Evidence map›Paper›PMID 23100518›Full record

ArticleJournal of immunology (Baltimore, Md. : 1950)2012

Prolonged neutrophil dysfunction after Plasmodium falciparum malaria is related to hemolysis and heme oxygenase-1 induction.

Aubrey J Cunnington, Madi Njie, Simon Correa, Ebako N Takem, Eleanor M Riley, Michael Walther

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Journal of immunology (Baltimore, Md. : 1950), 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03111589 (Monocytic Expression of Heme Oxidase-1), which is not on this map. Cited by 91 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
91citing papers in PubMed, 1 pooled it
4.0field-weighted citation impact, top 5% 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.

NCT03111589 nacompletednot on this mapstarted 2016, after this paper: background citation

Monocytic Expression of Heme Oxidase-1 (HO-1) in Sickle Cell Patients and Correlation With the Humoral Immune Response to Vaccine and With Allo-immunization

TypeinterventionalSponsorFrancis CorazzaRan2016 to 2018Enrolled102ConditionsSickle Cell DiseaseArmsInactivated influenza A (H1N1) virus vaccine, Blood sampling
3 · Its place in the literature

Who cites it

91 citing papers in PubMed, 1 synthesis or guideline pooled it, 124 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Heme oxygenase-1 and malaria pathogenesis.Frontiers in immunology · 2026
    Review
  5. Article
  6. AfricanmBio · 2025
    Article
  7. Heme and immunity: The heme oxygenase dichotomy.Journal of inorganic biochemistry · 2025
    Review
  8. Article
  9. Differential Response and Recovery Dynamics of HSPC Populations FollowingInternational journal of molecular sciences · 2025
    Article
  10. Review
  11. Review
  12. Article
  13. Oxidative Stress in Malaria: Potential Benefits of Antioxidant Therapy.International journal of molecular sciences · 2022
    Review
  14. Review
  15. Article
  16. Observational
  17. Article
  18. Article
  19. Review
  20. Review

31 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

6 authors at 3 institutions in 3 countries.

Aubrey J CunningtonDepartment of Immunology and Infection, London School of Hygiene and Tropical Medicine, London WC1E 7HT, United Kingdom. aubrey.cunnington@lshtm.ac.uk
Madi Njie
Simon Correa
Ebako N Takem
Eleanor M Riley
Michael Walther
Medical Research Council · GBLondon School of Hygiene & Tropical Medicine · GBNational Institutes of Health · US

Funding

Medical Research Council G0701427Medical Research Council G0701427(85466)Medical Research Council MC_U190088486
6 · The paper itself

Abstract

It is not known why people are more susceptible to bacterial infections such as nontyphoid Salmonella during and after a malaria infection, but in mice, malarial hemolysis impairs resistance to nontyphoid Salmonella by impairing the neutrophil oxidative burst. This acquired neutrophil dysfunction is a consequence of induction of the cytoprotective, heme-degrading enzyme heme oxygenase-1 (HO-1) in neutrophil progenitors in bone marrow. In this study, we assessed whether neutrophil dysfunction occurs in humans with malaria and how this relates to hemolysis. We evaluated neutrophil function in 58 Gambian children with Plasmodium falciparum malaria [55 (95%) with uncomplicated disease] and examined associations with erythrocyte count, haptoglobin, hemopexin, plasma heme, expression of receptors for heme uptake, and HO-1 induction. Malaria caused the appearance of a dominant population of neutrophils with reduced oxidative burst activity, which gradually normalized over 8 wk of follow-up. The degree of neutrophil impairment correlated significantly with markers of hemolysis and HO-1 induction. HO-1 expression was increased in blood during acute malaria, but at a cellular level HO-1 expression was modulated by changes in surface expression of the haptoglobin receptor (CD163). These findings demonstrate that neutrophil dysfunction occurs in P. falciparum malaria and support the relevance of the mechanistic studies in mice. Furthermore, they suggest the presence of a regulatory pathway to limit HO-1 induction by hemolysis in the context of infection and indicate new targets for therapeutic intervention to abrogate the susceptibility to bacterial infection in the context of hemolysis in humans.

Indexed as

Acute DiseaseAntigens, CDAntigens, Differentiation, MyelomonocyticCD163 AntigenChildChild, PreschoolCoinfectionErythrocyte CountFemaleGene ExpressionHaptoglobinsHemeHeme Oxygenase-1HemolysisHemopexinHumansAntigens, CDAntigens, Differentiation, MyelomonocyticCD163 AntigenHaptoglobinsHemeHeme Oxygenase-1HemopexinReceptors, Cell Surface

Identifiers

PMID23100518
PMCPMC3504608
OpenAlexW2138645780

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.