Evidence map›Paper›PMID 37097144›Full record

ArticleAntimicrobial agents and chemotherapy2023

Novel Keto-Alkyl-Pyridinium Antifungal Molecules Active in Models of

Sarah R Beattie, Taiwo Esan, Robert Zarnowski, Emily Eix, Jeniel E Nett, David R Andes, Timothy Hagen, Damian J Krysan

Open access · greenAbstract read
In one paragraph

Article in Antimicrobial agents and chemotherapy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
1.9field-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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Methods for skin load reduction of Candida auris: a systematic review.Antimicrobial resistance and infection control · 2026
    Pooled it
  2. Article
  3. Review
  4. StudyingPharmaceuticals (Basel, Switzerland) · 2025
    Review
  5. Review
  6. Article
  7. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Sarah R BeattieDepartment of Pediatrics, Carver College of Medicine, University of Iowa, Iowa City, Iowa, USA.
Taiwo EsanDepartment of Chemistry and Biochemistry, Northern Illinois University, DeKalb, Illinois, USA.
Robert ZarnowskiDepartment of Medicine, Section of Infectious Disease, University of Wisconsin, Madison, Wisconsin, USA.
Emily EixDepartment of Medicine, Section of Infectious Disease, University of Wisconsin, Madison, Wisconsin, USA.
Jeniel E NettDepartment of Medicine, Section of Infectious Disease, University of Wisconsin, Madison, Wisconsin, USA.ORCID 0000-0001-8587-6244
David R AndesDepartment of Medicine, Section of Infectious Disease, University of Wisconsin, Madison, Wisconsin, USA.ORCID 0000-0002-7927-9950
Timothy HagenDepartment of Chemistry and Biochemistry, Northern Illinois University, DeKalb, Illinois, USA.
Damian J KrysanDepartment of Pediatrics, Carver College of Medicine, University of Iowa, Iowa City, Iowa, USA.ORCID 0000-0001-6330-3365
University of Wisconsin–Madison · USNorthern Illinois University · USUniversity of Iowa · US

Funding

Vesicle-mediated drug resistance of Candida albicans biofilmR01AI073289 · NIAID · UNIVERSITY OF WISCONSIN-MADISON · PI ANDES, DAVID R, MITCHELL, AARON P · 2008 to 2025
$7.9M
Discovery and optimization of antifungal acetyl CoA synthetase inhibitorsR01AI161973 · NIAID · UNIVERSITY OF IOWA · PI KRYSAN, DAMIAN J · 2021 to 2025
$3.0M
Mechanism(s) of pathogenicity for Candida aurisR01AI145939 · NIAID · UNIVERSITY OF WISCONSIN-MADISON · PI NETT, JENIEL E · 2020 to 2025
$2.7M
Hit-to-lead optimization of broad spectrum antifungal phenothiazinesR21AI164578 · NIAID · UNIVERSITY OF IOWA · PI KRYSAN, DAMIAN J, MEYERS, MARVIN J · 2021 to 2022
$434k
Characterizing Candida auris skin colonization and high-burden biofilm formationR21AI159583 · NIAID · UNIVERSITY OF WISCONSIN-MADISON · PI NETT, JENIEL E · 2021 to 2022
$427k
Development of a high throughput-compatible assay for screening filamentous fungiF32AI145160 · NIAID · UNIVERSITY OF IOWA · PI BEATTIE, SARAH R. · 2020 to 2022
$185k
NIAID NIH HHS F32 AI145160NIAID NIH HHS R01 AI073289NIAID NIH HHS R01 AI145939NIAID NIH HHS R01 AI161973NIAID NIH HHS R21 AI159583NIAID NIH HHS R21 AI164578
6 · The paper itself

Abstract

New antifungal therapies are needed for both systemic, invasive infections in addition to superficial infections of mucosal and skin surfaces as well as biofilms associated with medical devices. The resistance of biofilm and biofilm-like growth phases of fungi contributes to the poor efficacy of systemic therapies to nonsystemic infections. Here, we describe the identification and characterization of a novel keto-alkyl-pyridinium scaffold with broad spectrum activity (2 to 16 μg/mL) against medically important yeasts and molds, including clinical isolates resistant to azoles and/or echinocandins. Furthermore, these keto-alkyl-pyridinium agents retain substantial activity against biofilm phase yeast and have direct activity against hyphal A. fumigatus. Although their toxicity precludes use in systemic infections, we found that the keto-alkyl-pyridinium molecules reduce Candida albicans fungal burden in a rat model of vascular catheter infection and reduce Candida auris colonization in a porcine ex vivo model. These initial preclinical data suggest that molecules of this class may warrant further study and development for nonsystemic applications.

Indexed as

CandidiasisVascular Access DevicesAnimalsAntifungal AgentsBiofilmsCandidaCandida albicansCandida aurisMicrobial Sensitivity TestsRatsSwineAntifungal Agentsantifungal agentsbiofilmsCandida albicansCandida auris

Identifiers

PMID37097144
PMCPMC10190616
OpenAlexW4366984136

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.