Evidence map›Paper›PMID 31036854›Full record

ArticleScientific reports2019

Amino acid derangements in adults with severe falciparum malaria.

Stije J Leopold, Siribha Apinan, Aniruddha Ghose, Hugh W Kingston, Katherine A Plewes, Amir Hossain, Asok Kumar Dutta, Sujat Paul, Anupam Barua, Abdus Sattar and 5 more

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
2.0field-weighted citation impact, top 14% 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

25 citing papers in PubMed, 38 citations in OpenAlex.

  1. Review
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  3. Application of a Non-Targeted Metabolomics Study inInternational journal of molecular sciences · 2025
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  11. Observational
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  16. The intersection of hostMicrobiology and molecular biology reviews : MMBR · 2024
    Review
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  19. Diagnosis of cerebral malaria: Tools to reduceFrontiers in cellular and infection microbiology · 2023
    Review
  20. 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

15 authors at 4 institutions in 4 countries.

Stije J LeopoldMahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand.ORCID http://orcid.org/0000-0002-0482-5689
Siribha ApinanMahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand.
Aniruddha GhoseCentre for Tropical Medicine and Global Health, Nuffield Department of Medicine, University of Oxford, Oxford, United Kingdom.ORCID http://orcid.org/0000-0002-5551-6691
Hugh W KingstonMahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand.
Katherine A PlewesMahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand.
Amir HossainDepartment of Internal Medicine, Chittagong Medical College Hospital, Chittagong, Bangladesh.
Asok Kumar DuttaDepartment of Internal Medicine, Chittagong Medical College Hospital, Chittagong, Bangladesh.
Sujat PaulDepartment of Internal Medicine, Chittagong Medical College Hospital, Chittagong, Bangladesh.
Anupam BaruaDepartment of Internal Medicine, Chittagong Medical College Hospital, Chittagong, Bangladesh.
Abdus SattarDepartment of Internal Medicine, Chittagong Medical College Hospital, Chittagong, Bangladesh.
Nicholas P J DayMahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand.
Joel TarningMahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand.ORCID http://orcid.org/0000-0003-4566-4030
Markus WinterbergMahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand.ORCID http://orcid.org/0000-0002-8529-9317
Nicholas J WhiteMahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand.
Arjen M DondorpMahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand. arjen@tropmedres.ac.ORCID http://orcid.org/0000-0001-5190-2395
Mahidol University · THChittagong Medical College · BDAngkor Hospital for Children · KHUniversity of Oxford · GB

Funding

Wellcome TrustWellcome Trust 106698/B14/Z
6 · The paper itself

Abstract

Amino acid derangements are common in severe falciparum malaria and have been associated with endothelial dysfunction (L-arginine), metabolic acidosis (alanine and lactate), and disease severity (phenylalanine and tryptophan metabolites). Whether these amino acid perturbations reflect isolated pathogenic mechanisms or if they are part of overall changes in amino acid metabolism is unclear. To investigate this, we prospectively simultaneously quantified a broad range of plasma free amino acids (PFAA) using HPLC-MRM-Mass spectrometry in relation to presenting symptoms in adults with severe malaria (n = 88), septicaemia (n = 88), uncomplicated malaria (n = 71), and healthy controls (n = 48) from Bangladesh. The total plasma concentration of measured amino acids was significantly reduced in each of the patient groups when compared to normal levels observed in healthy local controls: uncomplicated malaria -54%, severe malaria -23%, and sepsis -32%, (p = <0.001). Inspection of amino acid profiles revealed that in each group the majority of amino acids were below normal levels, except for phenylalanine. Among patients with severe malaria, L-lactate was strongly associated with an increase of the total amino acid concentration, likely because this reflects tissue hypoxia. Our data confirm previously described amino acid abnormalities, likely resulting from overall changes in the concentration of PFAA.

Indexed as

AcidosisAdultAmino AcidsArginineBangladeshFemaleHumansLactic AcidMalaria, FalciparumMaleMass SpectrometryMiddle AgedPhenylalanineSepsisYoung AdultAmino AcidsArginineLactic AcidPhenylalanine

Identifiers

PMID31036854
PMCPMC6488658
OpenAlexW2941258182

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.