Evidence map›Paper›PMID 42437896›Full record

ArticleBMC microbiology2026

Isolation and genomic analysis of otomycosis pathogens, and genomics-informed antimicrobial peptide design with potential therapeutic applications.

Wenguang Shi, Jiahao Hu, Qingru Jiang, Yingxiang Xu, Rongjie Li, Huihui Xu, Gaoyang Zhang, Zixuan Cui, Ruiyue Ouyang, Wenxuan Wu and 5 more

Abstract read
In one paragraph

Article in BMC microbiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

15 authors.

Wenguang ShiShenzhen Key Laboratory of Systems Medicine for Inflammatory Diseases, Zhongshan School of Medicine, Shenzhen Campus of Sun Yat-Sen University, Shenzhen, PR China.
Jiahao HuShenzhen Key Laboratory of Systems Medicine for Inflammatory Diseases, Zhongshan School of Medicine, Shenzhen Campus of Sun Yat-Sen University, Shenzhen, PR China.
Qingru JiangDepartment of Critical Care Medicine, The Seventh Affiliated Hospital, Sun Yat-Sen University, Shenzhen, PR China.
Yingxiang XuDepartment of Otolaryngology, the Fifth Affiliated Hospital of Sun Yat-sen University, Sun Yat-sen University, Zhuhai, Guangdong, China.
Rongjie LiShenzhen Key Laboratory of Systems Medicine for Inflammatory Diseases, Zhongshan School of Medicine, Shenzhen Campus of Sun Yat-Sen University, Shenzhen, PR China.
Huihui XuShenzhen Key Laboratory of Systems Medicine for Inflammatory Diseases, Zhongshan School of Medicine, Shenzhen Campus of Sun Yat-Sen University, Shenzhen, PR China.
Gaoyang ZhangShenzhen Key Laboratory of Systems Medicine for Inflammatory Diseases, Zhongshan School of Medicine, Shenzhen Campus of Sun Yat-Sen University, Shenzhen, PR China.
Zixuan CuiShenzhen Key Laboratory of Systems Medicine for Inflammatory Diseases, Zhongshan School of Medicine, Shenzhen Campus of Sun Yat-Sen University, Shenzhen, PR China.
Ruiyue OuyangShenzhen Key Laboratory of Systems Medicine for Inflammatory Diseases, Zhongshan School of Medicine, Shenzhen Campus of Sun Yat-Sen University, Shenzhen, PR China.
Wenxuan WuShenzhen Key Laboratory of Systems Medicine for Inflammatory Diseases, Zhongshan School of Medicine, Shenzhen Campus of Sun Yat-Sen University, Shenzhen, PR China.
Yujie LiShenzhen Key Laboratory of Systems Medicine for Inflammatory Diseases, Zhongshan School of Medicine, Shenzhen Campus of Sun Yat-Sen University, Shenzhen, PR China.
Haiyu HongDepartment of Otolaryngology, the Fifth Affiliated Hospital of Sun Yat-sen University, Sun Yat-sen University, Zhuhai, Guangdong, China.
Xiangyu MouShenzhen Key Laboratory of Systems Medicine for Inflammatory Diseases, Zhongshan School of Medicine, Shenzhen Campus of Sun Yat-Sen University, Shenzhen, PR China.
Wenjing ZhaoShenzhen Key Laboratory of Systems Medicine for Inflammatory Diseases, Zhongshan School of Medicine, Shenzhen Campus of Sun Yat-Sen University, Shenzhen, PR China.
Shuli ChouDepartment of Critical Care Medicine, The Seventh Affiliated Hospital, Sun Yat-Sen University, Shenzhen, PR China. choushli@mail.sysu.edu.cn.

Funding

the National Key Research and Development Program of China 2020YFA0907800the National Natural Science Foundation of China 81671479the Shenzhen Science and Technology Programs (KQTD20200820145822023, RCJC20231211085944057, and ZDSYS20220606100803007)
6 · The paper itself

Abstract

backgroundFungal infections are increasingly recognized as a major public health challenge, and superficial diseases such as otomycosis remain clinically consequential because persistence, recurrence, and treatment failure are common when the causative species and susceptibility profile are not clearly defined. However, otomycosis associated isolates are often insufficiently characterized at the genomic level. Furthermore, the development of antifungal candidates, particularly for short antimicrobial peptides, remains heterogeneous in terms of the integration of efficacy, biosafety, and mechanistic endpoints.

methodsHere, we combined clinical otoscopy and cerumen culture with whole genome sequencing and multi-database annotation of an otomycosis derived Aspergillus terreus AT-1 isolate, including targeted analyses of cytochrome P450 families, secondary metabolite biosynthetic gene clusters, curated pathogenicity resources, and antimicrobial/antibiotic resistance signatures. Then, we rationally designed five C-terminally amidated, phenylalanine based short peptides with controlled physicochemical parameters and assessed antifungal activity by broth microdilution MIC assays against A. terreus AT-1 and yeast pathogens, complemented by hemolysis testing and propidium iodide based flow cytometry and microscopy to evaluate membrane permeabilization.

resultsOtoscopy was consistent with otomycosis, and culture yielded colonies identified as A. terreus AT-1 from the affected ear but not from recovered controls. Genome annotation defined a functionally diverse repertoire spanning metabolism, transport, secondary metabolism, pathogenicity linked features, and a structured resistance gene landscape. The peptide panel showed measurable antifungal activity with distinct hemolysis profiles, and peptide C3 increased A. terreus AT-1 conidial membrane permeability.

conclusionsOverall, this study establishes an integrated and reproducible workflow that couples clinical isolation and genome resolved characterization of an otomycosis associated A. terreus AT-1 isolate with biosafety aware, mechanism informed triage of phenylalanine based short peptides.

Indexed as

Antifungal AgentsAntimicrobial PeptidesAspergillusOtomycosisGenome, FungalGenomicsHumansMicrobial Sensitivity TestsWhole Genome SequencingAntifungal AgentsAntimicrobial Peptidesantifungal candidate prioritizationAspergillus terreusisolate resolved genomicsOtomycosisphenylalanine based short peptides

Identifiers

PMID42437896
PMCPMC13640352

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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.