Evidence map›Paper›PMID 23800539›Full record

ArticleVaccine2013

A threshold concentration of anti-merozoite antibodies is required for protection from clinical episodes of malaria.

Linda M Murungi, Gathoni Kamuyu, Brett Lowe, Philip Bejon, Michael Theisen, Samson M Kinyanjui, Kevin Marsh, Faith H A Osier

Open access · hybridAbstract read
In one paragraph

Article in Vaccine, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed
6.8field-weighted citation impact, top 3% 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

48 citing papers in PubMed, 77 citations in OpenAlex.

  1. Trial
  2. Review
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  4. Article
  5. Article
  6. Age-dependent acquisition of IgG antibodies toFrontiers in immunology · 2024
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  15. Article
  16. Naturally Acquired Humoral Immunity AgainstFrontiers in immunology · 2020
    Review
  17. Immunization with full-lengthNPJ vaccines · 2020
    Article
  18. 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

8 authors at 3 institutions in 3 countries.

Linda M MurungiKEMRI Centre for Geographic Medicine Research, Coast, P.O. Box 230-80108, Kilifi, Kenya. lmurungi@kemri-wellcome.org
Gathoni Kamuyu
Brett Lowe
Philip Bejon
Michael Theisen
Samson M Kinyanjui
Kevin Marsh
Faith H A Osier
Kenya Medical Research Institute · KEChurchill Hospital · GBStatens Serum Institut · DK

Funding

Medical Research Council G1002624Wellcome Trust 085880/Z/08/ZWellcome Trust 089833/Z/09/ZWellcome Trust 092654
6 · The paper itself

Abstract

Antibodies to selected Plasmodium falciparum merozoite antigens are often reported to be associated with protection from malaria in one epidemiological cohort, but not in another. Here, we sought to understand this paradox by exploring the hypothesis that a threshold concentration of antibodies is necessary for protection. We analyzed data from two independent cohorts along the Kenyan coast, one in which antibodies to AMA1, MSP-2 and MSP-3 were associated with protection from malaria (Chonyi) and another in which this association was not observed (Junju). We used a malaria reference reagent to standardize antibody measurements across both cohorts, and applied statistical methods to derive the threshold concentration of antibodies against each antigen that best correlated with a reduced risk of malaria (the protective threshold), in the Chonyi cohort. We then tested whether antibodies in Junju reached the protective threshold concentrations observed in the Chonyi cohort. Except for children under 3 years, the age-matched proportions of children achieving protective threshold concentrations of antibodies against AMA1 and MSP-2 were significantly lower in Junju compared to Chonyi (Fishers exact test, P<0.01). For MSP-3, this difference was significant only among 4-5 year olds. We conclude that although antibodies are commonly detected in malaria endemic populations, they may be present in concentrations that are insufficient for protection. Our results have implications for the analysis and interpretation of similar data from immuno-epidemiological studies.

Indexed as

Antibodies, ProtozoanAntigens, ProtozoanChildChild, PreschoolCohort StudiesHumansInfantInfant, NewbornKenyaMalariaMerozoitesPlasmodium falciparumRisk FactorsAntibodies, ProtozoanAntigens, ProtozoanAnti-merozoite antibodiesClinical malariaImmuno-epidemiologyProtectionProtective threshold antibody concentrations

Identifiers

PMID23800539
PMCPMC3763364
OpenAlexW2041111368

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.