Evidence map›Paper›PMID 33963193›Full record

ArticleNature communications2021

A peptidoglycan storm caused by β-lactam antibiotic's action on host microbiota drives Candida albicans infection.

Chew Teng Tan, Xiaoli Xu, Yuan Qiao, Yue Wang

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in Nature communications, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 56 papers.

0numbers the graph read from it
0cells of the map it votes in
56citing papers in PubMed
4.3field-weighted citation impact, top 4% 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

56 citing papers in PubMed, 91 citations in OpenAlex.

  1. Review
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  7. Quiescence improvesbioRxiv : the preprint server for biology · 2026
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  11. The pathogenicity and future treatment strategies ofFrontiers in cellular and infection microbiology · 2026
    Review
  12. Article
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  14. Review
  15. Article
  16. Article
  17. Article
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  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Chew Teng TanInstitute of Molecular and Cell Biology, Agency for Science, Technology and Research, Singapore, Singapore.ORCID http://orcid.org/0000-0002-0092-2094
Xiaoli XuInstitute of Molecular and Cell Biology, Agency for Science, Technology and Research, Singapore, Singapore.ORCID http://orcid.org/0000-0003-0920-4811
Yuan QiaoInstitute of Molecular and Cell Biology, Agency for Science, Technology and Research, Singapore, Singapore. yuan.qiao@ntu.edu.sg.ORCID http://orcid.org/0000-0003-0188-0700
Yue WangInstitute of Molecular and Cell Biology, Agency for Science, Technology and Research, Singapore, Singapore. mcbwangy@imcb.a-star.edu.sg.ORCID http://orcid.org/0000-0002-1211-2822
Agency for Science, Technology and Research · SG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The commensal fungus Candida albicans often causes life-threatening infections in patients who are immunocompromised with high mortality. A prominent but poorly understood risk factor for the C. albicans commensal‒pathogen transition is the use of broad-spectrum antibiotics. Here, we report that β-lactam antibiotics cause bacteria to release significant quantities of peptidoglycan fragments that potently induce the invasive hyphal growth of C. albicans. We identify several active peptidoglycan subunits, including tracheal cytotoxin, a molecule produced by many Gram-negative bacteria, and fragments purified from the cell wall of Gram-positive Staphylococcus aureus. Feeding mice with β-lactam antibiotics causes a peptidoglycan storm that transforms the gut from a niche usually restraining C. albicans in the commensal state to promoting invasive growth, leading to systemic dissemination. Our findings reveal a mechanism underlying a significant risk factor for C. albicans infection, which could inform clinicians regarding future antibiotic selection to minimize this deadly disease incidence.

Indexed as

AnimalsAnti-Bacterial Agentsbeta-LactamsCandida albicansCandidiasisCell WallChromatography, LiquidFemaleGastrointestinal MicrobiomeGram-Negative BacteriaHumansHyphaeMass SpectrometryMiceMice, Inbred BALB CPeptidoglycanAnti-Bacterial Agentsbeta-LactamsPeptidoglycan

Identifiers

PMID33963193
PMCPMC8105390
OpenAlexW3158340925

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.