Why the study?
Nitric oxide has been implicated in the pathology of malaria, motivating an evaluation of the association between nitric oxide levels and malaria.
Does Plasmodium infection alter nitric oxide levels compared to uninfected controls?
Does Plasmodium infection alter nitric oxide levels compared to uninfected controls?
This meta-analysis found no significant difference in nitric oxide levels between malaria patients and uninfected controls, though results were highly heterogeneous.
Nitric oxide (NO) has been implicated in the pathology of malaria. This systematic review and meta-analysis describe the association between NO levels and malaria. Embase, Ovid, PubMed, Scopus, and Google Scholar were searched to identify studies evaluating NO levels in malaria patients and uninfected controls. Meta-regression and subgroup analyses were conducted to discern differences in NO levels between the groups. Of the 4517 records identified, 21 studies were included in the systematic review and meta-analysis. The findings illustrated significant disparities in NO levels based on geographic location and study time frames. Despite the fluctuations, such as higher NO levels in adults compared to children, no significant differences in mean NO levels between patients and uninfected controls (p = 0.25, Hedge’s g: 0.35, 95% confidence interval (CI): −0.25–0.96, I2: 97.39%) or between severe and non-severe malaria cases (p = 0.09, Hedge’s g: 0.71, 95% CI: −0.11–1.54, I2: 96.07%) were detected. The systematic review and meta-analysis highlighted inconsistencies in NO levels in malaria patients. Given the high heterogeneity of the results, further studies using standardized metrics for NO measurements and focusing on biochemical pathways dictating NO responses in malaria are imperative to understand the association between NO and malaria.
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Kotepui et al. (2023) studied this question.
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