Evidence map›Paper›PMID 21220531›Full record

ArticleAntimicrobial agents and chemotherapy2011

Artemether and artesunate show the highest efficacies in rescuing mice with late-stage cerebral malaria and rapidly decrease leukocyte accumulation in the brain.

L Clemmer, Y C Martins, G M Zanini, J A Frangos, L J M Carvalho

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In one paragraph

Article in Antimicrobial agents and chemotherapy, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed
6.0field-weighted citation impact, top 4% 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

43 citing papers in PubMed, 73 citations in OpenAlex.

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  18. Effect of Artesunate onAnimals : an open access journal from MDPI · 2020
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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

5 authors at 3 institutions in 2 countries.

L ClemmerLa Jolla Bioengineering Institute, 3535 General Atomics Court, Suite 210, San Diego, CA 92121, USA.
Y C Martins
G M Zanini
J A Frangos
L J M Carvalho
La Jolla Bioengineering Institute · USFundação Instituto de Pesca do Estado do Rio de Janeiro · BRGeneral Atomics (United States) · US

Funding

Nitric oxide protects against microcirculatory complications of malariaR01HL087290 · NHLBI · LA JOLLA BIOENGINEERING INSTITUTE · PI CARVALHO, LEONARDO JOSE DE MOURA · 2007 to 2010
$2.0M
Nitric Oxide Restoration & Heme Detoxification as Adjunctive Therapies for CerebrR01AI082610 · NIAID · LA JOLLA BIOENGINEERING INSTITUTE · PI CARVALHO, LEONARDO JOSE DE MOURA · 2009 to 2012
$1.6M
NHLBI NIH HHS R01 HL087290NHLBI NIH HHS R01-HL087290NHLBI NIH HHS R01-HL087290-S1NIAID NIH HHS R01 AI082610NIAID NIH HHS R01-AI082610
6 · The paper itself

Abstract

The murine model of cerebral malaria (ECM) caused by Plasmodium berghei ANKA (PbA) infection in susceptible mice has been extensively used for studies of pathogenesis and identification of potential targets for human CM therapeutics. However, the model has been seldom explored to evaluate adjunctive therapies for this malaria complication. A first step toward this goal is to define a treatment protocol with an effective antimalarial drug able to rescue mice presenting late-stage ECM. We evaluated the efficacy of artemisinin, artemether, artesunate, and quinine given intraperitoneally once a day, and combinations with mefloquine, in suppressing PbA infection in mice with moderate parasitemia. Artemether, artesunate, and quinine were then evaluated for efficacy in rescuing PbA-infected mice with ECM, strictly defined by using objective criteria based on the presentation of clinical signs of neurological involvement, degree of hypothermia, and performance in a set of six motor behavior tests. Artemether at 25 mg/kg presented the fastest parasite killing ability in 24 h and fully avoided recrudescence in a 5-day treatment protocol. Artemether and artesunate were equally effective in rescuing mice with late-stage ECM (46 and 43% survival, respectively), whereas quinine had a poor performance (12.5% survival). Artemether caused a marked decrease in brain leukocyte accumulation 24 h after the first dose. In conclusion, artemether and artesunate are effective in rescuing mice with late-stage ECM and decrease brain inflammation. In addition, the described protocols for more strict clinical evaluation and for rescue treatment provide a framework for studies of CM adjunctive therapies using this mouse model.

Indexed as

AnimalsAntimalarialsArtemetherArtemisininsArtesunateBrainLeukocytesMalaria, CerebralMefloquineMiceParasitemiaPlasmodium bergheiQuinineAntimalarialsArtemetherartemisininArtemisininsArtesunateMefloquineQuinine

Identifiers

PMID21220531
PMCPMC3067152
OpenAlexW2127975274

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.