Evidence map›Paper›PMID 37996707›Full record

ArticleNature microbiology2023

Drug resistance and vaccine target surveillance of Plasmodium falciparum using nanopore sequencing in Ghana.

Sophia T Girgis, Edem Adika, Felix E Nenyewodey, Dodzi K Senoo Jnr, Joyce M Ngoi, Kukua Bandoh, Oliver Lorenz, Guus van de Steeg, Alexandria J R Harrott, Sebastian Nsoh and 18 more

Open access · hybridAbstract read
In one paragraph

Article in Nature microbiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
11.3field-weighted citation impact, top 1% of its field
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

30 citing papers in PubMed, 39 citations in OpenAlex.

  1. Trial
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  3. Article
  4. Article
  5. Article
  6. AbioRxiv : the preprint server for biology · 2026
    Article
  7. Article
  8. Article
  9. Genomic Surveillance ofPathogens (Basel, Switzerland) · 2025
    Article
  10. Article
  11. Plasmodium falciparum isolates: ex vivo drug response.The Journal of antimicrobial chemotherapy · 2025
    Article
  12. Article
  13. The Case for Genomic Surveillance in Africa.Tropical medicine and infectious disease · 2025
    Review
  14. Article
  15. Article
  16. Review
  17. Sensitive and modular amplicon sequencing ofbioRxiv : the preprint server for biology · 2025
    Article
  18. Article
  19. Nanopore sequencing in veterinary medicine: from concepts to clinical applications.Frontiers in cellular and infection microbiology · 2025
    Review
  20. 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

28 authors at 5 institutions in 3 countries.

Sophia T Girgis *Wellcome Sanger Institute, Wellcome Trust Genome Campus, Hinxton, UK.
Edem Adika *West African Centre for Cell Biology of Infectious Pathogens (WACCBIP), College of Basic and Applied Sciences, University of Ghana, Legon, Ghana.ORCID 0000-0003-4655-9515
Felix E NenyewodeyNavrongo Health Research Centre (NHRC), Ghana Health Service, Navrongo, Upper East Region, Ghana.
Dodzi K Senoo JnrNavrongo Health Research Centre (NHRC), Ghana Health Service, Navrongo, Upper East Region, Ghana.
Joyce M NgoiWest African Centre for Cell Biology of Infectious Pathogens (WACCBIP), College of Basic and Applied Sciences, University of Ghana, Legon, Ghana.ORCID 0000-0003-1698-609X
Kukua BandohWest African Centre for Cell Biology of Infectious Pathogens (WACCBIP), College of Basic and Applied Sciences, University of Ghana, Legon, Ghana.
Oliver LorenzWellcome Sanger Institute, Wellcome Trust Genome Campus, Hinxton, UK.
Guus van de SteegWellcome Sanger Institute, Wellcome Trust Genome Campus, Hinxton, UK.
Alexandria J R HarrottWellcome Sanger Institute, Wellcome Trust Genome Campus, Hinxton, UK.ORCID 0000-0002-7050-7996
Sebastian NsohNavrongo Health Research Centre (NHRC), Ghana Health Service, Navrongo, Upper East Region, Ghana.
Kim JudgeWellcome Sanger Institute, Wellcome Trust Genome Campus, Hinxton, UK.ORCID 0000-0002-1811-428X
Richard D PearsonWellcome Sanger Institute, Wellcome Trust Genome Campus, Hinxton, UK.ORCID 0000-0002-7386-3566
Jacob Almagro-GarciaWellcome Sanger Institute, Wellcome Trust Genome Campus, Hinxton, UK.ORCID 0000-0002-0595-7333
Samirah SaiidWest African Centre for Cell Biology of Infectious Pathogens (WACCBIP), College of Basic and Applied Sciences, University of Ghana, Legon, Ghana.
Solomon AtampahWest African Centre for Cell Biology of Infectious Pathogens (WACCBIP), College of Basic and Applied Sciences, University of Ghana, Legon, Ghana.
Enock K AmoakoWest African Centre for Cell Biology of Infectious Pathogens (WACCBIP), College of Basic and Applied Sciences, University of Ghana, Legon, Ghana.ORCID 0009-0005-6035-9220
Collins M Morang'aWest African Centre for Cell Biology of Infectious Pathogens (WACCBIP), College of Basic and Applied Sciences, University of Ghana, Legon, Ghana.ORCID 0000-0002-6988-150X
Victor AsoalaNavrongo Health Research Centre (NHRC), Ghana Health Service, Navrongo, Upper East Region, Ghana.
Elrmion S AdjeiLedzokuku Krowor Municipal Assembly (LEKMA) Hospital, Accra, Ghana.
William BurdenWellcome Sanger Institute, Wellcome Trust Genome Campus, Hinxton, UK.
William Roberts-SengierWellcome Sanger Institute, Wellcome Trust Genome Campus, Hinxton, UK.
Eleanor DruryWellcome Sanger Institute, Wellcome Trust Genome Campus, Hinxton, UK.ORCID 0000-0002-9887-6961
Megan L PierceWellcome Sanger Institute, Wellcome Trust Genome Campus, Hinxton, UK.ORCID 0009-0006-4867-5754
Sónia GonçalvesWellcome Sanger Institute, Wellcome Trust Genome Campus, Hinxton, UK.
Gordon A AwandareWest African Centre for Cell Biology of Infectious Pathogens (WACCBIP), College of Basic and Applied Sciences, University of Ghana, Legon, Ghana.ORCID 0000-0002-8793-3641
Dominic P KwiatkowskiWellcome Sanger Institute, Wellcome Trust Genome Campus, Hinxton, UK.
Lucas N Amenga-EtegoWest African Centre for Cell Biology of Infectious Pathogens (WACCBIP), College of Basic and Applied Sciences, University of Ghana, Legon, Ghana. lamenga-etego@ug.edu.gh.ORCID 0000-0003-4468-0506
William L HamiltonWellcome Sanger Institute, Wellcome Trust Genome Campus, Hinxton, UK. wh2@sanger.ac.uk.ORCID 0000-0002-3330-353X
Wellcome Sanger Institute · GBUniversity of Ghana · GHNavrongo Health Research Centre · GHUniversity of Cambridge · GBWest End Hospital · GH

Funding

Wellcome Trust
6 · The paper itself

Abstract

Malaria results in over 600,000 deaths annually, with the highest burden of deaths in young children living in sub-Saharan Africa. Molecular surveillance can provide important information for malaria control policies, including detection of antimalarial drug resistance. However, genome sequencing capacity in malaria-endemic countries is limited. We designed and implemented an end-to-end workflow to detect Plasmodium falciparum antimalarial resistance markers and diversity in the vaccine target circumsporozoite protein (csp) using nanopore sequencing in Ghana. We analysed 196 clinical samples and showed that our method is rapid, robust, accurate and straightforward to implement. Importantly, our method could be applied to dried blood spot samples, which are readily collected in endemic settings. We report that P. falciparum parasites in Ghana are mostly susceptible to chloroquine, with persistent sulfadoxine-pyrimethamine resistance and no evidence of artemisinin resistance. Multiple single nucleotide polymorphisms were identified in csp, but their significance is uncertain. Our study demonstrates the feasibility of nanopore sequencing for malaria genomic surveillance in endemic countries.

Indexed as

AntimalarialsMalariaMalaria, FalciparumNanopore SequencingChildChild, PreschoolDrug ResistanceGhanaHumansPlasmodium falciparumAntimalarials

Identifiers

PMID37996707
PMCPMC10686832
OpenAlexW4388939081

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

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 Socratic graph.