{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T15:09:46Z","timestamp":1785424186171,"version":"3.56.0"},"reference-count":48,"publisher":"American Society for Microbiology","issue":"7","license":[{"start":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T00:00:00Z","timestamp":1751328000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T00:00:00Z","timestamp":1751328000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.asm.org\/non-commercial-tdm-license"}],"funder":[{"DOI":"10.13039\/501100008982","name":"National Science Foundation","doi-asserted-by":"publisher","award":["2334708"],"award-info":[{"award-number":["2334708"]}],"id":[{"id":"10.13039\/501100008982","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100008982","name":"National Science Foundation","doi-asserted-by":"publisher","award":["2334708"],"award-info":[{"award-number":["2334708"]}],"id":[{"id":"10.13039\/501100008982","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.asm.org"],"crossmark-restriction":true},"short-container-title":["Microbiol Spectr"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title\/>\n                    <jats:p>\n                      <jats:italic toggle=\"yes\">Histoplasma capsulatum<\/jats:italic>\n                      is a thermally dimorphic fungal pathogen. It causes approximately 500,000 infections annually in the United States.\n                      <jats:italic toggle=\"yes\">Histoplasma<\/jats:italic>\n                      is present as avirulent mycelia in the soil and transforms into pathogenic yeasts at the human body temperature upon inhalation. This elevated temperature triggers the expression of many virulence factors that enable\n                      <jats:italic toggle=\"yes\">Histoplasma<\/jats:italic>\n                      yeasts to survive and proliferate within immune cells (i.e., macrophages) in the human lungs. In addition to elevated temperature,\n                      <jats:italic toggle=\"yes\">Histoplasma<\/jats:italic>\n                      yeasts also experience other environmental changes within the mammalian host, such as elevated carbon dioxide (CO\n                      <jats:sub>2<\/jats:sub>\n                      ) (ambient air vs host tissues) during infection. However, the impact of elevated CO\n                      <jats:sub>2<\/jats:sub>\n                      on\n                      <jats:italic toggle=\"yes\">Histoplasma<\/jats:italic>\n                      yeasts remains completely unknown. In this study, our results showed that elevated CO\n                      <jats:sub>2<\/jats:sub>\n                      enhanced\n                      <jats:italic toggle=\"yes\">Histoplasma<\/jats:italic>\n                      \u2019s growth, particularly increasing its ability to utilize certain amino acids (e.g., alanine) as the sole carbon source. We also found that elevated CO\n                      <jats:sub>2<\/jats:sub>\n                      reduced\n                      <jats:italic toggle=\"yes\">Histoplasma<\/jats:italic>\n                      \u2019s susceptibility to antifungals\n                      <jats:italic toggle=\"yes\">in vitro<\/jats:italic>\n                      .\n                      <jats:italic toggle=\"yes\">Histoplasma<\/jats:italic>\n                      \u2019s enhanced growth and reduced antifungal susceptibility under elevated CO\n                      <jats:sub>2<\/jats:sub>\n                      were not pH-dependent. Our findings suggest that the elevated CO\n                      <jats:sub>2<\/jats:sub>\n                      within mammalian hosts could potentially enhance\n                      <jats:italic toggle=\"yes\">Histoplasma<\/jats:italic>\n                      \u2019s virulence. Future antifungal susceptibility tests for\n                      <jats:italic toggle=\"yes\">Histoplasma<\/jats:italic>\n                      should be performed at 5% CO\n                      <jats:sub>2<\/jats:sub>\n                      for clinically relevant results.\n                    <\/jats:p>\n                    <jats:sec>\n                      <jats:title>IMPORTANCE<\/jats:title>\n                      <jats:p>\n                        The fungal pathogen\n                        <jats:italic toggle=\"yes\">Histoplasma capsulatum<\/jats:italic>\n                        lives in the soil.\n                        <jats:italic toggle=\"yes\">Histoplasma<\/jats:italic>\n                        spores can be inhaled and cause respiratory infections. The human body is vastly different from the soil. One of the major differences is the carbon dioxide (CO\n                        <jats:sub>2<\/jats:sub>\n                        ) concentration (0.04% in the ambient air vs 5% or above in the human body). Therefore, it is important to understand the impact of elevated CO\n                        <jats:sub>2<\/jats:sub>\n                        on\n                        <jats:italic toggle=\"yes\">Histoplasma<\/jats:italic>\n                        . We found that elevated CO\n                        <jats:sub>2<\/jats:sub>\n                        promotes\n                        <jats:italic toggle=\"yes\">Histoplasma<\/jats:italic>\n                        \u2019s growth, suggesting that elevated CO\n                        <jats:sub>2<\/jats:sub>\n                        could potentially enhance\n                        <jats:italic toggle=\"yes\">Histoplasma<\/jats:italic>\n                        \u2019s virulence during infection. Our results showed that elevated CO\n                        <jats:sub>2<\/jats:sub>\n                        reduces\n                        <jats:italic toggle=\"yes\">Histoplasma<\/jats:italic>\n                        \u2019s antifungal susceptibility, suggesting that antifungal susceptibility tests for\n                        <jats:italic toggle=\"yes\">Histoplasma<\/jats:italic>\n                        should be performed at elevated CO\n                        <jats:sub>2<\/jats:sub>\n                        for clinically relevant results.\n                      <\/jats:p>\n                    <\/jats:sec>\n                  <\/jats:sec>","DOI":"10.1128\/spectrum.03106-24","type":"journal-article","created":{"date-parts":[[2025,5,30]],"date-time":"2025-05-30T10:54:50Z","timestamp":1748602490000},"update-policy":"https:\/\/doi.org\/10.1128\/asmj-crossmark-policy-page","source":"Crossref","is-referenced-by-count":2,"title":["Elevated carbon dioxide enhances the growth and reduces the antifungal susceptibility of\n                    <i>Histoplasma capsulatum<\/i>"],"prefix":"10.1128","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9001-7636","authenticated-orcid":false,"given":"Qian","family":"Shen","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/049xfwy04","id-type":"ROR","asserted-by":"publisher"}],"name":"Department of Biology, Rhodes College","place":["Memphis, USA"]},{"id":[{"id":"https:\/\/ror.org\/049xfwy04","id-type":"ROR","asserted-by":"publisher"}],"name":"Biochemistry and Molecular Biology Program, Rhodes College","place":["Memphis, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kelsey","family":"Steinmetz","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/049xfwy04","id-type":"ROR","asserted-by":"publisher"}],"name":"Biochemistry and Molecular Biology Program, Rhodes College","place":["Memphis, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"235","reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1128\/mr.53.2.186-209.1989"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pntd.0003100"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1126\/scitranslmed.3004404"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/s1286-4579(99)80084-7"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1189\/jlb.0308154"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1128\/CMR.00027-06"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.ppat.1007213"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.4269\/ajtmh.14-0175"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1007\/s40475-015-0044-0"},{"key":"e_1_3_3_11_2","first-page":"743","article-title":"Epidemiological investigation of Histoplasma capsulatum infection in China","volume":"114","author":"Zhao B","year":"2001","unstructured":"Zhao B, Xia X, Yin J, Zhang X, Wu E, Shi Y, Tong M, Sun S, Gui X, Zhao Z, Feng X. 2001. 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