Evidence map›Paper›PMID 33353950›Full record

ArticleNature communications2020

An oxindole efflux inhibitor potentiates azoles and impairs virulence in the fungal pathogen Candida auris.

Kali R Iyer, Kaddy Camara, Martin Daniel-Ivad, Richard Trilles, Sheila M Pimentel-Elardo, Jen L Fossen, Karen Marchillo, Zhongle Liu, Shakti Singh, José F Muñoz and 12 more

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed
1.2field-weighted citation impact, top 11% 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

48 citing papers in PubMed, 68 citations in OpenAlex.

  1. Trial
  2. Article
  3. Microbiology and molecular biology reviews : MMBR · 2026
    Review
  4. Article
  5. Review
  6. Article
  7. Article
  8. Relative contributions of the ERG11Clinical microbiology and infection : the official publication of the European Society of Clinical Microbiology and Infectious Diseases · 2026
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Review
  15. A comparative evaluation of CRISPR-Cas9 allele editing systems inbioRxiv : the preprint server for biology · 2025
    Article
  16. Article
  17. Review
  18. Article
  19. The anti-inflammatory and immunological properties of SGLT-2 inhibitors.Journal of endocrinological investigation · 2023
    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

22 authors at 6 institutions in 2 countries.

Kali R IyerDepartment of Molecular Genetics, University of Toronto, Toronto, ON, Canada.
Kaddy CamaraDepartment of Chemistry and Center for Molecular Discovery (BU-CMD), Boston University, Boston, MA, USA.
Martin Daniel-IvadDepartment of Biochemistry, University of Toronto, Toronto, ON, Canada.
Richard TrillesDepartment of Chemistry and Center for Molecular Discovery (BU-CMD), Boston University, Boston, MA, USA.
Sheila M Pimentel-ElardoDepartment of Biochemistry, University of Toronto, Toronto, ON, Canada.
Jen L FossenDepartment of Medicine, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.
Karen MarchilloDepartment of Medicine, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.
Zhongle LiuDepartment of Molecular Genetics, University of Toronto, Toronto, ON, Canada.
Shakti SinghDivision of Infectious Disease, The Lundquist Institute for Biomedical Innovation Los Angeles Biomedical Research Institute at Harbor-University of California, Los Angeles (UCLA) Medical Center, Torrance, CA, USA.
José F MuñozInfectious Disease and Microbiome Program, Broad Institute of MIT and Harvard, Cambridge, MA, USA.ORCID 0000-0003-4987-7957
Sang Hu KimDepartment of Molecular Genetics, University of Toronto, Toronto, ON, Canada.ORCID 0000-0003-0597-0623
John A PorcoDepartment of Chemistry and Center for Molecular Discovery (BU-CMD), Boston University, Boston, MA, USA.ORCID 0000-0002-2991-5680
Christina A CuomoInfectious Disease and Microbiome Program, Broad Institute of MIT and Harvard, Cambridge, MA, USA.ORCID 0000-0002-5778-960X
Noelle S WilliamsDepartment of Biochemistry, University of Texas Southwestern Medical School, Dallas, TX, USA.
Ashraf S IbrahimDivision of Infectious Disease, The Lundquist Institute for Biomedical Innovation Los Angeles Biomedical Research Institute at Harbor-University of California, Los Angeles (UCLA) Medical Center, Torrance, CA, USA.ORCID 0000-0003-3787-8530
John E EdwardsDivision of Infectious Disease, The Lundquist Institute for Biomedical Innovation Los Angeles Biomedical Research Institute at Harbor-University of California, Los Angeles (UCLA) Medical Center, Torrance, CA, USA.
David R AndesDepartment of Medicine, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.
Justin R NodwellDepartment of Biochemistry, University of Toronto, Toronto, ON, Canada.ORCID 0000-0001-7909-1803
Lauren E BrownDepartment of Chemistry and Center for Molecular Discovery (BU-CMD), Boston University, Boston, MA, USA.ORCID 0000-0001-9489-484X
Luke WhitesellDepartment of Molecular Genetics, University of Toronto, Toronto, ON, Canada.
Nicole RobbinsDepartment of Molecular Genetics, University of Toronto, Toronto, ON, Canada.
Leah E CowenDepartment of Molecular Genetics, University of Toronto, Toronto, ON, Canada. leah.cowen@utoronto.ca.ORCID 0000-0001-5797-0110
University of Toronto · CABoston University · USUniversity of California, Los Angeles · USUniversity of Wisconsin–Madison · USBroad Institute · USThe University of Texas Southwestern Medical Center · US

