Evidence map›Paper›PMID 8809464›Full record

ReviewClinical microbiology reviews1996

Immunopathogenesis of recurrent vulvovaginal candidiasis.

P L Fidel, J D Sobel

Abstract readReview
In one paragraph

Review in Clinical microbiology reviews, 1996. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 70 papers.

0numbers the graph read from it
0cells of the map it votes in
70citing papers in PubMed
3.2field-weighted citation impact, top 7% of its field
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

70 citing papers in PubMed, 295 citations in OpenAlex.

  1. Article
  2. Review
  3. mSphere · 2025
    Article
  4. Review
  5. The Interplay betweenMicroorganisms · 2023
    Review
  6. Polyphyllin I EffectsEvidence-based complementary and alternative medicine : eCAM · 2023
    Article
  7. Article
  8. Review
  9. Review
  10. Article
  11. Review
  12. Psoriasin, a novel anti-Candida albicans adhesin.Journal of molecular medicine (Berlin, Germany) · 2018
    Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article

10 more citing papers are in PubMed but not listed here.

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

2 authors at 1 institution in 1 country.

P L FidelDivision of Infectious Diseases, Wayne State University School of Medicine, Detroit, Michigan 48201, USA. pFidel@NOMVS.LSUMC.edu
J D Sobel
Wayne State University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Recurrent vulvovaginal candidiasis (RVVC) is a prevalent opportunistic mucosal infection, caused predominantly by Candida albicans, which affects a significant number of otherwise healthy women of childbearing age. Since there are no known exogenous predisposing factors to explain the incidence of symptomatic vaginitis in most women with idiopathic RVVC, it has been postulated that these particular women suffer from an immunological abnormality that prediposes them to RVVC. Because of the increased incidence of mucosal candidiasis in individuals with depressed cell-mediated immunity (CMI), defects in CMI are viewed as a possible explanation for RVVC. In this review, we attempt to place into perspective the accumulated information regarding the immunopathogenesis of RVVC, as well as to provide new immunological perspectives and hypotheses regarding potential immunological deficiencies that may predispose to RVVC and potentially other mucosal infections by the same organism. The results of both clinical studies and studies in an animal model of experimental vaginitis suggest that systemic CMI may not be the predominant host defense mechanism against C. albicans vaginal infections. Rather, locally acquired mucosal immunity, distinct from that in the peripheral circulation, is now under consideration as an important host defense at the vaginal mucosa, as well as the notion that changes in local CMI mechanism(s) may predispose to RVVC.

Indexed as

AnimalsCandidaCandida albicansCandidiasis, VulvovaginalCytokinesDisease Models, AnimalDisease SusceptibilityFemaleHost-Parasite InteractionsHumansImmunity, InnateImmunity, MucosalMiceModels, ImmunologicalTh1 CellsTh2 CellsCytokines

Identifiers

PMID8809464
PMCPMC172897
OpenAlexW2171690440

What OpenQuestion holds

Textmetadata
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.