The diverse genomes of Candida auris
Open accessAbstract
Candida auris is an emerging global public health threat and is classified as a WHO critical priority fungal pathogen, causing invasive candidiasis with a crude mortality of 45%.1 The emergence, epidemiology, and evolution of C auris have been enigmatic, with multiple highly genetically distinct and clonal clades appearing simultaneously and even co-existing within single-hospital outbreaks.2 First described in Japan in 2008, following a case of otomycosis in a 70-year-old woman,3 C auris has now been identified in all major continents,4 with infection rates that have surpassed those of other Candida spp in lower-middle income settings.
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Clades I, III, and IV of C. auris are associated with antifungal resistance and a higher incidence of outbreaks.
“Among them, clades I, III, and IV are associated with antifungal resistance and a higher incidence of outbreaks [1,2].”
From Host–Candida auris interactions in the skin (2026) · cites this paper as [2]
C. auris comprises six geographically stratified clades: clade I (South Asian), clade II (East Asian), clade III (African), clade IV (South American), clade V (Iranian), and clade VI (Singapore).
“The six geographically stratified clades of C. auris are clade I (South Asian), clade II (East Asian), clade III (African), clade IV (South American), clade V (Iranian), and clade VI (Singapore) [2].”
From Host–Candida auris interactions in the skin (2026) · cites this paper as [2]
Cites
Chow, N. A., Muñoz, J. F., Gade, L., Berkow, E., Li, X., Welsh, R. M., Forsberg, K., Lockhart, S. R., Adam, R., Alanio, A., et al. (2020) · doi:10.1101/2020.01.06.896548 · Cited by 463 · see citing works
Chow, N. A., Gade, L., Tsay, S. V., Forsberg, K., Greenko, J. A., Southwick, K. L., Barrett, P. M., Kerins, J. L., Lockhart, S. R., Chiller, T. M., et al. (2018) · The Lancet Infectious Diseases · doi:10.1016/s1473-3099(18)30597-8 · Cited by 289 · see citing works
Chen, J., Tian, S., Han, X., Chu, Y., Wang, Q., Zhou, B., & Shang, H. (2020) · BMC Infectious Diseases · doi:10.1186/s12879-020-05543-0 · Cited by 159 · see citing works
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Host–Candida auris interactions in the skin
Thangamani, S., Balakumar, A., Datta, A., Bryak, G., & Lionakis, M. S. (2026) · PLOS Pathogens · doi:10.1371/journal.ppat.1014075 · Cited by 3 · see citing works
- Authors
- Gifford, H., Rhodes, J., & Farrer, R. A.
- Affiliations
- University of Exeter (GB)
- Radboud University Medical Center (NL)
- Corresponding author
- Farrer, Rhys A
- Venue
- The Lancet Microbe
- Publisher
- Elsevier BV
- Published
- 2024-09
- Volume
- 5
- Issue
- 9
- Pages
- 100903
- ISSN
- 2666-5247 (ISSN-L)
- OpenAlex
- W4399698281
- Cited by
- 22
- References
- 3
- Citations by year
- 2026: 16 · 2025: 3 · 2024: 3
- FWCI
- 7.61
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- The Lancet Microbe (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Radboud Repository (Radboud University) (submittedVersion)
- University of Birmingham Research Portal (University of Birmingham) (submittedVersion, cc-by)
- Funders
- Wellcome Trust (225303/Z/22/Z)
- Medical Research Council
- University of Exeter (MR/N006364/2, MR/V033417/1, MR/P501955/2)
- Topics
- Health Sciences › Medicine › Infectious Diseases › Antifungal resistance and susceptibility
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Yeasts and Rust Fungi Studies
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Fungal and yeast genetics research
- Keywords
- Candida auris, fungal genomics, invasive candidiasis, emerging fungal pathogens, hospital outbreak
- MeSH terms
- Candida auris, Antifungal Agents, Candida, Candidiasis, Humans, Genetic Variation, Genome, Fungal
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