Evidence map›Paper›PMID 29902183›Full record

ArticlePLoS neglected tropical diseases2018

Identification and validation of a novel panel of Plasmodium knowlesi biomarkers of serological exposure.

Lou S Herman, Kimberly Fornace, Jody Phelan, Matthew J Grigg, Nicholas M Anstey, Timothy William, Robert W Moon, Michael J Blackman, Chris J Drakeley, Kevin K A Tetteh

Open access · goldAbstract readValidation Study
In one paragraph

Article in PLoS neglected tropical diseases, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
4.8field-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

18 citing papers in PubMed, 32 citations in OpenAlex.

  1. Review
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  7. Diagnostic Methods for Non-Falciparum Malaria.Frontiers in cellular and infection microbiology · 2021
    Review
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  11. Observational
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  13. Molecular Characterization and Immuno-Reactivity Patterns of a NovelFrontiers in cellular and infection microbiology · 2020
    Article
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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

10 authors at 4 institutions in 3 countries.

Lou S HermanDepartment Immunology and Infection, London School of Hygiene and Tropical Medicine, London, United Kingdom.ORCID 0000-0002-8578-7679
Kimberly FornaceDepartment Immunology and Infection, London School of Hygiene and Tropical Medicine, London, United Kingdom.
Jody PhelanDepartment Immunology and Infection, London School of Hygiene and Tropical Medicine, London, United Kingdom.
Matthew J GriggMenzies School of Health Research and Charles Darwin University, Darwin, Northern Territory, Australia.
Nicholas M AnsteyMenzies School of Health Research and Charles Darwin University, Darwin, Northern Territory, Australia.
Timothy WilliamInfectious Diseases Society Sabah-Menzies School of Health Research Clinical Research Unit, Kota Kinabalu, Sabah, Malaysia.
Robert W MoonDepartment Immunology and Infection, London School of Hygiene and Tropical Medicine, London, United Kingdom.
Michael J BlackmanDepartment Immunology and Infection, London School of Hygiene and Tropical Medicine, London, United Kingdom.
Chris J DrakeleyDepartment Immunology and Infection, London School of Hygiene and Tropical Medicine, London, United Kingdom.ORCID 0000-0003-4863-075X
Kevin K A TettehDepartment Immunology and Infection, London School of Hygiene and Tropical Medicine, London, United Kingdom.ORCID 0000-0003-2733-0037
London School of Hygiene & Tropical Medicine · GBCharles Darwin University · AUQueen Elizabeth Hospital · MYThe Francis Crick Institute · GB

Funding

Medical Research Council G1100796Medical Research Council MR/M021157/1Wellcome Trust
6 · The paper itself

Abstract

backgroundPlasmodium knowlesi is the most common cause of malaria in Malaysian Borneo, with reporting limited to clinical cases presenting to health facilities and scarce data on the true extent of transmission. Serological estimations of transmission have been used with other malaria species to garner information about epidemiological patterns. However, there are a distinct lack of suitable serosurveillance tools for this neglected disease. METHODOLOGY/PRINCIPAL

findingsUsing in silico tools, we designed and expressed four novel P. knowlesi protein products to address the distinct lack of suitable serosurveillance tools: PkSERA3 antigens 1 and 2, PkSSP2/TRAP and PkTSERA2 antigen 1. Antibody prevalence to these antigens was determined by ELISA for three time-points post-treatment from a hospital-based clinical treatment trial in Sabah, East Malaysia (n = 97 individuals; 241 total samples for all time points). Higher responses were observed for the PkSERA3 antigen 2 (67%, 65/97) across all time-points (day 0: 36.9% 34/92; day 7: 63.8% 46/72; day 28: 58.4% 45/77) with significant differences between the clinical cases and controls (n = 55, mean plus 3 SD) (day 0 p<0.0001; day 7 p<0.0001; day 28 p<0.0001). Using boosted regression trees, we developed models to classify P. knowlesi exposure (cross-validated AUC 88.9%; IQR 86.1-91.3%) and identified the most predictive antibody responses. CONCLUSIONS/SIGNIFICANCE: The PkSERA3 antigen 2 had the highest relative variable importance in all models. Further validation of these antigens is underway to determine the specificity of these tools in the context of multi-species infections at the population level.

Indexed as

Antibodies, ProtozoanAntigens, ProtozoanBiomarkersComputer SimulationEnzyme-Linked Immunosorbent AssayHumansMalariaMalaysiaPlasmodium knowlesiPrevalenceRecombinant ProteinsAntibodies, ProtozoanAntigens, ProtozoanBiomarkersRecombinant Proteins

Identifiers

PMID29902183
PMCPMC6001954
OpenAlexW2808361010

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.