Evidence map›Paper›PMID 41060078›Full record

ArticleMycoses2025

Evaluating the Potential of Galactosaminogalactan as a Diagnostic Target for Invasive Aspergillosis.

Takahiro Takazono, Kiyotaka Machida, Francois Le Mauff, Donald C Sheppard, Satoru Koga, Hotaka Namie, Haretsugu Hishigaki, Junichi Amata, Yuya Ito, Nana Nakada and 13 more

Abstract readEvaluation Study
In one paragraph

Article in Mycoses, 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

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

23 authors.

Takahiro TakazonoDepartment of Respiratory Medicine, Nagasaki University Hospital, Nagasaki, Japan.ORCID https://orcid.org/0000-0002-0696-5386
Kiyotaka MachidaDiagnostic Division, Otsuka Pharmaceutical Co. Ltd., Tokushima, Japan.
Francois Le MauffInfectious Disease and Immunity in Global Health Program, Research Institute of the McGill University Health Centre, Montreal, Quebec, Canada.
Donald C SheppardInfectious Disease and Immunity in Global Health Program, Research Institute of the McGill University Health Centre, Montreal, Quebec, Canada.
Satoru KogaDepartment of Respiratory Medicine, Nagasaki University Hospital, Nagasaki, Japan.
Hotaka NamieDepartment of Infectious Diseases, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.
Haretsugu HishigakiDiagnostic Division, Otsuka Pharmaceutical Co. Ltd., Tokushima, Japan.
Junichi AmataDiagnostic Division, Otsuka Pharmaceutical Co. Ltd., Tokushima, Japan.
Yuya ItoDepartment of Respiratory Medicine, Nagasaki University Hospital, Nagasaki, Japan.
Nana NakadaDepartment of Respiratory Medicine, Nagasaki University Hospital, Nagasaki, Japan.
Tatsuro HirayamaDepartment of Pharmacotherapeutics, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.
Masataka YoshidaDepartment of Respiratory Medicine, Nagasaki University Hospital, Nagasaki, Japan.
Kazuaki TakedaDepartment of Respiratory Medicine, Nagasaki University Hospital, Nagasaki, Japan.
Naoki IwanagaDepartment of Respiratory Medicine, Nagasaki University Hospital, Nagasaki, Japan.ORCID https://orcid.org/0000-0002-0680-390X
Shotaro IdeDepartment of Respiratory Medicine, Nagasaki University Hospital, Nagasaki, Japan.ORCID https://orcid.org/0000-0001-7872-8147
Masato TashiroDepartment of Infectious Diseases, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.
Naoki HosogayaClinical Research Center, Nagasaki University Hospital, Nagasaki, Nagasaki, Japan.
Noriho SakamotoDepartment of Respiratory Medicine, Nagasaki University Hospital, Nagasaki, Japan.
Keitaro MatsumotoDepartment of Surgical Oncology, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.
Katsunori YanagiharaDepartment of Laboratory Medicine, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.
Yasushi MiyazakiDepartment of Hematology, Nagasaki University Hospital, Nagasaki, Japan.
Koichi IzumikawaDepartment of Infectious Diseases, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.
Hiroshi MukaeDepartment of Respiratory Medicine, Nagasaki University Hospital, Nagasaki, Japan.

Funding

MSD Life Science Foundation, Public Interest Incorporated Foundation
6 · The paper itself

Abstract

backgroundEarly diagnosis of invasive aspergillosis (IA) is critical for the initiation of effective antifungal therapy. Currently, detection of galactomannan (GM), a secreted fungal glycan, is the most used culture-independent diagnostic test for IA. However, limitations in the sensitivity and specificity of this test have led to interest in identifying other target molecules. Galactosaminogalactan (GAG), a polysaccharide cell wall component secreted by Aspergillus hyphae, is a potential diagnostic marker for IA.

objectivesTo evaluate the utility of GAG as a diagnostic target, we generated a monoclonal antibody against GAG (mAb 1D1), established a GAG enzyme-linked immunosorbent assay (ELISA), evaluated its cross-reactivity with other respiratory pathogens, and compared the performance of the GAG detection ELISA with GM antigen detection in both an in vivo mouse model and human samples from patients with pulmonary aspergillosis.

resultsThe GAG ELISA demonstrated strong reactivity with culture supernatants from Aspergillus fumigatus and Aspergillus flavus but limited reactivity with culture supernatants of other Aspergillus spp. and non-Aspergillus filamentous fungi. In a mouse model of IA, GAG was detected in lung tissue, serum, bronchoalveolar lavage fluid (BALF), and urine samples. Although GAG was detected by mAb 1D1 staining of Aspergillus hyphae in infected human lung tissue samples, it was not detectable in the serum, BALF, and urine of patients with pulmonary aspergillosis.

conclusionsFurther studies are required to determine whether the failure to detect GAG in the serum, BALF, and urine of patients with pulmonary aspergillosis is due to absence or low GAG levels or other reasons.

Indexed as

Invasive Pulmonary AspergillosisPolysaccharidesAnimalsAntibodies, MonoclonalAntigens, FungalAspergillusAspergillus fumigatusBiomarkersBronchoalveolar Lavage FluidCross ReactionsDisease Models, AnimalEnzyme-Linked Immunosorbent AssayFemaleGalactoseHumansLungAntibodies, MonoclonalAntigens, FungalBiomarkersgalactomannangalactosaminogalactanGalactoseMannansPolysaccharidesAspergillus flavusAspergillus fumigatuschronic pulmonary aspergillosisgalactomannangalactosaminogalactaninvasive aspergillosismonoclonal antibodymouse model

Identifiers

PMID41060078
PMCPMC12506618

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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.