Evidence map›Paper›PMID 31624288›Full record

ArticleScientific reports2019

Autoantibody levels are associated with acute kidney injury, anemia and post-discharge morbidity and mortality in Ugandan children with severe malaria.

Juan Rivera-Correa, Andrea L Conroy, Robert O Opoka, Anthony Batte, Ruth Namazzi, Benson Ouma, Paul Bangirana, Richard Idro, Andrew L Schwaderer, Chandy C John and 1 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 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
4.2field-weighted citation impact, top 6% 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

27 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. The N-terminal region of malaria vaccine candidatebioRxiv : the preprint server for biology · 2025
    Article
  5. COVID-19 associated acute kidney injury.Infectious diseases & immunity · 2025
    Review
  6. Article
  7. Review
  8. Review
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Kidney complications of parasitic diseases.Nature reviews. Nephrology · 2022
    Review
  16. Review
  17. Review
  18. Review
  19. 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

11 authors at 5 institutions in 3 countries.

Juan Rivera-CorreaDepartment of Microbiology, New York University School of Medicine, New York, NY, 10010, USA.
Andrea L ConroyDepartment of Pediatrics, Indiana University School of Medicine, Indianapolis, IN, 46202, USA. conroya@iu.edu.ORCID http://orcid.org/0000-0002-5328-6511
Robert O OpokaDepartment of Pediatrics and Child Health, Makerere University, Kampala, Uganda.
Anthony BatteChild Health and Development Centre, Makerere University, Kampala, Uganda.
Ruth NamazziDepartment of Pediatrics and Child Health, Makerere University, Kampala, Uganda.
Benson OumaDepartment of Medical Microbiology, College of Health Sciences, Makerere University, Kampala, Uganda.
Paul BangiranaDepartment of Psychiatry, Makerere University, Kampala, Uganda.
Richard IdroDepartment of Pediatrics and Child Health, Makerere University, Kampala, Uganda.
Andrew L SchwadererDepartment of Pediatrics, Indiana University School of Medicine, Indianapolis, IN, 46202, USA.
Chandy C JohnDepartment of Pediatrics, Indiana University School of Medicine, Indianapolis, IN, 46202, USA.
Ana RodriguezDepartment of Microbiology, New York University School of Medicine, New York, NY, 10010, USA.
Makerere University · UGIndiana University School of MedicineNew York University · USUniversity of Minnesota · USUniversity of Oxford · GB

Funding

Severe Malaria And Risk to The Brain (SMART Brain)R01NS055349 · NINDS · UNIVERSITY OF MINNESOTA · PI Chandy C. John, Ruth Namazzi · 2008 to 2026
$11.2M
INFECTIOUS DISEASES &BASIC MICROBIOLOGICAL MECHANISMST32AI007180 · NIAID · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI WEISER, JEFFREY NEAL · 1985 to 2022
$8.9M
Training Program in Immunology and Inflammation.T32AI100853 · NIAID · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI Susan Ruth Schwab · 2012 to 2026
$4.5M
Research training in infection, nutrition and neurodevelopment in UgandaD43TW010928 · FIC · INDIANA UNIVERSITY INDIANAPOLIS · PI Chandy C. John · 2018 to 2026
$1.9M
FIC NIH HHS D43 TW010928NIAID NIH HHS T32 AI007180NIAID NIH HHS T32 AI100853NINDS NIH HHS R01 NS055349
6 · The paper itself

Abstract

Autoantibodies targeting host antigens contribute to autoimmune disorders, frequently occur during and after infections and have been proposed to contribute to malaria-induced anemia. We measured anti-phosphatidylserine (PS) and anti-DNA antibody levels in 382 Ugandan children prospectively recruited in a study of severe malaria (SM). High antibody levels were defined as antibody levels greater than the mean plus 3 standard deviations of community children (CC). We observed increases in median levels of anti-PS and anti-DNA antibodies in children with SM compared to CC (p < 0.0001 for both). Children with severe malarial anemia were more likely to have high anti-PS antibodies than children with cerebral malaria (16.4% vs. 7.4%), p = 0.02. Increases in anti-PS and anti-DNA antibodies were associated with decreased hemoglobin (p < 0.05). A one-unit increase in anti-DNA antibodies was associated with a 2.99 (95% CI, 1.68, 5.31) increase odds of acute kidney injury (AKI) (p < 0.0001). Elevated anti-PS and anti-DNA antibodies were associated with post-discharge mortality (p = 0.031 and p = 0.042, respectively). Children with high anti-PS antibodies were more likely to have multiple hospital readmissions compared to children with normal anti-PS antibody levels (p < 0.05). SM is associated with increased autoantibodies against PS and DNA. Autoantibodies were associated with anemia, AKI, post-discharge mortality, and hospital readmission.

Indexed as

Acute Kidney InjuryAnemiaAutoantibodiesAutoantigensChildChild, PreschoolDNAFemaleFollow-Up StudiesHumansInfantMalaria, FalciparumMalePatient DischargePatient ReadmissionPhosphatidylserinesAutoantibodiesAutoantigensDNAPhosphatidylserines

Identifiers

PMID31624288
PMCPMC6797715
OpenAlexW2980398565

What OpenQuestion holds

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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.