Evidence map›Paper›PMID 34551786›Full record

ArticleMalaria journal2021

Significant differences in FcγRIIa, FcγRIIIa and FcγRIIIb genes polymorphism and anti-malarial IgG subclass pattern are associated with severe Plasmodium falciparum malaria in Saudi children.

Amre Nasr, Ahmad Aljada, Osama Hamid, Hatim A Elsheikh, Emad Masuadi, Ahmad Al-Bawab, Themer H Alenazi, Amir Abushouk, Ayman M Salah

Open access · goldAbstract read
In one paragraph

Article in Malaria journal, 2021. 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
1.0field-weighted citation impact, top 24% 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, 10 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
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

9 authors at 4 institutions in 2 countries.

Amre NasrDepartment of Basic Medical Sciences, College of Medicine, King Saud Bin Abdulaziz University for Health Sciences (KSAU-HS), Riyadh, Kingdom of Saudi Arabia. nasra@ksau-hs.edu.sa.ORCID http://orcid.org/0000-0001-5010-7322
Ahmad AljadaDepartment of Biochemistry and Molecular Medicine, College of Medicine, Alfaisal University, Riyadh, Saudi Arabia.
Osama HamidDepartment of Public Health, Jazan Health Affairs- District Ministry of Health, Jazan, Saudi Arabia.
Hatim A ElsheikhDepartment of Pharmacology, College of Medicine, Taif University, POBox 888, Taif, 21944, Saudi Arabia.
Emad MasuadiDepartment of Immunology, King Abdullah International Medical Research Centre (KAIMRC), Ministry of National Guard- Health Affairs, Riyadh, Kingdom of Saudi Arabia.
Ahmad Al-BawabDepartment of Basic Medical Sciences, College of Medicine, King Saud Bin Abdulaziz University for Health Sciences (KSAU-HS), Riyadh, Kingdom of Saudi Arabia.
Themer H AlenaziInfectious Disease Division, Department of Medicine, King Abdulaziz Medical City, National Guard Health Affairs, RiyadhRiyadh, Saudi Arabia.
Amir AbushoukDepartment of Basic Medical Sciences, College of Medicine, King Saud Bin Abdul-Aziz University for Health Sciences, Jeddah, Kingdom of Saudi Arabia.
Ayman M SalahKing Abdullah International Medical Research Centre (KAIMRC), National Guard Health Affairs, Jeddah, Kingdom of Saudi Arabia.
King Saud bin Abdulaziz University for Health Sciences · SAAlfaisal University · SAHealth Affairs · USTaif University · SA

Funding

King Abdullah International Medical Research Center RC13/246
6 · The paper itself

Abstract

backgroundThe FcγRs genotypes have been reported to play a key role in the defence against malaria parasites through both cellular and humoral immunity. This study aimed to investigate the possible correlation between FcγR (IIa, IIIa, and IIIb) genes polymorphism and the clinical outcome for anti-malarial antibody response of Plasmodium falciparum infection among Saudi children.

methodsA total of 600 volunteers were enrolled in this study, including 200 malaria-free control (MFC) subjects, 218 patients with uncomplicated malaria (UM) and 182 patients with severe malaria (SM). The FcγR genotypes were analysed using PCR amplification methods, and measurements of immunoglobulin were determined using enzyme-linked immunosorbent assay (ELISA) technique.

resultsThe data revealed that the FcγRIIa-R/R131 showed a statistically significant association with SM patients when compared to UM patients. Furthermore, higher levels of IgG1, IgG2, and IgG4 were associated with the FcγRIIa-H/H131 genotype among UM patients. Although the FcγRIIa-F/V176 genotype was not associated with UM, it showed a significant association with severe malaria. Interestingly, the FcγRIIIa-V/V176 genotype offered protection against SM. Moreover, SM patients carrying the FcγRIIIa-F/F genotype showed higher levels of AMA-1-specific IgG2 and IgG4 antibodies. The FcγRIIIb-NA1/NA1 and FcγRIIIb-NA2/NA2 genotypes did not show significant differences between the UM and the MFC groups. However, the genotype FcγRIIIb-NA2/NA2 was statistically significantly associated with SM patients.

conclusionsThe data presented in this study suggest that the influence of the FcγRIIa-R/R131, FcγRIIIa-F/F176 and FcγRIIIb-NA2/NA2 genotypes are statistically significantly associated with SM patients. However, the FcγRIIa-H/H13 and FcγRIIIa-V/V176 genotypes have demonstrated a protective effect against SM when compared to UM patients. The impact of the FcyR (IIa, IIIa and IIIb) gene variants and anti-malaria IgG subclasses play an important role in susceptibility to malaria infection and disease outcome in Saudi children.

Indexed as

Polymorphism, GeneticChildFemaleGPI-Linked ProteinsHumansImmunoglobulin GMalaria, FalciparumMaleReceptors, IgGSaudi ArabiaFCGR2A protein, humanFCGR3A protein, humanFCGR3B protein, humanGPI-Linked ProteinsImmunoglobulin GReceptors, IgGAMA-1ChildrenFalciparumIgG subclassMalariaPlasmodiumSaudi

Identifiers

PMID34551786
PMCPMC8459561
OpenAlexW3201382697

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.