Evidence map›Paper›PMID 20585569›Full record

ArticlePLoS pathogens2010

Cognitive dysfunction is sustained after rescue therapy in experimental cerebral malaria, and is reduced by additive antioxidant therapy.

Patricia A Reis, Clarissa M Comim, Fernanda Hermani, Bruno Silva, Tatiana Barichello, Aline C Portella, Flavia C A Gomes, Ive M Sab, Valber S Frutuoso, Marcus F Oliveira and 6 more

Open access · goldAbstract read
In one paragraph

Article in PLoS pathogens, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 68 papers.

0numbers the graph read from it
0cells of the map it votes in
68citing papers in PubMed
10.6field-weighted citation impact, top 1% 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

68 citing papers in PubMed, 125 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. Non-cerebral malaria: does such a thing exist?Memorias do Instituto Oswaldo Cruz · 2025
    Review
  7. Pharmaceuticals (Basel, Switzerland) · 2024
    Article
  8. Emerging drugs for the treatment of herpetic keratitis.Expert opinion on emerging drugs · 2024
    Review
  9. Synthesis and antimalarial activity of amide and ester conjugates of siderophores and ozonides.Biometals : an international journal on the role of metal ions in biology, biochemistry, and medicine · 2023
    Article
  10. Review
  11. Article
  12. Co-administration of chloroquine and coenzyme QJournal of parasitic diseases : official organ of the Indian Society for Parasitology · 2022
    Article
  13. Oxidative Stress in Malaria: Potential Benefits of Antioxidant Therapy.International journal of molecular sciences · 2022
    Review
  14. Article
  15. Review
  16. Article
  17. Review
  18. Malaria Related Neurocognitive Deficits and Behavioral Alterations.Frontiers in cellular and infection microbiology · 2022
    Review
  19. Article
  20. Oxidative Stress and Pathogenesis in Malaria.Frontiers in cellular and infection microbiology · 2021
    Review

8 more citing papers are in PubMed but not listed here.

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

16 authors at 5 institutions in 2 countries.

Patricia A ReisLaboratório de Imunofarmacologia, Instituto Oswaldo Cruz, Fundação Oswaldo Cruz, Rio de Janeiro, Brazil.
Clarissa M Comim
Fernanda Hermani
Bruno Silva
Tatiana Barichello
Aline C Portella
Flavia C A Gomes
Ive M Sab
Valber S Frutuoso
Marcus F Oliveira
Patricia T Bozza
Fernando A Bozza
Felipe Dal-Pizzol
Guy A Zimmerman
João Quevedo
Hugo C Castro-Faria-Neto
Universidade do Extremo Sul Catarinense · BRFundação Oswaldo Cruz · BRUniversidade Federal do Rio de Janeiro · BRInstituto Evandro Chagas · BRUniversity of Utah · US

Funding

Molecular Interactions of Myeloid Cells with EndotheliumR37HL044525 · NHLBI · UNIVERSITY OF UTAH · PI ZIMMERMAN, GUY A. · 2004 to 2013
$3.5M
NHLBI NIH HHS R37 HL044525NINDS NIH HHS R03 NS04512
6 · The paper itself

Abstract

Neurological impairments are frequently detected in children surviving cerebral malaria (CM), the most severe neurological complication of infection with Plasmodium falciparum. The pathophysiology and therapy of long lasting cognitive deficits in malaria patients after treatment of the parasitic disease is a critical area of investigation. In the present study we used several models of experimental malaria with differential features to investigate persistent cognitive damage after rescue treatment. Infection of C57BL/6 and Swiss (SW) mice with Plasmodium berghei ANKA (PbA) or a lethal strain of Plasmodium yoelii XL (PyXL), respectively, resulted in documented CM and sustained persistent cognitive damage detected by a battery of behavioral tests after cure of the acute parasitic disease with chloroquine therapy. Strikingly, cognitive impairment was still present 30 days after the initial infection. In contrast, BALB/c mice infected with PbA, C57BL6 infected with Plasmodium chabaudi chabaudi and SW infected with non lethal Plasmodium yoelii NXL (PyNXL) did not develop signs of CM, were cured of the acute parasitic infection by chloroquine, and showed no persistent cognitive impairment. Reactive oxygen species have been reported to mediate neurological injury in CM. Increased production of malondialdehyde (MDA) and conjugated dienes was detected in the brains of PbA-infected C57BL/6 mice with CM, indicating high oxidative stress. Treatment of PbA-infected C57BL/6 mice with additive antioxidants together with chloroquine at the first signs of CM prevented the development of persistent cognitive damage. These studies provide new insights into the natural history of cognitive dysfunction after rescue therapy for CM that may have clinical relevance, and may also be relevant to cerebral sequelae of sepsis and other disorders.

Indexed as

AnimalsAntimalarialsAntioxidantsBehavior, AnimalCognition DisordersDrug CombinationsErythrocytesMalaria, CerebralMiceMice, Inbred BALB CMice, Inbred C57BLOxidative StressParasitemiaPlasmodium bergheiPlasmodium yoeliiReactive Oxygen SpeciesAntimalarialsAntioxidantsDrug CombinationsReactive Oxygen Species

Identifiers

PMID20585569
PMCPMC2891838
OpenAlexW2027178583

What OpenQuestion holds

Textmetadata
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 OpenQuestion graph.