Evidence map›Paper›PMID 32384930›Full record

ArticleMalaria journal2020

Molecular surveillance of the Pfmdr1 N86Y allele among Congolese pregnant women with asymptomatic malaria.

Louis Regis Dossou-Yovo, Francine Ntoumi, Felix Koukouikila-Koussounda, Jeannhey Christevy Vouvoungui, Ayodele Adedoja, David Nderu, Thirumalaisamy P Velavan, Arsène Lenga

Open access · goldAbstract read
In one paragraph

Article in Malaria journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.5field-weighted citation impact, top 30% 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

4 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
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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

8 authors at 4 institutions in 4 countries.

Louis Regis Dossou-YovoEcole Normale Supérieure, Marien Ngouabi University, Brazzaville, Republic of Congo.
Francine NtoumiCongolese Foundation for Medical Research, Brazzaville, Republic of Congo. ffntoumi@hotmail.com.ORCID http://orcid.org/0000-0003-4748-050X
Felix Koukouikila-KoussoundaCongolese Foundation for Medical Research, Brazzaville, Republic of Congo.
Jeannhey Christevy VouvounguiCongolese Foundation for Medical Research, Brazzaville, Republic of Congo.
Ayodele AdedojaCongolese Foundation for Medical Research, Brazzaville, Republic of Congo.
David NderuSchool of Health Sciences, Kirinyaga University, Kerugoya, Kenya.
Thirumalaisamy P VelavanInstitute of Tropical Medicine, University of Tübingen, Tübingen, Germany.
Arsène LengaFaculty of Science and Technology, Marien Ngouabi University, Brazzaville, Republic of Congo.
Fondation Congolaise Pour La Recherche Médicale · CGDuy Tan University · VNKirinyaga University · KEMarien Ngouabi University · CG

Funding

European and Developing Countries Clinical Trials Partnership EDCTP-RegNet 2015-1045
6 · The paper itself

Abstract

backgroundMalaria in pregnancy is associated with considerable morbidity and mortality. Regular surveillance of artemisinin-based combination therapy tolerance, or molecular makers of resistance, is vital for effective malaria treatment, control and eradication programmes. Plasmodium falciparum multiple drug resistance-1 gene (Pfmdr1) N86Y mutation is associated with reduced susceptibility to lumefantrine. This study assessed the prevalence of Pfmdr1 N86Y in Brazzaville, Republic of Congo.

methodsA total 1001 of P. falciparum-infected blood samples obtained from asymptomatic malaria pregnant women having a normal child delivery at the Madibou Integrated Health Centre were analysed. Pfmdr1 N86Y genotyping was conducted using PCR-restriction fragment length polymorphism.

resultsThe wild type Pfmdr1 N86 allele was predominant (> 68%) in this study, whereas a few isolates carrying the either the mutant allele (Pfmdr1 86Y) alone or both alleles (mixed genotype). The dominance of the wildtype allele (pfmdr1 N86) indicates the plausible decline P. falciparum susceptibility to lumefantrine.

conclusionThis study gives an update on the prevalence of Pfmdr1 N86Y alleles in Brazzaville, Republic of Congo. It also raises concern on the imminent emergence of resistance against artemether-lumefantrine in this setting. This study underscores the importance to regular artemether-lumefantrine efficacy monitoring to inform the malaria control programme of the Republic of Congo.

Indexed as

AdolescentAdultAntimalarialsATP-Binding Cassette, Sub-Family C ProteinsCongoDrug ResistanceFemaleHumansLumefantrineMutationPlasmodium falciparumPolymorphism, Restriction Fragment LengthPregnancyYoung AdultAntimalarialsATP-Binding Cassette, Sub-Family C ProteinsLumefantrineMdr1 protein, Plasmodium falciparumAntimalarial drug resistanceBrazzavilleLumefantrinePfmdr1Plasmodium falciparumRepublic of Congo

Identifiers

PMID32384930
PMCPMC7206803
OpenAlexW3021027875

What OpenQuestion holds

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LicenceCC BY
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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.