Evidence map›Paper›PMID 32873296›Full record

ArticleMalaria journal2020

Investigation of glucose-6-phosphate dehydrogenase (G6PD) deficiency prevalence in a Plasmodium vivax-endemic area in the Republic of Korea (ROK).

Wonsig Lee, Sang-Eun Lee, Min Jun Lee, Kyung Tae Noh

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 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
3.9field-weighted citation impact, top 7% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

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  10. Cost-Benefit Analysis of Tafenoquine for Radical Cure ofJournal of Korean medical science · 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

4 authors at 3 institutions in 2 countries.

Wonsig LeeDepartment of Infectious Disease Research, Armed Forces Medical Research Institute, 90bun, Jaunro, Yuseong-gu, Daejeon, 34059, Republic of Korea.
Sang-Eun LeeDivision of Vectors & Parasitic Diseases, Center for Laboratory Control of Infectious Diseases, Korea Centers for Disease Control & Prevention, 187 Osongsaengmyeong 2-ro, Osong-eup, Heungduk-gu, Cheongju-si, Chungbuk, 28159, Republic of Korea.
Min Jun LeeWELLS BIO Inc., 16, Magokjungang 8-ro 1-gil, Gangseo-gu, Seoul, 07795, Republic of Korea.
Kyung Tae NohDepartment of Infectious Disease Research, Armed Forces Medical Research Institute, 90bun, Jaunro, Yuseong-gu, Daejeon, 34059, Republic of Korea. nkt2062@hanmail.net.ORCID http://orcid.org/0000-0001-5534-5338
Armed Forces Capital Hospital · KRArmed Forces Research Institute of Medical Science · THKorea Disease Control and Prevention Agency · KR

Funding

Internal Research Program from the Armed Forces Medical Research Institute 17-internal-7Korea Centers for Disease Control and Prevention 2017E5400300
6 · The paper itself

Abstract

backgroundGlucose-6-phosphate dehydrogenase (G6PD) deficiency is the most prevalent inborn disorder. This X-chromosome-linked recessive disease affects more than 400 million people globally, and is associated with haemolytic anaemia after medication with the anti-latent malaria drug, primaquine. To prevent malaria, the Republic of Korea (ROK) Army administers malaria chemoprophylaxis. Due to the previously low G6PD deficiency prevalence in the ROK, prior to primaquine administration, testing for G6PD deficiency was not mandatory. In this study, to evaluate the risk from malaria chemoprophylaxis in the ROK, G6PD deficiency prevalence was investigated.

methodsBlood specimens from 1632 soldiers entering training camp for the 3

resultsOf 1632 blood specimens tested, none was observed to be G6PD deficient. The median value of all tested samples was 7.582 U/g Hb. An investigation of 170 G6PD DNA variants was analysed and categorized as partially low normal [n = 131, 30-80% (2.27-6.05 U/g Hb) of the median value], high [n = 3, > 150% (> 11.373 U/g Hb) of the median value], or normal [n = 36, 80-150% (6.05-11.373 U/g Hb) of the median value], and none was amplified by the DiaPlexC kit. Five silent mutations (C→T) in 131 partially low normal specimens were found at the 1311th nucleotide position by sequence analysis. Another 8 silent mutations (T93C) were also detected in 131 partially low normal specimens. Thus, it is inferred that these silent mutations could be related to G6PD activity.

conclusionsThis G6PD deficiency prevalence study, conducted among participants from the 3rd Infantry of the ROK Army, provided crucial evidence for the safety of malaria chemoprophylaxis. This study showed that the prevalence of G6PD deficiency among 1632 young soldiers was wholly absent. Although G6PD phenotypic mutations were not detected, many silent mutations (C1311T and T93C) were observed. Thus, it is inferred that malaria chemoprophylaxis is relatively safe against G6PD deficiency-mediated haemolytic anaemia. However, given the number of individuals whose G6PD were at the partially low normal range and the frequent detection of G6PD deficiency-related mutations, consistent monitoring of G6PD deficiency is needed.

Indexed as

AdultEndemic DiseasesFemaleGlucosephosphate Dehydrogenase DeficiencyHumansMalaria, VivaxMalePlasmodium vivaxPrevalenceRepublic of KoreaYoung AdultGlucose-6-phosphate dehydrogenase deficiencyPrevalencePrimaquineSingle nucleotide polymorphism

Identifiers

PMID32873296
PMCPMC7465311
OpenAlexW3082316445

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.