Evidence map›Paper›PMID 29126422›Full record

Trial reportMalaria journal2017

Changes in total and differential leukocyte counts during the clinically silent liver phase in a controlled human malaria infection in malaria-naïve Dutch volunteers.

Marlies E van Wolfswinkel, Marijke C C Langenberg, Linda J Wammes, Robert W Sauerwein, Rob Koelewijn, Cornelus C Hermsen, Jaap J van Hellemond, Perry J van Genderen

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Malaria journal, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
3.2field-weighted citation impact, top 8% 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

19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 53 citations in OpenAlex.

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  18. Neutrophils and Malaria.Frontiers in immunology · 2018
    Review
  19. Hematological profiles of malaria-infected patients in an endemic area of Peru.Revista peruana de medicina experimental y salud publica
    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 1 country.

Marlies E van WolfswinkelInstitute for Tropical Diseases, Harbour Hospital, Rotterdam, The Netherlands. mvanwolfswinkel@gmail.com.
Marijke C C LangenbergInstitute for Tropical Diseases, Harbour Hospital, Rotterdam, The Netherlands.
Linda J WammesDepartment of Medical Microbiology and Infectious Diseases, Erasmus MC and Harbour Hospital, Rotterdam, The Netherlands.
Robert W SauerweinDepartment of Medical Microbiology, Radboud University Medical Center, Nijmegen, The Netherlands.
Rob KoelewijnDepartment of Medical Microbiology and Infectious Diseases, Erasmus MC and Harbour Hospital, Rotterdam, The Netherlands.
Cornelus C HermsenDepartment of Medical Microbiology, Radboud University Medical Center, Nijmegen, The Netherlands.
Jaap J van HellemondDepartment of Medical Microbiology and Infectious Diseases, Erasmus MC and Harbour Hospital, Rotterdam, The Netherlands.
Perry J van GenderenInstitute for Tropical Diseases, Harbour Hospital, Rotterdam, The Netherlands.
Erasmus MC · NLHarbour BioMed (Netherlands) · NLRadboud University Medical Center · NL

Funding

Bill and Melinda Gates Foundation opp1080385Top Institute Pharma T4-102
6 · The paper itself

Abstract

backgroundBoth in endemic countries and in imported malaria, changes in total and differential leukocyte count during Plasmodium falciparum infection have been described. To study the exact dynamics of differential leukocyte counts and their ratios, they were monitored in a group of healthy non-immune volunteers in two separate Controlled Human Malaria Infection (CHMI) studies.

methodsIn two CHMI trials, CHMI-a and CHMI-b, 15 and 24 healthy malaria-naïve volunteers, respectively, were exposed to bites of infected mosquitoes, using the P. falciparum research strain NF54 and the novel clones NF135.C10 and NF166.C8. After mosquito bite exposure, twice-daily blood draws were taken to detect parasitaemia and to monitor the total and differential leukocyte counts. All subjects received a course of atovaquone-proguanil when meeting the treatment criteria.

resultsA total of 39 volunteers participated in the two trials. Thirty-five participants, all 15 participants in CHMI-a and 20 of the 24 volunteers in CHMI-b, developed parasitaemia. During liver stage development of the parasite, the median total leukocyte count increased from 5.5 to 6.1 × 10

conclusionsDuring the clinically silent liver phase of malaria, an increase of peripheral total leukocyte count and differential lymphocytes and monocytes occurs. This finding has not been described previously. This increase is followed by the appearance of parasites in the peripheral blood after 2-3 days, accompanied by a marked decrease in total leukocyte count, lymphocyte count and the neutrophil count and a rise of the NLCR.

Indexed as

Leukocyte CountAntimalarialsAsymptomatic InfectionsAtovaquoneDrug CombinationsHealthy VolunteersHumansLiverMalaria, FalciparumParasitemiaPlasmodium falciparumProguanilAntimalarialsAtovaquoneatovaquone, proguanil drug combinationDrug CombinationsProguanilControlled Human Malaria InfectionLeukocyte countLiver phaseLymphocyte countLymphocytopeniaMonocytesNeutropeniaNeutrophil to lymphocyte count ratioPlasmodium falciparum

Identifiers

PMID29126422
PMCPMC5681833
OpenAlexW2767355691

What OpenQuestion holds

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Registered trials

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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.