Evidence map›Paper›PMID 31146461›Full record

ReviewMicroorganisms2019

The Emergence and Decennary Distribution of Clade 2.3.4.4 HPAI H5Nx.

Khristine Joy C Antigua, Won-Suk Choi, Yun Hee Baek, Min-Suk Song

Abstract readReview
In one paragraph

Review in Microorganisms, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 55 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
55citing 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

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

  1. Pooled it
  2. Counting cases, conserving species: addressing highly pathogenic avian influenza in wildlife.Biological reviews of the Cambridge Philosophical Society · 2026
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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

4 authors.

Khristine Joy C AntiguaCollege of Medicine and Medical Research Institute, Chungbuk National University, Cheongju, Chungbuk 28644, Korea. tineantigua@gmail.com.
Won-Suk ChoiCollege of Medicine and Medical Research Institute, Chungbuk National University, Cheongju, Chungbuk 28644, Korea. tuckgirlee@naver.com.
Yun Hee BaekCollege of Medicine and Medical Research Institute, Chungbuk National University, Cheongju, Chungbuk 28644, Korea. microuni@chungbuk.ac.kr.
Min-Suk SongCollege of Medicine and Medical Research Institute, Chungbuk National University, Cheongju, Chungbuk 28644, Korea. songminsuk@chungbuk.ac.kr.ORCID 0000-0001-6073-0783

Funding

National Research Foundation of Korea NRF-2018M3A9H4055769National Research Foundation of Korea NRF-2018R1A2B2005086
6 · The paper itself

Abstract

Reassortment events among influenza viruses occur naturally and may lead to the development of new and different subtypes which often ignite the possibility of an influenza outbreak. Between 2008 and 2010, highly pathogenic avian influenza (HPAI) H5 of the N1 subtype from the A/goose/Guangdong/1/96-like (Gs/GD) lineage generated novel reassortants by introducing other neuraminidase (NA) subtypes reported to cause most outbreaks in poultry. With the extensive divergence of the H5 hemagglutinin (HA) sequences of documented viruses, the WHO/FAO/OIE H5 Evolutionary Working Group clustered these viruses into a systematic and unified nomenclature of clade 2.3.4.4 currently known as "H5Nx" viruses. The rapid emergence and circulation of these viruses, namely, H5N2, H5N3, H5N5, H5N6, H5N8, and the regenerated H5N1, are of great concern based on their pandemic potential. Knowing the evolution and emergence of these novel reassortants helps to better understand their complex nature. The eruption of reports of each H5Nx reassortant through time demonstrates that it could persist beyond its usual seasonal activity, intensifying the possibility of these emerging viruses' pandemic potential. This review paper provides an overview of the emergence of each novel HPAI H5Nx virus as well as its current epidemiological distribution.

Indexed as

avianavian influenzadisseminationepidemiologyevolutionH5Nx

Identifiers

PMID31146461
PMCPMC6616411

What OpenQuestion holds

Textmetadata
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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.