Evidence map›Paper›PMID 30695992›Full record

ArticleViruses2019

Whole Genome Sequencing of A(H3N2) Influenza Viruses Reveals Variants Associated with Severity during the 2016⁻2017 Season.

Bruno Simon, Maxime Pichon, Martine Valette, Gwendolyne Burfin, Mathilde Richard, Bruno Lina, Laurence Josset

Abstract read
In one paragraph

Article in Viruses, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 1 pooled it
–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

32 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  19. Phylogeny ofDiseases (Basel, Switzerland) · 2021
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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

7 authors.

Bruno SimonVirpath, CIRI, Univ Lyon, Inserm U1111 CNRS UMR5308, ENS, UCBL, Faculté de Médecine Lyon Est, 69372 Lyon, France. sib0.smb@gmail.com.ORCID 0000-0001-9054-3946
Maxime PichonVirpath, CIRI, Univ Lyon, Inserm U1111 CNRS UMR5308, ENS, UCBL, Faculté de Médecine Lyon Est, 69372 Lyon, France. Maxime.PICHON@chu-poitiers.fr.ORCID 0000-0002-3732-6894
Martine ValetteVirpath, CIRI, Univ Lyon, Inserm U1111 CNRS UMR5308, ENS, UCBL, Faculté de Médecine Lyon Est, 69372 Lyon, France. martine.valette@chu-lyon.fr.
Gwendolyne BurfinCentre National des Virus Respiratoires, IAI, CBN, Groupement Hospitalier Nord, Hospices Civils de Lyon, 69317 Lyon, France. gwendolyne.burfin@chu-lyon.fr.
Mathilde RichardDepartment of Viroscience, Erasmus MC, 3000 Rotterdam, The Netherlands.
Bruno LinaVirpath, CIRI, Univ Lyon, Inserm U1111 CNRS UMR5308, ENS, UCBL, Faculté de Médecine Lyon Est, 69372 Lyon, France. bruno.lina@chu-lyon.fr.ORCID 0000-0002-8959-2123
Laurence JossetVirpath, CIRI, Univ Lyon, Inserm U1111 CNRS UMR5308, ENS, UCBL, Faculté de Médecine Lyon Est, 69372 Lyon, France. laurence.josset@chu-lyon.fr.

Funding

Horizon 2020 777363
6 · The paper itself

Abstract

Influenza viruses cause a remarkable disease burden and significant morbidity and mortality worldwide, and these impacts vary between seasons. To understand the mechanisms associated with these differences, a comprehensive approach is needed to characterize the impact of influenza genomic traits on the burden of disease. During 2016⁻2017, a year with severe A(H3N2), we sequenced 176 A(H3N2) influenza genomes using next generation sequencing (NGS) for routine surveillance of circulating influenza viruses collected via the French national influenza community-based surveillance network or from patients hospitalized in the intensive care units of the University Hospitals of Lyon, France. Taking into account confounding factors, sequencing and clinical data were used to identify genomic variants and quasispecies associated with influenza severity or vaccine failure. Several amino acid substitutions significantly associated with clinical traits were found, including NA V263I and NS1 K196E which were associated with severity and co-occurred only in viruses from the 3c.2a1 clade. Additionally, we observed that intra-host diversity as a whole and on a specific set of gene segments increased with severity. These results support the use of whole genome sequencing as a tool for the identification of genetic traits associated with severe influenza in the context of influenza surveillance.

Indexed as

Genetic VariationGenome, ViralWhole Genome SequencingAdolescentAdultAgedAged, 80 and overAmino Acid SubstitutionChildChild, PreschoolEpidemiological MonitoringFemaleFranceHigh-Throughput Nucleotide SequencingHospitalizationHumansepidemiologyinfluenzaNGSquasispeciesseverityvaccination

Identifiers

PMID30695992
PMCPMC6410005

What OpenQuestion holds

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LicenceCC BY
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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.