Evidence map›Paper›PMID 36396745›Full record

ArticleScientific reports2022

Uptake of Plasmodium chabaudi hemozoin drives Kupffer cell death and fuels superinfections.

Isabella C Hirako, Maísa Mota Antunes, Rafael Machado Rezende, Natália Satchiko Hojo-Souza, Maria Marta Figueiredo, Thomaz Dias, Helder Nakaya, Gustavo Batista Menezes, Ricardo Tostes Gazzinelli

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
4.2field-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

20 citing papers in PubMed, 24 citations in OpenAlex.

  1. Article
  2. Review
  3. bioRxiv : the preprint server for biology · 2026
    Article
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  5. Article
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  8. Hepatorenal protective role of encapsulatedJournal of advanced veterinary and animal research · 2026
    Article
  9. Kupffer cells are essential for platelet-mediated thrombopoietin generation in the liver.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  10. Review
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Transcriptome profiling of intrahepatocyticFrontiers in genetics · 2025
    Article
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  18. Article
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  20. 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 5 institutions in 2 countries.

Isabella C HirakoInstituto René Rachou, Fundação Oswaldo Cruz, Belo Horizonte, MG, Brazil.
Maísa Mota AntunesCenter for Gastrointestinal Biology, Departamento de Morfologia, Instituto de Ciências Biológicas, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.
Rafael Machado RezendeAnn Romney Center for Neurologic Diseases, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
Natália Satchiko Hojo-SouzaInstituto René Rachou, Fundação Oswaldo Cruz, Belo Horizonte, MG, Brazil.
Maria Marta FigueiredoUniversidade Estadual de Minas Gerais, Divinópolis, MG, Brazil.
Thomaz DiasEscola de Ciências Farmacêuticas - Universidade de São Paulo, São Paulo, SP, Brazil.
Helder NakayaEscola de Ciências Farmacêuticas - Universidade de São Paulo, São Paulo, SP, Brazil.
Gustavo Batista MenezesCenter for Gastrointestinal Biology, Departamento de Morfologia, Instituto de Ciências Biológicas, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.
Ricardo Tostes GazzinelliInstituto René Rachou, Fundação Oswaldo Cruz, Belo Horizonte, MG, Brazil. ricardo.gazzinelli@umassmed.edu.
Universidade Federal de Minas Gerais · BRFundação Oswaldo Cruz · BRUniversidade de São Paulo · BRBrigham and Women's Hospital · USUniversidade do Estado de Minas Gerais · BR

Funding

Innate Immune Activation in MalariaR01AI079293 · NIAID · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI FITZGERALD, KATHERINE A., GOLENBOCK, DOUGLAS T · 2009 to 2024
$10.9M
Monocyte-derived dendritic cells in malariaR01NS098747 · NINDS · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI GAZZINELLI, RICARDO TOSTES, LUSTER, ANDREW D · 2016 to 2020
$2.1M
Killing of P. vivax infected reticulocytes by cytotoxic T cellsR21AI131632 · NIAID · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI GAZZINELLI, RICARDO TOSTES, LIEBERMAN, JUDY · 2018 to 2019
$484k
NIAID NIH HHS R01 AI079293NIAID NIH HHS R21 AI131632NINDS NIH HHS R01 NS098747
6 · The paper itself

Abstract

Kupffer cells (KCs) are self-maintained tissue-resident macrophages that line liver sinusoids and play an important role on host defense. It has been demonstrated that upon infection or intense liver inflammation, KCs might be severely depleted and replaced by immature monocytic cells; however, the mechanisms of cell death and the alterations on liver immunity against infections deserves further investigation. We explored the impact of acute Plasmodium infection on KC biology and on the hepatic immune response against secondary infections. Similar to patients, infection with Plasmodium chabaudi induced acute liver damage as determined by serum alanine aminotransferase (ALT) and aspartate aminotransferase (AST) elevation. This was associated with accumulation of hemozoin, increased of proinflammatory response and impaired bacterial and viral clearance, which led to pathogen spread to other organs. In line with this, mice infected with Plasmodium had enhanced mortality during secondary infections, which was associated with increased production of mitochondrial superoxide, lipid peroxidation and increased free iron within KCs-hallmarks of cell death by ferroptosis. Therefore, we revealed that accumulation of iron with KCs, triggered by uptake of circulating hemozoin, is a novel mechanism of macrophage depletion and liver inflammation during malaria, providing novel insights on host susceptibility to secondary infections. Malaria can cause severe liver damage, along with depletion of liver macrophages, which can predispose individuals to secondary infections and enhance the chances of death.

Indexed as

CoinfectionMalariaPlasmodium chabaudiSuperinfectionAnimalsCell DeathHemeproteinsInflammationIronKupffer CellsMiceHemeproteinshemozoinIron

Identifiers

PMID36396745
PMCPMC9671901
OpenAlexW4309231428

What OpenQuestion holds

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LicenceCC BY
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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.