Evidence map›Paper›PMID 41203622›Full record

ArticleNature communications2025

Widespread Trichuris incognita reveals hidden diversity and reshapes understanding of human whipworm infections.

Nurudeen Rahman, Max A Bär, Julian Dommann, Eveline Hürlimann, Jean T Coulibaly, Said Ali, Somphou Sayasone, Prudence Beinamaryo, Jennifer Keiser, Pierre H H Schneeberger

Abstract read
In one paragraph

Article in Nature communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Trial
  2. Article
  3. 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.

Nurudeen RahmanDepartment of Medical Parasitology and Infection Biology, Swiss Tropical and Public Health Institute, Allschwil, Switzerland.ORCID http://orcid.org/0000-0001-7521-0385
Max A BärDepartment of Medical Parasitology and Infection Biology, Swiss Tropical and Public Health Institute, Allschwil, Switzerland.ORCID http://orcid.org/0009-0000-4722-9062
Julian DommannDepartment of Medical Parasitology and Infection Biology, Swiss Tropical and Public Health Institute, Allschwil, Switzerland.ORCID http://orcid.org/0009-0008-2448-3795
Eveline HürlimannDepartment of Medical Parasitology and Infection Biology, Swiss Tropical and Public Health Institute, Allschwil, Switzerland.ORCID http://orcid.org/0000-0001-6212-8198
Jean T CoulibalyUnité de Formation et de Recherche Biosciences, Université Felix Houphouët-Boigny, Abidjan, Côte d'Ivoire.
Said AliPublic Health Laboratory Ivo de Carneri, Chake Chake, Pemba, Zanzibar, Tanzania.
Somphou SayasoneLao Tropical and Public Health Institute, Vientiane, Laos.
Prudence BeinamaryoVector Borne and Neglected Tropical Diseases Division, Ministry of Health, Kampala, Uganda.
Jennifer Keiser *Department of Medical Parasitology and Infection Biology, Swiss Tropical and Public Health Institute, Allschwil, Switzerland.ORCID http://orcid.org/0000-0003-0290-3521
Pierre H H Schneeberger *Department of Medical Parasitology and Infection Biology, Swiss Tropical and Public Health Institute, Allschwil, Switzerland. pierre.schneeberger@swisstph.ch.ORCID http://orcid.org/0000-0002-8586-4937

Funding

EC | EU Framework Programme for Research and Innovation H2020 | H2020 Priority Excellent Science | H2020 European Research Council (H2020 Excellent Science - European Research Council) 101019223
6 · The paper itself

Abstract

Soil-transmitted helminthiases, particularly trichuriasis, affect over 500 million people, mostly in low- and middle-income countries. Traditional diagnostics fail to distinguish between Trichuris species, obscuring transmission patterns and treatment outcomes. Using nanopore-based full-length ITS2 rDNA sequencing, we analyzed 687 samples from Côte d'Ivoire, Laos, Tanzania, and Uganda, confirming the phylogenetic placement of two genetically distinct Trichuris species infecting humans, Trichuris trichiura and the recently described Trichuris incognita. The two Trichuris species reveal divergent geographic patterns and also presence in non-human primates, suggesting complex host-parasite dynamics. Within-country genetic variation indicates local adaptation and cryptic population structure. Importantly, we demonstrate that ITS2 fragment length is a robust, cost-effective diagnostic marker for differentiating T. incognita and T. trichiura, offering a practical alternative to sequencing for resource-limited settings. These findings expose the hidden complexity of Trichuris spp. infections and highlight the urgent need to update diagnostic and control strategies to account for overlooked species diversity in endemic regions.

Indexed as

TrichuriasisTrichurisAnimalsCote d'IvoireGenetic VariationHumansPhylogenyTanzania

Identifiers

PMID41203622
PMCPMC12595021

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.