Evidence map›Paper›PMID 39738025›Full record

ArticleNature communications2024

Genome sequencing of Plasmodium malariae identifies continental segregation and mutations associated with reduced pyrimethamine susceptibility.

Amy Ibrahim, Franziska Mohring, Emilia Manko, Donelly A van Schalkwyk, Jody E Phelan, Debbie Nolder, Steffen Borrmann, Ayola A Adegnika, Silvia Maria Di Santi, Mohammad Shafiul Alam and 6 more

Abstract read
In one paragraph

Article in Nature communications, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Tropism ofEmerging microbes & infections · 2026
    Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Ex Vivo Drug Susceptibility ofPathogens (Basel, Switzerland) · 2025
    Article
  7. 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

16 authors.

Amy IbrahimFaculty of Infectious & Tropical Diseases, London School of Hygiene & Tropical Medicine, London, UK.ORCID 0000-0001-5155-7974
Franziska MohringFaculty of Infectious & Tropical Diseases, London School of Hygiene & Tropical Medicine, London, UK.
Emilia MankoFaculty of Infectious & Tropical Diseases, London School of Hygiene & Tropical Medicine, London, UK.
Donelly A van SchalkwykFaculty of Infectious & Tropical Diseases, London School of Hygiene & Tropical Medicine, London, UK.ORCID 0000-0002-7375-3439
Jody E PhelanFaculty of Infectious & Tropical Diseases, London School of Hygiene & Tropical Medicine, London, UK.ORCID 0000-0001-8323-7019
Debbie NolderFaculty of Infectious & Tropical Diseases, London School of Hygiene & Tropical Medicine, London, UK.
Steffen BorrmannInstitute for Tropical Medicine, Eberhard Karls University of Tübingen, Tübingen, Germany; Centre de Recherches Médicales de Lambaréné, Gabon; and German Center for Infection Research (DZIF), Tübingen, Germany.
Ayola A AdegnikaInstitute for Tropical Medicine, Eberhard Karls University of Tübingen, Tübingen, Germany; Centre de Recherches Médicales de Lambaréné, Gabon; and German Center for Infection Research (DZIF), Tübingen, Germany.
Silvia Maria Di SantiSchool of Medicine, University of São Paulo, São Paulo, Brazil.ORCID 0000-0001-8049-2014
Mohammad Shafiul AlamInternational Centre for Diarrhoeal Disease Research Bangladesh, Mohakhali, Bangladesh.ORCID 0000-0001-8330-5499
Dinesh MondalInternational Centre for Diarrhoeal Disease Research Bangladesh, Mohakhali, Bangladesh.
Francois NostenShoklo Malaria Research Unit, Mahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Mae Sot, Tak, Thailand.ORCID 0000-0002-7951-0745
Colin J SutherlandFaculty of Infectious & Tropical Diseases, London School of Hygiene & Tropical Medicine, London, UK.ORCID 0000-0003-1592-6407
Robert W MoonFaculty of Infectious & Tropical Diseases, London School of Hygiene & Tropical Medicine, London, UK. rob.moon@lshtm.ac.uk.ORCID 0000-0002-9070-4292
Taane G ClarkFaculty of Infectious & Tropical Diseases, London School of Hygiene & Tropical Medicine, London, UK. taane.clark@lshtm.ac.uk.ORCID 0000-0001-8985-9265
Susana CampinoFaculty of Infectious & Tropical Diseases, London School of Hygiene & Tropical Medicine, London, UK. susana.campino@lshtm.ac.uk.ORCID 0000-0003-1403-6138

Funding

RCUK | Engineering and Physical Sciences Research Council (EPSRC) EP/Y018842/1RCUK | Medical Research Council (MRC) MRC IAA2129RCUK | Medical Research Council (MRC) MR/M021157/1RCUK | Medical Research Council (MRC) MR/X005895/1Wellcome TrustWellcome Trust (Wellcome) 214227/Z/18/ZWellcome Trust (Wellcome) 225844_Z_22_Z
6 · The paper itself

Abstract

Plasmodium malariae parasites are widely observed across the tropics and sub-tropics. This slow-growing species, known to maintain chronic asymptomatic infections, has been associated with reduced antimalarial susceptibility. We analyse 251 P. malariae genomes from 28 countries, and leveraging 131,601 high-quality SNPs, demonstrate segregation of African and Asian isolates. Signals of recent evolutionary selection were identified in genes encoding putative surface proteins (pmmsp1) and putative erythrocyte invasion proteins (pmdpap3, pmrbp2, pmnif4). Amino acid substitutions were identified in orthologs of genes associated with antimalarial susceptibility including 2 amino acid substitutions in pmdhfr aligning with pyrimethamine resistance mutations in P. falciparum. Additionally, we characterise pmdhfr mutation F57L and demonstrate its involvement in reduced susceptibility to pyrimethamine in an in vitro parasite assay. We validate CRISPR-Cas9 mediated ortholog replacement in P. knowlesi parasites to determine the function of pmdhfr mutations and demonstrate that circulating pmdhfr genotypes are less susceptible to pyrimethamine.

Indexed as

AntimalarialsDrug ResistanceMutationPlasmodium malariaePyrimethamineAfricaAmino Acid SubstitutionGenome, ProtozoanHumansMalariaPolymorphism, Single NucleotideProtozoan ProteinsWhole Genome SequencingAntimalarialsProtozoan ProteinsPyrimethamine

Identifiers

PMID39738025
PMCPMC11685946

What OpenQuestion holds

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Registered trials

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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.