Evidence map›Paper›PMID 25059846›Full record

Trial reportNature communications2014

Host iron status and iron supplementation mediate susceptibility to erythrocytic stage Plasmodium falciparum.

Martha A Clark, Morgan M Goheen, Anthony Fulford, Andrew M Prentice, Marwa A Elnagheeb, Jaymin Patel, Nancy Fisher, Steve M Taylor, Raj S Kasthuri, Carla Cerami

Open access · bronzeAbstract readClinical Trial
In one paragraph

Trial report in Nature communications, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 76 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
76citing papers in PubMed, 3 pooled it
8.9field-weighted citation impact, top 2% 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

76 citing papers in PubMed, 3 syntheses or guidelines pooled it, 137 citations in OpenAlex.

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16 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

10 authors at 3 institutions in 2 countries.

Martha A ClarkDepartment of Microbiology and Immunology, University of North Carolina, Chapel Hill, North Carolina 27599, USA.
Morgan M GoheenDepartment of Microbiology and Immunology, University of North Carolina, Chapel Hill, North Carolina 27599, USA.
Anthony Fulford1] Medical Research Council International Nutrition Group, London School of Hygiene and Tropical Medicine, London WC1E 7HT, UK [2] Medical Research Council, Keneba, The Gambia.
Andrew M Prentice1] Medical Research Council International Nutrition Group, London School of Hygiene and Tropical Medicine, London WC1E 7HT, UK [2] Medical Research Council, Keneba, The Gambia.
Marwa A ElnagheebDepartment of Epidemiology, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, North Carolina 27599, USA.
Jaymin PatelDepartment of Epidemiology, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, North Carolina 27599, USA.
Nancy FisherDepartment of Microbiology and Immunology, University of North Carolina, Chapel Hill, North Carolina 27599, USA.
Steve M TaylorDivision of Infectious Diseases and International Health, Duke University Medical Center, Durham, North Carolina 27710, USA.
Raj S KasthuriDivision of Hematology Oncology, Department of Medicine, University of North Carolina, Chapel Hill, North Carolina 27599, USA.
Carla CeramiDepartment of Epidemiology, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, North Carolina 27599, USA.
University of North Carolina at Chapel Hill · USMedical Research Council · GBDuke Medical Center · US

Funding

Virology Research Program (Program 4)P30CA016086 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI David Darr · 1985 to 2026
$201.5M
Molecular pathogenesis and genetic diversification of childhood falciparum malariK08AI100924 · NIAID · DUKE UNIVERSITY · PI TAYLOR, STEVE MYER · 2012 to 2016
$611k
Impact of host iron status on growth and viability of erythrocytic stages of PlasU01HD061235 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI CERAMI, CARLA J · 2009 to 2011
$600k
Medical Research Council MC_U123292699NCI NIH HHS P30 CA016086NCI NIH HHS P30CA06086NIAID NIH HHS K08 AI100924NIAID NIH HHS K08AI100924NICHD NIH HHS U01 HD061235NICHD NIH HHS U01HD061235
6 · The paper itself

Abstract

Iron deficiency and malaria have similar global distributions, and frequently co-exist in pregnant women and young children. Where both conditions are prevalent, iron supplementation is complicated by observations that iron deficiency anaemia protects against falciparum malaria, and that iron supplements increase susceptibility to clinically significant malaria, but the mechanisms remain obscure. Here, using an in vitro parasite culture system with erythrocytes from iron-deficient and replete human donors, we demonstrate that Plasmodium falciparum infects iron-deficient erythrocytes less efficiently. In addition, owing to merozoite preference for young erythrocytes, iron supplementation of iron-deficient individuals reverses the protective effects of iron deficiency. Our results provide experimental validation of field observations reporting protective effects of iron deficiency and harmful effects of iron administration on human malaria susceptibility. Because recovery from anaemia requires transient reticulocytosis, our findings imply that in malarious regions iron supplementation should be accompanied by effective measures to prevent falciparum malaria.

Indexed as

AdultAnemia, Iron-DeficiencyDietary SupplementsDisease SusceptibilityErythrocytesHumansIronMalaria, FalciparumMiddle AgedPlasmodium falciparumYoung AdultIron

Identifiers

PMID25059846
PMCPMC4249681
OpenAlexW2124344400

What OpenQuestion holds

Textmetadata
LicenceTDM
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.