Evidence map›Paper›PMID 38700363›Full record

ArticlemBio2024

Impact of different mutations on Kelch13 protein levels, ART resistance, and fitness cost in

Hannah M Behrens, Sabine Schmidt, Isabelle G Henshall, Patricia López-Barona, Domitille Peigney, Ricarda Sabitzki, Jürgen May, Oumou Maïga-Ascofaré, Tobias Spielmann

Abstract read
In one paragraph

Article in mBio, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–field-weighted citation impact
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

13 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. High throughput quantitative tracking ofbioRxiv : the preprint server for biology · 2026
    Article
  5. Single-cell transcriptional changes of artemisinin-sensitive K13Frontiers in cellular and infection microbiology · 2026
    Article
  6. Article
  7. Review
  8. Gametocyte production and transmission fitness of African and AsianAntimicrobial agents and chemotherapy · 2025
    Article
  9. Gametocyte production and transmission fitness of African and AsianbioRxiv : the preprint server for biology · 2025
    Article
  10. Article
  11. Article
  12. Article
  13. 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

9 authors.

Hannah M Behrens *Malaria Cell Biology, Molecular Biology and Immunology, Bernhard Nocht Institute for Tropical Medicine, Hamburg, Germany.ORCID 0000-0002-7406-7086
Sabine Schmidt *Malaria Cell Biology, Molecular Biology and Immunology, Bernhard Nocht Institute for Tropical Medicine, Hamburg, Germany.ORCID 0000-0002-6958-9832
Isabelle G HenshallMalaria Cell Biology, Molecular Biology and Immunology, Bernhard Nocht Institute for Tropical Medicine, Hamburg, Germany.ORCID 0000-0002-5906-0687
Patricia López-BaronaMalaria Cell Biology, Molecular Biology and Immunology, Bernhard Nocht Institute for Tropical Medicine, Hamburg, Germany.ORCID 0000-0002-2691-5263
Domitille PeigneyMalaria Cell Biology, Molecular Biology and Immunology, Bernhard Nocht Institute for Tropical Medicine, Hamburg, Germany.ORCID 0000-0003-1354-320X
Ricarda SabitzkiMalaria Cell Biology, Molecular Biology and Immunology, Bernhard Nocht Institute for Tropical Medicine, Hamburg, Germany.ORCID 0000-0001-7422-1381
Jürgen MayInfectious Disease Epidemiology Department, Epidemiology and Diagnostics, Bernhard Nocht Institute for Tropical Medicine, Hamburg, Germany.ORCID 0000-0001-7831-8420
Oumou Maïga-AscofaréInfectious Disease Epidemiology Department, Epidemiology and Diagnostics, Bernhard Nocht Institute for Tropical Medicine, Hamburg, Germany.ORCID 0000-0003-2947-5651
Tobias SpielmannMalaria Cell Biology, Molecular Biology and Immunology, Bernhard Nocht Institute for Tropical Medicine, Hamburg, Germany.ORCID 0000-0002-3968-4601

Funding

EC | European Research Council (ERC) 101021493German Center for Infection Research TTU03.806Vereinigung der Freunde des Tropeninstituts Hamburg e.V. Ortrud Mührer FellowshipWellcome TrustWellcome Trust (WT) DELGEME fellowship funded by DELTAS-Africa 107740/Z/15/Z
6 · The paper itself

Abstract

Reduced susceptibility to ART, the first-line treatment against malaria, is common in South East Asia (SEA). It is associated with point mutations, mostly in IMPORTANCE: Parasites with lowered sensitivity to artemisinin-based drugs are becoming widespread. However, even in these "resistant" parasites not all parasites survive treatment. We found that the proportion of surviving parasites correlates with the fitness cost of resistance-inducing mutations which might indicate that the growth disadvantages prevents resistance levels where all parasites survive treatment. We also found that combining two common resistance mutations did not increase resistance levels. However, selection through repeated ART-exposure did, even-though the known resistance genes, including

Indexed as

AntimalarialsArtemisininsDrug ResistancePlasmodium falciparumProtozoan ProteinsAsia, SoutheasternEndocytosisGenetic FitnessHumansMalaria, FalciparumMutationAntimalarialsartemisininArtemisininsProtozoan ProteinsartemisininART resistancefitness costKelch13malariaPlasmodium falciparumUBP1

Identifiers

PMID38700363
PMCPMC11237660

What OpenQuestion holds

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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.