Evidence map›Paper›PMID 25889709›Full record

ArticleMalaria journal2015

Parasite accumulation in placenta of non-immune baboons during Plasmodium knowlesi infection.

Faith I Onditi, Onkoba W Nyamongo, Charles O Omwandho, Naomi W Maina, Fredrick Maloba, Idle O Farah, Christopher L King, Julie M Moore, Hastings S Ozwara

Open access · goldAbstract read
In one paragraph

Article in Malaria journal, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
3.0field-weighted citation impact, top 9% 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

13 citing papers in PubMed, 19 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Observational
  5. Review
  6. Frontiers in genetics · 2022
    Article
  7. Frontiers in cellular and infection microbiology · 2021
    Article
  8. Article
  9. Review
  10. Review
  11. Article
  12. Review
  13. Review
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

9 authors at 5 institutions in 2 countries.

Faith I OnditiDepartment of Tropical and Infectious Diseases, Institute of Primate Research, PO Box 24481-00502, Karen, Nairobi, Kenya. faith@primateresearch.org.
Onkoba W NyamongoDepartment of Tropical and Infectious Diseases, Institute of Primate Research, PO Box 24481-00502, Karen, Nairobi, Kenya. bwonkoba@gmail.com.
Charles O OmwandhoDepartment of Biochemistry, University of Nairobi, PO Box 30197-00100, Nairobi, Kenya. omwandho@uonbi.ac.ke.
Naomi W MainaDepartment of Biochemistry, Jomo Kenyatta University of Agriculture and Technology, PO Box 62000-00200, Nairobi, Kenya. nmaina@hotmail.com.
Fredrick MalobaDepartment of Tropical and Infectious Diseases, Institute of Primate Research, PO Box 24481-00502, Karen, Nairobi, Kenya. maloba@primateresearch.org.
Idle O FarahDepartment of Tropical and Infectious Diseases, Institute of Primate Research, PO Box 24481-00502, Karen, Nairobi, Kenya. iofarah@africanonline.co.ke.
Christopher L KingCenter for Global Health and Disease, Case Western Reserve University, Wolstein Research Building 4-132, 2103 Cornell Road, Cleveland, OH, 44106, USA. christopher.king@case.edu.
Julie M MooreDepartment of Infectious Diseases, College of Veterinary Medicine, University of Georgia Athens, Athens, GA, 30602-7387, USA. julmoore@uga.edu.
Hastings S OzwaraDepartment of Tropical and Infectious Diseases, Institute of Primate Research, PO Box 24481-00502, Karen, Nairobi, Kenya. ozwara@primateresearch.org.
Institute of Primate Research · KECenter for Global Health · USJomo Kenyatta University of Agriculture and Technology · KEUniversity of Georgia · USUniversity of Nairobi · KE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPlacental malaria (PM) causes adverse pregnancy outcomes in the mother and her foetus. It is difficult to study PM directly in humans due to ethical challenges. This study set out to bridge this gap by determining the outcome of PM in non-immune baboons in order to develop a non-human primate model for the disease.

methodsTen pregnant baboons were acquired late in their third trimester (day 150) and randomly grouped as seven infected and three non-infected. Another group of four nulligravidae (non-pregnant) infected was also included in the analysis of clinical outcome. Malaria infection was intravenously initiated by Plasmodium knowlesi blood-stage parasites through the femoral vein on 160(th) day of gestation (for pregnant baboons). Peripheral smear, placental smear, haematological samples, and histological samples were collected during the study period. Median values of clinical and haematological changes were analysed using Kruskal-Wallis and Dunn's Multiple Comparison Test. Parasitaemia profiles were analysed using Mann Whitney U test. A Spearman's rank correlation was run to determine the relationship between the different variables of severity scores. Probability values of P <0.05 were considered significant.

resultsLevels of white blood cells increased significantly in pregnant infected (34%) than in nulligravidae infected baboons (8%). Placental parasitaemia levels was on average 19-fold higher than peripheral parasitaemia in the same animal. Infiltration of parasitized erythrocytes and inflammatory cells were also observed in baboon placenta. Malaria parasite score increased with increase in total placental damage score (rs = 0.7650, P <0.05) and inflammatory score (rs = 0.8590, P <0.05). Although the sample size was small, absence of parasitized erythrocytes in cord blood and foetal placental region suggested lack of congenital malaria in non-immune baboons.

conclusionThis study has demonstrated accumulation of parasitized red blood cells and infiltration of inflammatory cells in the placental intravillous space (IVS) of baboons that are non-immune to malaria. This is a key feature of placental falciparum malaria in humans. This presents the baboon as a new model for the characterization of malaria during pregnancy.

Indexed as

Disease Models, AnimalPapio anubisAnimalsFemaleHematologic TestsHumansPapanicolaou TestParasitemiaPlacentaPlasmodium knowlesiPregnancyPregnancy Complications, Parasitic

Identifiers

PMID25889709
PMCPMC4372046
OpenAlexW2000177937

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.