Evidence map›Paper›PMID 30389707›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2018

Evolution of drug resistance in an antifungal-naive chronic

Elora G Demers, Amy R Biermann, Sawyer Masonjones, Alex W Crocker, Alix Ashare, Jason E Stajich, Deborah A Hogan

Open access · bronzeAbstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed
4.5field-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

43 citing papers in PubMed, 73 citations in OpenAlex.

  1. Article
  2. Relative contributions of the ERG11Clinical microbiology and infection : the official publication of the European Society of Clinical Microbiology and Infectious Diseases · 2026
    Article
  3. Article
  4. Article
  5. Mutations inAntimicrobial agents and chemotherapy · 2025
    Article
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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

7 authors at 3 institutions in 1 country.

Elora G DemersDepartment of Microbiology and Immunology, Geisel School of Medicine, Dartmouth College, Hanover, NH 03755.
Amy R BiermannDepartment of Microbiology and Immunology, Geisel School of Medicine, Dartmouth College, Hanover, NH 03755.
Sawyer MasonjonesDepartment of Microbiology & Plant Pathology, University of California, Riverside, CA 92521.
Alex W CrockerDepartment of Microbiology and Immunology, Geisel School of Medicine, Dartmouth College, Hanover, NH 03755.
Alix AshareSection of Pulmonary and Critical Care Medicine, Dartmouth-Hitchcock Medical Center, Lebanon, NH 03766.
Jason E StajichDepartment of Microbiology & Plant Pathology, University of California, Riverside, CA 92521.ORCID 0000-0002-7591-0020
Deborah A HoganDepartment of Microbiology and Immunology, Geisel School of Medicine, Dartmouth College, Hanover, NH 03755; deborah.a.hogan@dartmouth.edu.
Dartmouth College · USUniversity of California, Riverside · USDartmouth–Hitchcock Medical Center · US

Funding

Molecular and Cellular Biology at DartmouthT32GM008704 · NIGMS · DARTMOUTH COLLEGE · PI COMPTON, DUANE A. · 1998 to 2018
$6.8M
Evolved Heterogeneity Contributes to Chronic Fungal Lung InfectionsR01AI127548 · NIAID · DARTMOUTH COLLEGE · PI HOGAN, DEBORAH A · 2017 to 2025
$3.9M
Cellular and Molecular Mechanisms of Lung DiseaseP20GM103413 · NIGMS · DARTMOUTH COLLEGE · PI STANTON, BRUCE A. · 2012 to 2012
$2.1M
Regional Hypoxia Impacts the Heterogeneity of Inflammatory Lung DiseaseR01HL122372 · NHLBI · DARTMOUTH-HITCHCOCK CLINIC · PI ASHARE, ALIX · 2015 to 2019
$2.0M
Dynamics of Bacterial-Fungal Interactions in Chronic Lung InfectionsR01GM108492 · NIGMS · DARTMOUTH COLLEGE · PI HOGAN, DEBORAH A · 2014 to 2017
$1.5M
Acquisition of a Scalable Storage Cluster for Data Intensive NIH ResearchS10OD016290 · OD · UNIVERSITY OF CALIFORNIA RIVERSIDE · PI GIRKE, THOMAS · 2014 to 2014
$593k
NHLBI NIH HHS R01 HL122372NIAID NIH HHS R01 AI127548NIGMS NIH HHS P20 GM103413NIGMS NIH HHS R01 GM108492NIGMS NIH HHS T32 GM008704NIH HHS S10 OD016290
6 · The paper itself

Abstract

Management of the limited number of antimicrobials currently available requires the identification of infections that contain drug-resistant isolates and the discovery of factors that promote the evolution of drug resistance. Here, we report a single fungal infection in which we have identified numerous subpopulations that differ in their alleles of a single gene that impacts drug resistance. The diversity at this locus was markedly greater than the reported heterogeneity of alleles conferring antibiotic resistance in bacterial infections. Analysis of genomes from hundreds of

Indexed as

AllelesAntifungal AgentsCandidaCandidiasisChronic DiseaseCystic FibrosisDrug Resistance, FungalDrug Resistance, MicrobialFemaleFluconazoleHumansMicrobial Sensitivity TestsMutationRetrospective StudiesTranscription FactorsAntifungal AgentsFluconazoleTranscription FactorsCandidadrug resistanceevolutionfungiheterogeneity

Identifiers

PMID30389707
PMCPMC6255150
OpenAlexW2899359448

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.