Evidence map›Paper›PMID 30165569›Full record

ArticleClinical infectious diseases : an official publication of the Infectious Diseases Society of America2019

Maternally-derived Antibodies to Schizont Egress Antigen-1 and Protection of Infants From Severe Malaria.

Jonathan D Kurtis, Dipak K Raj, Ian C Michelow, Sangshin Park, Christina E Nixon, Emily A McDonald, Christian P Nixon, Sunthorn Pond-Tor, Ambrish Jha, Ross J Taliano and 4 more

Open access · bronzeAbstract read
In one paragraph

Article in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 pooled it
2.8field-weighted citation impact, top 10% 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

17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 24 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Overview of the host immune response toJournal of parasitic diseases : official organ of the Indian Society for Parasitology · 2025
    Review
  4. TargetingPharmaceuticals (Basel, Switzerland) · 2025
    Article
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  9. Dynamics of IgG antibody response againstFrontiers in immunology · 2023
    Article
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  11. Host-parasite interactions duringFrontiers in immunology · 2022
    Review
  12. Review
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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

14 authors at 4 institutions in 2 countries.

Jonathan D KurtisCenter for International Health Research, Brown University Medical School, Providence.
Dipak K RajCenter for International Health Research, Brown University Medical School, Providence.
Ian C MichelowCenter for International Health Research, Brown University Medical School, Providence.
Sangshin ParkCenter for International Health Research, Brown University Medical School, Providence.
Christina E NixonCenter for International Health Research, Brown University Medical School, Providence.
Emily A McDonaldCenter for International Health Research, Brown University Medical School, Providence.
Christian P NixonCenter for International Health Research, Brown University Medical School, Providence.
Sunthorn Pond-TorCenter for International Health Research, Brown University Medical School, Providence.
Ambrish JhaCenter for International Health Research, Brown University Medical School, Providence.
Ross J TalianoDepartment of Pathology and Laboratory Medicine, Brown University Medical School, Providence.
Edward R KabyemelaMother Offspring Malaria Studies (MOMS) Project, Seattle Biomedical Research Institute, Washington.
Jennifer F FriedmanCenter for International Health Research, Brown University Medical School, Providence.
Patrick E DuffyLaboratory of Malaria Immunology and Vaccinology, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Rockville, Maryland.
Michal FriedLaboratory of Malaria Immunology and Vaccinology, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Rockville, Maryland.
Brown University · USNational Institutes of Health · USCenter for Infectious Disease Research · USRhode Island Hospital · US

Funding

HIV and Other Infectious Consequences of Substance UseT32DA013911 · NIDA · MIRIAM HOSPITAL · PI TRACI C GREEN, JOSIAH D RICH · 2001 to 2026
$9.6M
Malaria Pathogenesis in Pregnant Women and Young ChildrenZIAAI001153 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI FRIED, MICHAL · 2011 to 2025
$9.5M
PfSEA-1 based vaccines for falciparum malariaR01AI110699 · NIAID · RHODE ISLAND HOSPITAL · PI KURTIS, JONATHAN D. · 2014 to 2018
$2.7M
Targeted Vaccine Development for Pediatric Falciparum MalariaR01AI076353 · NIAID · RHODE ISLAND HOSPITAL · PI KURTIS, JONATHAN D. · 2008 to 2011
$2.4M
Optimizing interventions to mitigate schistosomiasis-related morbidity among pregnant women and childrenK24AI112964 · NIAID · RHODE ISLAND HOSPITAL · PI FRIEDMAN, JENNIFER F · 2015 to 2024
$1.7M
Vaccine Development for Falciparum Malaria in Pregnant Women and Their OffspringK08AI100997 · NIAID · RHODE ISLAND HOSPITAL · PI MICHELOW, IAN C · 2013 to 2017
$788k
The impact of maternal S. japonicum infection on fetal metabolism and growthK01AI113068 · NIAID · RHODE ISLAND HOSPITAL · PI MCDONALD, EMILY A · 2015 to 2019
$665k
NIAID NIH HHS K01 AI113068NIAID NIH HHS K08 AI100997NIAID NIH HHS K24 AI112964NIAID NIH HHS R01 AI076353NIAID NIH HHS R01 AI110699NIDA NIH HHS T32 DA013911
6 · The paper itself

Abstract

backgroundIn holoendemic areas, children suffer the most from Plasmodium falciparum malaria, yet newborns and young infants express a relative resistance to both infection and severe malarial disease (SM). This relative resistance has been ascribed to maternally-derived anti-parasite immunoglobulin G; however, the targets of these protective antibodies remain elusive.

methodsWe enrolled 647 newborns at birth from a malaria-holoendemic region of Tanzania. We collected cord blood, measured antibodies to Plasmodium falciparum Schizont Egress Antigen-1 (PfSEA-1), and related these antibodies to the risk of severe malaria in the first year of life. In addition, we vaccinated female mice with PbSEA-1, mated them, and challenged their pups with P. berghei ANKA parasites to assess the impact of maternal PbSEA-1 vaccination on newborns' resistance to malaria.

resultsChildren with high cord-blood anti-PfSEA-1 antibody levels had 51.4% fewer cases of SM compared to individuals with lower anti-PfSEA-1 levels over 12 months of follow-up (P = .03). In 3 trials, pups born to PbSEA-1-vaccinated dams had significantly lower parasitemia and longer survival following a P. berghei challenge compared to pups born to control dams.

conclusionsWe demonstrate that maternally-derived, cord-blood anti-PfSEA-1 antibodies predict decreased risk of SM in infants and vaccination of mice with PbSEA-1 prior to pregnancy protects their offspring from lethal P. berghei challenge. These results identify, for the first time, a parasite-specific target of maternal antibodies that protect infants from SM and suggest that vaccination of pregnant women with PfSEA-1 may afford a survival advantage to their offspring.

Indexed as

Immunity, Maternally-AcquiredSeverity of Illness IndexAnimalsAntibodies, ProtozoanAntigens, ProtozoanCohort StudiesDisease ResistanceFemaleFetal BloodHumansImmunoglobulin GInfantInfant, NewbornMalaria, FalciparumMiceMice, Inbred BALB CAntibodies, ProtozoanAntigens, ProtozoanImmunoglobulin GProtozoan ProteinsSEA-1 protein, Plasmodium falciparumcord bloodmalariamaternal antibodiesvaccine

Identifiers

PMID30165569
PMCPMC6938209
OpenAlexW2888107235

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.