Evidence map›Paper›PMID 25278220›Full record

ReviewThe Lancet. Infectious diseases2015

A review of the global burden, novel diagnostics, therapeutics, and vaccine targets for cryptosporidium.

William Checkley, A Clinton White, Devan Jaganath, Michael J Arrowood, Rachel M Chalmers, Xian-Ming Chen, Ronald Fayer, Jeffrey K Griffiths, Richard L Guerrant, Lizbeth Hedstrom and 15 more

Open access · greenAbstract readReview
In one paragraph

Review in The Lancet. Infectious diseases, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 531 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
531citing papers in PubMed, 4 pooled it
41.8field-weighted citation impact, top 1% 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

531 citing papers in PubMed, 4 syntheses or guidelines pooled it, 988 citations in OpenAlex.

  1. Pooled it
  2. Pathogens and global health · 2024
    Pooled it
  3. Global prevalence ofParasitology · 2023
    Pooled it
  4. The global prevalence ofParasitology · 2022
    Pooled it
  5. Trial
  6. Trial
  7. Virulence · 2026
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Antimalarial cytoskeletal targeting with broad apicomplexan activity.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  14. Article
  15. Article
  16. The consequences ofEClinicalMedicine · 2026
    Article
  17. Article
  18. Article
  19. Review
  20. Article

471 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

25 authors at 16 institutions in 4 countries.

William CheckleyProgram in Global Disease Epidemiology and Control, Department of International Health, Johns Hopkins University, Baltimore, MD, USA; Fogarty International Center, National Institutes of Health, Bethesda, MD, USA. Electronic address: wcheckl1@jhmi.edu.
A Clinton WhiteDivision of Infectious Diseases, University of Texas Medical Branch, Galveston, TX, USA.
Devan JaganathProgram in Global Disease Epidemiology and Control, Department of International Health, Johns Hopkins University, Baltimore, MD, USA.
Michael J ArrowoodCenters for Disease Control and Prevention, Atlanta, GA, USA.
Rachel M ChalmersNational Cryptosporidium Reference Unit, Public Health Wales, Swansea, UK.
Xian-Ming ChenDepartment of Medical Microbiology and Immunology, Creighton University, Omaha, NE, USA.
Ronald FayerEnvironmental Microbial Food Safety Laboratory, USDA, Beltsville, MD, USA.
Jeffrey K GriffithsDepartment of Public Health and Community Medicine, Tufts University, Boston, MA, USA.
Richard L GuerrantDivision of Infectious Diseases and International Health, University of Virginia, Charlottesville, VA, USA.
Lizbeth HedstromDepartment of Biology and Department of Chemistry, Brandeis University, Waltham, MA, USA.
Christopher D HustonDivision of Infectious Diseases, University of Vermont, Burlington, VT, USA.
Karen L KotloffDivision of Infectious Disease and Tropical Pediatrics, Department of Pediatrics, Center for Vaccine Development, University of Maryland School of Medicine, Baltimore, MD, USA.
Gagandeep KangDivision of Gastrointestinal Sciences, Christian Medical College, Vellore, India.
Jan R MeadDepartment of Pediatrics, Emory University, Atlanta, GA, USA; Atlanta VA Medical Center, Decatur, GA, USA.
Mark MillerFogarty International Center, National Institutes of Health, Bethesda, MD, USA.
William A PetriDivision of Infectious Diseases and International Health, University of Virginia, Charlottesville, VA, USA.
Jeffrey W PriestCenters for Disease Control and Prevention, Atlanta, GA, USA.
David S RoosDepartment of Biology, University of Pennsylvania, Philadelphia, PA, USA.
Boris StriepenCenter for Tropical and Emerging Global Diseases, University of Georgia, Athens, GA, USA.
R C Andrew ThompsonSchool of Veterinary and Life Sciences, Murdoch University, Perth, WA, Australia.
Honorine D WardDivision of Geographic Medicine and Infectious Diseases, Tufts Medical Center Boston, MA, USA.
Wesley A Van VoorhisAllergy and Infectious Diseases Division, Departments of Medicine, Global Health, and Microbiology, University of Washington, Seattle, WA, USA.
Lihua XiaoCenters for Disease Control and Prevention, Atlanta, GA, USA.
Guan ZhuDepartment of Veterinary Pathobiology, Texas A&M University, College Station, TX, USA.
Eric R HouptDivision of Infectious Diseases and International Health, University of Virginia, Charlottesville, VA, USA.
Centers for Disease Control and Prevention · USUniversity of Virginia · USNational Institutes of Health · USAtlanta VA Medical Center · USChristian Medical College & Hospital · INCreighton University · USJohns Hopkins University · USMurdoch University · AUPublic Health Wales · GBTexas A&M University · USThe University of Texas Medical Branch at Galveston · USTufts University · USUniversity of Georgia · USUniversity of Pennsylvania · USUniversity of Vermont · USUniversity of Washington · US

