper itself

Abstract

objectivesEarly diagnosis of invasive aspergillosis (IA) remains challenging, with available diagnostics being limited by inadequate sensitivities and specificities. Triacetylfusarinine C, a fungal siderophore that has been shown to accumulate in urine in animal models, is a potential new biomarker for diagnosis of IA.

methodsWe developed a method allowing absolute and matrix-independent mass spectrometric quantification of TAFC. Urine TAFC, normalized to creatinine, was determined in 44 samples from 24 patients with underlying hematologic malignancies and probable, possible or no IA according to current EORTC/MSG criteria and compared to other established biomarkers measured in urine and same-day blood samples.

resultsTAFC/creatinine sensitivity, specificity, positive and negative likelihood ratio for probable versus no IA (cut-off ≥ 3) were 0.86, 0.88, 6.86, 0.16 per patient.

conclusionFor the first time, we provide proof for the occurrence of TAFC in human urine. TAFC/creatinine index determination in urine showed promising results for diagnosis of IA offering the advantages of non-invasive sampling. Sensitivity and specificity were similar as reported for GM determination in serum and bronchoalveolar lavage, the gold standard mycological criterion for IA diagnosis.

Indexed as

AdultAgedAspergillosisBiomarkersFemaleFerric CompoundsHematologic NeoplasmsHumansHydroxamic AcidsImmunocompromised HostInvasive Fungal InfectionsMiddle AgedSensitivity and SpecificitySiderophoresBiomarkersFerric CompoundsHydroxamic AcidsN,N',N''-triacetylfusarinine CSiderophoresAspergillosisBiomarkerDiagnosisSiderophoreUrine

Identifiers

PMID30267801
PMCPMC6361682
OpenAlexW2894369590

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.