Evidence map›Paper›PMID 32374903›Full record

ArticleInternational journal of clinical practice2020

SARS-CoV-2 viral spike G614 mutation exhibits higher case fatality rate.

Manuel Becerra-Flores, Timothy Cardozo

Open access · hybridAbstract read
In one paragraph

Article in International journal of clinical practice, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 186 papers.

0numbers the graph read from it
0cells of the map it votes in
186citing papers in PubMed
8.2field-weighted citation impact, top 2% 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

186 citing papers in PubMed, 339 citations in OpenAlex.

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  20. SARS-COV-2 Notable Mutations and Variants: A Review Article.Iranian journal of public health · 2022
    Review

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

2 authors at 1 institution in 1 country.

Manuel Becerra-FloresDepartment of Biochemistry and Molecular Pharmacology, NYU Langone Health, New York, NY, USA.
Timothy CardozoDepartment of Biochemistry and Molecular Pharmacology, NYU Langone Health, New York, NY, USA.ORCID https://orcid.org/0000-0002-0643-4497
NYU Langone Health · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimThe COVID-19 pandemic is caused by infection with the SARS-CoV-2 virus. The major mutation detected to date in the SARS-CoV-2 viral envelope spike protein, which is responsible for virus attachment to the host and is also the main target for host antibodies, is a mutation of an aspartate (D) at position 614 found frequently in Chinese strains to a glycine (G). We sought to infer health impact of this mutation.

resultIncreased case fatality rate correlated strongly with the proportion of viruses bearing G614 on a country by country basis. The amino acid at position 614 occurs at an internal protein interface of the viral spike, and the presence of G at this position was calculated to destabilise a specific conformation of the viral spike, within which the key host receptor binding site is more accessible.

conclusionThese results imply that G614 is a more pathogenic strain of SARS-CoV-2, which may influence vaccine design. The prevalence of this form of the virus should also be included in epidemiologic models predicting the COVID-19 health burden and fatality over time in specific regions. Physicians should be aware of this characteristic of the virus to anticipate the clinical course of infection.

Indexed as

MutationAspartic AcidBetacoronavirusBinding SitesCoronavirus InfectionsCOVID-19GlycineHumansPandemicsPneumonia, ViralSARS-CoV-2Spike Glycoprotein, CoronavirusAspartic AcidGlycineSpike Glycoprotein, Coronavirusspike protein, SARS-CoV-2

Identifiers

PMID32374903
PMCPMC7267315
OpenAlexW3023494626

What OpenQuestion holds

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LicenceCC BY-NC
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.