Evidence map›Paper›PMID 31694529›Full record

ArticleBMC microbiology2019

Increase of reactive oxygen species contributes to growth inhibition by fluconazole in Cryptococcus neoformans.

Nadir Hani Dbouk, Madison Bailey Covington, Kenny Nguyen, Srikripa Chandrasekaran

Open access · goldAbstract read
In one paragraph

Article in BMC microbiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
2.6field-weighted citation impact, top 10% 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

21 citing papers in PubMed, 34 citations in OpenAlex.

  1. α-Terpineol reversesFrontiers in cellular and infection microbiology · 2026
    Article
  2. Article
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  5. Unveiling new features of the human pathogenComputational and structural biotechnology journal · 2025
    Article
  6. Exposure of Cryptococcus neoformans to low nitrogen levels enhances virulence.International microbiology : the official journal of the Spanish Society for Microbiology · 2024
    Article
  7. Article
  8. Article
  9. Overcoming Drug Resistance in a ClinicalAntibiotics (Basel, Switzerland) · 2023
    Article
  10. Fungistatic Effect of Phthalide Lactones onMolecules (Basel, Switzerland) · 2023
    Article
  11. Frontiers in physiology · 2023
    Article
  12. Modulation of the nanoscale motion rate ofFrontiers in microbiology · 2023
    Article
  13. Review
  14. Article
  15. Article
  16. Synthesis of novel pyrroles and fused pyrroles as antifungal and antibacterial agents.Journal of enzyme inhibition and medicinal chemistry · 2021
    Article
  17. In vitro anti-Cryptococcus activity of diphenyl diselenide alone and in combination with amphotericin B and fluconazole.Brazilian journal of microbiology : [publication of the Brazilian Society for Microbiology] · 2021
    Article
  18. Strain Degeneration inJournal of fungi (Basel, Switzerland) · 2021
    Article
  19. The Glycosylphosphatidylinositol-Anchored Superoxide Dismutase ofJournal of fungi (Basel, Switzerland) · 2021
    Article
  20. 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

4 authors at 1 institution in 1 country.

Nadir Hani DboukDepartment of Biology, Furman University, Greenville, SC, USA.
Madison Bailey CovingtonDepartment of Biology, Furman University, Greenville, SC, USA.
Kenny NguyenDepartment of Biology, Furman University, Greenville, SC, USA.
Srikripa ChandrasekaranDepartment of Biology, Furman University, Greenville, SC, USA. Srikripa.Chandrasekaran@furman.edu.ORCID 0000-0003-1103-492X
Furman University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCryptococcus neoformans, a basidiomycetous yeast, is a fungal pathogen that can colonize the lungs of humans causing pneumonia and fungal meningitis in severely immunocompromised individuals. Recent studies have implied that the antifungal drug fluconazole (FLC) can induce oxidative stress in C. neoformans by increasing the production of reactive oxygen species (ROS), as presence of the antioxidant ascorbic acid (AA) could reverse the inhibitory effects of FLC on C. neoformans. However, in Candida albicans, AA has been shown to stimulate the expression of genes essential for ergosterol biosynthesis. Hence, the contribution of ROS in FLC-mediated growth inhibition remains unclear.

resultsIn order to determine whether counteracting ROS generated by FLC in C. neoformans can contribute to diminishing inhibitory effects of FLC, we tested three other antioxidants in addition to AA, namely, pyrrolidine dithiocarbamate (PDTC), retinoic acid (RA), and glutathione (GSH). Our data confirm that there is an increase in ROS in the presence of FLC in C. neoformans. Importantly, all four antioxidants reversed FLC-mediated growth inhibition of C. neoformans to various extents. We further verified the involvement of increased ROS in FLC-mediated growth inhibition by determining that ROS-scavenging proteins, metallothioneins (CMT1 and CMT2), contribute to growth recovery by PDTC and AA during treatment with FLC.

conclusionOur study suggests that ROS contributes to FLC-mediated growth inhibition and points to a complex nature of antioxidant-mediated growth rescue in the presence of FLC.

Indexed as

Antifungal AgentsAscorbic AcidCryptococcus neoformansFluconazoleFungal ProteinsGene Expression Regulation, FungalGlutathioneMetallothioneinMicrobial ViabilityPyrrolidinesReactive Oxygen SpeciesThiocarbamatesTretinoinAntifungal AgentsAscorbic AcidFluconazoleFungal ProteinsGlutathioneMetallothioneinpyrrolidine dithiocarbamic acidPyrrolidinesReactive Oxygen SpeciesThiocarbamatesTretinoinAntifungal treatmentAntioxidantsMetallothioneinROS

Identifiers

PMID31694529
PMCPMC6833255
OpenAlexW2989205690

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.