Evidence map›Paper›PMID 26182204›Full record

ArticlePLoS pathogens2015

Decline of FoxP3+ Regulatory CD4 T Cells in Peripheral Blood of Children Heavily Exposed to Malaria.

Michelle J Boyle, Prasanna Jagannathan, Lila A Farrington, Ijeoma Eccles-James, Samuel Wamala, Tara I McIntyre, Hilary M Vance, Katherine Bowen, Felistas Nankya, Ann Auma and 14 more

Open access · goldAbstract read
In one paragraph

Article in PLoS pathogens, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed
7.3field-weighted citation impact, top 3% 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

33 citing papers in PubMed, 46 citations in OpenAlex.

  1. Article
  2. When regulators become helpers.Nature immunology · 2026
    Article
  3. Article
  4. Regulatory T cell memory: implications for malaria.Journal of immunology (Baltimore, Md. : 1950) · 2025
    Review
  5. IDO1-AhR axis increases T regulatory cells inFrontiers in immunology · 2025
    Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Immunosuppression in Malaria: DoPathogens (Basel, Switzerland) · 2021
    Review
  12. Vaccines · 2021
    Review
  13. Article
  14. Emerging patterns of regulatory T cell function in tuberculosis.Clinical and experimental immunology · 2020
    Review
  15. Article
  16. Article
  17. UnderstandingFrontiers in immunology · 2019
    Review
  18. Article
  19. Article
  20. 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

24 authors at 4 institutions in 3 countries.

Michelle J BoyleDepartment of Medicine, University of California San Francisco, San Francisco, California, United States of America; Center for Biomedical Research, The Burnet Institute, Melbourne, Australia.
Prasanna JagannathanDepartment of Medicine, University of California San Francisco, San Francisco, California, United States of America.
Lila A FarringtonDepartment of Medicine, University of California San Francisco, San Francisco, California, United States of America.
Ijeoma Eccles-JamesDepartment of Medicine, University of California San Francisco, San Francisco, California, United States of America.
Samuel WamalaInfectious Diseases Research Collaboration, Kampala, Uganda.
Tara I McIntyreDepartment of Medicine, University of California San Francisco, San Francisco, California, United States of America.
Hilary M VanceDepartment of Medicine, University of California San Francisco, San Francisco, California, United States of America.
Katherine BowenDepartment of Medicine, University of California San Francisco, San Francisco, California, United States of America.
Felistas NankyaInfectious Diseases Research Collaboration, Kampala, Uganda.
Ann AumaInfectious Diseases Research Collaboration, Kampala, Uganda.
Mayimuna NalubegaInfectious Diseases Research Collaboration, Kampala, Uganda.
Esther SikyomuInfectious Diseases Research Collaboration, Kampala, Uganda.
Kate NaluwuInfectious Diseases Research Collaboration, Kampala, Uganda.
John RekInfectious Diseases Research Collaboration, Kampala, Uganda.
Agaba KatureebeInfectious Diseases Research Collaboration, Kampala, Uganda.
Victor BigiraInfectious Diseases Research Collaboration, Kampala, Uganda.
James KapisiInfectious Diseases Research Collaboration, Kampala, Uganda.
Jordan TapperoCDC, Atlanta, Georgia, United States of America.
Mary K MuhindoInfectious Diseases Research Collaboration, Kampala, Uganda.
Bryan GreenhouseDepartment of Medicine, University of California San Francisco, San Francisco, California, United States of America.
Emmanuel ArinaitweInfectious Diseases Research Collaboration, Kampala, Uganda.
Grant DorseyDepartment of Medicine, University of California San Francisco, San Francisco, California, United States of America.
Moses R KamyaDepartment of Medicine, Makerere University College of Health Sciences, Kampala, Uganda.
Margaret E FeeneyDepartment of Medicine, University of California San Francisco, San Francisco, California, United States of America; Department of Pediatrics, University of California San Francisco, San Francisco, California, United States of America.
Infectious Diseases Research Collaboration · UGUniversity of California, San Francisco · USCDC Foundation · USMakerere University · UG

Funding

Virology CoreP30AI027763 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI MALLORY O JOHNSON · 1988 to 2026
$93.6M
Transmission ProjectU19AI089674 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI MATTHEW G DORSEY, MOSES Robert KAMYA · 2010 to 2026
$29.3M
The immunologic consequences of prenatal exposure to malariaP01HD059454 · NICHD · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI DORSEY, MATTHEW G · 2008 to 2017
$22.6M
The role of γδ T cells in fetal and infant immune defense against malariaR01AI093615 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI FEENEY, MARGARET E · 2011 to 2025
$9.1M
Mentoring Translational Researchers for Careers in Pediatric Global HealthK24AI113002 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI FEENEY, MARGARET E · 2014 to 2023
$1.9M
Immunologic Consequences of Highly Effective Antimalarial ChemopreventionK23AI100949 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI JAGANNATHAN, PRASANNA · 2012 to 2016
$657k
NIAID NIH HHS K23 AI100949NIAID NIH HHS K24 AI113002NIAID NIH HHS K24AI113002NIAID NIH HHS P30 AI027763NIAID NIH HHS P30AI027763NIAID NIH HHS R01 AI093615NIAID NIH HHS R01AI093615NIAID NIH HHS U19 AI089674NIAID NIH HHS U19AI089674NICHD NIH HHS P01 HD059454PHS HHS U62P024421
6 · The paper itself

Abstract

FoxP3+ regulatory CD4 T cells (Tregs) help to maintain the delicate balance between pathogen-specific immunity and immune-mediated pathology. Prior studies suggest that Tregs are induced by P. falciparum both in vivo and in vitro; however, the factors influencing Treg homeostasis during acute and chronic infections, and their role in malaria immunopathogenesis, remain unclear. We assessed the frequency and phenotype of Tregs in well-characterized cohorts of children residing in a region of high malaria endemicity in Uganda. We found that both the frequency and absolute numbers of FoxP3+ Tregs in peripheral blood declined markedly with increasing prior malaria incidence. Longitudinal measurements confirmed that this decline occurred only among highly malaria-exposed children. The decline of Tregs from peripheral blood was accompanied by reduced in vitro induction of Tregs by parasite antigen and decreased expression of TNFR2 on Tregs among children who had intense prior exposure to malaria. While Treg frequencies were not associated with protection from malaria, there was a trend toward reduced risk of symptomatic malaria once infected with P. falciparum among children with lower Treg frequencies. These data demonstrate that chronic malaria exposure results in altered Treg homeostasis, which may impact the development of antimalarial immunity in naturally exposed populations.

Indexed as

ChildChild, PreschoolForkhead Transcription FactorsHumansInfantMalariaMalaria, FalciparumPlasmodium falciparumT-Lymphocytes, RegulatoryUgandaForkhead Transcription FactorsFOXP3 protein, human

Identifiers

PMID26182204
PMCPMC4504515
OpenAlexW1901555156

What OpenQuestion holds

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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.