Evidence map›Paper›PMID 28973483›Full record

ArticleThe Journal of infectious diseases2017

Declining Malaria Transmission Differentially Impacts the Maintenance of Humoral Immunity to Plasmodium falciparum in Children.

Cleopatra K Mugyenyi, Salenna R Elliott, Xi Zen Yap, Gaoqian Feng, Philippe Boeuf, Gregory Fegan, Faith F H Osier, Freya J I Fowkes, Marion Avril, Thomas N Williams and 2 more

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of infectious diseases, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
5.0field-weighted citation impact, top 5% 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

24 citing papers in PubMed, 40 citations in OpenAlex.

  1. Article
  2. Characterization of Malaria Outbreak in Marsabit County, Kenya, March 2024.The American journal of tropical medicine and hygiene · 2025
    Article
  3. Article
  4. Dynamics of IgG antibody response againstFrontiers in immunology · 2023
    Article
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  7. Review
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  10. Frontiers in immunology · 2022
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  14. Review
  15. Review
  16. Article
  17. Article
  18. Article
  19. Article
  20. IgM in human immunity toScience advances · 2019
    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

12 authors at 7 institutions in 5 countries.

Cleopatra K MugyenyiKenya Medical Research Institute (KEMRI), Centre for Geographic Medicine, Coast, KEMRI-Wellcome Trust Research Programme, Kilifi.
Salenna R ElliottBurnet Institute, Melbourne.
Xi Zen YapBurnet Institute, Melbourne.
Gaoqian FengBurnet Institute, Melbourne.
Philippe BoeufBurnet Institute, Melbourne.
Gregory FeganKenya Medical Research Institute (KEMRI), Centre for Geographic Medicine, Coast, KEMRI-Wellcome Trust Research Programme, Kilifi.
Faith F H OsierKenya Medical Research Institute (KEMRI), Centre for Geographic Medicine, Coast, KEMRI-Wellcome Trust Research Programme, Kilifi.
Freya J I FowkesBurnet Institute, Melbourne.
Marion AvrilCentre for Infectious Disease Research, Seattle, Washington.
Thomas N WilliamsKenya Medical Research Institute (KEMRI), Centre for Geographic Medicine, Coast, KEMRI-Wellcome Trust Research Programme, Kilifi.
Kevin MarshKenya Medical Research Institute (KEMRI), Centre for Geographic Medicine, Coast, KEMRI-Wellcome Trust Research Programme, Kilifi.
James G BeesonBurnet Institute, Melbourne.
Burnet Institute · AUKenya Medical Research Institute · KEImperial College London · GBInfectious Disease Research Institute · USMonash University · AUThe Royal Melbourne Hospital · AUUniversity Hospital Heidelberg · DE

Funding

Wellcome Trust
6 · The paper itself

Abstract

Background: We investigated the poorly understood impact of declining malaria transmission on maintenance of antibodies to Plasmodium falciparum merozoite antigens and infected erythrocytes (IEs), including functional immunity. Methods: In a 3-year longitudinal cohort of 300 Kenyan children, antibodies to different AMA1 and MSP2 alleles of merozoites, IE surface antigens, and antibody functional activities were quantified. Results: Over a period in which malaria transmission declined markedly, AMA1 and MSP2 antibodies decreased substantially; estimated half-lives of antibody duration were 0.8 year and 1-3 years, respectively. However, 69%-74% of children maintained their seropositivity to AMA1 alleles and 42%-52% to MSP2 alleles. Levels and prevalence of antimerozoite antibodies were consistently associated with increasing age and concurrent parasitemia. Antibodies promoting opsonic phagocytosis of merozoites declined rapidly (half-life, 0.15 years). In contrast, complement-fixing antibodies to merozoites did not decline and antibodies to IE surface antigens expressing virulent phenotypes were much better maintained (half-life, 4-10 years). Conclusions: A decline in malaria transmission is associated with reduction in naturally acquired immunity. However, loss of immunity is not universal; some key functional responses and antibodies to IEs were better maintained and these may continue to provide some protection. Findings have implications for malaria surveillance and control measures and informing vaccine development.

Indexed as

Immunity, HumoralAntibodies, ProtozoanAntigens, ProtozoanChildChild, PreschoolHumansInfantKenyaMalaria, FalciparumMerozoitesPlasmodium falciparumTime FactorsAntibodies, ProtozoanAntigens, ProtozoanAfricaantibodiescomplementimmunityphagocytosis

Identifiers

PMID28973483
PMCPMC5853596
OpenAlexW2740565994

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.