Evidence map›Paper›PMID 25779582›Full record

ArticleAntimicrobial agents and chemotherapy2015

Artemisinin-resistant Plasmodium falciparum parasites exhibit altered patterns of development in infected erythrocytes.

Amanda Hott, Debora Casandra, Kansas N Sparks, Lindsay C Morton, Geocel-Grace Castanares, Amanda Rutter, Dennis E Kyle

Open access · bronzeAbstract read
In one paragraph

Article in Antimicrobial agents and chemotherapy, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 75 papers.

0numbers the graph read from it
0cells of the map it votes in
75citing papers in PubMed
14.2field-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

75 citing papers in PubMed, 122 citations in OpenAlex.

  1. High throughput quantitative tracking ofbioRxiv : the preprint server for biology · 2026
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  6. Malaria: past, present, and future.Signal transduction and targeted therapy · 2025
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  12. A Drug Repurposing Approach Reveals Targetable Epigenetic Pathways inbioRxiv : the preprint server for biology · 2024
    Article
  13. Antimalarial drug discovery: progress and approaches.Nature reviews. Drug discovery · 2023
    Review
  14. Article
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  17. Cripowellins PauseMolecules (Basel, Switzerland) · 2023
    Article
  18. Article
  19. Article
  20. Declines in prevalence alter the optimal level of sexual investment for the malaria parasiteProceedings of the National Academy of Sciences of the United States of America · 2022
    Article

15 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

7 authors at 1 institution in 1 country.

Amanda HottMorsani College of Medicine, University of South Florida, Tampa, Florida, USA.
Debora CasandraDepartment of Global Health, College of Public Health, University of South Florida, Tampa, Florida, USA.
Kansas N SparksDepartment of Global Health, College of Public Health, University of South Florida, Tampa, Florida, USA.
Lindsay C MortonDepartment of Global Health, College of Public Health, University of South Florida, Tampa, Florida, USA.
Geocel-Grace CastanaresDepartment of Global Health, College of Public Health, University of South Florida, Tampa, Florida, USA.
Amanda RutterDepartment of Global Health, College of Public Health, University of South Florida, Tampa, Florida, USA.
Dennis E KyleDepartment of Global Health, College of Public Health, University of South Florida, Tampa, Florida, USA dkyle@health.usf.edu.
University of South Florida · US

Funding

Artemisinin-induced Dormancy &Malaria Treatment FailureR01AI058973 · NIAID · U.S. WALTER REED ARMY INST OF RESEARCH · PI KYLE, DENNIS E · 2005 to 2008
$1.1M
NIAID NIH HHS R01 AI058973
6 · The paper itself

Abstract

Artemisinin derivatives are used in combination with other antimalarial drugs for treatment of multidrug-resistant malaria worldwide. Clinical resistance to artemisinin recently emerged in southeast Asia, yet in vitro phenotypes for discerning mechanism(s) of resistance remain elusive. Here, we describe novel phenotypic resistance traits expressed by artemisinin-resistant Plasmodium falciparum. The resistant parasites exhibit altered patterns of development that result in reduced exposure to drug at the most susceptible stage of development in erythrocytes (trophozoites) and increased exposure in the most resistant stage (rings). In addition, a novel in vitro delayed clearance assay (DCA) that assesses drug effects on asexual stages was found to correlate with parasite clearance half-life in vivo as well as with mutations in the Kelch domain gene associated with resistance (Pf3D7_1343700). Importantly, all of the resistance phenotypes were stable in cloned parasites for more than 2 years without drug pressure. The results demonstrate artemisinin-resistant P. falciparum has evolved a novel mechanism of phenotypic resistance to artemisinin drugs linked to abnormal cell cycle regulation. These results offer insights into a novel mechanism of drug resistance in P. falciparum and new tools for monitoring the spread of artemisinin resistance.

Indexed as

Antiprotozoal AgentsArtemisininsCells, CulturedDrug ResistanceErythrocytesHumansHypoxanthineParasitic Sensitivity TestsPlasmodium falciparumPolymorphism, Single NucleotideAntiprotozoal AgentsartemisininArtemisininsHypoxanthine

Identifiers

PMID25779582
PMCPMC4432152
OpenAlexW2168697703

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.