Evidence map›Paper›PMID 31028698›Full record

ArticleMolecular biology and evolution2019

Aneuploidy Enables Cross-Adaptation to Unrelated Drugs.

Feng Yang, Flora Teoh, Alrina Shin Min Tan, Yongbing Cao, Norman Pavelka, Judith Berman

Open access · hybridAbstract read
In one paragraph

Article in Molecular biology and evolution, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 78 papers.

0numbers the graph read from it
0cells of the map it votes in
78citing papers in PubMed
8.5field-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

78 citing papers in PubMed, 106 citations in OpenAlex.

  1. Article
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  6. Microbiology and molecular biology reviews : MMBR · 2026
    Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Review
  15. Aneuploidy enables adaptation to brefeldin A inFrontiers in cellular and infection microbiology · 2025
    Article
  16. Caspofungin paradoxical growth inFrontiers in cellular and infection microbiology · 2025
    Article
  17. Review
  18. Review
  19. Review
  20. Article

18 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

6 authors at 3 institutions in 3 countries.

Feng YangDepartment of Molecular Microbiology and Biotechnology, School of Molecular Cell Biology and Biotechnology, The George S. Wise Faculty of Life Sciences, Tel Aviv University, Tel Aviv, Israel.
Flora TeohSingapore Immunology Network (SIgN), Agency for Science, Technology and Research (A*STAR), Singapore.
Alrina Shin Min TanSingapore Immunology Network (SIgN), Agency for Science, Technology and Research (A*STAR), Singapore.
Yongbing CaoDepartment of Vascular Disease, Shanghai TCM-Integrated Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, China.
Norman PavelkaSingapore Immunology Network (SIgN), Agency for Science, Technology and Research (A*STAR), Singapore.
Judith BermanDepartment of Molecular Microbiology and Biotechnology, School of Molecular Cell Biology and Biotechnology, The George S. Wise Faculty of Life Sciences, Tel Aviv University, Tel Aviv, Israel.
Agency for Science, Technology and Research · SGTel Aviv University · ILShanghai University of Traditional Chinese Medicine · CN

Funding

European Research Council 340087
6 · The paper itself

Abstract

Aneuploidy is common both in tumor cells responding to chemotherapeutic agents and in fungal cells adapting to antifungal drugs. Because aneuploidy simultaneously affects many genes, it has the potential to confer multiple phenotypes to the same cells. Here, we analyzed the mechanisms by which Candida albicans, the most prevalent human fungal pathogen, acquires the ability to survive both chemotherapeutic agents and antifungal drugs. Strikingly, adaptation to both types of drugs was accompanied by the acquisition of specific whole-chromosome aneuploidies, with some aneuploid karyotypes recovered independently and repeatedly from very different drug conditions. Specifically, strains selected for survival in hydroxyurea, an anticancer drug, acquired cross-adaptation to caspofungin, a first-line antifungal drug, and both acquired traits were attributable to trisomy of the same chromosome: loss of trisomy was accompanied by loss of adaptation to both drugs. Mechanistically, aneuploidy simultaneously altered the copy number of most genes on chromosome 2, yet survival in hydroxyurea or caspofungin required different genes and stress response pathways. Similarly, chromosome 5 monosomy conferred increased tolerance to both fluconazole and to caspofungin, antifungals with different mechanisms of action. Thus, the potential for cross-adaptation is not a feature of aneuploidy per se; rather, it is dependent on specific genes harbored on given aneuploid chromosomes. Furthermore, pre-exposure to hydroxyurea increased the frequency of appearance of caspofungin survivors, and hydroxyurea-adapted C. albicans cells were refractory to antifungal drug treatment in a mouse model of systemic candidiasis. This highlights the potential clinical consequences for the management of cancer chemotherapy patients at risk of fungal infections.

Indexed as

AneuploidyAntifungal AgentsAntineoplastic AgentsCaspofunginHydroxyureaAdaptation, BiologicalAnimalsCalcineurinCandida albicansChromosomes, FungalDrug Resistance, FungalMiceAntifungal AgentsAntineoplastic AgentsCalcineurinCaspofunginHydroxyureaantifungal responsesCandida albicanscross-adaptationdrug resistancedrug toleranceevolution via aneuploidy

Identifiers

PMID31028698
PMCPMC6657732
OpenAlexW2940793950

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Registered trials

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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.