Evidence map›Paper›PMID 36217154›Full record

ArticleMalaria journal2022

Association between CYP2D6 phenotype and recurrence of Plasmodium vivax infection in south Korean patients.

Sungim Choi, Heun Choi, Seong Yeon Park, Yee Gyung Kwak, Je Eun Song, So Youn Shin, Ji Hyeon Baek, Hyun-Il Shin, Shin-Hyung Cho, Sang-Eun Lee and 7 more

Open access · goldAbstract read
In one paragraph

Article in Malaria journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed, 6 citations in OpenAlex.

  1. Review
  2. Efficacy of Primaquine for the Radical Cure of Plasmodium vivax Malaria in Northeast Myanmar and the Impact of Cytochrome P450 2D6 Genotypes.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2025
    Article
  3. Review
  4. Article
  5. 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

17 authors at 9 institutions in 1 country.

Sungim Choi *Division of Infectious Diseases, Department of Internal Medicine, Dongguk University Ilsan Hospital, Goyang-si, Gyeonggi-do, Republic of Korea.
Heun Choi *Department of Infectious Diseases, National Health Insurance Service Ilsan Hospital, Goyang-si, Gyeonggi-do, Republic of Korea.
Seong Yeon ParkDivision of Infectious Diseases, Department of Internal Medicine, Dongguk University Ilsan Hospital, Goyang-si, Gyeonggi-do, Republic of Korea.
Yee Gyung KwakDivision of Infectious Diseases, Department of Internal Medicine, Inje University Ilsan Paik Hospital, Goyang-si, Gyeonggi-do, Republic of Korea.
Je Eun SongDivision of Infectious Diseases, Department of Internal Medicine, Inje University Ilsan Paik Hospital, Goyang-si, Gyeonggi-do, Republic of Korea.
So Youn ShinDepartment of Internal Medicine, International St. Mary's Hospital, Catholic Kwandong University College of Medicine, Incheon, Republic of Korea.
Ji Hyeon BaekDepartment of Internal Medicine, Inha University College of Medicine, Incheon, Republic of Korea.
Hyun-Il ShinDivision of Vectors and Parasitic Diseases, Bureau of Infectious Disease Diagnosis Control, Korea Disease Control and Prevention Agency, Chungcheongbuk-do, Republic of Korea.
Shin-Hyung ChoDivision of Vectors and Parasitic Diseases, Bureau of Infectious Disease Diagnosis Control, Korea Disease Control and Prevention Agency, Chungcheongbuk-do, Republic of Korea.
Sang-Eun LeeDivision of Vectors and Parasitic Diseases, Bureau of Infectious Disease Diagnosis Control, Korea Disease Control and Prevention Agency, Chungcheongbuk-do, Republic of Korea.
Jeong-Ran KwonDivision of Zoonotic and Vector borne Disease Control, Bureau of Infectious Disease Policy, Korea Disease Control and Prevention Agency, Chungcheongbuk-do, Republic of Korea.
Sookkyung ParkDivision of Zoonotic and Vector borne Disease Control, Bureau of Infectious Disease Policy, Korea Disease Control and Prevention Agency, Chungcheongbuk-do, Republic of Korea.
Miyoung KimDivision of Zoonotic and Vector borne Disease Control, Bureau of Infectious Disease Policy, Korea Disease Control and Prevention Agency, Chungcheongbuk-do, Republic of Korea.
Hong Sang OhDepartment of Internal Medicine, Armed Forces Capital Hospital, Seongnam-si, Gyeonggi-do, Republic of Korea.
Yong Chan KimDivision of Infectious Diseases, Department of Internal Medicine, Yongin Severance Hospital, Yonsei University College of Medicine, Yongin-si, Republic of Korea.
Min Jae KimDepartment of Infectious Diseases, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea. nahani99@gmail.com.
Joon-Sup YeomDivision of Infectious Diseases, Department of Internal Medicine, Severance Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea. joonsup.yeom@yuhs.ac.
Korea Disease Control and Prevention Agency · KRDongguk University Ilsan Hospital · KRInje University Ilsan Paik Hospital · KRYonsei University · KRArmed Forces Capital Hospital · KRCatholic Kwandong University · KRInha University · KRNational Health Insurance Service Ilsan Hospital · KRUniversity of Ulsan · KR

Funding

Korea Disease Control and Prevention Agency 2018-E4401-00
6 · The paper itself

Abstract

backgroundPrimaquine is activated by CYP2D6 in the hepatocytes. In Korea, primaquine is the only hypnozoitocidal agent used for patients with vivax malaria. Thus, patients with poor CYP2D6 activity could have an increased risk of primaquine failure and subsequent relapse. The study sought to identify the association between CYP2D6 phenotype and recurrence of malaria in Korean patients.

methodsA total of 102 patients with vivax malaria were prospectively enrolled from eight institutions in Korea. An additional 38 blood samples from patients with recurred vivax malaria were provided by the Korea Disease Control and Prevention Agency. Malaria recurrence was defined as more than one episode of vivax malaria in the same or consecutive years. CYP2D6 star alleles, phenotypes, and activity scores were examined.

resultsGenotyping for CYP2D6 was successful in 101 of the prospectively enrolled patients and 38 samples from the Korea Disease Control and Prevention Agency, of which 91 were included in the no-recurrence group and 48 were included in the recurrence group. Reduced CYP2D6 activity (intermediate metabolizer) phenotype was more common in the recurrence group than in the no-recurrence group (OR, 2.33 (95% CI, 1.14-4.77); p = 0.02). Patients with lower CYP2D6 activity had a higher probability of recurrence (p = 0.029).

conclusionThis study suggests that CYP2D6 polymorphism may affect primaquine efficacy and thus Plasmodium vivax recurrence in Korea.

Indexed as

AntimalarialsCytochrome P-450 CYP2D6Malaria, VivaxCytochrome P450 Family 2HumansPhenotypePlasmodium vivaxPrimaquineRecurrenceRepublic of KoreaAntimalarialsCYP2D6 protein, humanCytochrome P-450 CYP2D6Cytochrome P450 Family 2PrimaquineCYP2D6Plasmodium vivaxPrimaquineRelapse

Identifiers

PMID36217154
PMCPMC9552356
OpenAlexW4304136528

What OpenQuestion holds

Textmetadata
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.