Evidence map›Paper›PMID 30482894›Full record

ArticleEmerging microbes & infections2018

Filamentation in Candida auris, an emerging fungal pathogen of humans: passage through the mammalian body induces a heritable phenotypic switch.

Huizhen Yue, Jian Bing, Qiushi Zheng, Yulong Zhang, Tianren Hu, Han Du, Hui Wang, Guanghua Huang

Open access · goldAbstract read
In one paragraph

Article in Emerging microbes & infections, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 113 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
113citing papers in PubMed, 1 pooled it
8.8field-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

113 citing papers in PubMed, 1 synthesis or guideline pooled it, 163 citations in OpenAlex.

  1. Global characteristics and trends in research onFrontiers in microbiology · 2023
    Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. Morphological Shift and Lipid Accumulation inJournal of fungi (Basel, Switzerland) · 2026
    Article
  7. Article
  8. Journal of fungi (Basel, Switzerland) · 2026
    Review
  9. Microbiology and molecular biology reviews : MMBR · 2026
    Review
  10. Article
  11. Microbiology spectrum · 2026
    Article
  12. Article
  13. bioRxiv : the preprint server for biology · 2026
    Article
  14. Review
  15. Article
  16. StudyingPharmaceuticals (Basel, Switzerland) · 2025
    Review
  17. Article
  18. Review
  19. The GPI-Anchored Aspartyl Proteases Encoded by theJournal of fungi (Basel, Switzerland) · 2025
    Article
  20. Article

53 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

8 authors at 5 institutions in 1 country.

Huizhen YueState Key Laboratory of Mycology, Institute of Microbiology, Chinese Academy of Sciences, Beijing, 100101, China.
Jian BingState Key Laboratory of Mycology, Institute of Microbiology, Chinese Academy of Sciences, Beijing, 100101, China.
Qiushi ZhengState Key Laboratory of Mycology, Institute of Microbiology, Chinese Academy of Sciences, Beijing, 100101, China.
Yulong ZhangState Key Laboratory of Mycology, Institute of Microbiology, Chinese Academy of Sciences, Beijing, 100101, China.
Tianren HuState Key Laboratory of Mycology, Institute of Microbiology, Chinese Academy of Sciences, Beijing, 100101, China.
Han DuState Key Laboratory of Genetic Engineering, School of Life Sciences, Fudan University, Shanghai, 200438, China.
Hui WangDepartment of Clinical Laboratory, Peking University People's Hospital, Beijing, 100044, China.
Guanghua HuangState Key Laboratory of Mycology, Institute of Microbiology, Chinese Academy of Sciences, Beijing, 100101, China. huanggh@im.ac.cn.
Institute of Microbiology · CNUniversity of Chinese Academy of Sciences · CNChinese Academy of Sciences · CNFudan University · CNPeking University · CN

Funding

National Natural Science Foundation of China (National Science Foundation of China) 31625002 and 31370175
6 · The paper itself

Abstract

Morphological plasticity has historically been an indicator of increased virulence among fungal pathogens, allowing rapid adaptation to changing environments. Candida auris has been identified as an emerging multidrug-resistant human pathogen of global importance. Since the discovery of this species, it has been thought that C. auris is incapable of filamentous growth. Here, we report the discovery of filamentation and three distinct cell types in C. auris: typical yeast, filamentation-competent (FC) yeast, and filamentous cells. These cell types form a novel phenotypic switching system that contains a heritable (typical yeast-filament) and a nonheritable (FC-filament) switch. Intriguingly, the heritable switch between the typical yeast and the FC/filamentous phenotype is triggered by passage through a mammalian body, whereas the switch between the FC and filamentous phenotype is nonheritable and temperature-dependent. Low temperatures favor the filamentous phenotype, whereas high temperatures promote the FC yeast phenotype. Systemic in vivo and in vitro investigations were used to characterize phenotype-specific variations in global gene expression, secreted aspartyl proteinase (SAP) activity, and changes in virulence, indicating potential for niche-specific adaptations. Taken together, our study not only sheds light on the pathogenesis and biology of C. auris but also provides a novel example of morphological and epigenetic switching in fungi.

Indexed as

Cell CompartmentationGene Expression Regulation, FungalTemperatureAnimalsAspartic Acid ProteasesCandidaCandidiasisEpigenesis, GeneticFemaleGene Expression ProfilingHost-Pathogen InteractionsHumansHyphaeMiceMice, Inbred BALB CPhenotypeAspartic Acid Proteases

Identifiers

PMID30482894
PMCPMC6258701
OpenAlexW2900853140

What OpenQuestion holds

Textmetadata
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.