Evidence map›Paper›PMID 31901523›Full record

ArticleCell host & microbe2020

Co-transmission of Related Malaria Parasite Lineages Shapes Within-Host Parasite Diversity.

Standwell C Nkhoma, Simon G Trevino, Karla M Gorena, Shalini Nair, Stanley Khoswe, Catherine Jett, Roy Garcia, Benjamin Daniel, Aliou Dia, Dianne J Terlouw and 3 more

Open access · bronzeAbstract read
In one paragraph

Article in Cell host & microbe, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 71 papers.

0numbers the graph read from it
0cells of the map it votes in
71citing papers in PubMed
11.1field-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

71 citing papers in PubMed, 135 citations in OpenAlex.

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  13. Advances in Single-Cell Sequencing for Infectious Diseases: Progress and Perspectives.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2025
    Review
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11 more citing papers are in PubMed but not listed here.

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

13 authors at 4 institutions in 3 countries.

Standwell C NkhomaMalawi-Liverpool-Wellcome Trust Clinical Research Programme, University of Malawi College of Medicine, Blantyre, Malawi; Liverpool School of Tropical Medicine, Liverpool, UK; Wellcome Trust Liverpool Glasgow Centre for Global Health Research, Liverpool, UK; Texas Biomedical Research Institute, San Antonio, TX, USA. Electronic address: snkhoma@atcc.org.
Simon G TrevinoTexas Biomedical Research Institute, San Antonio, TX, USA.
Karla M GorenaUniversity of Texas Health Science Center San Antonio, San Antonio, TX, USA.
Shalini NairTexas Biomedical Research Institute, San Antonio, TX, USA.
Stanley KhosweMalawi-Liverpool-Wellcome Trust Clinical Research Programme, University of Malawi College of Medicine, Blantyre, Malawi.
Catherine JettTexas Biomedical Research Institute, San Antonio, TX, USA.
Roy GarciaTexas Biomedical Research Institute, San Antonio, TX, USA.
Benjamin DanielUniversity of Texas Health Science Center San Antonio, San Antonio, TX, USA.
Aliou DiaTexas Biomedical Research Institute, San Antonio, TX, USA.
Dianne J TerlouwMalawi-Liverpool-Wellcome Trust Clinical Research Programme, University of Malawi College of Medicine, Blantyre, Malawi; Liverpool School of Tropical Medicine, Liverpool, UK.
Stephen A WardLiverpool School of Tropical Medicine, Liverpool, UK.
Timothy J C AndersonTexas Biomedical Research Institute, San Antonio, TX, USA.
Ian H CheesemanTexas Biomedical Research Institute, San Antonio, TX, USA. Electronic address: ianc@txbiomed.org.
Texas Biomedical Research Institute · USThe University of Texas Health Science Center at San Antonio · USUniversity of Liverpool · GBLiverpool School of Tropical Medicine · GB

Funding

TISSUE CULTURE---COREP30CA054174 · NCI · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI Robin Jean Leach · 1991 to 2026
$59.1M
INSTITUTE FOR INTEGRATION OF MEDICINE & SCIENCE: A PARTNERSHIP TO IMPROVE HEALTHUL1RR025767 · NCRR · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI CLARK, ROBERT A · 2008 to 2011
$23.8M
MAPPING DRUG RESISTANCE GENES IN PLASMODIUM FALCIPARUMR01AI048071 · NIAID · TEXAS BIOMEDICAL RESEARCH INSTITUTE · PI Tim J Anderson · 2000 to 2026
$8.4M
Mapping Drug Resistance Genes in Plasmodium falciparumR37AI048071 · NIAID · TEXAS BIOMEDICAL RESEARCH INSTITUTE · PI ANDERSON, TIM J · 2012 to 2021
$7.9M
Single Cell Genomics for Malaria ParasitesR01AI110941 · NIAID · TEXAS BIOMEDICAL RESEARCH INSTITUTE · PI CHEESEMAN, IAN HARRY · 2015 to 2018
$1.8M
NCI NIH HHS P30 CA054174NCRR NIH HHS UL1 RR025767NIAID NIH HHS R01 AI048071NIAID NIH HHS R01 AI110941NIAID NIH HHS R37 AI048071Wellcome Trust
6 · The paper itself

Abstract

In high-transmission regions, we expect parasite lineages within complex malaria infections to be unrelated due to parasite inoculations from different mosquitoes. This project was designed to test this prediction. We generated 485 single-cell genome sequences from fifteen P. falciparum malaria patients from Chikhwawa, Malawi-an area of intense transmission. Patients harbored up to seventeen unique parasite lineages. Surprisingly, parasite lineages within infections tend to be closely related, suggesting that superinfection by repeated mosquito bites is rarer than co-transmission of parasites from a single mosquito. Both closely and distantly related parasites comprise an infection, suggesting sequential transmission of complex infections between multiple hosts. We identified tetrads and reconstructed parental haplotypes, which revealed the inbred ancestry of infections and non-Mendelian inheritance. Our analysis suggests strong barriers to secondary infection and outbreeding amongst malaria parasites from a high transmission setting, providing unexpected insights into the biology and transmission of malaria.

Indexed as

AnimalsBiodiversityClonal EvolutionCoinfectionCulicidaeGenetic VariationGenomicsHaplotypesHumansMalaria, FalciparumPlasmodium falciparumgeneticsgenomicsmalariapopulation structuresingle cell sequencingtransmission

Identifiers

PMID31901523
PMCPMC7159252
OpenAlexW2998714317

What OpenQuestion holds

Textmetadata
LicenceTDM
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.