Evidence map›Paper›PMID 30323213›Full record

ArticleNature communications2018

The fungal peptide toxin Candidalysin activates the NLRP3 inflammasome and causes cytolysis in mononuclear phagocytes.

Lydia Kasper, Annika König, Paul-Albert Koenig, Mark S Gresnigt, Johannes Westman, Rebecca A Drummond, Michail S Lionakis, Olaf Groß, Jürgen Ruland, Julian R Naglik and 1 more

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 191 papers.

0numbers the graph read from it
0cells of the map it votes in
191citing papers in PubMed
9.5field-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

191 citing papers in PubMed, 277 citations in OpenAlex.

  1. Article
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  4. Candidalysin InhibitsInternational journal of molecular sciences · 2026
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  11. Overview of Risk Factors and Diagnosis of Invasive Candidiasis.Journal of fungi (Basel, Switzerland) · 2026
    Review
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131 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

11 authors at 7 institutions in 4 countries.

Lydia KasperDepartment of Microbial Pathogenicity Mechanisms, Leibniz Institute for Natural Product Research and Infection Biology - Hans Knoell Institute, Beutenbergstrasse 11a, Jena, 07745, Germany.ORCID http://orcid.org/0000-0002-4552-7063
Annika KönigDepartment of Microbial Pathogenicity Mechanisms, Leibniz Institute for Natural Product Research and Infection Biology - Hans Knoell Institute, Beutenbergstrasse 11a, Jena, 07745, Germany.
Paul-Albert KoenigInstitute of Clinical Chemistry and Pathobiochemistry, Klinikum rechts der Isar, School of Medicine, Technical University of Munich, Ismaninger Str. 22, München, 81675, Germany.ORCID http://orcid.org/0000-0001-5995-2557
Mark S GresnigtDepartment of Microbial Pathogenicity Mechanisms, Leibniz Institute for Natural Product Research and Infection Biology - Hans Knoell Institute, Beutenbergstrasse 11a, Jena, 07745, Germany.ORCID http://orcid.org/0000-0002-9514-4634
Johannes WestmanProgram in Cell Biology, The Hospital for Sick Children, 555 University Avenue, Toronto, ON, M5G 1×8, Canada.ORCID http://orcid.org/0000-0001-6998-3939
Rebecca A DrummondNational Institute of Allergy and Infectious Diseases, National Institutes of Health, Fungal Pathogenesis Section, Laboratory of Clinical Immunology & Microbiology, 9000 Rockville Pike, Bldg 10 / Rm 11C102, Bethesda, MD, 20892, USA.ORCID http://orcid.org/0000-0001-5424-7074
Michail S LionakisNational Institute of Allergy and Infectious Diseases, National Institutes of Health, Fungal Pathogenesis Section, Laboratory of Clinical Immunology & Microbiology, 9000 Rockville Pike, Bldg 10 / Rm 11C102, Bethesda, MD, 20892, USA.
Olaf GroßInstitute of Neuropathology, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, Breisacher Straße 64, Freiburg, 79106, Germany.
Jürgen RulandInstitute of Clinical Chemistry and Pathobiochemistry, Klinikum rechts der Isar, School of Medicine, Technical University of Munich, Ismaninger Str. 22, München, 81675, Germany.ORCID http://orcid.org/0000-0002-8381-3597
Julian R NaglikMucosal and Salivary Biology Division, King's College London Dental Institute, London, SE1 1UL, UK.
Bernhard HubeDepartment of Microbial Pathogenicity Mechanisms, Leibniz Institute for Natural Product Research and Infection Biology - Hans Knoell Institute, Beutenbergstrasse 11a, Jena, 07745, Germany. bernhard.hube@leibniz-hki.de.ORCID http://orcid.org/0000-0002-6028-0425
Leibniz-Institut für Naturstoff-Forschung und Infektionsbiologie e. V. - Hans-Knöll-Institut (HKI) · DENational Institutes of Health · USGerman Cancer Research Center · DEHospital for Sick Children · CAKing's College London · GBTUM Klinikum · DEUniversity of Freiburg · DE

Funding

Immunopathogenesis of Fungal InfectionsZIAAI001175 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI LIONAKIS, MICHAIL · 2012 to 2025
$23.9M
Host and Fungal Regulation of Type 17 Immunity to Oral CandidiasisR37DE022550 · NIDCR · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Sarah L Gaffen · 2017 to 2026
$5.6M
Alexander von Humboldt-Stiftung (Alexander von Humboldt Foundation) Postdoctoral research fellowshipBiotechnology and Biological Sciences Research Council BB/N014677/1Deutsche Forschungsgemeinschaft (German Research Foundation) CRC/TR FungiNet Project C1Deutsche Forschungsgemeinschaft (German Research Foundation) RU 695/6-1Deutsche Forschungsgemeinschaft (German Research Foundation) SFB 1054Deutsche Forschungsgemeinschaft (German Research Foundation) SFB 1335Deutsche Forschungsgemeinschaft (German Research Foundation) SPP 1580 (Hu 528/17-1)Division of Intramural Research, National Institute of Allergy and Infectious Diseases (Division of Intramural Research of the NIAID) NIHEC | European Research Council (ERC) Advanced Grant FP7, grant agreement no 322865EC | Seventh Framework Programme (European Union Seventh Framework Programme) FP7-PEOPLE-2013-Initial Training Network (606786)European Molecular Biology Organization (EMBO) Long-Term Fellowship (ALTF 18-2016)King's College London IS-BRC-1215-20006Leibniz-Gemeinschaft (Leibniz Association) InfectoOptics SAS-2015-HKI-LWCMedical Research Council MC_PC_16048Medical Research Council MR/J008303/1Medical Research Council (MRC) MR/M011372/1NIDCR NIH HHS R37 DE022550Rosetrees Trust M680
6 · The paper itself

Abstract

Clearance of invading microbes requires phagocytes of the innate immune system. However, successful pathogens have evolved sophisticated strategies to evade immune killing. The opportunistic human fungal pathogen Candida albicans is efficiently phagocytosed by macrophages, but causes inflammasome activation, host cytolysis, and escapes after hypha formation. Previous studies suggest that macrophage lysis by C. albicans results from early inflammasome-dependent cell death (pyroptosis), late damage due to glucose depletion and membrane piercing by growing hyphae. Here we show that Candidalysin, a cytolytic peptide toxin encoded by the hypha-associated gene ECE1, is both a central trigger for NLRP3 inflammasome-dependent caspase-1 activation via potassium efflux and a key driver of inflammasome-independent cytolysis of macrophages and dendritic cells upon infection with C. albicans. This suggests that Candidalysin-induced cell damage is a third mechanism of C. albicans-mediated mononuclear phagocyte cell death in addition to damage caused by pyroptosis and the growth of glucose-consuming hyphae.

Indexed as

ActinsAnimalsBone Marrow CellsCaspase 1Cell DeathDendritic CellsFemaleFungal ProteinsHumansInflammasomesInflammationInterleukin-1betaLeukocytes, MononuclearMacrophagesMice, Inbred C57BLMycotoxinsActinsCaspase 1ECE1 protein, Candida albicansFungal ProteinsInflammasomesInterleukin-1betaMycotoxinsNLR Family, Pyrin Domain-Containing 3 ProteinPotassium

Identifiers

PMID30323213
PMCPMC6189146
OpenAlexW2896513955

What OpenQuestion holds

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LicenceCC BY
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.