Evidence map›Paper›PMID 33095255›Full record

ReviewFEMS microbiology reviews2021

Artemisinin susceptibility in the malaria parasite Plasmodium falciparum: propellers, adaptor proteins and the need for cellular healing.

Colin J Sutherland, Ryan C Henrici, Katerina Artavanis-Tsakonas

Open access · hybridAbstract readReview
In one paragraph

Review in FEMS microbiology reviews, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
4.3field-weighted citation impact, top 5% 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

22 citing papers in PubMed, 40 citations in OpenAlex.

  1. Review
  2. AbioRxiv : the preprint server for biology · 2026
    Article
  3. NovelmBio · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Artemisinin pressure in field isolates can select highly resistantAntimicrobial agents and chemotherapy · 2025
    Article
  9. Review
  10. Article
  11. Article
  12. Mutation in the 26S proteasome regulatory subunitFrontiers in cellular and infection microbiology · 2024
    Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Plasmodium falciparum resistance to ACTs: Emergence, mechanisms, and outlook.International journal for parasitology. Drugs and drug resistance · 2021
    Article
  19. Article
  20. eLife · 2021
    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

3 authors at 2 institutions in 2 countries.

Colin J SutherlandDepartment of Infection Biology, Faculty of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, Keppel St, London WC1E 7HT, UK.ORCID 0000-0003-1592-6407
Ryan C HenriciDepartment of Infection Biology, Faculty of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, Keppel St, London WC1E 7HT, UK.
Katerina Artavanis-TsakonasDepartment of Pathology, University of Cambridge, Tennis Court Rd, Cambridge CB2 1QP, UK.
University of London · GBUniversity of Cambridge · GB

Funding

Biotechnology and Biological Sciences Research Council BB/R001642/1Medical Research Council MR/T016124/1
6 · The paper itself

Abstract

Studies of the susceptibility of Plasmodium falciparum to the artemisinin family of antimalarial drugs provide a complex picture of partial resistance (tolerance) associated with increased parasite survival in vitro and in vivo. We present an overview of the genetic loci that, in mutant form, can independently elicit parasite tolerance. These encode Kelch propeller domain protein PfK13, ubiquitin hydrolase UBP-1, actin filament-organising protein Coronin, also carrying a propeller domain, and the trafficking adaptor subunit AP-2μ. Detailed studies of these proteins and the functional basis of artemisinin tolerance in blood-stage parasites are enabling a new synthesis of our understanding to date. To guide further experimental work, we present two major conclusions. First, we propose a dual-component model of artemisinin tolerance in P. falciparum comprising suppression of artemisinin activation in early ring stage by reducing endocytic haemoglobin capture from host cytosol, coupled with enhancement of cellular healing mechanisms in surviving cells. Second, these two independent requirements limit the likelihood of development of complete artemisinin resistance by P. falciparum, favouring deployment of existing drugs in new schedules designed to exploit these biological limits, thus extending the useful life of current combination therapies.

Indexed as

AntimalarialsArtemisininsDrug ResistancePlasmodium falciparumProtozoan ProteinsAntimalarialsartemisininArtemisininsProtozoan Proteinsartemisinin resistanceendocytosishaemoglobinmalaria parasitesproteasomeprotein recycling

Identifiers

PMID33095255
PMCPMC8100002
OpenAlexW3094012023

What OpenQuestion holds

Textmetadata
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.