Evidence map›Paper›PMID 35311544›Full record

Observational studyInfection and immunity2022

A High-Risk Profile for Invasive Fungal Infections Is Associated with Altered Nasal Microbiota and Niche Determinants.

Claudio Costantini, Emilia Nunzi, Angelica Spolzino, Francesco Merli, Luca Facchini, Antonio Spadea, Lorella Melillo, Katia Codeluppi, Francesco Marchesi, Gessica Marchesini and 15 more

Open access · greenAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Infection and immunity, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.8field-weighted citation impact, top 14% 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

9 citing papers in PubMed, 12 citations in OpenAlex.

  1. Review
  2. Childhood infectious diseases: experiences and challenges.World journal of pediatrics : WJP · 2025
    Article
  3. Article
  4. Review
  5. Review
  6. Article
  7. Article
  8. Review
  9. Antibiotic-induced depletion ofFrontiers in cellular and infection microbiology · 2022
    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

25 authors at 9 institutions in 2 countries.

Claudio Costantini *Department of Medicine and Surgery, University of Perugiagrid.9027.c, Perugia, Italy.
Emilia Nunzi *Department of Medicine and Surgery, University of Perugiagrid.9027.c, Perugia, Italy.
Angelica SpolzinoHaematology and Bone Marrow Transplant Unit, Department of Medicine and Surgery, University of Parma, Parma, Italy.
Francesco MerliHematology AUSL-IRCCS Reggio Emilia, Reggio Emilia, Italy.
Luca FacchiniHematology AUSL-IRCCS Reggio Emilia, Reggio Emilia, Italy.
Antonio SpadeaHematology and Stem Cell Transplant Unit, IRCCS Regina Elena National Cancer Institute, Rome, Italy.
Lorella MelilloHematology, S. Giovanni Rotondo Hospital, San Giovanni Rotondo, Italy.
Katia CodeluppiHematology AUSL-IRCCS Reggio Emilia, Reggio Emilia, Italy.
Francesco MarchesiHematology and Stem Cell Transplant Unit, IRCCS Regina Elena National Cancer Institute, Rome, Italy.
Gessica MarchesiniHematology, University of Verona, Verona, Italy.
Daniela ValenteHematology, S. Giovanni Rotondo Hospital, San Giovanni Rotondo, Italy.
Giulia DragonettiFondazione Policlinico Universitario Agostino Gemelli-IRCCS, Rome, Italy.
Gianpaolo NadaliHematology, University of Verona, Verona, Italy.
Lukas EnglmaierRECETOX, Faculty of Science, Masaryk University, Brno, Czech Republic.
Katerina CoufalikovaRECETOX, Faculty of Science, Masaryk University, Brno, Czech Republic.
Zdeněk SpáčilRECETOX, Faculty of Science, Masaryk University, Brno, Czech Republic.
Marina Maria BelletDepartment of Medicine and Surgery, University of Perugiagrid.9027.c, Perugia, Italy.
Marilena ParianoDepartment of Medicine and Surgery, University of Perugiagrid.9027.c, Perugia, Italy.
Giorgia RengaDepartment of Medicine and Surgery, University of Perugiagrid.9027.c, Perugia, Italy.
Claudia StincardiniDepartment of Medicine and Surgery, University of Perugiagrid.9027.c, Perugia, Italy.
Fiorella D'OnofrioDepartment of Medicine and Surgery, University of Perugiagrid.9027.c, Perugia, Italy.
Silvia BozzaDepartment of Medicine and Surgery, University of Perugiagrid.9027.c, Perugia, Italy.
Livio PaganoFondazione Policlinico Universitario Agostino Gemelli-IRCCS, Rome, Italy.
Franco AversaHaematology and Bone Marrow Transplant Unit, Department of Medicine and Surgery, University of Parma, Parma, Italy.
Luigina RomaniDepartment of Medicine and Surgery, University of Perugiagrid.9027.c, Perugia, Italy.ORCID 0000-0002-1356-525X
University of Perugia · ITAzienda Sanitaria Unità Locale di Reggio Emilia · ITMasaryk University · CZIstituti di Ricovero e Cura a Carattere Scientifico · ITNuovo Ospedale San Giovanni di Dio · ITUniversity of Parma · ITUniversity of Verona · ITAgostino Gemelli University Polyclinic · ITUniversità Cattolica del Sacro Cuore · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

It is becoming increasingly clear that the communities of microorganisms that populate the surfaces exposed to the external environment, termed microbiota, are key players in the regulation of pathogen-host cross talk affecting the onset as well as the outcome of infectious diseases. We have performed a multicenter, prospective, observational study in which nasal and oropharyngeal swabs were collected for microbiota predicting the risk of invasive fungal infections (IFIs) in patients with hematological malignancies. Here, we demonstrate that the nasal and oropharyngeal microbiota are different, although similar characteristics differentiate high-risk from low-risk samples at both sites. Indeed, similar to previously published results on the oropharyngeal microbiota, high-risk samples in the nose were characterized by low diversity, a loss of beneficial bacteria, and an expansion of potentially pathogenic taxa, in the presence of reduced levels of tryptophan (Trp). At variance with oropharyngeal samples, however, low Trp levels were associated with defective host-derived kynurenine production, suggesting reduced tolerance mechanisms at the nasal mucosal surface. This was accompanied by reduced levels of the chemokine interleukin-8 (IL-8), likely associated with a reduced recruitment of neutrophils and impaired fungal clearance. Thus, the nasal and pharyngeal microbiomes of hematological patients provide complementary information that could improve predictive tools for the risk of IFI in hematological patients.

Indexed as

Invasive Fungal InfectionsMicrobiotaBacteriaHumansNoseProspective Studieshematological malignanciesinvasive fungal infectionkynureninenasal microbiometolerancetryptophan

Identifiers

PMID35311544
PMCPMC9022527
OpenAlexW4220803181

What OpenQuestion holds

Textmetadata
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.