Evidence map›Paper›PMID 21633513›Full record

ArticlePloS one2011

Novel polymorphisms in Plasmodium falciparum ABC transporter genes are associated with major ACT antimalarial drug resistance.

Maria Isabel Veiga, Pedro Eduardo Ferreira, Louise Jörnhagen, Maja Malmberg, Aminatou Kone, Berit Aydin Schmidt, Max Petzold, Anders Björkman, Francois Nosten, Jose Pedro Gil

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 66 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
66citing papers in PubMed, 1 pooled it
14.8field-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

66 citing papers in PubMed, 1 synthesis or guideline pooled it, 117 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
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  7. Article
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  10. Systematic in vitro evolution inScience (New York, N.Y.) · 2024
    Article
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  15. Frontiers in pharmacology · 2022
    Article
  16. Article
  17. Diagnosing the drug resistance signature inJournal of parasitic diseases : official organ of the Indian Society for Parasitology · 2021
    Review
  18. Article
  19. Frontiers in pharmacology · 2021
    Review
  20. Molecular Surveillance andFrontiers in cellular and infection microbiology · 2021
    Article

6 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

10 authors at 4 institutions in 5 countries.

Maria Isabel VeigaMalaria Research Lab, Department of Medicine, Karolinska Institutet, Stockholm, Sweden. Isabel.veiga@ki.se
Pedro Eduardo Ferreira
Louise Jörnhagen
Maja Malmberg
Aminatou Kone
Berit Aydin Schmidt
Max Petzold
Anders Björkman
Francois Nosten
Jose Pedro Gil
Karolinska Institutet · SEUniversity of Algarve · PTNordic School of Public Health · SENuffield Orthopaedic Centre · GB

Funding

Wellcome Trust
6 · The paper itself

Abstract

Chemotherapy is a critical component of malaria control. However, the most deadly malaria pathogen, Plasmodium falciparum, has repeatedly mounted resistance against a series of antimalarial drugs used in the last decades. Southeast Asia is an epicenter of emerging antimalarial drug resistance, including recent resistance to the artemisinins, the core component of all recommended antimalarial combination therapies. Alterations in the parasitic membrane proteins Pgh-1, PfCRT and PfMRP1 are believed to be major contributors to resistance through decreasing intracellular drug accumulation. The pfcrt, pfmdr1 and pfmrp1 genes were sequenced from a set of P.falciparum field isolates from the Thai-Myanmar border. In vitro drug susceptibility to artemisinin, dihydroartemisinin, mefloquine and lumefantrine were assessed. Positive correlations were seen between the in vitro susceptibility responses to artemisinin and dihydroartemisinin and the responses to the arylamino-alcohol quinolines lumefantrine and mefloquine. The previously unstudied pfmdr1 F1226Y and pfmrp1 F1390I SNPs were associated significantly with artemisinin, mefloquine and lumefantrine in vitro susceptibility. A variation in pfmdr1 gene copy number was also associated with parasite drug susceptibility of artemisinin, mefloquine and lumefantrine. Our work unveils new candidate markers of P. falciparum multidrug resistance in vitro, while contributing to the understanding of subjacent genetic complexity, essential for future evidence-based drug policy decisions.

Indexed as

Polymorphism, Single NucleotideAnimalsAntimalarialsArtemisininsATP-Binding Cassette, Sub-Family C ProteinsATP-Binding Cassette TransportersBase SequenceDrug ResistanceEthanolaminesFluorenesGene FrequencyGenotypeHaplotypesHumansInhibitory Concentration 50LumefantrineAntimalarialsartemisininArtemisininsartenimolATP-Binding Cassette, Sub-Family C ProteinsATP-Binding Cassette TransportersEthanolaminesFluorenesLumefantrineMdr1 protein, Plasmodium falciparummdr gene protein, PlasmodiumMefloquineMembrane Transport ProteinsPfCRT protein, Plasmodium falciparumProtozoan Proteins

Identifiers

PMID21633513
PMCPMC3102103
OpenAlexW1977579291

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.