Evidence map›Paper›PMID 33047482›Full record

ReviewEnvironmental microbiology2020

Mechanisms of triazole resistance in Aspergillus fumigatus.

Ashley V Nywening, Jeffrey M Rybak, Phillip David Rogers, Jarrod R Fortwendel

Abstract readReview
In one paragraph

Review in Environmental microbiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers.

0numbers the graph read from it
0cells of the map it votes in
47citing 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

47 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
  4. Directed evolution of the pathogenic moldAntimicrobial agents and chemotherapy · 2026
    Article
  5. Article
  6. Understanding multi-azole resistance inFrontiers in fungal biology · 2026
    Article
  7. Antifungal susceptibility ofFrontiers in public health · 2026
    Article
  8. Article
  9. Pathogenesis and Triazole Resistance inInfection and drug resistance · 2026
    Review
  10. Azole-ResistantJournal of fungi (Basel, Switzerland) · 2025
    Review
  11. Article
  12. Article
  13. Review
  14. Recent developments inMicrobiology and molecular biology reviews : MMBR · 2025
    Review
  15. Article
  16. Mycology · 2025
    Article
  17. Article
  18. Article
  19. Review
  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.

Ashley V NyweningDepartment of Clinical Pharmacy and Translational Sciences, The University of Tennessee Health Science Center, 881 Madison Avenue, Memphis, TN, USA.ORCID 0000-0002-4969-4192
Jeffrey M RybakDepartment of Clinical Pharmacy and Translational Sciences, The University of Tennessee Health Science Center, 881 Madison Avenue, Memphis, TN, USA.
Phillip David RogersDepartment of Clinical Pharmacy and Translational Sciences, The University of Tennessee Health Science Center, 881 Madison Avenue, Memphis, TN, USA.
Jarrod R FortwendelDepartment of Clinical Pharmacy and Translational Sciences, The University of Tennessee Health Science Center, 881 Madison Avenue, Memphis, TN, USA.

Funding

Non-cyp51A-mutation Mediated Triazole Resistance in Aspergillus fumigatusR01AI143197 · NIAID · UNIVERSITY OF TENNESSEE HEALTH SCI CTR · PI FORTWENDEL, JARROD R., ROGERS, P. DAVID · 2020 to 2024
$3.3M
Systematic Functional Analysis of the Aspergillus fumigatus kinomeR21AI139388 · NIAID · UNIVERSITY OF TENNESSEE HEALTH SCI CTR · PI FORTWENDEL, JARROD R. · 2018 to 2019
$418k
Control of Antifungal Drug Tolerance through the Aspergillus fumigatus KinomeR21AI142509 · NIAID · UNIVERSITY OF TENNESSEE HEALTH SCI CTR · PI FORTWENDEL, JARROD R. · 2019 to 2020
$418k
NIAID NIH HHS R01 AI143197NIAID NIH HHS R21 AI139388NIAID NIH HHS R21 AI142509
6 · The paper itself

Abstract

The ubiquitous fungal pathogen Aspergillus fumigatus is the primary cause of opportunistic mould infections in humans. Aspergilli disseminate via asexual conidia passively travelling through air currents to germinate within a broad range of environs, wherever suitable nutrients are found. Though the average human inhales hundreds of conidia daily, A. fumigatus invasive infections primarily affect the immunocompromised. At-risk individuals can develop often fatal invasive disease for which therapeutic options are limited. Regrettably, the global insurgence of isolates resistant to the triazoles, the frontline antifungal class used in medicine and agriculture to control A. fumigatus, is complicating the treatment of patients. Triazole antifungal resistance in A. fumigatus has become recognized as a global, yet poorly comprehended, problem. Due to a multitude of factors, the magnitude of resistant infections and their contribution to treatment outcomes are likely underestimated. Current studies suggest that human drug-resistant infections can be either environmentally acquired or de novo host selected during patient therapy. While much concerning development of resistance is yet unknown, recent investigations have revealed assorted underlying mechanisms enabling triazole resistance within individual clinical and environmental isolates. This review will provide an overview of triazole resistance as it is currently understood, as well as highlight some of the prominent biological mechanisms associated with clinical and environmental resistance to triazoles in A. fumigatus.

Indexed as

Antifungal AgentsAspergillosisAspergillus fumigatusDrug Resistance, FungalHumansMicrobial Sensitivity TestsTriazolesAntifungal AgentsTriazoles

Identifiers

PMID33047482
PMCPMC7828461

What OpenQuestion holds

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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.