Evidence map›Paper›PMID 39681549›Full record

ArticleNature communications2024

Elevated mutation rates in multi-azole resistant Aspergillus fumigatus drive rapid evolution of antifungal resistance.

Michael J Bottery, Norman van Rhijn, Harry Chown, Johanna L Rhodes, Brandi N Celia-Sanchez, Marin T Brewer, Michelle Momany, Matthew C Fisher, Christopher G Knight, Michael J Bromley

Abstract read
In one paragraph

Article in Nature communications, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed
–field-weighted citation impact
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

34 citing papers in PubMed.

  1. Accelerated mutator phenotype in a clinicalEmerging microbes & infections · 2026
    Article
  2. Article
  3. Review
  4. Review
  5. Review
  6. Review
  7. Article
  8. Article
  9. Review
  10. Temperature duringbioRxiv : the preprint server for biology · 2026
    Article
  11. Review
  12. Genotype-Phenotype Relationships in Azole-ResistantJournal of fungi (Basel, Switzerland) · 2026
    Review
  13. Article
  14. Review
  15. Observational
  16. Functional and molecular characterization ofJournal of medical microbiology · 2026
    Article
  17. Global epidemiology of azole resistance inJAC-antimicrobial resistance · 2026
    Review
  18. Review
  19. Oxidoreductase geneMicrobiology spectrum · 2026
    Article
  20. Detection of TR34/L98H pan-azole-resistantFrontiers in fungal biology · 2026
    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

10 authors.

Michael J BotteryManchester Fungal Infection Group, Division of Evolution, Infection, and Genomics, Faculty of Biology, Medicine and Health, University of Manchester, Manchester, UK. michael.bottery@manchester.ac.uk.ORCID 0000-0001-5790-1756
Norman van RhijnManchester Fungal Infection Group, Division of Evolution, Infection, and Genomics, Faculty of Biology, Medicine and Health, University of Manchester, Manchester, UK.ORCID 0000-0001-6722-2757
Harry ChownManchester Fungal Infection Group, Division of Evolution, Infection, and Genomics, Faculty of Biology, Medicine and Health, University of Manchester, Manchester, UK.ORCID 0000-0002-5331-4711
Johanna L RhodesDepartment of Medical Microbiology, Radboud University Medical Centre, Nijmegen, Netherlands.ORCID 0000-0002-1338-7860
Brandi N Celia-SanchezFungal Biology Group and Department of Plant Biology, University of Georgia, Athens, GA, 30602, USA.
Marin T BrewerFungal Biology Group and Department of Plant Pathology, University of Georgia, Athens, GA, 30602, USA.
Michelle MomanyFungal Biology Group and Department of Plant Biology, University of Georgia, Athens, GA, 30602, USA.ORCID 0000-0001-7110-063X
Matthew C FisherMedical Research Council Centre for Global Infectious Disease Analysis, Imperial College London, London, UK.ORCID 0000-0002-1862-6402
Christopher G KnightDepartment of Earth and Environmental Sciences, School of Natural Sciences, Faculty of Science and Engineering, The University of Manchester, Manchester, UK.ORCID 0000-0001-9815-4267
Michael J BromleyManchester Fungal Infection Group, Division of Evolution, Infection, and Genomics, Faculty of Biology, Medicine and Health, University of Manchester, Manchester, UK. mike.bromley@manchester.ac.uk.ORCID 0000-0002-7611-0201

Funding

Medical Research Council MR/X020258/1Wellcome TrustWellcome Trust (Wellcome) 221653/Z/20/Z
6 · The paper itself

Abstract

The environmental use of azole fungicides has led to selective sweeps across multiple loci in the Aspergillus fumigatus genome causing the rapid global expansion of a genetically distinct cluster of resistant genotypes. Isolates within this cluster are also more likely to be resistant to agricultural antifungals with unrelated modes of action. Here we show that this cluster is not only multi-azole resistant but has increased propensity to develop resistance to next generation antifungals because of variants in the DNA mismatch repair system. A variant in msh6-G233A is found almost exclusively within azole resistant isolates harbouring the canonical cyp51A azole resistance allelic variant TR

Indexed as

Antifungal AgentsAspergillus fumigatusAzolesDrug Resistance, FungalFungal ProteinsMutation RateAspergillosisCytochrome P-450 Enzyme SystemDNA Mismatch RepairEvolution, MolecularFungicides, IndustrialGenotypeMicrobial Sensitivity TestsMutationAntifungal AgentsAzolescytochrome P-450 CYP51A, AspergillusCytochrome P-450 Enzyme SystemFungal ProteinsFungicides, Industrial

Identifiers

PMID39681549
PMCPMC11649685

What OpenQuestion holds

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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.