Evidence map›Paper›PMID 26879905›Full record

ArticleMalaria journal2016

Synergistic anti-malarial action of cryptolepine and artemisinins.

Arnold D Forkuo, Charles Ansah, Kwesi M Boadu, Johnson N Boampong, Elvis O Ameyaw, Ben A Gyan, Andrea T Arku, Michael F Ofori

Erratum issuedOpen 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. An erratum has been issued. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
1.7field-weighted citation impact, top 16% 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

17 citing papers in PubMed, 35 citations in OpenAlex.

  1. Review
  2. Review
  3. Synergistic Combination ofAdvances in pharmacological and pharmaceutical sciences · 2026
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  6. Effective Therapy Targeting CytochromeAntimicrobial agents and chemotherapy · 2021
    Article
  7. Article
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  9. Article
  10. Indole: The After Next Scaffold of Antiplasmodial Agents?Drug design, development and therapy · 2020
    Review
  11. Cryptolepine, the Main Alkaloid of the AntimalarialBiochemistry research international · 2019
    Article
  12. Article
  13. Article
  14. Review
  15. Review
  16. Article
  17. Synergistic Interaction of Chloroquine withIranian journal of pharmaceutical research : IJPR
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Arnold D ForkuoDepartment of Pharmacology, Faculty of Pharmacy and Pharmaceutical Sciences, College of Health Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana. forkuoarnold@yahoo.com.
Charles AnsahDepartment of Pharmacology, Faculty of Pharmacy and Pharmaceutical Sciences, College of Health Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana. cansah.pharm@knust.edu.gh.
Kwesi M BoaduDepartment of Pharmacology, Faculty of Pharmacy and Pharmaceutical Sciences, College of Health Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana. qwesimensah@gmail.com.
Johnson N BoampongDepartment of Biomedical and Forensic Sciences, School of Biological Science, College of Agriculture and Natural Sciences, University of Cape Coast, Cape Coast, Ghana. jonboamus@yahoo.com.
Elvis O AmeyawDepartment of Biomedical and Forensic Sciences, School of Biological Science, College of Agriculture and Natural Sciences, University of Cape Coast, Cape Coast, Ghana. elvisameyaw@gmail.com.
Ben A GyanDepartment of Immunology, Noguchi Memorial Institute for Biomedical Research, University of Ghana, Legon, Ghana. bgyan@noguchi.ug.edu.gh.
Andrea T ArkuDepartment of Immunology, Noguchi Memorial Institute for Biomedical Research, University of Ghana, Legon, Ghana. atwumwaaarku@noguchi.ug.edu.gh.
Michael F OforiDepartment of Immunology, Noguchi Memorial Institute for Biomedical Research, University of Ghana, Legon, Ghana. mofori@noguchi.ug.edu.gh.
Kwame Nkrumah University of Science and Technology · GHNoguchi Memorial Institute for Medical Research · GHUniversity of Cape Coast · GH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCryptolepine (CPE) is the major indoloquinoline isolated from the popular West African anti-malarial plant, Cryptolepis sanguinolenta. CPE possesses various pharmacological activities with potent anti-malarial activity against both chloroquine (CQ)-resistant and -sensitive strains. The search for safe and novel anti-malarial agents and combinations to delay resistance development to Plasmodium falciparum directed this work aimed at evaluating the anti-malarial interaction and safety of CPE in combination with some artemisinin derivatives.

methodsThe in vitro SYBR Green I, fluorescent-based, drug sensitivity assay using a fixed ratio method was carried out on the CQ-sensitive plasmodial strain 3D7 to develop isobolograms from three CPE-based combinations with some artemisinin derivatives. CPE and artesunate (ART) combinations were also evaluated using the Rane's test in ICR mice infected with Plasmodium berghei NK-65 strains in a fixed ratio combination (1:1) and fractions of their ED50s in order to determine the experimental ED50 (Zexp) of the co-administered compounds. Isobolograms were constructed to compare the Zexp to the Zadd.

resultsCPE exhibited promising synergistic interactions in vitro with ART, artemether and dihydroartemisinin. In vivo, CPE combination with ART again showed synergy as the Zexp was 1.02 ± 0.02, which was significantly less than the Zadd of 8.3 ± 0.31. The haematological, biochemical, organ/body weight ratio and histopathology indices in the rats treated with CPE at all doses (25, 50, 100 mg kg(-1) po) and in combination with ART (4 mg kg(-1)) showed no significant difference compared to the control group.

conclusionThe combination of CPE with the artemisinin derivatives were safe in the rodent model and showed a synergistic anti-malarial activity in vivo and in vitro. This study supports the basis for the selection of CPE as a prospective lead compound as the search for new anti-malarial combinations continues.

Indexed as

AnimalsAntimalarialsArtemisininsCryptolepisDrug SynergismDrug Therapy, CombinationIndole AlkaloidsMalariaMaleMiceMice, Inbred ICRPlasmodium bergheiQuinolinesRatsRats, Sprague-DawleyAntimalarialsartemisininArtemisininscryptolepineIndole AlkaloidsQuinolines

Identifiers

PMID26879905
PMCPMC4754817
OpenAlexW2285568030

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.