Evidence map›Paper›PMID 32848055›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2020

Fungal biofilm architecture produces hypoxic microenvironments that drive antifungal resistance.

Caitlin H Kowalski, Kaesi A Morelli, Daniel Schultz, Carey D Nadell, Robert A Cramer

Open access · greenAbstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 85 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
85citing papers in PubMed, 1 pooled it
5.8field-weighted citation impact, top 3% 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

85 citing papers in PubMed, 1 synthesis or guideline pooled it, 136 citations in OpenAlex.

  1. Pooled it
  2. Toxicogenetic profiling of an antifungal lawsone silver salt: in silico and in vitro analysis in 2D and 3D mammalian models.Biometals : an international journal on the role of metal ions in biology, biochemistry, and medicine · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Insights intomSphere · 2026
    Article
  9. Article
  10. Article
  11. Genotype-Phenotype Relationships in Azole-ResistantJournal of fungi (Basel, Switzerland) · 2026
    Review
  12. Targeting multidrug-resistantMaterials today. Bio · 2026
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Biofilm Formation inMicroorganisms · 2026
    Article
  18. Article
  19. Correlation between MIC of econazole nitrate and clinical response in otomycosis.Frontiers in cellular and infection microbiology · 2026
    Article
  20. Molecular mechanisms drivingFrontiers in molecular biosciences · 2026
    Review

25 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Caitlin H KowalskiDepartment of Microbiology and Immunology, Geisel School of Medicine at Dartmouth, Hanover, NH 03755.ORCID 0000-0002-7222-6987
Kaesi A MorelliDepartment of Microbiology and Immunology, Geisel School of Medicine at Dartmouth, Hanover, NH 03755.ORCID 0000-0002-9637-030X
Daniel SchultzDepartment of Microbiology and Immunology, Geisel School of Medicine at Dartmouth, Hanover, NH 03755.ORCID 0000-0002-3080-3416
Carey D NadellDepartment of Biological Sciences, Dartmouth College, Hanover, NH 03755.ORCID 0000-0003-1751-4895
Robert A CramerDepartment of Microbiology and Immunology, Geisel School of Medicine at Dartmouth, Hanover, NH 03755; Robert.A.Cramer.Jr@dartmouth.edu.ORCID 0000-0001-5503-5006
Dartmouth College · US

Funding

Zhao - Proj 2P20GM130454 · NIGMS · DARTMOUTH COLLEGE · PI Li Song · 2019 to 2026
$27.2M
Understanding the role of RNA-binding protein mutations in cancerP20GM113132 · NIGMS · DARTMOUTH COLLEGE · PI LACEFIELD, SONI · 2016 to 2025
$25.9M
Translational Research CoreP30DK117469 · NIDDK · DARTMOUTH COLLEGE · PI DEAN R MADDEN · 2018 to 2026
$13.9M
Evolution of Aspergillus fumigatus virulenceR01AI130128 · NIAID · DARTMOUTH COLLEGE · PI Robert Andrew Cramer · 2017 to 2026
$4.5M
Environmental Oxygen Transitions and Aspergillosis Disease ProgressionR01AI146121 · NIAID · DARTMOUTH COLLEGE · PI CRAMER, ROBERT ANDREW · 2019 to 2023
$2.6M
Fungal Collagen-Like Proteins Mediate Oxygen Acquisition and VirulenceF31AI138354 · NIAID · DARTMOUTH COLLEGE · PI KOWALSKI, CAITLIN H. · 2018 to 2019
$90k
NIAID NIH HHS F31 AI138354NIAID NIH HHS R01 AI130128NIAID NIH HHS R01 AI146121NIDDK NIH HHS P30 DK117469NIGMS NIH HHS P20 GM113132
6 · The paper itself

Abstract

Human fungal infections may fail to respond to contemporary antifungal therapies in vivo despite in vitro fungal isolate drug susceptibility. Such a discrepancy between in vitro antimicrobial susceptibility and in vivo treatment outcomes is partially explained by microbes adopting a drug-resistant biofilm mode of growth during infection. The filamentous fungal pathogen

Indexed as

Aspergillus fumigatusCellular MicroenvironmentDrug Resistance, FungalAntifungal AgentsBiofilmsCell HypoxiaOxygenAntifungal AgentsOxygenantifungalsAspergillus fumigatusdrug resistancehypoxiaoxygen

Identifiers

PMID32848055
PMCPMC7486789
OpenAlexW3081014861

What OpenQuestion holds

Textmetadata
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.