Evidence map›Paper›PMID 31593588›Full record

Trial reportThe Journal of infectious diseases2020

Cytomegalovirus Genetic Diversity Following Primary Infection.

Shannon A Ross, Pravasini Pati, Travis L Jensen, Johannes B Goll, Casey E Gelber, Amy Singh, Monica McNeal, Suresh B Boppana, David I Bernstein

Open access · greenAbstract readClinical Trial, Phase IIRandomized Controlled Trial
In one paragraph

Trial report in The Journal of infectious diseases, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.4field-weighted citation impact, top 18% 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

12 citing papers in PubMed, 19 citations in OpenAlex.

  1. Observational
  2. Article
  3. Article
  4. Article
  5. Cytomegalovirus and Pregnancy: A Narrative Review.Journal of clinical medicine · 2024
    Review
  6. Review
  7. Article
  8. Article
  9. The Viral Load of Human Cytomegalovirus Infection in Children following Hematopoietic Stem Cell Transplant by Chip Digital PCR.The Canadian journal of infectious diseases & medical microbiology = Journal canadien des maladies infectieuses et de la microbiologie medicale · 2022
    Article
  10. Article
  11. Review
  12. 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

9 authors at 4 institutions in 1 country.

Shannon A RossDepartment of Pediatrics, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Pravasini PatiDepartment of Pediatrics, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Travis L JensenEmmes, Rockville, Maryland, USA.
Johannes B GollEmmes, Rockville, Maryland, USA.
Casey E GelberEmmes, Rockville, Maryland, USA.
Amy SinghCincinnati Children's Hospital Medical Center, University of Cincinnati, Cincinnati, Ohio, USA.
Monica McNealCincinnati Children's Hospital Medical Center, University of Cincinnati, Cincinnati, Ohio, USA.
Suresh B BoppanaDepartment of Pediatrics, University of Alabama at Birmingham, Birmingham, Alabama, USA.
David I BernsteinCincinnati Children's Hospital Medical Center, University of Cincinnati, Cincinnati, Ohio, USA.
Emmes (United States) · USUniversity of Alabama at Birmingham · USUniversity of Cincinnati · USCincinnati Children's Hospital Medical Center · US

Funding

Medical Scientist Training ProgramT32GM063483 · NIGMS · UNIVERSITY OF CINCINNATI · PI KHURANA HERSHEY, GURJIT K. · 2002 to 2022
$6.7M
NIAID NIH HHS HHSN272200800006CNIAID NIH HHS HHSN272200800013CNIGMS NIH HHS T32 GM063483
6 · The paper itself

Abstract

backgroundInfection with multiple cytomegalovirus (CMV) strains (mixed infection) was reported in a variety of hosts. As the virus genetic diversity in primary CMV infection and the changes over time remain incompletely defined, we examined CMV diversity and changes in diversity over time in healthy adolescent females who participated in a phase 2 CMV gB/MF59 vaccine trial.

methodsCMV genetic diversity was determined by genotyping of 5 genes-gB (UL55), gH (UL75), gN (UL73), US28, and UL144-in urine, saliva, and plasma samples from 15 study subjects.

resultsAt the time of primary infection, 5 of 12 (42%) urine samples had multiple virus strains, and 50% of vaccine recipients were infected with gB1 genotype (vaccine strain). Mixed infection was documented in all 15 subjects within 3 months after primary infection, and the majority had different CMV genotypes in different compartments. Changes in genotypes over time were observed in all subjects.

conclusionsInfection with multiple CMV genotypes was common during primary infection and further diversification occurred over time. Infection with gB1 genotype in vaccine recipients suggests a lack of strain-specific protection from the vaccine. As only 5 polymorphic genes were assessed, this study likely underestimated the true genetic diversity in primary CMV infection.

Indexed as

Polymorphism, GeneticVaccinationAdolescentCoinfectionCytomegalovirusCytomegalovirus InfectionsCytomegalovirus VaccinesDouble-Blind MethodFemaleGenotypeHumansMembrane GlycoproteinsReal-Time Polymerase Chain ReactionReceptors, ChemokineSalivaViral Envelope ProteinsCytomegalovirus VaccinesMembrane GlycoproteinsReceptors, ChemokineUL144 ORF protein, Human herpesvirus 5US28 receptor, CytomegalovirusViral Envelope ProteinsViral Proteinscytomegalovirusdiversityprimary infectionstrains

Identifiers

PMID31593588
PMCPMC7026889
OpenAlexW2979738948

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.