Evidence map›Paper›PMID 23256874›Full record

ArticleAntioxidants & redox signaling2013

Glutathione transport: a new role for PfCRT in chloroquine resistance.

Eva-Maria Patzewitz, J Enrique Salcedo-Sora, Eleanor H Wong, Sonal Sethia, Paul A Stocks, Spencer C Maughan, James A H Murray, Sanjeev Krishna, Patrick G Bray, Stephen A Ward and 1 more

Open access · hybridAbstract read
In one paragraph

Article in Antioxidants & redox signaling, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed
5.0field-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.

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

35 citing papers in PubMed, 56 citations in OpenAlex.

  1. Biochemistry · 2026
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  5. The Toxoplasma plant-like vacuolar compartment (PLVAC).The Journal of eukaryotic microbiology · 2022
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  10. Molecular Mechanisms of Drug Resistance inAnnual review of microbiology · 2020
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  18. Iron is a substrate of theThe Journal of biological chemistry · 2017
    Article
  19. Article
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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

11 authors at 5 institutions in 2 countries.

Eva-Maria PatzewitzInstitute of Infection, Immunity and Inflammation, College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow, United Kingdom.
J Enrique Salcedo-Sora
Eleanor H Wong
Sonal Sethia
Paul A Stocks
Spencer C Maughan
James A H Murray
Sanjeev Krishna
Patrick G Bray
Stephen A Ward
Sylke Müller
Liverpool School of Tropical Medicine · GBUniversity of Glasgow · GBCardiff University · GBSt George's, University of London · GBUniversity of Nottingham · GB

Funding

Biotechnology and Biological Sciences Research Council BB/C515047/1Medical Research Council G0400173-69712Medical Research Council MC_PC_12017Wellcome Trust 085349Wellcome Trust WT061173MA-SM
6 · The paper itself

Abstract

aimsChloroquine (CQ) kills Plasmodium falciparum by binding heme, preventing its detoxification to hemozoin in the digestive vacuole (DV) of the parasite. CQ resistance (CQR) is associated with mutations in the DV membrane protein P. falciparum chloroquine resistance transporter (PfCRT), mediating the leakage of CQ from the DV. However, additional factors are thought to contribute to the resistance phenotype. This study tested the hypothesis that there is a link between glutathione (GSH) and CQR.

resultsUsing isogenic parasite lines carrying wild-type or mutant pfcrt, we reveal lower levels of GSH in the mutant lines and enhanced sensitivity to the GSH synthesis inhibitor l-buthionine sulfoximine, without any alteration in cytosolic de novo GSH synthesis. Incubation with N-acetylcysteine resulted in increased GSH levels in all parasites, but only reduced susceptibility to CQ in PfCRT mutant-expressing lines. In support of a heme destruction mechanism involving GSH in CQR parasites, we also found lower hemozoin levels and reduced CQ binding in the CQR PfCRT-mutant lines. We further demonstrate via expression in Xenopus laevis oocytes that the mutant alleles of Pfcrt in CQR parasites selectively transport GSH. INNOVATION: We propose a mechanism whereby mutant pfcrt allows enhanced transport of GSH into the parasite's DV. The elevated levels of GSH in the DV reduce the level of free heme available for CQ binding, which mediates the lower susceptibility to CQ in the PfCRT mutant parasites.

conclusionPfCRT has a dual role in CQR, facilitating both efflux of harmful CQ from the DV and influx of beneficial GSH into the DV.

Indexed as

AcetylcysteineAnimalsAntimalarialsBiological TransportCells, CulturedChloroquineDrug ResistanceErythrocytesFree Radical ScavengersGene ExpressionGlutathioneGlutathione SynthaseHemeproteinsHumansMembrane Transport ProteinsPlasmodium falciparumAcetylcysteineAntimalarialsChloroquineFree Radical ScavengersGlutathioneGlutathione SynthaseHemeproteinshemozoinMembrane Transport ProteinsPfCRT protein, Plasmodium falciparumProtozoan Proteins

Identifiers

PMID23256874
PMCPMC3739961
OpenAlexW2099262666

What OpenQuestion holds

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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.