Funding

Viral Genomics: evolution, spread, and host interactionsU19AI110818 · NIAID · BROAD INSTITUTE, INC. · PI NEAFSEY, DANIEL E · 2014 to 2024
$66.5M
Chemical Synthesis of Complex Natural Products for Translational ScienceR35GM118173 · NIGMS · BOSTON UNIVERSITY (CHARLES RIVER CAMPUS) · PI JOHN A. PORCO · 2016 to 2026
$8.2M
Vesicle-mediated drug resistance of Candida albicans biofilmR01AI073289 · NIAID · UNIVERSITY OF WISCONSIN-MADISON · PI ANDES, DAVID R, MITCHELL, AARON P · 2008 to 2025
$7.9M
Cross-Kingdom Vaccine Targeting Healthcare-Associated Priority Pathogens SupplementR01AI141202 · NIAID · LUNDQUIST INSTITUTE FOR BIOMEDICAL INNOVATION AT HARBOR-UCLA MEDICAL CENTER · PI IBRAHIM, ASHRAF S. · 2019 to 2023
$5.7M
BU-CMD Chemical Library Consortium: Fostering Collaborations between Chemists and Biologists for Translational DiscoveryU01TR002625 · NCATS · BOSTON UNIVERSITY (CHARLES RIVER CAMPUS) · PI PORCO, JOHN A. · 2020 to 2023
$2.7M
Myosin I in epithelial cell-cell contact and polarityR01GM111615 · NIGMS · BOSTON UNIVERSITY MEDICAL CAMPUS · PI COLUCCIO, LYNNE M · 2015 to 2018
$1.7M
CIHR FDN-154288CIHR MOP-133636NCATS NIH HHS U01 TR002625NIAID NIH HHS R01 AI073289NIAID NIH HHS R01 AI141202NIAID NIH HHS U19 AI110818NIGMS NIH HHS R01 GM111615NIGMS NIH HHS R35 GM118173
6 · The paper itself

Abstract

Candida auris is an emerging fungal pathogen that exhibits resistance to multiple drugs, including the most commonly prescribed antifungal, fluconazole. Here, we use a combinatorial screening approach to identify a bis-benzodioxolylindolinone (azoffluxin) that synergizes with fluconazole against C. auris. Azoffluxin enhances fluconazole activity through the inhibition of efflux pump Cdr1, thus increasing intracellular fluconazole levels. This activity is conserved across most C. auris clades, with the exception of clade III. Azoffluxin also inhibits efflux in highly azole-resistant strains of Candida albicans, another human fungal pathogen, increasing their susceptibility to fluconazole. Furthermore, azoffluxin enhances fluconazole activity in mice infected with C. auris, reducing fungal burden. Our findings suggest that pharmacologically targeting Cdr1 in combination with azoles may be an effective strategy to control infection caused by azole-resistant isolates of C. auris.

Indexed as

AnimalsAntifungal AgentsAzolesCandidaDrug Evaluation, PreclinicalDrug SynergismFluconazoleFungal ProteinsGene DeletionHumansMiceOxindolesVirulenceAntifungal AgentsAzolesFluconazoleFungal ProteinsOxindoles

Identifiers

PMID33353950
PMCPMC7755909
OpenAlexW3113903917

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.