Evidence map›Paper›PMID 33558691›Full record

ReviewNature reviews. Microbiology2021

Treatment strategies for cryptococcal infection: challenges, advances and future outlook.

Kali R Iyer, Nicole M Revie, Ci Fu, Nicole Robbins, Leah E Cowen

Open access · bronzeAbstract readReview
In one paragraph

Review in Nature reviews. Microbiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 198 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
198citing papers in PubMed, 2 pooled it
36.6field-weighted citation impact, top 1% 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

198 citing papers in PubMed, 2 syntheses or guidelines pooled it, 345 citations in OpenAlex.

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  15. Acetylation and accessibility ofCell surface (Amsterdam, Netherlands) · 2026
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138 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

5 authors at 1 institution in 1 country.

Kali R Iyer *Department of Molecular Genetics, University of Toronto, Toronto, Ontario, Canada.
Nicole M Revie *Department of Molecular Genetics, University of Toronto, Toronto, Ontario, Canada.
Ci FuDepartment of Molecular Genetics, University of Toronto, Toronto, Ontario, Canada.
Nicole RobbinsDepartment of Molecular Genetics, University of Toronto, Toronto, Ontario, Canada.
Leah E CowenDepartment of Molecular Genetics, University of Toronto, Toronto, Ontario, Canada. leah.cowen@utoronto.ca.ORCID http://orcid.org/0000-0001-5797-0110
University of Toronto · CA

Funding

Systematic Analysis of Morphogenesis, Commensalism, and Virulence in a Leading Human Fungal PathogenR01AI127375 · NIAID · UNIVERSITY OF TORONTO · PI LEAH Elizabeth Cowen · 2017 to 2026
$5.3M
Targeting Hsp90 in cryptococcal fungal pathogenesisR01AI120958 · NIAID · UNIVERSITY OF TORONTO · PI BROWN, LAUREN ELAINE, COWEN, LEAH ELIZABETH · 2016 to 2019
$3.2M
Discovering novel antifungal agents via multi-species profiling of a structurally and stereochemically diverse, well-validated compound libraryR21AI141080 · NIAID · BROAD INSTITUTE, INC. · PI NAG, PARTHA PRATIM · 2019 to 2020
$452k
CIHR FDN-154288NIAID NIH HHS R01 AI120958NIAID NIH HHS R01 AI127375NIAID NIH HHS R21 AI141080
6 · The paper itself

Abstract

Cryptococcus spp., in particular Cryptococcus neoformans and Cryptococcus gattii, have an enormous impact on human health worldwide. The global burden of cryptococcal meningitis is almost a quarter of a million cases and 181,000 deaths annually, with mortality rates of 100% if infections remain untreated. Despite these alarming statistics, treatment options for cryptococcosis remain limited, with only three major classes of drugs approved for clinical use. Exacerbating the public health burden is the fact that the only new class of antifungal drugs developed in decades, the echinocandins, displays negligible antifungal activity against Cryptococcus spp., and the efficacy of the remaining therapeutics is hampered by host toxicity and pathogen resistance. Here, we describe the current arsenal of antifungal agents and the treatment strategies employed to manage cryptococcal disease. We further elaborate on the recent advances in our understanding of the intrinsic and adaptive resistance mechanisms that are utilized by Cryptococcus spp. to evade therapeutic treatments. Finally, we review potential therapeutic strategies, including combination therapy, the targeting of virulence traits, impairing stress response pathways and modulating host immunity, to effectively treat infections caused by Cryptococcus spp. Overall, understanding of the mechanisms that regulate anti-cryptococcal drug resistance, coupled with advances in genomics technologies and high-throughput screening methodologies, will catalyse innovation and accelerate antifungal drug discovery.

Indexed as

Antifungal AgentsCell WallCryptococcosisCryptococcusDrug Resistance, FungalEchinocandinsFungal CapsulesFungal PolysaccharidesVirulence FactorsAntifungal AgentsEchinocandinsFungal PolysaccharidesVirulence Factors

Identifiers

PMID33558691
PMCPMC7868659
OpenAlexW3127236674

What Socratic 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 Socratic graph.