Evidence map›Paper›PMID 24130857›Full record

ArticlePloS one2013

Cytokine profiles at birth predict malaria severity during infancy.

Edward Kabyemela, Bronner P Gonçalves, D Rebecca Prevots, Robert Morrison, Whitney Harrington, Moses Gwamaka, Jonathan D Kurtis, Michal Fried, Patrick E Duffy

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 11% 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Malaria during Pregnancy.Cold Spring Harbor perspectives in medicine · 2017
    Review
  9. Article
  10. Developing a novel risk prediction model for severe malarial anemia.Global health, epidemiology and genomics · 2017
    Article
  11. Immune Regulation in Pregnancy: A Matter of Perspective?Obstetrics and gynecology clinics of North America · 2016
    Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
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

9 authors at 4 institutions in 1 country.

Edward KabyemelaMOMS Project, Seattle Biomedical Research Institute, Seattle, Washington, United States of America, and Muheza Designated District Hospital, Muheza, Tanzania.
Bronner P Gonçalves
D Rebecca Prevots
Robert Morrison
Whitney Harrington
Moses Gwamaka
Jonathan D Kurtis
Michal Fried
Patrick E Duffy
Center for Infectious Disease Research · USNational Institute of Allergy and Infectious Diseases · USBrown University · USSeattle Children's Hospital · US

Funding

Malaria Pathogenesis in Pregnant Women and Young ChildrenZIAAI001153 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI FRIED, MICHAL · 2011 to 2025
$9.5M
Pathogenesis of falciparum malaria in infancyR01AI052059 · NIAID · SEATTLE BIOMEDICAL RESEARCH INSTITUTE · PI DUFFY, PATRICK E · 2001 to 2004
$2.7M
Pregnancy Malaria: Pathogenesis and ImmunityZIAAI001178 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI DUFFY, PATRICK · 2012 to 2015
$2.1M
Malaria at the Mother-child InterfaceD43TW005509 · FIC · SEATTLE BIOMEDICAL RESEARCH INSTITUTE · PI KUBLIN, JAMES G. · 2002 to 2013
$1.6M
FIC NIH HHS D43 TW005509Intramural NIH HHSNIAID NIH HHS R01 AI052059NIAID NIH HHS R01AI52059
6 · The paper itself

Abstract

backgroundSevere malaria risk varies between individuals, and most of this variation remains unexplained. Here, we examined the hypothesis that cytokine profiles at birth reflect inter-individual differences that persist and influence malaria parasite density and disease severity throughout early childhood. METHODS AND

findingsCytokine levels (TNF-α, IFN-γ, IL-1β, IL-4, IL-5, IL-6 and IL-10) were measured at birth (cord blood; N=783) and during subsequent routine follow-up visits (peripheral blood) for children enrolled between 2002 and 2006 into a birth cohort in Muheza, Tanzania. Children underwent blood smear and clinical assessments every 2-4 weeks, and at the time of any illness. Cord blood levels of all cytokines were positively correlated with each other (Spearman's rank correlation). Cord levels of IL-1β and TNF-α (but not other cytokines) correlated with levels of the same cytokine measured at routine visits during early life (P < 0.05). Higher cord levels of IL-1β but not TNF-α were associated with lower parasite densities during infancy (P=0.003; Generalized Estimating Equation (GEE) method), with an average ~40% reduction versus children with low cord IL-1β levels, and with decreased risk of severe malaria during follow-up (Cox regression): adjusted hazard ratio (95% CI) 0.60 (0.39-0.92), P = 0.02.

conclusionIL-1β levels at birth are related to future IL-1β levels as well as the risk of severe malaria in early life. The effect on severe malaria risk may be due in part to the effect of inflammatory cytokines to control parasite density.

Indexed as

Severity of Illness IndexChild, PreschoolCohort StudiesCytokinesFemaleFetal BloodHumansInfantMalariaMaleParturitionPlasmodiumRiskTanzaniaCytokines

Identifiers

PMID24130857
PMCPMC3795067
OpenAlexW2026676313

What OpenQuestion holds

Textmetadata
LicenceCC0
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.