Evidence map›Paper›PMID 26738805›Full record

ArticleMalaria journal2016

A common TLR1 polymorphism is associated with higher parasitaemia in a Southeast Asian population with Plasmodium falciparum malaria.

William O Hahn, Susanna Harju-Baker, Laura K Erdman, Srivicha Krudsood, Kevin C Kain, Mark M Wurfel, Wayne C Liles

Open access · goldAbstract read
In one paragraph

Article in Malaria journal, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed, 21 citations in OpenAlex.

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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 3 institutions in 3 countries.

William O HahnDivision of Allergy and Infectious Diseases, Department of Medicine, Harborview Medical Center, University of Washington, Box 359640, Seattle, WA, USA. willhahn@uw.edu.
Susanna Harju-BakerDivision of Pulmonary Critical Care Medicine, Department of Medicine, Harborview Medical Center, University of Washington, Seattle, WA, USA. SHarju-Baker@medicine.washington.edu.
Laura K ErdmanTropical Disease Unit, Department of Medicine, University Health Network-Toronto General Hospital, Toronto, Ontario, Canada. laura.erdman@utoronto.ca.
Srivicha KrudsoodClinical Malaria Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand. srivicha.kru@mahidol.ac.th.
Kevin C KainTropical Disease Unit, Department of Medicine, University Health Network-Toronto General Hospital, Toronto, Ontario, Canada. Kevin.Kain@uhn.ca.
Mark M WurfelDivision of Allergy and Infectious Diseases, Department of Medicine, Harborview Medical Center, University of Washington, Box 359640, Seattle, WA, USA. MWurfel@medicine.washington.edu.
Wayne C LilesDivision of Allergy and Infectious Diseases, Department of Medicine, Harborview Medical Center, University of Washington, Box 359640, Seattle, WA, USA. WCLiles@medicine.washington.edu.
University of Washington · USUniversity Health Network · CAMahidol University · TH

Funding

Canadian Institutes of Health Research MOP-115160Canadian Institutes of Health Research MOP136813Canadian Institutes of Health Research MOP-13721
6 · The paper itself

Abstract

backgroundThe factors leading to poor outcomes in malaria infection are incompletely understood. Common genetic variation exists in the human genes for Toll like receptors (TLRs) that alter host responses to pathogen-associated molecular patterns. Genetic variation in TLR1 and TLR6 could alter the risk of development of complicated malaria and ability of the host to control the parasite burden during acute Plasmodium falciparum infection.

methodsFive single nucleotide polymorphisms in TLR1 and TLR6 in 432 patients with clinical P. falciparum monoinfection acquired on the Thai-Myanmar border were genotyped. Using logistic regression, associations with the development of complicated malaria and the percentage of infected erythrocytes (parasitaemia) on the day of presentation to clinical care (day zero) were tested.

resultsGenotypes carrying the T (major) allele of TLR1 rs5743551--an allele associated with improved outcomes in sepsis--were associated with higher parasitaemia measured on day zero (p = 0.03). DISCUSSION: Since malaria exerts strong genetic pressure on the human genome, protection from parasitaemia associated with TLR1 rs5743551 may account for the maintenance of an allele associated with poor outcomes in Caucasians with sepsis.

conclusionThese data suggest that genetic variation in TLR1 has effects on the host response to Plasmodium falciparum malaria in Asian populations. Genotypes from TLR6 showed no evidence of association with either complicated malaria or parasite burden.

Indexed as

AdolescentAdultAsia, SoutheasternFemaleGenetic Predisposition to DiseaseGenetic VariationGenotypeHumansMalaria, FalciparumMaleParasitemiaPolymorphism, Single NucleotideToll-Like Receptor 1Toll-Like Receptor 6Young AdultToll-Like Receptor 1Toll-Like Receptor 6

Identifiers

PMID26738805
PMCPMC4704253
OpenAlexW2229078116

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.