Evidence map›Paper›PMID 25049252›Full record

ArticleAntimicrobial agents and chemotherapy2014

Ex vivo activity of endoperoxide antimalarials, including artemisone and arterolane, against multidrug-resistant Plasmodium falciparum isolates from Cambodia.

Charlotte A Lanteri, Suwanna Chaorattanakawee, Chanthap Lon, David L Saunders, Wiriya Rutvisuttinunt, Kritsanai Yingyuen, Ian Bathurst, Xavier C Ding, Stuart D Tyner

Open access · bronzeAbstract read
In one paragraph

Article in Antimicrobial agents and chemotherapy, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.6field-weighted citation impact, top 15% 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

13 citing papers in PubMed, 21 citations in OpenAlex.

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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

9 authors at 2 institutions in 2 countries.

Charlotte A LanteriDepartment of Immunology and Medicine, Armed Forces Research Institute of Medical Sciences, Bangkok, Thailand charlotte.lanteri@afrims.org.
Suwanna ChaorattanakaweeDepartment of Immunology and Medicine, Armed Forces Research Institute of Medical Sciences, Bangkok, Thailand.
Chanthap LonDepartment of Immunology and Medicine, Armed Forces Research Institute of Medical Sciences, Bangkok, Thailand.
David L SaundersDepartment of Immunology and Medicine, Armed Forces Research Institute of Medical Sciences, Bangkok, Thailand.
Wiriya RutvisuttinuntDepartment of Immunology and Medicine, Armed Forces Research Institute of Medical Sciences, Bangkok, Thailand.
Kritsanai YingyuenDepartment of Immunology and Medicine, Armed Forces Research Institute of Medical Sciences, Bangkok, Thailand.
Ian BathurstMedicines for Malaria Venture, Geneva, Switzerland.
Xavier C DingMedicines for Malaria Venture, Geneva, Switzerland.
Stuart D TynerDepartment of Immunology and Medicine, Armed Forces Research Institute of Medical Sciences, Bangkok, Thailand.
Armed Forces Research Institute of Medical Science · THMedicines for Malaria Venture · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Novel synthetic endoperoxides are being evaluated as new components of artemisinin combination therapies (ACTs) to treat artemisinin-resistant Plasmodium falciparum malaria. We conducted blinded ex vivo activity testing of fully synthetic (OZ78 and OZ277) and semisynthetic (artemisone, artemiside, artesunate, and dihydroartemisinin) endoperoxides in the histidine-rich protein 2 enzyme-linked immunosorbent assay against 200 P. falciparum isolates from areas of artemisinin-resistant malaria in western and northern Cambodia in 2009 and 2010. The order of potency and geometric mean (GM) 50% inhibitory concentrations (IC50s) were as follows: artemisone (2.40 nM) > artesunate (8.49 nM) > dihydroartemisinin (11.26 nM) > artemiside (15.28 nM) > OZ277 (31.25 nM) > OZ78 (755.27 nM). Ex vivo activities of test endoperoxides positively correlated with dihydroartemisinin and artesunate. The isolates were over 2-fold less susceptible to dihydroartemisinin than the artemisinin-sensitive P. falciparum W2 clone and showed sensitivity comparable to those with test endoperoxides and artesunate, with isolate/W2 IC50 susceptibility ratios of <2.0. All isolates had P. falciparum chloroquine resistance transporter mutations, with negative correlations in sensitivity to endoperoxides and chloroquine. The activities of endoperoxides (artesunate, dihydroartemisinin, OZ277, and artemisone) significantly correlated with that of the ACT partner drug, mefloquine. Isolates had mutations associated with clinical resistance to mefloquine, with 35% prevalence of P. falciparum multidrug resistance gene 1 (pfmdr1) amplification and 84.5% occurrence of the pfmdr1 Y184F mutation. GM IC50s for mefloquine, lumefantrine, and endoperoxides (artesunate, dihydroartemisinin, OZ277, OZ78, and artemisone) correlated with pfmdr1 copy number. Given that current ACTs are failing potentially from reduced sensitivity to artemisinins and partner drugs, newly identified mutations associated with artemisinin resistance reported in the literature and pfmdr1 mutations should be examined for their combined contributions to emerging ACT resistance.

Indexed as

AntimalarialsArtemisininsArtesunateCambodiaChloroquineHeterocyclic Compounds, 1-RingParasitic Sensitivity TestsPeroxidesPlasmodium falciparumSpiro CompoundsAntimalarialsArtemisininsartemisoneartenimolarterolaneArtesunateChloroquineHeterocyclic Compounds, 1-RingPeroxidesSpiro Compounds

Identifiers

PMID25049252
PMCPMC4187925
OpenAlexW2094082567

What OpenQuestion holds

Textmetadata
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.