Evidence map›Paper›PMID 40768337›Full record

ArticleCell reports2025

Genome restructuring and lineage diversification of Cryptococcus neoformans during chronic infection of human hosts.

Marhiah C Montoya, Kayla Wilhoit, Debra Murray, John R Perfect, Paul M Magwene

Abstract read
In one paragraph

Article in Cell reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Marhiah C MontoyaDivision of Infectious Diseases, Department of Medicine, Duke University, Durham, NC, USA.
Kayla WilhoitUniversity Program in Genetics and Genomics, Duke University, Durham, NC, USA.
Debra MurrayDepartment of Biology, Duke University, Durham, NC, USA.
John R PerfectDivision of Infectious Diseases, Department of Medicine, Duke University, Durham, NC, USA.
Paul M MagweneDepartment of Biology, Duke University, Durham, NC, USA. Electronic address: paul.magwene@duke.edu.

Funding

Tri-Institutional Molecular Mycology and Pathogenesis Training ProgramT32AI052080 · NIAID · DUKE UNIVERSITY · PI ANDREW ALSPAUGH, JOSEPH HEITMAN · 2003 to 2026
$8.7M
The Genetic Basis of Virulence in Cryptococcus NeoformansR01AI133654 · NIAID · DUKE UNIVERSITY · PI JOSEPH HEITMAN, Paul Mitaari Magwene · 2017 to 2026
$4.7M
Pathobiology of C. neoformans in the Central Nervous SystemR01AI073896 · NIAID · DUKE UNIVERSITY · PI PERFECT, JOHN R. · 2008 to 2018
$4.4M
Evolution of Cryptococcus neoformans Strains from Patients with HIV/AIDSR01AI093257 · NIAID · DUKE UNIVERSITY · PI PERFECT, JOHN R. · 2011 to 2022
$3.8M
Population Structure and Clinical Impact of Multi-strain and Mixed-species Cryptococcal InfectionsR21AI178058 · NIAID · DUKE UNIVERSITY · PI MAGWENE, PAUL MITAARI, PERFECT, JOHN R. · 2023 to 2024
$443k
NIAID NIH HHS R01 AI073896NIAID NIH HHS R01 AI093257NIAID NIH HHS R01 AI133654NIAID NIH HHS R21 AI178058NIAID NIH HHS T32 AI052080
6 · The paper itself

Abstract

Opportunistic microbial pathogens that infect humans must adapt to radically different fitness landscapes as they transition from the external environment to the host niche. The nature, frequency, and magnitude of genomic changes that accompany adaptation to the human host niche are not well understood for many eukaryotic pathogens because of the logistical challenges of obtaining longitudinal samples of pathogen populations in individual patients. Drawing on a set of case studies, we characterize in-host genomic and phenotypic evolution of the opportunistic human fungal pathogen Cryptococcus neoformans during chronic infections. We find that fungal genome evolution during chronic infection is characterized by large-scale genome restructuring and increasing genomic heterogeneity within hosts. Phenotypic changes include diversification in virulence traits and antifungal susceptibility. Genotypically and phenotypically distinct sublineages arise and co-persist within the same host tissues, consistent with a model of strong and/or diversifying selection in the complex environment of human hosts.

Indexed as

CryptococcosisCryptococcus neoformansGenome, FungalAnimalsChronic DiseaseEvolution, MolecularHost-Pathogen InteractionsHumansPhenotypePhylogenyVirulenceaneuploidyantifungal resistanceCP: Microbiologycryptococcal meningitisfungal evolutionfungal infectionsgenome evolutionhost-pathogen interactionsin-host evolution

Identifiers

PMID40768337
PMCPMC12333555

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Registered trials

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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.