{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T18:25:11Z","timestamp":1792607111139,"version":"4.5.0"},"reference-count":29,"publisher":"American Society for Microbiology","issue":"4","license":[{"start":{"date-parts":[[2018,8,21]],"date-time":"2018-08-21T00:00:00Z","timestamp":1534809600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2018,9,5]],"date-time":"2018-09-05T00:00:00Z","timestamp":1536105600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.asm.org\/non-commercial-tdm-license"}],"funder":[{"DOI":"10.13039\/100000002","name":"HHS | National Institutes of Health","doi-asserted-by":"publisher","award":["K08 AI108727"],"award-info":[{"award-number":["K08 AI108727"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"HHS | National Institutes of Health","doi-asserted-by":"publisher","award":["K08 AI132720"],"award-info":[{"award-number":["K08 AI132720"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000861","name":"Burroughs Wellcome Fund","doi-asserted-by":"publisher","award":["1012299"],"award-info":[{"award-number":["1012299"]}],"id":[{"id":"10.13039\/100000861","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000862","name":"Doris Duke Charitable Foundation","doi-asserted-by":"publisher","award":["112580130"],"award-info":[{"award-number":["112580130"]}],"id":[{"id":"10.13039\/100000862","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.asm.org"],"crossmark-restriction":true},"short-container-title":["mBio"],"published-print":{"date-parts":[[2018,9,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    <jats:named-content content-type=\"genus-species\">Candida auris<\/jats:named-content>\n                    has recently emerged as the first fungal pathogen to cause a global public health threat. The reason this species is causing hospital-associated outbreaks of invasive candidiasis with high mortality is unknown. In this study, we examine the interaction of\n                    <jats:named-content content-type=\"genus-species\">C.\u00a0auris<\/jats:named-content>\n                    with neutrophils, leukocytes critical for control of invasive fungal infections. We show that human neutrophils do not effectively kill\n                    <jats:named-content content-type=\"genus-species\">C.\u00a0auris<\/jats:named-content>\n                    . Compared to\n                    <jats:named-content content-type=\"genus-species\">Candida albicans<\/jats:named-content>\n                    , neutrophils poorly recruited to\n                    <jats:named-content content-type=\"genus-species\">C.\u00a0auris<\/jats:named-content>\n                    and failed to form neutrophil extracellular traps (NETs), which are structures of DNA, histones, and proteins with antimicrobial activity. In mixed cultures, neutrophils preferentially engaged and killed\n                    <jats:named-content content-type=\"genus-species\">C.\u00a0albicans<\/jats:named-content>\n                    over\n                    <jats:named-content content-type=\"genus-species\">C.\u00a0auris<\/jats:named-content>\n                    . Imaging of neutrophils in a zebrafish larval model of invasive candidiasis revealed the recruitment of approximately 50% fewer neutrophils in response to\n                    <jats:named-content content-type=\"genus-species\">C.\u00a0auris<\/jats:named-content>\n                    compared to\n                    <jats:named-content content-type=\"genus-species\">C.\u00a0albicans<\/jats:named-content>\n                    . Upon encounter with\n                    <jats:named-content content-type=\"genus-species\">C.\u00a0albicans<\/jats:named-content>\n                    in the zebrafish hindbrain, neutrophils produced clouds of histones, suggesting the formation of NETs. These structures were not observed in\n                    <jats:named-content content-type=\"genus-species\">C.\u00a0auris<\/jats:named-content>\n                    infection. Evasion of neutrophil attack and innate immunity offers an explanation for the virulence of this pathogen.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>IMPORTANCE<\/jats:bold>\n                    The emerging fungal pathogen\n                    <jats:named-content content-type=\"genus-species\">Candida auris<\/jats:named-content>\n                    has produced numerous outbreaks of invasive disease in hospitals worldwide. Why this species causes deadly disease is unknown. Our findings reveal a failure of neutrophils to kill\n                    <jats:named-content content-type=\"genus-species\">C.\u00a0auris<\/jats:named-content>\n                    compared to the most commonly encountered\n                    <jats:italic>Candida<\/jats:italic>\n                    species,\n                    <jats:named-content content-type=\"genus-species\">C.\u00a0albicans<\/jats:named-content>\n                    . While neutrophils produce neutrophil extracellular traps (NETs) upon encounter with\n                    <jats:named-content content-type=\"genus-species\">C.\u00a0albicans<\/jats:named-content>\n                    , these antimicrobial structures are not formed in response to\n                    <jats:named-content content-type=\"genus-species\">C.\u00a0auris<\/jats:named-content>\n                    . Using human neutrophils and a zebrafish model of invasive candidiasis, we show that\n                    <jats:named-content content-type=\"genus-species\">C.\u00a0auris<\/jats:named-content>\n                    poorly recruits neutrophils and evades immune attack. Identification of this impaired innate immune response to\n                    <jats:named-content content-type=\"genus-species\">C.\u00a0auris<\/jats:named-content>\n                    sheds light on the dismal outcomes for patients with invasive disease.\n                  <\/jats:p>","DOI":"10.1128\/mbio.01403-18","type":"journal-article","created":{"date-parts":[[2018,8,20]],"date-time":"2018-08-20T04:22:32Z","timestamp":1534738952000},"update-policy":"https:\/\/doi.org\/10.1128\/asmj-crossmark-policy-page","source":"Crossref","is-referenced-by-count":147,"title":["Emerging Fungal Pathogen Candida auris Evades Neutrophil Attack"],"prefix":"10.1128","volume":"9","author":[{"given":"Chad J.","family":"Johnson","sequence":"first","affiliation":[{"name":"Department of Medicine, University of Wisconsin, Madison, Wisconsin, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. 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University of Oregon Press, Eugene, OR."},{"key":"e_1_3_2_29_2","doi-asserted-by":"publisher","DOI":"10.1186\/1471-213X-7-42"},{"key":"e_1_3_2_30_2","doi-asserted-by":"publisher","DOI":"10.1242\/jcs.108324"}],"container-title":["mBio"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.asm.org\/doi\/pdf\/10.1128\/mBio.01403-18","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.asm.org\/doi\/pdf\/10.1128\/mBio.01403-18","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,3,7]],"date-time":"2022-03-07T21:54:45Z","timestamp":1646690085000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.asm.org\/doi\/10.1128\/mBio.01403-18"}},"subtitle":[],"editor":[{"given":"J. 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