Evidence map›Paper›PMID 33769478›Full record

ArticleGenetics2021

Clade-specific chromosomal rearrangements and loss of subtelomeric adhesins in Candida auris.

José F Muñoz, Rory M Welsh, Terrance Shea, Dhwani Batra, Lalitha Gade, Dakota Howard, Lori A Rowe, Jacques F Meis, Anastasia P Litvintseva, Christina A Cuomo

Open access · hybridAbstract read
In one paragraph

Article in Genetics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 89 papers.

0numbers the graph read from it
0cells of the map it votes in
89citing papers in PubMed
5.4field-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

89 citing papers in PubMed, 117 citations in OpenAlex.

  1. Review
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  4. The role ofmBio · 2026
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  9. Insights on molecular drivers of phenotypic plasticity in Candidozyma auris.World journal of microbiology & biotechnology · 2026
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  11. Defining thebioRxiv : the preprint server for biology · 2026
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  12. Genomic landscape ofEuro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2026
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  15. Deciphering the multidrug resistance paradigm inAntimicrobial agents and chemotherapy · 2026
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  16. UnderstandingJournal of medical microbiology · 2026
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  17. Review
  18. Genomic Insights intoJournal of fungi (Basel, Switzerland) · 2026
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  19. Article
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29 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

10 authors at 4 institutions in 2 countries.

José F MuñozBroad Institute of MIT and Harvard, Cambridge, MA 02142, USA.ORCID 0000-0003-4987-7957
Rory M WelshMycotic Diseases Branch, U.S. Department of Health and Human Services, Atlanta, GA, USA.
Terrance SheaBroad Institute of MIT and Harvard, Cambridge, MA 02142, USA.
Dhwani BatraDivision of Scientific Resources, Centers for Disease Control and Prevention, U.S. Department of Health and Human Services, Atlanta, GA, USA.
Lalitha GadeMycotic Diseases Branch, U.S. Department of Health and Human Services, Atlanta, GA, USA.
Dakota HowardDivision of Scientific Resources, Centers for Disease Control and Prevention, U.S. Department of Health and Human Services, Atlanta, GA, USA.
Lori A RoweDivision of Scientific Resources, Centers for Disease Control and Prevention, U.S. Department of Health and Human Services, Atlanta, GA, USA.
Jacques F MeisDepartment of Medical Microbiology and Infectious Diseases, Canisius Wilhelmina Hospital, Center of Expertise in Mycology Radboudumc/CWZ, Nijmegen, The Netherlands.ORCID 0000-0003-3253-6080
Anastasia P LitvintsevaMycotic Diseases Branch, U.S. Department of Health and Human Services, Atlanta, GA, USA.
Christina A CuomoBroad Institute of MIT and Harvard, Cambridge, MA 02142, USA.ORCID 0000-0002-5778-960X
Broad Institute · USCenters for Disease Control and Prevention · USUnited States Department of Health and Human Services · USRadboud University Nijmegen · NL

Funding

Viral Genomics: evolution, spread, and host interactionsU19AI110818 · NIAID · BROAD INSTITUTE, INC. · PI CUOMO, CHRISTINA A · 2014 to 2024
$66.5M
NIAID NIH HHS U19 AI110818
6 · The paper itself

Abstract

Candida auris is an emerging fungal pathogen of rising concern due to global spread, the ability to cause healthcare-associated outbreaks, and antifungal resistance. Genomic analyses revealed that early contemporaneously detected cases of C. auris were geographically stratified into four major clades. While Clades I, III, and IV are responsible for ongoing outbreaks of invasive and multidrug-resistant infections, Clade II, also termed the East Asian clade, consists primarily of cases of ear infection, is often susceptible to all antifungal drugs, and has not been associated with outbreaks. Here, we generate chromosome-level assemblies of twelve isolates representing the phylogenetic breadth of these four clades and the only isolate described to date from Clade V. This Clade V genome is highly syntenic with those of Clades I, III, and IV, although the sequence is highly divergent from the other clades. Clade II genomes appear highly rearranged, with translocations occurring near GC-poor regions, and large subtelomeric deletions in most chromosomes, resulting in a substantially different karyotype. Rearrangements and deletion lengths vary across Clade II isolates, including two from a single patient, supporting ongoing genome instability. Deleted subtelomeric regions are enriched in Hyr/Iff-like cell-surface proteins, novel candidate cell wall proteins, and an ALS-like adhesin. Cell wall proteins from these families and other drug-related genes show clade-specific signatures of selection in Clades I, III, and IV. Subtelomeric dynamics and the conservation of cell surface proteins in the clades responsible for global outbreaks causing invasive infections suggest an explanation for the different phenotypes observed between clades.

Indexed as

ChromosomesCandidaCandida aurisChromosome AberrationsGene RearrangementGenome, FungalGenomicsKaryotypePhylogenyTelomereCandida auriscell wall proteinschromosome rearrangementfungal genomekaryotype variationselectionsubtelomeric variation

Identifiers

PMID33769478
PMCPMC8128392
OpenAlexW3130607038

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.