Evidence map›Paper›PMID 31048698›Full record

ArticleNature communications2019

Three phylogenetic groups have driven the recent population expansion of Cryptococcus neoformans.

P M Ashton, L T Thanh, P H Trieu, D Van Anh, N M Trinh, J Beardsley, F Kibengo, W Chierakul, D A B Dance, S Rattanavong and 14 more

Abstract read
In one paragraph

Article in Nature communications, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

41 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Journal of medical microbiology · 2026
    Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Tracing the evolution and genomic dynamics of mating-type loci inbioRxiv : the preprint server for biology · 2025
    Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. CryptoCEN: A Co-Expression Network forbioRxiv : the preprint server for biology · 2023
    Article
  18. Article
  19. Importance of Clinical Isolates inJournal of fungi (Basel, Switzerland) · 2023
    Review
  20. A Landscape of the Genomic Structure ofJournal of fungi (Basel, Switzerland) · 2023
    Article
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

24 authors.

P M AshtonWellcome Trust Asia Programme, Oxford University Clinical Research Unit, 764 Vo Van Kiet, Ho Chi Minh City, Vietnam.ORCID http://orcid.org/0000-0002-1545-9661
L T ThanhWellcome Trust Asia Programme, Oxford University Clinical Research Unit, 764 Vo Van Kiet, Ho Chi Minh City, Vietnam.
P H TrieuWellcome Trust Asia Programme, Oxford University Clinical Research Unit, 764 Vo Van Kiet, Ho Chi Minh City, Vietnam.
D Van AnhWellcome Trust Asia Programme, Oxford University Clinical Research Unit, 764 Vo Van Kiet, Ho Chi Minh City, Vietnam.
N M TrinhWellcome Trust Asia Programme, Oxford University Clinical Research Unit, 764 Vo Van Kiet, Ho Chi Minh City, Vietnam.
J BeardsleyWellcome Trust Asia Programme, Oxford University Clinical Research Unit, 764 Vo Van Kiet, Ho Chi Minh City, Vietnam.
F KibengoMRC/UVRI and LSHTM Uganda Research Unit, Entebbe, Uganda.ORCID http://orcid.org/0000-0002-9512-1571
W ChierakulMahidol Oxford Tropical Medicine Research Unit, Bangkok, Thailand.ORCID http://orcid.org/0000-0003-2103-9425
D A B DanceNuffield Department of Medicine, Centre for Tropical Medicine and Global Health, University of Oxford, Oxford, OX3 7FZ, UK.ORCID http://orcid.org/0000-0001-9189-7244
S RattanavongLao-Oxford-Mahosot Hospital-Wellcome Trust Research Unit, Vientiane, Laos.
V DavongLao-Oxford-Mahosot Hospital-Wellcome Trust Research Unit, Vientiane, Laos.
L Q HungCho Ray Hospital, Ho Chi Minh City, Vietnam.
N V V ChauHospital for Tropical Diseases, Ho Chi Minh City, Vietnam.
N L N TungHospital for Tropical Diseases, Ho Chi Minh City, Vietnam.
A K ChanSunnybrook Health Sciences Centre, University of Toronto, Toronto, M4N 3M5, ON, Canada.
G E ThwaitesWellcome Trust Asia Programme, Oxford University Clinical Research Unit, 764 Vo Van Kiet, Ho Chi Minh City, Vietnam.
D G LallooLiverpool School of Tropical Medicine, Liverpool, L3 5QA, UK.ORCID http://orcid.org/0000-0001-7680-2200
C AnscombeWellcome Trust Asia Programme, Oxford University Clinical Research Unit, 764 Vo Van Kiet, Ho Chi Minh City, Vietnam.
L T H NhatWellcome Trust Asia Programme, Oxford University Clinical Research Unit, 764 Vo Van Kiet, Ho Chi Minh City, Vietnam.
J PerfectDepartment of Medicine and Department of Molecular Genetics and Microbiology, Division of Infectious Diseases, Duke University, Durham, NC, 27710, USA.
G DouganWellcome Trust-Cambridge Centre for Global Health Research, Cambridge, CB2 0XY, UK.
S BakerWellcome Trust Asia Programme, Oxford University Clinical Research Unit, 764 Vo Van Kiet, Ho Chi Minh City, Vietnam.
S HarrisPathogen Genomics, The Wellcome Trust Sanger Institute, Wellcome Trust Genome Campus, Cambridge, CB10 1SA, Cambridgeshire, UK.
J N DayWellcome Trust Asia Programme, Oxford University Clinical Research Unit, 764 Vo Van Kiet, Ho Chi Minh City, Vietnam. jday@oucru.org.ORCID http://orcid.org/0000-0002-7843-6280

Funding

Pathobiology of C. neoformans in the Central Nervous SystemR01AI073896 · NIAID · DUKE UNIVERSITY · PI PERFECT, JOHN R. · 2008 to 2018
$4.4M
Evolution of Cryptococcus neoformans Strains from Patients with HIV/AIDSR01AI093257 · NIAID · DUKE UNIVERSITY · PI PERFECT, JOHN R. · 2011 to 2022
$3.8M
Medical Research Council G1100684Medical Research Council MR/L015080/1NIAID NIH HHS R01 AI073896NIAID NIH HHS R01 AI093257
6 · The paper itself

Abstract

Cryptococcus neoformans (C. neoformans var. grubii) is an environmentally acquired pathogen causing 181,000 HIV-associated deaths each year. We sequenced 699 isolates, primarily C. neoformans from HIV-infected patients, from 5 countries in Asia and Africa. The phylogeny of C. neoformans reveals a recent exponential population expansion, consistent with the increase in the number of susceptible hosts. In our study population, this expansion has been driven by three sub-clades of the C. neoformans VNIa lineage; VNIa-4, VNIa-5 and VNIa-93. These three sub-clades account for 91% of clinical isolates sequenced in our study. Combining the genome data with clinical information, we find that the VNIa-93 sub-clade, the most common sub-clade in Uganda and Malawi, was associated with better outcomes than VNIa-4 and VNIa-5, which predominate in Southeast Asia. This study lays the foundation for further work investigating the dominance of VNIa-4, VNIa-5 and VNIa-93 and the association between lineage and clinical phenotype.

Indexed as

PhylogenyAIDS-Related Opportunistic InfectionsAntifungal AgentsClinical Trials as TopicCryptococcosisCryptococcus neoformansGenome, FungalHumansIncidenceLaosMalawiThailandTreatment OutcomeUgandaVietnamWhole Genome SequencingAntifungal Agents

Identifiers

PMID31048698
PMCPMC6497710

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.