Evidence map›Paper›PMID 33877319›Full record

ArticleFEMS microbiology letters2021

Effects of environmental factors on sensitivity of Cryptococcus neoformans to fluconazole and amphotericin B.

Tyler Carlson, Emily Lupinacci, Katie Moseley, Srikripa Chandrasekaran

Open access · hybridAbstract read
In one paragraph

Article in FEMS microbiology letters, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.7field-weighted citation impact, top 16% 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

13 citing papers in PubMed, 16 citations in OpenAlex.

  1. Acidic pH Reduces Fluconazole Susceptibility inJournal of microbiology and biotechnology · 2025
    Article
  2. Article
  3. Unveiling new features of the human pathogenComputational and structural biotechnology journal · 2025
    Article
  4. Exposure of Cryptococcus neoformans to low nitrogen levels enhances virulence.International microbiology : the official journal of the Spanish Society for Microbiology · 2024
    Article
  5. Antifungal Resistance in Cryptococcal Infections.Pathogens (Basel, Switzerland) · 2024
    Review
  6. Review
  7. Article
  8. Lack of Association between Fluconazole Susceptibility andJournal of fungi (Basel, Switzerland) · 2022
    Article
  9. Article
  10. Article
  11. Review
  12. Review
  13. Review
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

4 authors at 1 institution in 1 country.

Tyler CarlsonDepartment of Biology, Furman University, 3300 Poinsett Highway, Townes 171-G, Greenville SC 29613, USA.
Emily LupinacciDepartment of Biology, Furman University, 3300 Poinsett Highway, Townes 171-G, Greenville SC 29613, USA.
Katie MoseleyDepartment of Biology, Furman University, 3300 Poinsett Highway, Townes 171-G, Greenville SC 29613, USA.
Srikripa ChandrasekaranDepartment of Biology, Furman University, 3300 Poinsett Highway, Townes 171-G, Greenville SC 29613, USA.
Furman University · US

Funding

South Carolina IDeA Networks of Biomedical Research (SC INBRE V)P20GM103499 · NIGMS · UNIVERSITY OF SOUTH CAROLINA AT COLUMBIA · PI EDIE C GOLDSMITH · 2012 to 2026
$61.0M
NIGMS NIH HHS P20 GM103499
6 · The paper itself

Abstract

Cryptococcus neoformans is a leading cause of fungal meningitis in immunocompromized populations. Amphotericin B (AMB) and fluconazole (FLC) are common anticryptococcal agents. AMB treatment leads to severe side-effects. In contrast, FLC-based therapy is relatively safe, although C. neoformans often develops resistance to this drug. C. neoformans must adapt to the challenging environment of the human host. Environmental effects on potency of AMB and FLC and development of drug resistance remain poorly characterized. Here, the effects of nutrients, temperature and antioxidants on susceptibility of C. neoformans towards FLC and AMB were investigated. Limited nutrients led to a decrease and an increase of sensitivity towards FLC and AMB, respectively. Co-treatment with various antioxidants also demonstrated reciprocal effects on susceptibility towards FLC and AMB. In contrast, elevated temperature increased the efficacy of both drugs, although the effect on FLC was more drastic as compared to that of AMB. In addition, temperatures of 37°C and above prevented development of FLC resistance. Our study pointed to a critical role of the environment on susceptibility towards AMB and FLC and revealed reciprocal effects towards these antifungal drugs, reflecting contrasting modes of action of AMB and FLC.

Indexed as

Amphotericin BAntifungal AgentsAntioxidantsCryptococcus neoformansCulture MediaDrug Resistance, FungalFluconazoleMicrobial Sensitivity TestsNutrientsTemperatureAmphotericin BAntifungal AgentsAntioxidantsCulture MediaFluconazoleNutrientsantioxidantsCryptococcusdrug resistancefungal pathogenesisreactive oxygen species

Identifiers

PMID33877319
PMCPMC8093136
OpenAlexW3154540204

What Socratic 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 Socratic graph.