Evidence map›Paper›PMID 33648633›Full record

ArticleeLife2021

Mapping immune variation and

Kathryn Milne, Alasdair Ivens, Adam J Reid, Magda E Lotkowska, Aine O'Toole, Geetha Sankaranarayanan, Diana Munoz Sandoval, Wiebke Nahrendorf, Clement Regnault, Nick J Edwards and 11 more

Open access · goldAbstract read
In one paragraph

Article in eLife, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 2 pooled it
5.5field-weighted citation impact, top 4% 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

23 citing papers in PubMed, 2 syntheses or guidelines pooled it, 33 citations in OpenAlex.

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  7. Diamonds in the rif: Alignment-free comparative genomics analysis reveals strain-transcendent Plasmodium falciparum antigens amidst extensive genetic diversity.Infection, genetics and evolution : journal of molecular epidemiology and evolutionary genetics in infectious diseases · 2025
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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

21 authors at 6 institutions in 2 countries.

Kathryn Milne *Institute of Immunology and Infection Research, University of Edinburgh, Edinburgh, United Kingdom.
Alasdair Ivens *Institute of Immunology and Infection Research, University of Edinburgh, Edinburgh, United Kingdom.
Adam J Reid *Wellcome Sanger Institute, Cambridge, United Kingdom.
Magda E LotkowskaWellcome Sanger Institute, Cambridge, United Kingdom.
Aine O'TooleCentre for Immunity, Infection and Evolution, University of Edinburgh, Edinburgh, United Kingdom.
Geetha SankaranarayananWellcome Sanger Institute, Cambridge, United Kingdom.
Diana Munoz SandovalInstitute of Immunology and Infection Research, University of Edinburgh, Edinburgh, United Kingdom.
Wiebke NahrendorfInstitute of Immunology and Infection Research, University of Edinburgh, Edinburgh, United Kingdom.
Clement RegnaultWellcome Centre for Integrative Parasitology, University of Glasgow, Glasgow, United Kingdom.
Nick J EdwardsThe Jenner Institute, University of Oxford, Oxford, United Kingdom.ORCID 0000-0002-7030-7839
Sarah E SilkThe Jenner Institute, University of Oxford, Oxford, United Kingdom.
Ruth O PayneThe Jenner Institute, University of Oxford, Oxford, United Kingdom.
Angela M MinassianThe Jenner Institute, University of Oxford, Oxford, United Kingdom.
Navin VenkatramanThe Jenner Institute, University of Oxford, Oxford, United Kingdom.
Mandy J SandersWellcome Sanger Institute, Cambridge, United Kingdom.
Adrian Vs HillThe Jenner Institute, University of Oxford, Oxford, United Kingdom.
Michael BarrettWellcome Centre for Integrative Parasitology, University of Glasgow, Glasgow, United Kingdom.
Matthew BerrimanWellcome Sanger Institute, Cambridge, United Kingdom.ORCID 0000-0002-9581-0377
Simon J DraperThe Jenner Institute, University of Oxford, Oxford, United Kingdom.ORCID 0000-0002-9415-1357
J Alexandra Rowe *Institute of Immunology and Infection Research, University of Edinburgh, Edinburgh, United Kingdom.ORCID 0000-0002-7702-1892
Philip J Spence *Institute of Immunology and Infection Research, University of Edinburgh, Edinburgh, United Kingdom.ORCID 0000-0002-5506-2773
University of Oxford · GBWellcome Sanger Institute · GBCentre for Immunity, Infection and Evolution · GBUniversity of Edinburgh · GBWellcome Centre for Molecular Parasitology · GBUniversidad San Francisco de Quito · EC

Funding

Medical Research Council G40270Medical Research Council MR/M003906/1Wellcome TrustWellcome Trust 104111/Z/14/ZWellcome Trust 106917/Z/15/ZWellcome Trust 107668/Z/15/ZWellcome Trust 203783/Z/16/ZWellcome Trust WT084226Wellcome Trust WT206194
6 · The paper itself

Abstract

Falciparum malaria is clinically heterogeneous and the relative contribution of parasite and host in shaping disease severity remains unclear. We explored the interaction between inflammation and parasite variant surface antigen (VSA) expression, asking whether this relationship underpins the variation observed in controlled human malaria infection (CHMI). We uncovered marked heterogeneity in the host response to blood challenge; some volunteers remained quiescent, others triggered interferon-stimulated inflammation and some showed transcriptional evidence of myeloid cell suppression. Significantly, only inflammatory volunteers experienced hallmark symptoms of malaria. When we tracked temporal changes in parasite VSA expression to ask whether variants associated with severe disease rapidly expand in naive hosts, we found no transcriptional evidence to support this hypothesis. These data indicate that parasite variants that dominate severe malaria do not have an intrinsic growth or survival advantage; instead, they presumably rely upon infection-induced changes in their within-host environment for selection.

Indexed as

Antigenic VariationAdultAnimalsAnophelesAntibodies, ProtozoanAntigens, ProtozoanErythrocytesFemaleHost-Pathogen InteractionsHumansInflammationMalaria, FalciparumMalePlasmodium falciparumProtozoan ProteinsAntibodies, ProtozoanAntigens, ProtozoanProtozoan Proteinsfalciparum malariahumanhuman immune variationimmunologyinfectious diseaseinflammationmetabolomicsmicrobiologyP. falciparumsystems immunologyvar gene switching

Identifiers

PMID33648633
PMCPMC7924948
OpenAlexW3134995758

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.