Evidence map›Paper›PMID 18466201›Full record

ArticleParasite immunology

Distinct pattern of class and subclass antibodies in immune complexes of children with cerebral malaria and severe malarial anaemia.

E K Mibei, W O Otieno, A S S Orago, J A Stoute

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in Parasite immunology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
4.8field-weighted citation impact, top 6% 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

11 citing papers in PubMed, 29 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 2 countries.

E K MibeiDepartment of Pre-Clinical Sciences, Kenyatta University, Nairobi, Kenya.
W O Otieno
A S S Orago
J A Stoute
Kenyatta University · KEUnited States Army Medical Research Directorate - Africa · KEWalter Reed Army Institute of Research · US

Funding

Pediatric malaria research fellowship training programD43TW006239 · FIC · WALTER REED ARMY INSTITUTE OF RESEARCH · PI STOUTE, JOSE ANTONIO · 2003 to 2006
$398k
FIC NIH HHS 1 D43 TW06239NHLBI NIH HHS R01 HL 7502
6 · The paper itself

Abstract

Plasmodium falciparum infection can lead to deadly complications such as severe malaria-associated anaemia (SMA) and cerebral malaria (CM). Children with severe malaria have elevated levels of circulating immune complexes (ICs). To further investigate the quantitative differences in antibody class/subclass components of ICs in SMA and CM, we enrolled 75 children with SMA and 32 children with CM from hospitals in western Kenya and matched them to 74 and 52 control children, respectively, with uncomplicated symptomatic malaria. Total IgG IC levels were always elevated in children with malaria upon enrollment, but children with CM had the highest levels of any group. Conditional logistic regression showed a borderline association between IgG4-containing IC levels and increased risk of SMA (OR = 3.11, 95% CI 1.01-9.56, P = 0.05). Total IgG ICs (OR = 2.84, 95% CI 1.08-7.46, P = 0.03) and IgE-containing ICs (OR = 6.82, OR 1.88-24.73, P < or = 0.01) were associated with increased risk of CM. These results point to differences in the contribution of the different antibody class and subclass components of ICs to the pathogenesis of SMA and CM and give insight into potential mechanisms of disease.

Indexed as

AnemiaAnimalsAntibodies, ProtozoanAntigen-Antibody ComplexChild, PreschoolHumansImmunoglobulin EImmunoglobulin GInfantKenyaLogistic ModelsMalaria, CerebralMalaria, FalciparumPlasmodium falciparumRisk FactorsAntibodies, ProtozoanAntigen-Antibody ComplexImmunoglobulin EImmunoglobulin G

Identifiers

PMID18466201
OpenAlexW2056556397

What OpenQuestion holds

Textmetadata
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 OpenQuestion graph.