Evidence map›Paper›PMID 39060235›Full record

ArticleNature communications2024

Toxic eburicol accumulation drives the antifungal activity of azoles against Aspergillus fumigatus.

Hesham Elsaman, Evgeny Golubtsov, Sean Brazil, Natanya Ng, Isabel Klugherz, Ronny Martin, Karl Dichtl, Christoph Müller, Johannes Wagener

Abstract read
In one paragraph

Article in Nature communications, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing 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

29 citing papers in PubMed.

  1. Article
  2. Early Cellular Responses ofAntibiotics (Basel, Switzerland) · 2026
    Article
  3. Article
  4. Ergosterol from Yeasts PromotesInternational journal of molecular sciences · 2026
    Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Directed evolution of the pathogenic moldAntimicrobial agents and chemotherapy · 2026
    Article
  10. Article
  11. Frontiers in microbiology · 2026
    Article
  12. Article
  13. Rising antifungal resistance inFrontiers in microbiology · 2026
    Review
  14. Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. 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

9 authors.

Hesham Elsaman *Institut für Hygiene und Mikrobiologie, Julius-Maximilians-Universität Würzburg, Würzburg, Germany.
Evgeny Golubtsov *Institut für Hygiene und Mikrobiologie, Julius-Maximilians-Universität Würzburg, Würzburg, Germany.ORCID 0009-0007-9337-6232
Sean BrazilDepartment of Clinical Microbiology, School of Medicine, Trinity College Dublin, the University of Dublin, St James's Hospital Campus, Dublin, Ireland.
Natanya NgDepartment of Clinical Microbiology, School of Medicine, Trinity College Dublin, the University of Dublin, St James's Hospital Campus, Dublin, Ireland.ORCID 0009-0008-9841-141X
Isabel KlugherzMax von Pettenkofer-Institute for Hygiene and Medical Microbiology, Faculty of Medicine, Ludwig-Maximilians-Universität München, Munich, Germany.ORCID 0009-0003-6947-2487
Ronny MartinInstitut für Hygiene und Mikrobiologie, Julius-Maximilians-Universität Würzburg, Würzburg, Germany.ORCID 0000-0002-2212-1511
Karl DichtlMax von Pettenkofer-Institute for Hygiene and Medical Microbiology, Faculty of Medicine, Ludwig-Maximilians-Universität München, Munich, Germany.
Christoph MüllerDepartment of Pharmacy - Center for Drug Research, Ludwig-Maximilians-Universität München, Munich, Germany.ORCID 0000-0002-1163-2527
Johannes WagenerInstitut für Hygiene und Mikrobiologie, Julius-Maximilians-Universität Würzburg, Würzburg, Germany. wagenerj@tcd.ie.ORCID 0000-0002-5952-9422

Funding

Deutsche Forschungsgemeinschaft (German Research Foundation) 430055013Health Research Board (HRB) SS-2022-016
6 · The paper itself

Abstract

Azole antifungals inhibit the sterol C14-demethylase (CYP51/Erg11) of the ergosterol biosynthesis pathway. Here we show that the azole-induced synthesis of fungicidal cell wall carbohydrate patches in the pathogenic mold Aspergillus fumigatus strictly correlates with the accumulation of the CYP51 substrate eburicol. A lack of other essential ergosterol biosynthesis enzymes, such as sterol C24-methyltransferase (Erg6A), squalene synthase (Erg9) or squalene epoxidase (Erg1) does not trigger comparable cell wall alterations. Partial repression of Erg6A, which converts lanosterol into eburicol, increases azole resistance. The sterol C5-desaturase (ERG3)-dependent conversion of eburicol into 14-methylergosta-8,24(28)-dien-3β,6α-diol, the "toxic diol" responsible for the fungistatic activity against yeasts, is not required for the fungicidal effects in A. fumigatus. While ERG3-lacking yeasts are azole resistant, ERG3-lacking A. fumigatus becomes more susceptible. Mutants lacking mitochondrial complex III functionality, which are much less effectively killed, but strongly inhibited in growth by azoles, convert eburicol more efficiently into the supposedly "toxic diol". We propose that the mode of action of azoles against A. fumigatus relies on accumulation of eburicol which exerts fungicidal effects by triggering cell wall carbohydrate patch formation.

Indexed as

Antifungal AgentsAspergillus fumigatusAzolesFungal ProteinsBicyclic MonoterpenesCell WallCytochrome P-450 Enzyme SystemDrug Resistance, FungalErgosterolLanosterolMethyltransferasesMicrobial Sensitivity TestsOxidoreductasesSqualene MonooxygenaseSterol 14-DemethylaseAntifungal AgentsAzolesBicyclic MonoterpenesCytochrome P-450 Enzyme SystemebericolErgosterolFungal ProteinsLanosterolMethyltransferasesOxidoreductasesSqualene MonooxygenaseSterol 14-Demethylasesterol delta-5 desaturase

Identifiers

PMID39060235
PMCPMC11282106

What Socratic holds

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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.