Evidence map›Paper›PMID 26581890›Full record

ArticleClinical and vaccine immunology : CVI2015

Lymphocyte Perturbations in Malawian Children with Severe and Uncomplicated Malaria.

Wilson L Mandala, Chisomo L Msefula, Esther N Gondwe, James J Gilchrist, Stephen M Graham, Paul Pensulo, Grace Mwimaniwa, Meraby Banda, Terrie E Taylor, Elizabeth E Molyneux and 4 more

Open access · diamondAbstract read
In one paragraph

Article in Clinical and vaccine immunology : CVI, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
3.6field-weighted citation impact, top 7% 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

19 citing papers in PubMed, 30 citations in OpenAlex.

  1. Review
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  8. The Effect of Frequent Exposure toInfection and drug resistance · 2020
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  12. PeerJ · 2018
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 8 institutions in 4 countries.

Wilson L MandalaMalawi-Liverpool-Wellcome Trust Clinical Research Programme, College of Medicine, Blantyre, Malawi Department of Basic Medical Sciences, College of Medicine, University of Malawi, Blantyre, Malawi Liverpool School of Tropical Medicine, University of Liverpool, Liverpool, United Kingdom.
Chisomo L MsefulaMalawi-Liverpool-Wellcome Trust Clinical Research Programme, College of Medicine, Blantyre, Malawi Liverpool School of Tropical Medicine, University of Liverpool, Liverpool, United Kingdom Department of Microbiology, College of Medicine, University of Malawi, Blantyre, Malawi.
Esther N GondweMalawi-Liverpool-Wellcome Trust Clinical Research Programme, College of Medicine, Blantyre, Malawi Liverpool School of Tropical Medicine, University of Liverpool, Liverpool, United Kingdom.
James J GilchristDepartment of Paediatrics, University of Oxford, Oxford, United Kingdom Wellcome Trust Centre for Human Genetics, University of Oxford, Oxford, United Kingdom.
Stephen M GrahamMalawi-Liverpool-Wellcome Trust Clinical Research Programme, College of Medicine, Blantyre, Malawi Liverpool School of Tropical Medicine, University of Liverpool, Liverpool, United Kingdom Department of Paediatrics, College of Medicine, University of Malawi, Blantyre, Malawi Centre for International Child Health, University of Melbourne Department of Paediatrics and Murdoch Children's Research Institute, Royal Children's Hospital, Melbourne, VIC, Australia.
Paul PensuloMalawi-Liverpool-Wellcome Trust Clinical Research Programme, College of Medicine, Blantyre, Malawi Department of Paediatrics, College of Medicine, University of Malawi, Blantyre, Malawi.
Grace MwimaniwaMalawi-Liverpool-Wellcome Trust Clinical Research Programme, College of Medicine, Blantyre, Malawi.
Meraby BandaMalawi-Liverpool-Wellcome Trust Clinical Research Programme, College of Medicine, Blantyre, Malawi.
Terrie E TaylorBlantyre Malaria Project, Blantyre, Malawi Department of Internal Medicine, College of Osteopathic Medicine, Michigan State University, East Lansing, Michigan, USA.
Elizabeth E MolyneuxDepartment of Paediatrics, College of Medicine, University of Malawi, Blantyre, Malawi.
Mark T DraysonSchool of Immunity and Infection, College of Medicine and Dental Sciences, University of Birmingham, Birmingham, United Kingdom.
Steven A WardLiverpool School of Tropical Medicine, University of Liverpool, Liverpool, United Kingdom.
Malcolm E MolyneuxMalawi-Liverpool-Wellcome Trust Clinical Research Programme, College of Medicine, Blantyre, Malawi Liverpool School of Tropical Medicine, University of Liverpool, Liverpool, United Kingdom Department of Medicine, College of Medicine, University of Malawi, Blantyre, Malawi.
Calman A MacLennanMalawi-Liverpool-Wellcome Trust Clinical Research Programme, College of Medicine, Blantyre, Malawi School of Immunity and Infection, College of Medicine and Dental Sciences, University of Birmingham, Birmingham, United Kingdom Jenner Institute, Nuffield Department of Medicine, University of Oxford, Oxford, United Kingdom Wellcome Trust Sanger Institute, Cambridge, United Kingdom calman.maclennan@ndm.ox.ac.uk.
University of Liverpool · GBUniversity of Malawi · MWLiverpool School of Tropical Medicine · GBMalawi-Liverpool-Wellcome Trust Clinical Research Programme · MWMichigan State University · USUniversity of Birmingham · GBUniversity of Oxford · GBWellcome Sanger Institute · GB

Funding

Wellcome Trust 067902/Z/02/ZWellcome Trust 074124/Z/04/Z
6 · The paper itself

Abstract

Lymphocytes are implicated in immunity and pathogenesis of severe malaria. Since lymphocyte subsets vary with age, assessment of their contribution to different etiologies can be difficult. We immunophenotyped peripheral blood from Malawian children presenting with cerebral malaria, severe malarial anemia, and uncomplicated malaria (n = 113) and healthy aparasitemic children (n = 42) in Blantyre, Malawi, and investigated lymphocyte subset counts, activation, and memory status. Children with cerebral malaria were older than those with severe malarial anemia. We found panlymphopenia in children presenting with cerebral malaria (median lymphocyte count, 2,100/μl) and uncomplicated malaria (3,700/μl), which was corrected in convalescence and was absent in severe malarial anemia (5,950/μl). Median percentages of activated CD69(+) NK (73%) and γδ T (60%) cells were higher in cerebral malaria than in other malaria types. Median ratios of memory to naive CD4(+) lymphocytes were higher in cerebral malaria than in uncomplicated malaria and low in severe malarial anemia. The polarized lymphocyte subset profiles of different forms of severe malaria are independent of age. In conclusion, among Malawian children cerebral malaria is characterized by lymphocyte activation and increased memory cells, consistent with immune priming. In contrast, there are reduced memory cells and less activation in severe malaria anemia. Further studies are required to understand whether these immunological profiles indicate predisposition of some children to one or another form of severe malaria.

Indexed as

Immunologic MemoryLymphocyte ActivationAnemiaChildChild, PreschoolDisease SusceptibilityFemaleHumansInfantLymphocyte CountLymphocyte SubsetsMalaria, CerebralMalaria, FalciparumMalawiMaleT-Lymphocyte Subsets

Identifiers

PMID26581890
PMCPMC4744922
OpenAlexW2260707518

What OpenQuestion holds

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Registered trials

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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.