Evidence map›Paper›PMID 28931756›Full record

ArticleJCI insight2017

Monocyte dysregulation and systemic inflammation during pediatric falciparum malaria.

Katherine R Dobbs, Paula Embury, John Vulule, Peter S Odada, Bruce A Rosa, Makedonka Mitreva, James W Kazura, Arlene E Dent

Open access · goldAbstract read
In one paragraph

Article in JCI insight, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed
3.2field-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

45 citing papers in PubMed, 72 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Review
  5. Article
  6. Review
  7. Article
  8. Editorial: Immune tolerance and human malaria.Frontiers in immunology · 2024
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  12. Differential Effect of Extracellular Vesicles Derived fromInternational journal of molecular sciences · 2023
    Article
  13. Article
  14. Frontiers in immunology · 2023
    Article
  15. Article
  16. Observational
  17. Article
  18. Article
  19. Article
  20. Clinical Progression ofPathogens (Basel, Switzerland) · 2022
    Article
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

8 authors at 3 institutions in 2 countries.

Katherine R DobbsCenter for Global Health and Diseases, Case Western Reserve University, Cleveland, Ohio, USA.
Paula EmburyCenter for Global Health and Diseases, Case Western Reserve University, Cleveland, Ohio, USA.
John VululeCentre for Global Health Research, Kenya Medical Research Institute, Kisumu, Kenya.
Peter S OdadaCentre for Global Health Research, Kenya Medical Research Institute, Kisumu, Kenya.
Bruce A RosaMcDonnell Genome Institute, Washington University School of Medicine, St. Louis, Missouri, USA.
Makedonka MitrevaMcDonnell Genome Institute, Washington University School of Medicine, St. Louis, Missouri, USA.
James W KazuraCenter for Global Health and Diseases, Case Western Reserve University, Cleveland, Ohio, USA.
Arlene E DentCenter for Global Health and Diseases, Case Western Reserve University, Cleveland, Ohio, USA.
Center for Global Health · USJames S. McDonnell Foundation · USKenya Medical Research Institute · KE

Funding

Naturally Acquired Immunity to Malaria during the Epidemiologic Transition in KenR01AI095192 · NIAID · CASE WESTERN RESERVE UNIVERSITY · PI KAZURA, JAMES WALTER · 2011 to 2015
$3.2M
Kruppel-Like Factor 2 Counters Vascular and Immunologic Dysfunction in Child Cerebral MalariaR01AI130131 · NIAID · CASE WESTERN RESERVE UNIVERSITY · PI KAZURA, JAMES WALTER · 2017 to 2021
$3.0M
NIAID NIH HHS R01 AI095192NIAID NIH HHS R01 AI130131
6 · The paper itself

Abstract

backgroundInflammation and monocytes are thought to be important to human malaria pathogenesis. However, the relationship of inflammation and various monocyte functions to acute malaria, recovery from acute malaria, and asymptomatic parasitemia in endemic populations is poorly understood.

methodsWe evaluated plasma cytokine levels, monocyte subsets, monocyte functional responses, and monocyte inflammatory transcriptional profiles of 1- to 10-year-old Kenyan children at the time of presentation with acute uncomplicated malaria and at recovery 6 weeks later; these results were compared with analogous data from asymptomatic children and adults in the same community.

resultsAcute malaria was marked by elevated levels of proinflammatory and regulatory cytokines and expansion of the inflammatory "intermediate" monocyte subset that returned to levels of healthy asymptomatic children 6 weeks later. Monocytes displayed activated phenotypes during acute malaria, with changes in surface expression of markers important to innate and adaptive immunity. Functionally, acute malaria monocytes and monocytes from asymptomatic infected children had impaired phagocytosis of P. falciparum-infected erythrocytes relative to asymptomatic children with no blood-stage infection. Monocytes from both acute malaria and recovery time points displayed strong and equivalent cytokine responsiveness to innate immune agonists that were independent of infection status. Monocyte transcriptional profiles revealed regulated and balanced proinflammatory and antiinflammatory and altered phagocytosis gene expression patterns distinct from malaria-naive monocytes.

conclusionThese observations provide insights into monocyte functions and the innate immune response during uncomplicated malaria and suggest that asymptomatic parasitemia in children is not clinically benign.

fundingSupport for this work was provided by NIH/National Institute of Allergy and Infectious Diseases (R01AI095192-05), the Burroughs Wellcome Fund/American Society of Tropical Medicine and Hygiene, and the Rainbow Babies & Children's Foundation.

Indexed as

ChildChild, PreschoolCytokinesFemaleHumansImmunity, InnateInfantInflammationKenyaMalaria, FalciparumMaleMonocytesParasitemiaPhagocytosisPlasmodium falciparumCytokinesImmunologyInfectious diseaseInnate immunityMalariaMonocytes

Identifiers

PMID28931756
PMCPMC5621919
OpenAlexW2755313483

What OpenQuestion holds

Textmetadata
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.