Evidence map›Paper›PMID 29950581›Full record

ArticleScientific reports2018

Experimental infection of dromedaries with Middle East respiratory syndrome-Coronavirus is accompanied by massive ciliary loss and depletion of the cell surface receptor dipeptidyl peptidase 4.

Ann-Kathrin Haverkamp, Annika Lehmbecker, Ingo Spitzbarth, Widagdo Widagdo, Bart L Haagmans, Joaquim Segalés, Julia Vergara-Alert, Albert Bensaid, Judith M A van den Brand, Albert D M E Osterhaus and 1 more

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 9% 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

29 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.

  1. Recent Advances in Camel Immunology.Frontiers in immunology · 2020
    Pooled it
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  3. Variable DPP4 expression in multiciliated cells of the human nasal epithelium as a determinant for MERS-CoV tropism.Proceedings of the National Academy of Sciences of the United States of America · 2025
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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

11 authors at 4 institutions in 3 countries.

Ann-Kathrin HaverkampDepartment of Pathology, University of Veterinary Medicine Hannover Foundation, 30559, Hannover, Germany.
Annika LehmbeckerDepartment of Pathology, University of Veterinary Medicine Hannover Foundation, 30559, Hannover, Germany.
Ingo SpitzbarthDepartment of Pathology, University of Veterinary Medicine Hannover Foundation, 30559, Hannover, Germany.
Widagdo WidagdoDepartment of Viroscience, Erasmus Medical Center, 3015 CN, Rotterdam, The Netherlands.
Bart L HaagmansDepartment of Viroscience, Erasmus Medical Center, 3015 CN, Rotterdam, The Netherlands.
Joaquim SegalésIRTA, Centre de Recerca en Sanitat Animal (CReSA, IRTA-UAB), Campus de la Universitat Autònoma de Barcelona, 08193, Bellaterra, Spain.
Julia Vergara-AlertIRTA, Centre de Recerca en Sanitat Animal (CReSA, IRTA-UAB), Campus de la Universitat Autònoma de Barcelona, 08193, Bellaterra, Spain.
Albert BensaidIRTA, Centre de Recerca en Sanitat Animal (CReSA, IRTA-UAB), Campus de la Universitat Autònoma de Barcelona, 08193, Bellaterra, Spain.
Judith M A van den BrandDepartment of Pathobiology, Faculty of Veterinary Science, Utrecht University, 3512 JE, Utrecht, The Netherlands.
Albert D M E OsterhausResearch Center for Emerging Infections and Zoonoses (RIZ), University of Veterinary Medicine Hannover Foundation, 30559, Hannover, Germany.
Wolfgang BaumgärtnerDepartment of Pathology, University of Veterinary Medicine Hannover Foundation, 30559, Hannover, Germany. Wolfgang.Baumgaertner@tiho-hannover.de.
University of Veterinary Medicine Hannover, Foundation · DEUniversitat Autònoma de Barcelona · ESCentre de Recerca en Sanitat Animal · ESUtrecht University · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Middle East respiratory syndrome (MERS) represents an important respiratory disease accompanied by lethal outcome in one-third of human patients. Recent data indicate that dromedaries represent an important source of infection, although information regarding viral cell tropism and pathogenesis is sparse. In the current study, tissues of eight dromedaries receiving inoculation of MERS-Coronavirus (MERS-CoV) after recombinant Modified-Vaccinia-Virus-Ankara (MVA-S)-vaccination (n = 4), MVA-vaccination (mock vaccination, n = 2) and PBS application (mock vaccination, n = 2), respectively, were investigated. Tissues were analyzed by histology, immunohistochemistry, immunofluorescence, and scanning electron microscopy. MERS-CoV infection in mock-vaccinated dromedaries revealed high numbers of MERS-CoV-nucleocapsid positive cells, T cells, and macrophages within nasal turbinates and trachea at day four post infection. Double immunolabeling demonstrated cytokeratin (CK) 18 expressing epithelial cells to be the prevailing target cell of MERS-CoV, while CK5/6 and CK14 expressing cells did not co-localize with virus. In addition, virus was occasionally detected in macrophages. The acute disease was further accompanied by ciliary loss along with a lack of dipeptidyl peptidase 4 (DPP4), known to mediate virus entry. DPP4 was mainly expressed by human lymphocytes and dromedary monocytes, but overall the expression level was lower in dromedaries. The present study underlines significant species-specific manifestations of MERS and highlights ciliary loss as an important finding in dromedaries. The obtained results promote a better understanding of coronavirus infections, which pose major health challenges.

Indexed as

AnimalsCamelusCells, CulturedCoronavirus InfectionsDipeptidyl Peptidase 4Fluorescent Antibody TechniqueImmunohistochemistryKeratin-14Keratin-18Keratin-4Keratin-5Microscopy, Electron, ScanningMiddle East Respiratory Syndrome CoronavirusDipeptidyl Peptidase 4Keratin-14Keratin-18Keratin-4Keratin-5

Identifiers

PMID29950581
PMCPMC6021449
OpenAlexW2809509680

What OpenQuestion holds

Textmetadata
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 OpenQuestion graph.