Evidence map›Paper›PMID 35821013›Full record

ArticleNature communications2022

Malaria parasite heme biosynthesis promotes and griseofulvin protects against cerebral malaria in mice.

Manjunatha Chandana, Aditya Anand, Sourav Ghosh, Rahul Das, Subhashree Beura, Sarita Jena, Amol Ratnakar Suryawanshi, Govindarajan Padmanaban, Viswanathan Arun Nagaraj

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in Nature communications, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
4.2field-weighted citation impact, top 6% 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. mBio · 2026
    Article
  4. bioRxiv : the preprint server for biology · 2026
    Article
  5. Review
  6. Article
  7. Heme and immunity: The heme oxygenase dichotomy.Journal of inorganic biochemistry · 2025
    Review
  8. Heme metabolism mediates RANKL-induced osteoclastogenesis via mitochondrial oxidative phosphorylation.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2025
    Article
  9. Effect of neem leaf extract (Veterinary world · 2024
    Article
  10. Review
  11. Antimalarial activity ofJournal of traditional and complementary medicine · 2023
    Article
  12. Article
  13. Review
  14. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 1 country.

Manjunatha Chandana *Infectious Disease Biology, Institute of Life Sciences, Bhubaneswar, 751023, Odisha, India.
Aditya Anand *Infectious Disease Biology, Institute of Life Sciences, Bhubaneswar, 751023, Odisha, India.
Sourav Ghosh *Infectious Disease Biology, Institute of Life Sciences, Bhubaneswar, 751023, Odisha, India.
Rahul DasInfectious Disease Biology, Institute of Life Sciences, Bhubaneswar, 751023, Odisha, India.ORCID http://orcid.org/0000-0002-8817-8561
Subhashree BeuraInfectious Disease Biology, Institute of Life Sciences, Bhubaneswar, 751023, Odisha, India.
Sarita JenaInfectious Disease Biology, Institute of Life Sciences, Bhubaneswar, 751023, Odisha, India.
Amol Ratnakar SuryawanshiInfectious Disease Biology, Institute of Life Sciences, Bhubaneswar, 751023, Odisha, India.
Govindarajan PadmanabanDepartment of Biochemistry, Indian Institute of Science, Bangalore, 560012, Karnataka, India.
Viswanathan Arun NagarajInfectious Disease Biology, Institute of Life Sciences, Bhubaneswar, 751023, Odisha, India. arun@ils.res.in.ORCID http://orcid.org/0000-0003-1243-0369
Institute of Life Sciences · INRegional Centre for Biotechnology · INIndian Institute of Science Bangalore · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Heme-biosynthetic pathway of malaria parasite is dispensable for asexual stages, but essential for mosquito and liver stages. Despite having backup mechanisms to acquire hemoglobin-heme, pathway intermediates and/or enzymes from the host, asexual parasites express heme pathway enzymes and synthesize heme. Here we show heme synthesized in asexual stages promotes cerebral pathogenesis by enhancing hemozoin formation. Hemozoin is a parasite molecule associated with inflammation, aberrant host-immune responses, disease severity and cerebral pathogenesis. The heme pathway knockout parasites synthesize less hemozoin, and mice infected with knockout parasites are protected from cerebral malaria and death due to anemia is delayed. Biosynthetic heme regulates food vacuole integrity and the food vacuoles from knockout parasites are compromised in pH, lipid unsaturation and proteins, essential for hemozoin formation. Targeting parasite heme synthesis by griseofulvin-a FDA-approved antifungal drug, prevents cerebral malaria in mice and provides an adjunct therapeutic option for cerebral and severe malaria.

Indexed as

Malaria, CerebralParasitesAnimalsGriseofulvinHemeHemoglobinsMiceGriseofulvinHemeHemoglobins

Identifiers

PMID35821013
PMCPMC9276668
OpenAlexW4285088999

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.