Evidence map›Paper›PMID 30674319›Full record

ArticleMalaria journal2019

Molecular characterization and mapping of glucose-6-phosphate dehydrogenase (G6PD) mutations in the Greater Mekong Subregion.

Germana Bancone, Didier Menard, Nimol Khim, Saorin Kim, Lydie Canier, Chea Nguong, Koukeo Phommasone, Mayfong Mayxay, Sabine Dittrich, Malavanh Vongsouvath and 16 more

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in Malaria journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed
17.9field-weighted citation impact, top 1% 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

39 citing papers in PubMed, 74 citations in OpenAlex.

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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

26 authors at 15 institutions in 8 countries.

Germana BanconeShoklo Malaria Research Unit, Mahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Mae Sot, Thailand. germana@tropmedres.ac.ORCID http://orcid.org/0000-0003-4550-0431
Didier MenardMalaria Molecular Epidemiology Unit, Institut Pasteur du Cambodge, Phnom Penh, Cambodia.
Nimol KhimMalaria Molecular Epidemiology Unit, Institut Pasteur du Cambodge, Phnom Penh, Cambodia.
Saorin KimMalaria Molecular Epidemiology Unit, Institut Pasteur du Cambodge, Phnom Penh, Cambodia.
Lydie CanierMalaria Molecular Epidemiology Unit, Institut Pasteur du Cambodge, Phnom Penh, Cambodia.
Chea NguongNational Centre for Parasitology, Entomology and Malaria Control (CNM), Phnom Penh, Cambodia.
Koukeo PhommasoneMicrobiology Laboratory, Lao-Oxford-Mahosot Hospital-Wellcome Trust Research Unit (LOMWRU), Vientiane, Lao People's Democratic Republic.
Mayfong MayxayCentre for Tropical Medicine & Global Health, Nuffield Department of Medicine, University of Oxford, Oxford, UK.
Sabine DittrichCentre for Tropical Medicine & Global Health, Nuffield Department of Medicine, University of Oxford, Oxford, UK.
Malavanh VongsouvathMicrobiology Laboratory, Lao-Oxford-Mahosot Hospital-Wellcome Trust Research Unit (LOMWRU), Vientiane, Lao People's Democratic Republic.
Nadine FievetUMR216-MERIT, French National Research Institute for Sustainable Development (IRD), Paris-5 University, Sorbonne Paris Cité, Paris, France.
Jean-Yves Le HesranUMR216-MERIT, French National Research Institute for Sustainable Development (IRD), Paris-5 University, Sorbonne Paris Cité, Paris, France.
Valerie BriandUMR216-MERIT, French National Research Institute for Sustainable Development (IRD), Paris-5 University, Sorbonne Paris Cité, Paris, France.
Sommay KeomanySalavan Provincial Hospital, Salavan, Lao People's Democratic Republic.
Paul N NewtonCentre for Tropical Medicine & Global Health, Nuffield Department of Medicine, University of Oxford, Oxford, UK.
Gornpan GorsawunShoklo Malaria Research Unit, Mahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Mae Sot, Thailand.
Kaelan TardyShoklo Malaria Research Unit, Mahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Mae Sot, Thailand.
Cindy S ChuShoklo Malaria Research Unit, Mahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Mae Sot, Thailand.
Orpreeya RattanapalrojBureau of Vector Born Diseases, Bangkok, Thailand.
Le Thanh DongInstitute of Malariology, Parasitology and Entomology - Ho Chi Minh City (IMPE-HCM), Ho Chi Minh City, Vietnam.
Huynh Hong QuangInstitute of Malariology, Parasitology and Entomology - Quy Nhon (IMPE-QN), Quy Nhon, Vietnam.
Nguyen Tam-UyenOxford University Clinical Research Unit, Wellcome Trust Asia Program, in partnership with Hospital For Tropical Diseases (HTD), Ho Chi Minh City, Vietnam.
Nguyen Thuy-NhienOxford University Clinical Research Unit, Wellcome Trust Asia Program, in partnership with Hospital For Tropical Diseases (HTD), Ho Chi Minh City, Vietnam.
Tran Tinh HienCentre for Tropical Medicine & Global Health, Nuffield Department of Medicine, University of Oxford, Oxford, UK.
Michael KalnokyDiagnostics Program, PATH, Seattle, USA.
Francois NostenShoklo Malaria Research Unit, Mahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Mae Sot, Thailand.
Mahidol University · THMahosot Hospital · LAInstitut Pasteur du Cambodge · KHOxford University Clinical Research Unit · VNUniversité Paris Cité · FRAngkor Hospital for Children · KHCambodia National Malaria Center · KHFIND · CHInstitut Pasteur · FRNational Institute of Malariology, Parasitology and Entomology · VNProgram for Appropriate Technology in Health · USQuy Nhon University · VNRural Development Agency · LAUniversité de Bordeaux · FRUniversity of Oxford · GB

Funding

France's 5% Initiative 12INI211
6 · The paper itself

Abstract

backgroundPlasmodium vivax malaria elimination can only be achieved by the deployment of 8-aminoquinolines (primaquine and tafenoquine) in combination with ACT to kill both blood and liver-stage parasites. However, primaquine and the other 8-aminoquinolines cause dose-dependent haemolysis in subjects with G6PD deficiency, an X-linked disorder of red blood cells that is very common in populations living in tropical and subtropical areas. In order to inform safer use of 8-aminoquinolines in the Greater Mekong Subregion, a multi-centre study was carried out to assess the prevalence of G6PD deficiency and to identify the main G6PD variants in samples collected in Cambodia, Lao PDR, Myanmar, Thailand and Vietnam.

methodsBlood samples were collected in the five countries during National Malaria Surveys or during Population Surveys. During Population Surveys samples were characterized for G6PD phenotype using the Fluorescent Spot Test. Samples were then genotyped for a panel of G6PD mutations.

resultsG6PD deficiency was found to be common in the region with an overall mean prevalence of deficient or mutated hemizygous males of 14.0%, ranging from a mean 7.3% in Thailand, 8.1% in Lao PDR, 8.9% in Vietnam, 15.8% in Myanmar and 18.8% in Cambodia. Mahidol and Viangchan mutations were the most common and widespread variants found among the nine investigated.

conclusionsOwing to the high prevalence of G6PD deficiency in the Greater Mekong Subregion, strategies for vivax malaria elimination should include point-of-care G6PD testing (both qualitative and quantitative) to allow safe and wide treatment with 8-aminoquinolines.

Indexed as

Genetic VariationGenotypeAdolescentAdultAsia, SoutheasternChildChild, PreschoolFemaleGlucosephosphate DehydrogenaseGlucosephosphate Dehydrogenase DeficiencyHumansInfantInfant, NewbornMaleMiddle AgedPrevalenceG6PD protein, humanGlucosephosphate Dehydrogenase

Identifiers

PMID30674319
PMCPMC6343352
OpenAlexW2911846627

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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.