Evidence map›Paper›PMID 42000786›Full record

ReviewNature communications2026

The dual role of azoles: lifesaving antifungals and drivers of resistance - a One Health perspective.

Behrad Roohi, Joel D A Tyndall, Thomas Svoboda, Sybren de Hoog, Pedro W Crous, Brian C Monk, Birgit Strobl, Annemarie Weissenbacher, Joseph Strauss, Paul E Verweij and 1 more

Abstract readReview
In one paragraph

Review in Nature communications, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. First Isolation ofJournal of fungi (Basel, Switzerland) · 2026
    Article
  2. Epidemiological Characteristics of ClinicalJournal of fungi (Basel, Switzerland) · 2026
    Article
  3. Review
  4. 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

11 authors.

Behrad RoohiDepartment of Visceral, Transplant and Thoracic Surgery, Medical University of Innsbruck, Innsbruck, Austria.ORCID http://orcid.org/0000-0001-8988-7370
Joel D A TyndallSchool of Pharmacy, University of Otago, Dunedin, New Zealand.ORCID http://orcid.org/0000-0003-0783-1635
Thomas SvobodaInstitute of Microbial Genetics, Department of Agricultural Sciences, BOKU University Vienna, Campus Tulln, Tulln, Austria.ORCID http://orcid.org/0000-0003-0502-301X
Sybren de HoogDepartment of Medical Microbiology and Radboudumc-CWZ Center of Expertise for Mycology, Radboud University Medical Center, Nijmegen, the Netherlands.ORCID http://orcid.org/0000-0002-5344-257X
Pedro W CrousWesterdijk Fungal Biodiversity Institute, Utrecht, the Netherlands.ORCID http://orcid.org/0000-0001-9085-8825
Brian C MonkSir John Walsh Research Institute, School of Dentistry, University of Otago, Dunedin, New Zealand.ORCID http://orcid.org/0000-0003-2264-3480
Birgit StroblCentre of Biological Sciences, University of Veterinary Medicine Vienna, Vienna, Austria.ORCID http://orcid.org/0000-0001-5716-3212
Annemarie WeissenbacherDepartment of Visceral, Transplant and Thoracic Surgery, Medical University of Innsbruck, Innsbruck, Austria.ORCID http://orcid.org/0000-0002-0582-1815
Joseph StraussInstitute of Microbial Genetics, Department of Agricultural Sciences, BOKU University Vienna, Campus Tulln, Tulln, Austria.ORCID http://orcid.org/0000-0003-0474-6267
Paul E VerweijDepartment of Medical Microbiology and Radboudumc-CWZ Center of Expertise for Mycology, Radboud University Medical Center, Nijmegen, the Netherlands.ORCID http://orcid.org/0000-0002-8600-9860
Michaela LacknerMYCOS - PhD Training Program, Medical University of Innsbruck, Innsbruck, Austria. michaela.lackner@i-med.ac.at.ORCID http://orcid.org/0000-0001-9073-2886

Funding

Austrian Science Fund (Fonds zur Förderung der Wissenschaftlichen Forschung) P36300
6 · The paper itself

Abstract

Azole antifungals are essential for controlling fungal diseases in medicine, veterinary care and agriculture. However, extensive cross-sector use has accelerated the emergence of resistant fungal pathogens, threatening human health, food security and ecosystem stability. This Review examines the dual role of azoles as life-saving therapeutics and drivers of antifungal resistance. We outline their development, mechanisms of action and applications across sectors, and highlight environmental and evolutionary pressures shaping resistance. Integrating perspectives from microbiology, agriculture and public health, we argue that coordinated One Health stewardship and sustainable antifungal strategies are urgently needed to preserve the efficacy of these critical compounds.

Indexed as

Antifungal AgentsAzolesDrug Resistance, FungalFungiMycosesOne HealthAnimalsHumansAntifungal AgentsAzoles

Identifiers

PMID42000786
PMCPMC13280150

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.