Funding

FIELD STUDIES OF IMMUNITY TO AMEBIASIS IN BANGLADESHR01AI043596 · NIAID · UNIVERSITY OF VIRGINIA CHARLOTTESVILLE · PI CAROL A GILCHRIST, William A Petri · 1998 to 2026
$7.7M
Molecular Basis of Intestinal CryptosporidiosisR01AI116323 · NIAID · RUSH UNIVERSITY MEDICAL CENTER · PI CHEN, XIAN-MING · 2015 to 2025
$4.2M
Development of IMPDH-Targeted Drugs against CrytosporidiumU01AI075466 · NIAID · BRANDEIS UNIVERSITY · PI HEDSTROM, LIZBETH K. · 2007 to 2010
$3.3M
Epithelial exosomes and TLR-mediated mucosal defenseU01AI095532 · NIAID · CREIGHTON UNIVERSITY · PI CHEN, XIAN-MING · 2011 to 2015
$1.5M
MicroRNAs in Epithelial Innate Immunity to C. parvumR01AI071321 · NIAID · MAYO CLINIC ROCHESTER · PI CHEN, XIAN-MING · 2006 to 2010
$1.3M
Novel approaches to develop a treatment for cryptosporidiosisR21AI101381 · NIAID · UNIVERSITY OF VERMONT & ST AGRIC COLLEGE · PI HUSTON, CHRISTOPHER D · 2013 to 2014
$419k
NIAID NIH HHS R01 AI043596NIAID NIH HHS R01 AI071321NIAID NIH HHS R01 AI116323NIAID NIH HHS R21 AI101381NIAID NIH HHS U01 AI075466NIAID NIH HHS U01 AI095532
6 · The paper itself

Abstract

Cryptosporidium spp are well recognised as causes of diarrhoeal disease during waterborne epidemics and in immunocompromised hosts. Studies have also drawn attention to an underestimated global burden and suggest major gaps in optimum diagnosis, treatment, and immunisation. Cryptosporidiosis is increasingly identified as an important cause of morbidity and mortality worldwide. Studies in low-resource settings and high-income countries have confirmed the importance of cryptosporidium as a cause of diarrhoea and childhood malnutrition. Diagnostic tests for cryptosporidium infection are suboptimum, necessitating specialised tests that are often insensitive. Antigen-detection and PCR improve sensitivity, and multiplexed antigen detection and molecular assays are underused. Therapy has some effect in healthy hosts and no proven efficacy in patients with AIDS. Use of cryptosporidium genomes has helped to identify promising therapeutic targets, and drugs are in development, but methods to assess the efficacy in vitro and in animals are not well standardised. Partial immunity after exposure suggests the potential for successful vaccines, and several are in development; however, surrogates of protection are not well defined. Improved methods for propagation and genetic manipulation of the organism would be significant advances.

Indexed as

Antiprotozoal AgentsCryptosporidiosisDiagnostic Tests, RoutineDiarrheaGlobal HealthHumansProtozoan VaccinesAntiprotozoal AgentsProtozoan Vaccines

Identifiers

PMID25278220
PMCPMC4401121
OpenAlexW2139993911

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.