Evidence map›Paper›PMID 25253286›Full record

ArticleThe Journal of antimicrobial chemotherapy2015

Alternatively spliced transcripts and novel pseudogenes of the Plasmodium falciparum resistance-associated locus pfcrt detected in East African malaria patients.

Nahla B Gadalla, Maja Malmberg, Ishag Adam, Mary C Oguike, Khalid Beshir, Salah-Eldin Elzaki, Izdihar Mukhtar, Amal A Gadalla, David C Warhurst, Billy Ngasala and 4 more

Open access · hybridAbstract read
In one paragraph

Article in The Journal of antimicrobial chemotherapy, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.9field-weighted citation impact, top 13% 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

12 citing papers in PubMed, 17 citations in OpenAlex.

  1. Trial
  2. Deletion of theAntimicrobial agents and chemotherapy · 2025
    Article
  3. Article
  4. Antimicrobial agents and chemotherapy · 2023
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. 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

14 authors at 7 institutions in 6 countries.

Nahla B GadallaDepartment of Immunology and Infection, London School of Hygiene and Tropical Medicine, London, UK Department of Epidemiology, Tropical Medicine Research Institute, Khartoum, Sudan.
Maja MalmbergMalaria Research, Infectious Diseases Unit, Department of Medicine Solna, Karolinska Institutet, Stockholm, Sweden.
Ishag AdamFaculty of Medicine, University of Khartoum, Khartoum, Sudan.
Mary C OguikeDepartment of Immunology and Infection, London School of Hygiene and Tropical Medicine, London, UK.
Khalid BeshirDepartment of Immunology and Infection, London School of Hygiene and Tropical Medicine, London, UK.
Salah-Eldin ElzakiDepartment of Epidemiology, Tropical Medicine Research Institute, Khartoum, Sudan.
Izdihar MukhtarNational Health Laboratory, Federal Ministry of Health, Khartoum, Sudan.
Amal A GadallaDepartment of Epidemiology, Tropical Medicine Research Institute, Khartoum, Sudan.
David C WarhurstDepartment of Pathogen Molecular Biology, London School of Hygiene and Tropical Medicine, London, UK.
Billy NgasalaDepartment of Parasitology, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
Andreas MårtenssonMalaria Research, Infectious Diseases Unit, Department of Medicine Solna, Karolinska Institutet, Stockholm, Sweden Global Health (IHCAR), Department of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden.
Badria B El-SayedDepartment of Epidemiology, Tropical Medicine Research Institute, Khartoum, Sudan.
J Pedro GilDrug Resistance Unit, Division of Pharmacogenetics, Department of Physiology and Pharmacology, Karolinska Institutet, Stockholm, Sweden Drug Resistance and Pharmacogenetics, Center for Biodiversity, Functional and Integrative Genomics, Faculdade de Ciências, Universidade de Lisboa, Lisbon, Portugal The Harpur College of Arts and Sciences, Binghamton University, The State University of New York, Binghamton, NY, USA.
Colin J SutherlandDepartment of Immunology and Infection, London School of Hygiene and Tropical Medicine, London, UK colin.sutherland@lshtm.ac.uk.
London School of Hygiene & Tropical Medicine · GBKarolinska Institutet · SEFederal Ministry of Health · SDMuhimbili University of Health and Allied Sciences · TZUniversity of Khartoum · SDUniversity of Lisbon · PTUniversity of London · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesPolymorphisms in the lysosomal transporter encoded by the pfcrt gene directly impact on Plasmodium falciparum susceptibility to aminoquinolines. The Lys76Thr mutation is the critical change conferring chloroquine resistance in vitro and in vivo, but always occurs with additional non-synonymous changes in the pfcrt coding sequence. We sought to better describe pfcrt polymorphisms distal to codon 76.

methodsSmall-volume samples (≤ 500 μL) of parasite-infected blood collected directly from malaria patients presenting for treatment in Sudan and Tanzania were immediately preserved for RNA extraction. The pfcrt locus was amplified from cDNA preparations by nested PCR and sequenced directly to derive full-length mRNA sequences.

resultsIn one of two sites in Sudan, two patients were found with an unorthodox spliced form of pfcrt mRNA in which two exons were skipped, but it was not possible to test for the presence of the putative protein products of these aberrant transcripts. Genomic DNA sequencing from dried blood spots collected in parallel confirmed the presence of spliced pfcrt pseudogenes in a minority of parasite isolates. Full-length cDNA from conventionally spliced mRNA molecules in all study sites demonstrated the existence of a variety of pfcrt haplotypes in East Africa, and thus provides evidence of intragenic recombination.

conclusionsThe presence of pseudogenes, although unlikely to have any direct public health impact, may confound results obtained from simple genotyping methods that consider only codon 76 and the adjacent residues of pfcrt.

Indexed as

Alternative SplicingPseudogenesAdultAmino Acid SequenceChildChild, PreschoolDNA, ComplementaryFemaleHumansInfantMalaria, FalciparumMaleMembrane Transport ProteinsModels, BiologicalModels, MolecularMolecular Sequence DataDNA, ComplementaryMembrane Transport ProteinsPfCRT protein, Plasmodium falciparumProtozoan ProteinsRNA PrecursorsRNA, Protozoanalternative splicingchloroquine resistance transportersmalaria

Identifiers

PMID25253286
PMCPMC4267505
OpenAlexW2129923383

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.