Evidence map›Paper›PMID 27923405›Full record

ArticleMalaria journal2016

Cytochrome P450 2D-mediated metabolism is not necessary for tafenoquine and primaquine to eradicate the erythrocytic stages of Plasmodium berghei.

Erin E Milner, Jonathan Berman, Diana Caridha, Samuel P Dickson, Mark Hickman, Patricia J Lee, Sean R Marcsisin, Lisa T Read, Norma Roncal, Brian A Vesely and 4 more

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 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
2.7field-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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

  1. Tafenoquine: a toxicity overview.Expert opinion on drug safety · 2021
    Pooled it
  2. Antimicrobial agents and chemotherapy · 2019
    Trial
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Monitoring Plasmodium vivax resistance to antimalarials: Persisting challenges and future directions.International journal for parasitology. Drugs and drug resistance · 2021
    Review
  9. Article
  10. Review
  11. 8-Aminoquinoline Therapy for Latent Malaria.Clinical microbiology reviews · 2019
    Review
  12. Article
  13. Article
  14. Article
  15. 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

14 authors at 2 institutions in 1 country.

Erin E MilnerWalter Reed Army Institute of Research (WRAIR), Silver Spring, MD, USA. erin.milner@us.army.mil.
Jonathan BermanWalter Reed Army Institute of Research (WRAIR), Silver Spring, MD, USA.
Diana CaridhaWalter Reed Army Institute of Research (WRAIR), Silver Spring, MD, USA.
Samuel P DicksonUnited States Army Medical Materiel Development Authority (USAMMDA), Ft Detrick, Frederick, MD, USA.
Mark HickmanWalter Reed Army Institute of Research (WRAIR), Silver Spring, MD, USA.
Patricia J LeeWalter Reed Army Institute of Research (WRAIR), Silver Spring, MD, USA.
Sean R MarcsisinWalter Reed Army Institute of Research (WRAIR), Silver Spring, MD, USA.
Lisa T ReadUnited States Army Medical Materiel Development Authority (USAMMDA), Ft Detrick, Frederick, MD, USA.
Norma RoncalWalter Reed Army Institute of Research (WRAIR), Silver Spring, MD, USA.
Brian A VeselyWalter Reed Army Institute of Research (WRAIR), Silver Spring, MD, USA.
Lisa H XieWalter Reed Army Institute of Research (WRAIR), Silver Spring, MD, USA.
Jing ZhangWalter Reed Army Institute of Research (WRAIR), Silver Spring, MD, USA.
Ping ZhangWalter Reed Army Institute of Research (WRAIR), Silver Spring, MD, USA.
Qigui LiWalter Reed Army Institute of Research (WRAIR), Silver Spring, MD, USA.
Walter Reed Army Institute of Research · USUnited States Army Medical Research and Development Command · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDue to the ability of the 8-aminoquinolines (8AQs) to kill different stages of the malaria parasite, primaquine (PQ) and tafenoquine (TQ) are vital for causal prophylaxis and the eradication of erythrocytic Plasmodium sp. parasites. Recognizing the potential role of cytochrome (CYP) 450 2D6 in the metabolism and subsequent hepatic efficacy of 8-aminoquinolines, studies were designed to explore whether CYP2D-mediated metabolism was related to the ability of single-dose PQ and TQ to eliminate the asexual and sexual erythrocytic stages of Plasmodium berghei.

methodsAn IV P. berghei sporozoite murine challenge model was utilized to directly compare causal prophylactic and erythrocytic activity (asexual and sexual parasite stages) dose-response relationships in C57BL/6 wild-type (WT) mice and subsequently compare the erythrocytic activity of PQ and TQ in WT and CYP2D knock-out (KO) mice.

resultsSingle-dose administration of either 25 mg/kg TQ or 40 mg/kg PQ eradicated the erythrocytic stages (asexual and sexual) of P. berghei in C57BL WT and CYP2D KO mice. In WT animals, the apparent elimination of hepatic infections occurs at lower doses of PQ than are required to eliminate erythrocytic infections. In contrast, the minimally effective dose of TQ needed to achieve causal prophylaxis and to eradicate erythrocytic parasites was analogous.

conclusionThe genetic deletion of the CYP2D cluster does not affect the ability of PQ or TQ to eradicate the blood stages (asexual and sexual) of P. berghei after single-dose administration.

Indexed as

AminoquinolinesAnimalsAntimalarialsChemopreventionCytochrome P-450 CYP2D6Disease Models, AnimalDose-Response Relationship, DrugDrug TherapyFemaleMalariaMaleMice, Inbred C57BLMice, KnockoutPlasmodium bergheiPrimaquineTreatment OutcomeAminoquinolinesAntimalarialsCytochrome P-450 CYP2D6Primaquinetafenoquine

Identifiers

PMID27923405
PMCPMC5142148
OpenAlexW2559872714

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.