Evidence map›Paper›PMID 39083679›Full record

ArticleThe Journal of infectious diseases2024

A Countrywide Survey of hrp2/3 Deletions and kelch13 Mutations Co-occurrence in Ethiopia.

Claire Kamaliddin, Jack Burke-Gaffney, Shoaib Ashraf, Daniel Castañeda-Mogollón, Aderaw Adamu, Bacha Mekonen Tefa, Ayesha Wijesinghe, Enaara Pussegoda, Sindew Mekasha Feleke, Dylan R Pillai

Abstract read
In one paragraph

Article in The Journal of infectious diseases, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
–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

19 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Molecular, Transcriptomic, and Proteomic Characterization ofmedRxiv : the preprint server for health sciences · 2026
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Artemisinin resistantmedRxiv : the preprint server for health sciences · 2025
    Article
  14. Article
  15. Article
  16. High Prevalence ofThe Canadian journal of infectious diseases & medical microbiology = Journal canadien des maladies infectieuses et de la microbiologie medicale · 2025
    Review
  17. Article
  18. Artemisinin-resistant malaria.Clinical microbiology reviews · 2024
    Review
  19. High Prevalence ofJournal of tropical medicine · 2024
    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

10 authors.

Claire KamaliddinDepartments of Pathology & Laboratory Medicine, Medicine, and Microbiology, Immunology and Infectious Diseases, University of Calgary, Calgary, Alberta, Canada.
Jack Burke-GaffneyDepartments of Pathology & Laboratory Medicine, Medicine, and Microbiology, Immunology and Infectious Diseases, University of Calgary, Calgary, Alberta, Canada.
Shoaib AshrafDepartments of Pathology & Laboratory Medicine, Medicine, and Microbiology, Immunology and Infectious Diseases, University of Calgary, Calgary, Alberta, Canada.
Daniel Castañeda-MogollónDepartments of Pathology & Laboratory Medicine, Medicine, and Microbiology, Immunology and Infectious Diseases, University of Calgary, Calgary, Alberta, Canada.
Aderaw AdamuDepartment of Bacteriology, Parasitology, and Zoonoses, Ethiopia Public Health Institute, Addis Ababa, Ethiopia.
Bacha Mekonen TefaDepartment of Bacteriology, Parasitology, and Zoonoses, Ethiopia Public Health Institute, Addis Ababa, Ethiopia.
Ayesha WijesingheDepartments of Pathology & Laboratory Medicine, Medicine, and Microbiology, Immunology and Infectious Diseases, University of Calgary, Calgary, Alberta, Canada.
Enaara PussegodaUndergraduate Studies, University of Western Australia, Perth, Australia.
Sindew Mekasha FelekeDepartment of Bacteriology, Parasitology, and Zoonoses, Ethiopia Public Health Institute, Addis Ababa, Ethiopia.
Dylan R PillaiDepartments of Pathology & Laboratory Medicine, Medicine, and Microbiology, Immunology and Infectious Diseases, University of Calgary, Calgary, Alberta, Canada.

Funding

Ethiopian Public Health InstituteGrand Challenges CanadaUniversity of Calgary
6 · The paper itself

Abstract

Malaria elimination relies on detection of Plasmodium falciparum histidine-rich proteins 2/3 (HRP2/3) through rapid diagnostic tests (RDTs) and treatment with artemisinin combination therapies (ACTs). Data from the Horn of Africa suggest increasing hrp2/3 gene deletions and ACT partial resistance kelch13 (k13) mutations. To assess this, 233 samples collected during a national survey from 7 regions of Ethiopia were studied for hrp2/3 deletions with droplet digital polymerase chain reaction (ddPCR) and k13 mutations with DNA sequencing. Approximately 22% of the study population harbored complete hrp2/3 deletions by ddPCR. Thirty-two of 44 of k13 single-nucleotide polymorphisms identified were R622I associated with ACT partial resistance. Both hrp2/3 deletions and k13 mutations associated with ACT partial resistance appear to be co-occurring, especially in Northwest Ethiopia. Ongoing national surveillance relying on accurate laboratory methods are required to elaborate the genetic diversity of P. falciparum.

Indexed as

Antigens, ProtozoanArtemisininsMalaria, FalciparumPlasmodium falciparumProtozoan ProteinsAntimalarialsDrug ResistanceEthiopiaFemaleGene DeletionHumansMaleMutationPolymorphism, Single NucleotideAntigens, ProtozoanAntimalarialsartemisininArtemisininsHRP-2 antigen, Plasmodium falciparumHRP3 protein, Plasmodium falciparumProtozoan Proteinsartemisininhistidine-rich protein 2kelch13malariarapid diagnostic tests

Identifiers

PMID39083679
PMCPMC11646589

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.