Evidence map›Paper›PMID 41128014›Full record

ArticleThe Journal of infectious diseases2026

Extreme Genetic Diversity and Signatures of Balancing Selection in Plasmodium vivax Blood-Stage Antigens.

Alison Paolo N Bareng, Myo T Naung, Eli Martin, Somya Mehra, Jacob E Munro, Shannon Takala Harrison, Alyssa E Barry

Abstract read
In one paragraph

Article in The Journal of infectious diseases, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. Observational
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

7 authors.

Alison Paolo N BarengCentre for Innovation in Infectious Disease and Immunology Research, Institute for Mental and Physical Health and Clinical Translation, School of Medicine, Deakin University, Geelong, Victoria, Australia.ORCID 0009-0002-5456-0313
Myo T NaungCentre for Innovation in Infectious Disease and Immunology Research, Institute for Mental and Physical Health and Clinical Translation, School of Medicine, Deakin University, Geelong, Victoria, Australia.ORCID 0000-0001-8595-4310
Eli MartinLife Sciences Discipline, Burnet Institute, Melbourne, Victoria, Australia.
Somya MehraLife Sciences Discipline, Burnet Institute, Melbourne, Victoria, Australia.
Jacob E MunroDivision of Population Health and Immunity, The Walter and Eliza Hall Institute of Medical Research, Parkville, Victoria, Australia.ORCID 0000-0002-2751-0989
Shannon Takala HarrisonSchool of Medicine, University of Maryland, Baltimore, Maryland, USA.ORCID 0000-0003-4674-8500
Alyssa E BarryCentre for Innovation in Infectious Disease and Immunology Research, Institute for Mental and Physical Health and Clinical Translation, School of Medicine, Deakin University, Geelong, Victoria, Australia.ORCID 0000-0002-1189-2310

Funding

Australian Government NHMRC Independent Research Institute Infrastructure Support SchemeDeakin University Postgraduate Research ScholarshipNational Health and Medical Research Council 1161066University of Melbourne Postgraduate Research ScholarshipVictorian State Government Operational Infrastructure Support
6 · The paper itself

Abstract

backgroundKnowledge of the genetic diversity of Plasmodium vivax antigen vaccine candidates can offer valuable insights into antigens targeted by host immunity and their utility as vaccine candidates. We previously catalogued the genetic diversity of DBP, MSP1, and members of the RBP family. Here we report the diversity of 14 additional P vivax vaccine candidates to identify polymorphic domains and immune selection, to guide selection of alleles for vaccine development.

methodsA total of 289 of 353 publicly available P vivax whole genome sequences from Asia, the Americas, and Oceania passed a stringent variant-calling pipeline. Measures of diversity and balancing selection were calculated both across linear gene sequences and 3-dimensional (3D) proteins.

resultsThe blood-stage antigens AMA1, CyRPA, RBP1a, and P41 exhibited high genetic diversity and signatures of balancing selection on both linear and 3D structures. These signatures were consistent across all endemic regions, suggesting that these polymorphic loci are under immune selection. In contrast, CSP, TRAP, MSP4, MSP9, MSP10, GAMA, S12, ARP, S25, and S28 antigens showed low to intermediate genetic diversity and variable patterns among countries. Haplotype networks identified common variants that may represent antigenically distinct clusters. Importantly, sequences from the vaccine strain Sal-1 have extremely low global frequencies.

conclusionsAMA1, CyRPA, RBP1a, and P41 are under strong immune selection, while other antigens show limited diversity. Current vaccine formulations based on Sal-1 may have limited efficacy. Our results provide a framework for vaccine developers to select more common variants.

Indexed as

Antigens, ProtozoanGenetic VariationMalaria, VivaxPlasmodium vivaxProtozoan ProteinsSelection, GeneticAsiaHumansMalaria VaccinesAntigens, ProtozoanMalaria VaccinesProtozoan Proteinsantigen diversityPlasmodium vivaxvaccine design

Identifiers

PMID41128014
PMCPMC13017313

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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.