Evidence map›Paper›PMID 35199143›Full record

ArticleGenetics2022

Population genetics and microevolution of clinical Candida glabrata reveals recombinant sequence types and hyper-variation within mitochondrial genomes, virulence genes, and drug targets.

Nicolas Helmstetter, Aleksandra D Chybowska, Christopher Delaney, Alessandra Da Silva Dantas, Hugh Gifford, Theresa Wacker, Carol Munro, Adilia Warris, Brian Jones, Christina A Cuomo and 3 more

Open access · hybridAbstract read
In one paragraph

Article in Genetics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
2.8field-weighted citation impact, top 8% 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

25 citing papers in PubMed, 28 citations in OpenAlex.

  1. Article
  2. Journal of medical microbiology · 2026
    Review
  3. Article
  4. Article
  5. Molecular epidemiology ofVirulence · 2025
    Article
  6. Article
  7. Review
  8. Heterogeneity ofMicrobiology spectrum · 2025
    Article
  9. International journal of molecular sciences · 2025
    Article
  10. Article
  11. Review
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  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

13 authors at 4 institutions in 2 countries.

Nicolas HelmstetterMedical Research Council, Centre for Medical Mycology, University of Exeter, Exeter EX4 4QD UK.ORCID 0000-0003-0260-023X
Aleksandra D ChybowskaInstitute of Medical Sciences, University of Aberdeen, Aberdeen AB25 2ZD, UK.
Christopher DelaneySchool of Medicine, College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow G12 8QQ, UK.
Alessandra Da Silva DantasMedical Research Council, Centre for Medical Mycology, University of Exeter, Exeter EX4 4QD UK.
Hugh GiffordMedical Research Council, Centre for Medical Mycology, University of Exeter, Exeter EX4 4QD UK.ORCID 0000-0003-2797-852X
Theresa WackerMedical Research Council, Centre for Medical Mycology, University of Exeter, Exeter EX4 4QD UK.
Carol MunroInstitute of Medical Sciences, University of Aberdeen, Aberdeen AB25 2ZD, UK.ORCID 0000-0003-0761-1755
Adilia WarrisMedical Research Council, Centre for Medical Mycology, University of Exeter, Exeter EX4 4QD UK.ORCID 0000-0001-6586-3358
Brian JonesInstitute of Infection, Immunity & Inflammation, University of Glasgow, Glasgow G12 8TA, UK.
Christina A CuomoBroad Institute of MIT and Harvard, Cambridge, MA 02142, USA.ORCID 0000-0002-5778-960X
Duncan WilsonMedical Research Council, Centre for Medical Mycology, University of Exeter, Exeter EX4 4QD UK.ORCID 0000-0001-6617-0123
Gordon RamageSchool of Medicine, College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow G12 8QQ, UK.ORCID 0000-0002-0932-3514
Rhys A FarrerMedical Research Council, Centre for Medical Mycology, University of Exeter, Exeter EX4 4QD UK.ORCID 0000-0001-8456-7458
University of Exeter · GBUniversity of Glasgow · GBBroad Institute · USUniversity of Aberdeen · GB

Funding

Medical Research Council MR/V033417/1
6 · The paper itself

Abstract

Candida glabrata is the second most common etiological cause of worldwide systemic candidiasis in adult patients. Genome analysis of 68 isolates from 8 hospitals across Scotland, together with 83 global isolates, revealed insights into the population genetics and evolution of C. glabrata. Clinical isolates of C. glabrata from across Scotland are highly genetically diverse, including at least 19 separate sequence types that have been recovered previously in globally diverse locations, and 1 newly discovered sequence type. Several sequence types had evidence for ancestral recombination, suggesting transmission between distinct geographical regions has coincided with genetic exchange arising in new clades. Three isolates were missing MATα1, potentially representing a second mating type. Signatures of positive selection were identified in every sequence type including enrichment for epithelial adhesins thought to facilitate fungal adhesin to human epithelial cells. In patent microevolution was identified from 7 sets of recurrent cases of candidiasis, revealing an enrichment for nonsynonymous and frameshift indels in cell surface proteins. Microevolution within patients also affected epithelial adhesins genes, and several genes involved in drug resistance including the ergosterol synthesis gene ERG4 and the echinocandin target FKS1/2, the latter coinciding with a marked drop in fluconazole minimum inhibitory concentration. In addition to nuclear genome diversity, the C. glabrata mitochondrial genome was particularly diverse, with reduced conserved sequence and conserved protein-encoding genes in all nonreference ST15 isolates. Together, this study highlights the genetic diversity within the C. glabrata population that may impact virulence and drug resistance, and 2 major mechanisms generating this diversity: microevolution and genetic exchange/recombination.

Indexed as

Candida glabrataGenome, MitochondrialAdultAntifungal AgentsDrug Resistance, FungalGenetics, PopulationHumansVirulenceAntifungal AgentsCandida glabratacandidiasisdrug-resistanceepidemiologyevolutiongenome sequencingmicroevolutionmitochondria

Identifiers

PMID35199143
PMCPMC9071574
OpenAlexW4213449679

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.