Evidence map›Paper›PMID 29695240›Full record

ArticleMalaria journal2018

Convalescent Plasmodium falciparum-specific seroreactivity does not correlate with paediatric malaria severity or Plasmodium antigen exposure.

Anne Kessler, Joseph J Campo, Visopo Harawa, Wilson L Mandala, Stephen J Rogerson, Wenzhu B Mowrey, Karl B Seydel, Kami Kim

Abstract read
In one paragraph

Article in Malaria journal, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
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

14 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Review
  6. Article
  7. Understanding the Intransigence of Malaria in Malawi.The American journal of tropical medicine and hygiene · 2022
    Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Review
  13. Article
  14. 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.

Anne KesslerAlbert Einstein College of Medicine, Bronx, NY, USA.
Joseph J CampoAntigen Discovery Inc, Irvine, CA, USA.
Visopo HarawaMalawi-Liverpool Wellcome Trust Clinical Research Programme, Blantyre, Malawi.
Wilson L MandalaMalawi-Liverpool Wellcome Trust Clinical Research Programme, Blantyre, Malawi.
Stephen J RogersonThe University of Melbourne, Melbourne, Australia.
Wenzhu B MowreyAlbert Einstein College of Medicine, Bronx, NY, USA.
Karl B SeydelCollege of Osteopathic Medicine, Michigan State University, East Lansing, MI, USA. seydel@msu.edu.
Kami KimAlbert Einstein College of Medicine, Bronx, NY, USA. kamikim.usf@gmail.com.ORCID http://orcid.org/0000-0003-3384-152X

Funding

Core-010UL1TR001073 · NCATS · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI KELLER, MARLA J, SHAMOON, HARRY · 2013 to 2017
$21.3M
Clinical and Translational Science AwardTL1TR001072 · NCATS · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI SHAMOON, HARRY · 2013 to 2017
$909k
National Center for Advancing Translational Sciences TL1TR001072National Health and Medical Research Council 1061993National Institutes of Health U19AI089683NCATS NIH HHS TL1 TR001072NCATS NIH HHS UL1 TR001073
6 · The paper itself

Abstract

backgroundAntibody immunity is thought to be essential to prevent severe Plasmodium falciparum infection, but the exact correlates of protection are unknown. Over time, children in endemic areas acquire non-sterile immunity to malaria that correlates with development of antibodies to merozoite invasion proteins and parasite proteins expressed on the surface of infected erythrocytes.

resultsA 1000 feature P. falciparum 3D7 protein microarray was used to compare P. falciparum-specific seroreactivity during acute infection and 30 days after infection in 23 children with uncomplicated malaria (UM) and 25 children with retinopathy-positive cerebral malaria (CM). All children had broad P. falciparum antibody reactivity during acute disease. IgM reactivity decreased and IgG reactivity increased in convalescence. Antibody reactivity to CIDR domains of "virulent" PfEMP1 proteins was low with robust reactivity to the highly conserved, intracellular ATS domain of PfEMP1 in both groups. Although children with UM and CM differed markedly in parasite burden and PfEMP1 exposure during acute disease, neither acute nor convalescent PfEMP1 seroreactivity differed between groups. Greater seroprevalence to a conserved Group A-associated ICAM binding extracellular domain was observed relative to linked extracellular CIDRα1 domains in both case groups. Pooled immune IgG from Malawian adults revealed greater reactivity to PfEMP1 than observed in children.

conclusionsChildren with uncomplicated and cerebral malaria have similar breadth and magnitude of P. falciparum antibody reactivity. The utility of protein microarrays to measure serological recognition of polymorphic PfEMP1 antigens needs to be studied further, but the study findings support the hypothesis that conserved domains of PfEMP1 are more prominent targets of cross reactive antibodies than variable domains in children with symptomatic malaria. Protein microarrays represent an additional tool to identify cross-reactive Plasmodium antigens including PfEMP1 domains that can be investigated as strain-transcendent vaccine candidates.

Indexed as

Adaptive ImmunityAdolescentAntigens, ProtozoanChildChild, PreschoolConvalescenceFemaleHumansInfantMalaria, FalciparumMalawiMalePlasmodium falciparumPrevalenceSeroepidemiologic StudiesAntigens, ProtozoanAntibodyCerebral malariaPfEMP1Plasmodium falciparumProtein microarrayUncomplicated malaria

Identifiers

PMID29695240
PMCPMC5918990

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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.