Evidence map›Paper›PMID 35357170›Full record

ArticlemBio2022

Candida auris on Apples: Diversity and Clinical Significance.

Anamika Yadav, Kusum Jain, Yue Wang, Kalpana Pawar, Hardeep Kaur, Krishan Kumar Sharma, Vandana Tripathy, Ashutosh Singh, Jianping Xu, Anuradha Chowdhary

Open access · goldAbstract read
In one paragraph

Article in mBio, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 56 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
56citing papers in PubMed, 1 pooled it
6.4field-weighted citation impact, top 2% 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, 1 synthesis or guideline pooled it, 71 citations in OpenAlex.

  1. Global characteristics and trends in research onFrontiers in microbiology · 2023
    Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. Review
  7. Microbiology and molecular biology reviews : MMBR · 2026
    Review
  8. Article
  9. UnderstandingJournal of medical microbiology · 2026
    Review
  10. Review
  11. Article
  12. Article
  13. Frontiers in cellular and infection microbiology · 2026
    Review
  14. Frontiers in cellular and infection microbiology · 2026
    Article
  15. First report ofMedical mycology case reports · 2025
    Article
  16. Dissipation of Triazole Fungicides in Apples.Foods (Basel, Switzerland) · 2025
    Article
  17. Chlorophyllin-based Photodynamic Inactivation against Candidozyma auris planktonic cells and dynamic biofilm.Photochemical & photobiological sciences : Official journal of the European Photochemistry Association and the European Society for Photobiology · 2025
    Article
  18. Simulating a travel-related origin ofMicrobiology spectrum · 2025
    Article
  19. Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 2 countries.

Anamika Yadav *Medical Mycology Unit, Department of Microbiology, Vallabhbhai Patel Chest Institute, University of Delhi, Delhi, India.
Kusum Jain *Medical Mycology Unit, Department of Microbiology, Vallabhbhai Patel Chest Institute, University of Delhi, Delhi, India.
Yue Wang *Department of Biology, McMaster Universitygrid.25073.33, Hamilton, Ontario, Canada.
Kalpana PawarMedical Mycology Unit, Department of Microbiology, Vallabhbhai Patel Chest Institute, University of Delhi, Delhi, India.
Hardeep KaurDepartment of Zoology, Ramjas College, University of Delhi, Delhi, India.
Krishan Kumar SharmaAll India Network Project on Pesticide Residues, ICAR-Indian Agricultural Research Institute, New Delhi, India.
Vandana TripathyAll India Network Project on Pesticide Residues, ICAR-Indian Agricultural Research Institute, New Delhi, India.
Ashutosh SinghMedical Mycology Unit, Department of Microbiology, Vallabhbhai Patel Chest Institute, University of Delhi, Delhi, India.
Jianping XuDepartment of Biology, McMaster Universitygrid.25073.33, Hamilton, Ontario, Canada.ORCID 0000-0003-2915-2780
Anuradha ChowdharyMedical Mycology Unit, Department of Microbiology, Vallabhbhai Patel Chest Institute, University of Delhi, Delhi, India.ORCID 0000-0002-2028-7462
University of Delhi · INIndian Agricultural Research Institute · INMcMaster University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Candida auris is a multidrug-resistant nosocomial fungal pathogen. While the marine environment was recently identified as a natural niche for C. auris, the environment(s) that might have contributed to the development and spread of antifungal resistance in C. auris remains a mystery. Because stored fruits are often treated with fungicides to prevent postharvest spoilage, we hypothesized that stored fruits could serve as a possible selective force for and a transmission reservoir of antifungal-resistant isolates of pathogenic yeasts, including C. auris. To test this hypothesis, we screened fruits to study the diversity of pathogenic yeasts and their antifungal susceptibility profiles. Among the 62 screened apples, the surfaces of 8 were positive for C. auris, and all were stored apples. Whole-genome sequencing (WGS) showed that C. auris strains from apples were genetically diverse and exhibited broad phylogenetic distribution among the subclades within clade I. Interestingly, strains from apples had closely related strains from other sources in India, including from patients, hospitals, and marine environments, and from clinical strains from other parts of the world. A broad range of fungicides, including dimethyl inhibitors (DMIs), were detected in stored apples, and all C. auris isolates exhibited reduced sensitivity to DMIs. Interestingly, C. auris was not isolated from freshly picked apples. Together, the results suggest a potentially complex ecology for C. auris with agriculture fungicide application on stored fruits as a significant selective force for drug resistance in clinics.

Indexed as

CandidiasisFungicides, IndustrialMalusAntifungal AgentsCandidaCandida aurisEcosystemHumansPhylogenyUnited StatesAntifungal AgentsFungicides, Industrialagriculture azolesC. auris ecologycross-resistancedimethyl inhibitorsfungicidesnatural environment

Identifiers

PMID35357170
PMCPMC9040835
OpenAlexW4220878580

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.