Evidence map›Paper›PMID 25061906›Full record

ArticleEmerging infectious diseases2014

Independent origin of plasmodium falciparum antifolate super-resistance, Uganda, Tanzania, and Ethiopia.

Michael Alifrangis, Sidsel Nag, Mette L Schousboe, Deus Ishengoma, John Lusingu, Hirva Pota, Reginald A Kavishe, Richard Pearce, Rosalynn Ord, Caroline Lynch and 6 more

Registry-linked trialAbstract read
In one paragraph

Article in Emerging infectious diseases, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04634695 (Assessing the Prevalence and Impact of Dihydropteroate Synthase-431V Mutation on the Protective Efficacy of Intermittent Preventive Treatment During Pregnancy Using Sulphadoxine-pyrimethamine), which is not on this map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT04634695 unknown statusnot on this mapstarted 2020, after this paper: background citation

Assessing the Prevalence and Impact of Dihydropteroate Synthase-431V Mutation on the Protective Efficacy of Intermittent Preventive Treatment During Pregnancy Using Sulphadoxine-pyrimethamine

Typeobservational_patient_registrySponsorObafemi Awolowo UniversityRan2020 to 2021Enrolled288ConditionsPregnancy Malaria
3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  11. Pooled Deep Sequencing of Drug Resistance Loci fromThe American journal of tropical medicine and hygiene · 2019
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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

16 authors.

Michael Alifrangis
Sidsel Nag
Mette L Schousboe
Deus Ishengoma
John Lusingu
Hirva Pota
Reginald A Kavishe
Richard Pearce
Rosalynn Ord
Caroline Lynch
Seyoum Dejene
Jonathan Cox
John Rwakimari
Daniel T R Minja
Martha M Lemnge
Cally Roper

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Super-resistant Plasmodium falciparum threatens the effectiveness of sulfadoxine-pyrimethamine in intermittent preventive treatment for malaria during pregnancy. It is characterized by the A581G Pfdhps mutation on a background of the double-mutant Pfdhps and the triple-mutant Pfdhfr. Using samples collected during 2004-2008, we investigated the evolutionary origin of the A581G mutation by characterizing microsatellite diversity flanking Pfdhps triple-mutant (437G+540E+581G) alleles from 3 locations in eastern Africa and comparing it with double-mutant (437G+540E) alleles from the same area. In Ethiopia, both alleles derived from 1 lineage that was distinct from those in Uganda and Tanzania. Uganda and Tanzania triple mutants derived from the previously characterized southeastern Africa double-mutant lineage. The A581G mutation has occurred multiple times on local Pfdhps double-mutant backgrounds; however, a novel microsatellite allele incorporated into the Tanzania lineage since 2004 illustrates the local expansion of emergent triple-mutant lineages.

Indexed as

Drug ResistanceAdolescentAllelesChildChild, PreschoolDihydropteroate SynthaseEthiopiaFolic Acid AntagonistsGene FrequencyHaplotypesHumansInfantMalaria, FalciparumMicrosatellite RepeatsMutationPlasmodium falciparumDihydropteroate SynthaseFolic Acid AntagonistsTetrahydrofolate Dehydrogenase581Dihydrofolate reductasedihydropteroate synthetaseeastern AfricaEthiopiaintermittent preventive treatment in pregnant womenmalariamicrosatelliteparasitesPfdhfrPfdhpsPlasmodium falciparumresistancesingle-nucleotide polymorphismsulfadoxine-pyrimethamineTanzaniaUgandavector-borne infections

Identifiers

PMID25061906
PMCPMC4111169

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.