Evidence map›Paper›PMID 32678034›Full record

ArticleMalaria journal2020

Plasmodium falciparum histidine-rich protein 2 diversity in Ghana.

Otchere Addai-Mensah, Bismarck Dinko, Mark Noagbe, Selassie Louis Ameke, Max Efui Annani-Akollor, Eddie-Williams Owiredu, Kofi Mensah, Richmond Tackie, Eliezer Togbe, Comfort Agyare-Kwabi and 3 more

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 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
7.6field-weighted citation impact, top 2% 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

16 citing papers in PubMed, 50 citations in OpenAlex.

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  13. Genetic deletions and high diversity ofFrontiers in epidemiology · 2022
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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

13 authors at 3 institutions in 1 country.

Otchere Addai-MensahDepartment of Medical Diagnostics, Faculty of Allied Health Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, 00233, Ghana. drmedmozart@yahoo.com.
Bismarck DinkoSchool of Basic and Biomedical Sciences, University of Health and Allied Sciences, Ho, Ghana.
Mark NoagbeDepartment of Medical Diagnostics, Faculty of Allied Health Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, 00233, Ghana.
Selassie Louis AmekeLaboratory Department, Ho Municipal Hospital, Ho, Ghana.
Max Efui Annani-AkollorDepartment of Molecular Medicine, School of Medicine and Dentistry, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
Eddie-Williams OwireduDepartment of Molecular Medicine, School of Medicine and Dentistry, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
Kofi MensahDepartment of Medical Diagnostics, Faculty of Allied Health Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, 00233, Ghana.
Richmond TackieSchool of Basic and Biomedical Sciences, University of Health and Allied Sciences, Ho, Ghana.
Eliezer TogbeDepartment of Medical Diagnostics, Faculty of Allied Health Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, 00233, Ghana.
Comfort Agyare-KwabiSchool of Basic and Biomedical Sciences, University of Health and Allied Sciences, Ho, Ghana.
Charles GyasiDepartment of Medical Diagnostics, Faculty of Allied Health Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, 00233, Ghana.
Constance Adu-GyamfiDepartment of Medical Diagnostics, Faculty of Allied Health Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, 00233, Ghana.
Alexander Yaw DebrahDepartment of Medical Diagnostics, Faculty of Allied Health Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, 00233, Ghana.
Kwame Nkrumah University of Science and Technology · GHUniversity of Health and Allied Sciences · GHHo Technical University · GH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn the absence of microscopy, Plasmodium falciparum histidine-rich proteins 2 (PfHRP2)-based rapid diagnostic tests (RDTs) are recommended for the diagnosis of falciparum malaria, particularly in endemic regions. However, genetic variability of the pfhrp2 gene threatens the usefulness of the test due to its impact on RDT sensitivity. This study aimed to investigate the diversity of pfhrp2 in malaria cases among children in Ghana.

methodsA cross-sectional study was conducted at the Adidome Government Hospital in the Volta Region of Ghana. A total of 50 children with mean age of 6.6 ± 3.5 years and diagnosed falciparum malaria were included. Blood samples were collected for complete blood count, malaria parasite identification and counting using auto analyzer and microscopy, respectively. DNA was isolated from blood-spotted Whatman filters, amplified and sequenced. Nucleotide sequences were translated in silico to corresponding amino acids and the deduced amino acids sequences were analyzed for diversity using Mega X.

resultsThe number of repeats and number of each repeat within PfHRP2 varied between isolates. Twelve rare PfHRP2 repeat types, two of which are previously unreported, were identified in this study. The HRP2 sequence obtained in this study shared high similarities with isolates from Kenya. Using Baker's regression model, Group B was the highest occurring type (58.0%). Screening of all sequences for epitopes recognized by PfHRP2-specific monoclonal antibodies (mAbs), the predominant motif was AHHAADAHH, which is recognized by the C1-13 mAbs.

conclusionThis study reports diversity of P. falciparum HRP2 in samples from Ghanaian children with symptomatic malaria. The findings of this study highlight the existence of extra amino acid repeat types which adds to the PfHRP2 antigenic variability.

Indexed as

Genetic VariationAdolescentAntigens, ProtozoanChildChild, PreschoolCross-Sectional StudiesEpitopesFemaleGhanaHumansInfant, NewbornMalaria, FalciparumMalePlasmodium falciparumProtozoan ProteinsAntigens, ProtozoanEpitopesHRP-2 antigen, Plasmodium falciparumProtozoan ProteinsGhanaHistidine-rich protein 2MalariaPlasmodium falciparumRapid diagnostic test

Identifiers

PMID32678034
PMCPMC7364488
OpenAlexW3042724993

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LicenceCC BY
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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.