Evidence map›Paper›PMID 32034144›Full record

ArticleNature communications2020

Influenza A viruses are transmitted via the air from the nasal respiratory epithelium of ferrets.

Mathilde Richard, Judith M A van den Brand, Theo M Bestebroer, Pascal Lexmond, Dennis de Meulder, Ron A M Fouchier, Anice C Lowen, Sander Herfst

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 127 papers.

0numbers the graph read from it
0cells of the map it votes in
127citing papers in PubMed
20.4field-weighted citation impact, top 1% 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

127 citing papers in PubMed, 188 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Olfactory immunity: defending the neural-mucosal barrier.Journal of immunology (Baltimore, Md. : 1950) · 2026
    Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Viruses · 2026
    Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Seasonal PMParticle and fibre toxicology · 2025
    Article
  20. Article

67 more citing papers are in PubMed but not listed here.

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

8 authors at 2 institutions in 3 countries.

Mathilde RichardDepartment of Viroscience, Erasmus MC University Medical Center, Center for Research on Influenza Pathogenesis (CRIP) Center of Excellence for Influenza Research and Surveillance (CEIRS), Rotterdam, the Netherlands.ORCID http://orcid.org/0000-0003-0240-9312
Judith M A van den BrandDepartment of Viroscience, Erasmus MC University Medical Center, Center for Research on Influenza Pathogenesis (CRIP) Center of Excellence for Influenza Research and Surveillance (CEIRS), Rotterdam, the Netherlands.ORCID http://orcid.org/0000-0001-8420-5406
Theo M BestebroerDepartment of Viroscience, Erasmus MC University Medical Center, Center for Research on Influenza Pathogenesis (CRIP) Center of Excellence for Influenza Research and Surveillance (CEIRS), Rotterdam, the Netherlands.
Pascal LexmondDepartment of Viroscience, Erasmus MC University Medical Center, Center for Research on Influenza Pathogenesis (CRIP) Center of Excellence for Influenza Research and Surveillance (CEIRS), Rotterdam, the Netherlands.
Dennis de MeulderDepartment of Viroscience, Erasmus MC University Medical Center, Center for Research on Influenza Pathogenesis (CRIP) Center of Excellence for Influenza Research and Surveillance (CEIRS), Rotterdam, the Netherlands.
Ron A M FouchierDepartment of Viroscience, Erasmus MC University Medical Center, Center for Research on Influenza Pathogenesis (CRIP) Center of Excellence for Influenza Research and Surveillance (CEIRS), Rotterdam, the Netherlands.
Anice C LowenDepartment of Microbiology and Immunology, Emory University School of Medicine, Atlanta, GA, 30322, USA.ORCID http://orcid.org/0000-0002-9829-112X
Sander HerfstDepartment of Viroscience, Erasmus MC University Medical Center, Center for Research on Influenza Pathogenesis (CRIP) Center of Excellence for Influenza Research and Surveillance (CEIRS), Rotterdam, the Netherlands. s.herfst@erasmusmc.nl.ORCID http://orcid.org/0000-0001-9866-8903
Erasmus MC · NLEmory University · US

Funding

NIAID NIH HHS HHSN272201400004CNIAID NIH HHS HHSN272201400008C
6 · The paper itself

Abstract

Human influenza A viruses are known to be transmitted via the air from person to person. It is unknown from which anatomical site of the respiratory tract influenza A virus transmission occurs. Here, pairs of genetically tagged and untagged influenza A/H1N1, A/H3N2 and A/H5N1 viruses that are transmissible via the air are used to co-infect donor ferrets via the intranasal and intratracheal routes to cause an upper and lower respiratory tract infection, respectively. In all transmission cases, we observe that the viruses in the recipient ferrets are of the same genotype as the viruses inoculated intranasally, demonstrating that they are expelled from the upper respiratory tract of ferrets rather than from trachea or the lower airways. Moreover, influenza A viruses that are transmissible via the air preferentially infect ferret and human nasal respiratory epithelium. These results indicate that virus replication in the upper respiratory tract, the nasal respiratory epithelium in particular, of donors is a driver for transmission of influenza A viruses via the air.

Indexed as

AirAnimalsDogsFemaleFerretsHumansInfluenza A virusMadin Darby Canine Kidney CellsNasal MucosaOrthomyxoviridae InfectionsViral Tropism

Identifiers

PMID32034144
PMCPMC7005743
OpenAlexW3005033296

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.