Evidence map›Paper›PMID 31548684›Full record

ArticleNature microbiology2019

Fungal biofilm morphology impacts hypoxia fitness and disease progression.

Caitlin H Kowalski, Joshua D Kerkaert, Ko-Wei Liu, Matthew C Bond, Raimo Hartmann, Carey D Nadell, Jason E Stajich, Robert A Cramer

Abstract read
In one paragraph

Article in Nature microbiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 70 papers.

0numbers the graph read from it
0cells of the map it votes in
70citing papers in PubMed
–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

70 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Genotype-Phenotype Relationships in Azole-ResistantJournal of fungi (Basel, Switzerland) · 2026
    Review
  5. Article
  6. Article
  7. Review
  8. TheJournal of fungi (Basel, Switzerland) · 2025
    Article
  9. Review
  10. Article
  11. Article
  12. Review
  13. Fungal biofilms in human health and disease.Nature reviews. Microbiology · 2025
    Review
  14. Article
  15. Recent developments inMicrobiology and molecular biology reviews : MMBR · 2025
    Review
  16. Article
  17. Review
  18. Article
  19. Article
  20. Article

10 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.

Caitlin H KowalskiDepartment of Microbiology and Immunology, Geisel School of Medicine at Dartmouth, Hanover, NH, USA.
Joshua D KerkaertDepartment of Microbiology and Immunology, Geisel School of Medicine at Dartmouth, Hanover, NH, USA.
Ko-Wei LiuDepartment of Microbiology and Immunology, Geisel School of Medicine at Dartmouth, Hanover, NH, USA.
Matthew C BondDepartment of Biological Science, Dartmouth College, Hanover, NH, USA.ORCID http://orcid.org/0000-0002-7188-9252
Raimo Hartmann
Carey D NadellDepartment of Biological Science, Dartmouth College, Hanover, NH, USA.ORCID http://orcid.org/0000-0003-1751-4895
Jason E StajichDepartment of Microbiology and Plant Pathology and Institute for Integrative Genome Biology, University of California-Riverside, Riverside, CA, USA.ORCID http://orcid.org/0000-0002-7591-0020
Robert A CramerDepartment of Microbiology and Immunology, Geisel School of Medicine at Dartmouth, Hanover, NH, USA. Robert.A.Cramer.JR@Dartmouth.edu.ORCID http://orcid.org/0000-0001-5503-5006

Funding

Understanding the role of RNA-binding protein mutations in cancerP20GM113132 · NIGMS · DARTMOUTH COLLEGE · PI MIERKE, DALE F · 2016 to 2025
$25.9M
Translational Research CoreP30DK117469 · NIDDK · DARTMOUTH COLLEGE · PI DEAN R MADDEN · 2018 to 2026
$13.9M
Molecular and Cellular Biology at DartmouthT32GM008704 · NIGMS · DARTMOUTH COLLEGE · PI COMPTON, DUANE A. · 1998 to 2018
$6.8M
Evolution of Aspergillus fumigatus virulenceR01AI130128 · NIAID · DARTMOUTH COLLEGE · PI Robert Andrew Cramer · 2017 to 2026
$4.5M
Hypoxia Adaptation and Fungal Virulence of Aspergillus fumigatusR01AI081838 · NIAID · MONTANA STATE UNIVERSITY - BOZEMAN · PI CRAMER, ROBERT ANDREW · 2009 to 2017
$2.9M
Dartmouth Cystic Fibrosis Training ProgramT32HL134598 · NHLBI · DARTMOUTH COLLEGE · PI George A. O'Toole · 2017 to 2026
$1.7M
Acquisition of a Scalable Storage Cluster for Data Intensive NIH ResearchS10OD016290 · OD · UNIVERSITY OF CALIFORNIA RIVERSIDE · PI GIRKE, THOMAS · 2014 to 2014
$593k
Fungal Collagen-Like Proteins Mediate Oxygen Acquisition and VirulenceF31AI138354 · NIAID · DARTMOUTH COLLEGE · PI KOWALSKI, CAITLIN H. · 2018 to 2019
$90k
NHLBI NIH HHS T32 HL134598NIAID NIH HHS F31 AI138354NIAID NIH HHS R01 AI081838NIAID NIH HHS R01 AI130128NIDDK NIH HHS P30 DK117469NIGMS NIH HHS P20 GM113132NIGMS NIH HHS T32 GM008704NIH HHS S10 OD016290
6 · The paper itself

Abstract

Microbial populations form intricate macroscopic colonies with diverse morphologies whose functions remain to be fully understood. Despite fungal colonies isolated from environmental and clinical samples revealing abundant intraspecies morphological diversity, it is unclear how this diversity affects fungal fitness and disease progression. Here we observe a notable effect of oxygen tension on the macroscopic and biofilm morphotypes of the human fungal pathogen Aspergillus fumigatus. A hypoxia-typic morphotype is generated through the expression of a subtelomeric gene cluster containing genes that alter the hyphal surface and perturb interhyphal interactions to disrupt in vivo biofilm and infection site morphologies. Consequently, this morphotype leads to increased host inflammation, rapid disease progression and mortality in a murine model of invasive aspergillosis. Taken together, these data suggest that filamentous fungal biofilm morphology affects fungal-host interactions and should be taken into consideration when assessing virulence and host disease progression of an isolated strain.

Indexed as

Disease ProgressionAnimalsAspergillosisAspergillus fumigatusBiofilmsDisease Models, AnimalFemaleFungal ProteinsFungiHyphaeHypoxiaMiceMultigene FamilyVirulenceFungal Proteins

Identifiers

PMID31548684
PMCPMC7396965

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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.