Evidence map›Paper›PMID 32868447›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2020

A SARS-CoV-2 vaccine candidate would likely match all currently circulating variants.

Bethany Dearlove, Eric Lewitus, Hongjun Bai, Yifan Li, Daniel B Reeves, M Gordon Joyce, Paul T Scott, Mihret F Amare, Sandhya Vasan, Nelson L Michael and 2 more

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04841785 (The RECOVAC LESS CoV-2 Study - Long Term Efficacy and Safety of SARS-CoV-2 Vaccination in Patients in Patients With Chronic Kidney Disease Stage G4-G5, on Dialysis or After Kidney Transplantation), which is not on this map. Cited by 145 papers.

0numbers the graph read from it
0cells of the map it votes in
145citing papers in PubMed
5.6field-weighted citation impact, top 3% 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.

NCT04841785 completednot on this mapstarted 2021, after this paper: background citation

The RECOVAC LESS CoV-2 Study - Long Term Efficacy and Safety of SARS-CoV-2 Vaccination in Patients in Patients With Chronic Kidney Disease Stage G4-G5, on Dialysis or After Kidney Transplantation

TypeobservationalSponsorUniversity Medical Center GroningenRan2021 to 2023Enrolled4,868ConditionsCovid19, SARS-CoV Infection, Chronic Kidney DiseasesArmsmailer-based finger-prick
3 · Its place in the literature

Who cites it

145 citing papers in PubMed, 230 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Review
  16. Article
  17. Review
  18. Article
  19. Article
  20. Review

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 3 institutions in 1 country.

Bethany DearloveEmerging Infectious Diseases Branch, Walter Reed Army Institute of Research, Silver Spring, MD 20910.ORCID 0000-0003-3653-4592
Eric LewitusEmerging Infectious Diseases Branch, Walter Reed Army Institute of Research, Silver Spring, MD 20910.ORCID 0000-0001-6459-2437
Hongjun BaiEmerging Infectious Diseases Branch, Walter Reed Army Institute of Research, Silver Spring, MD 20910.ORCID 0000-0002-3501-3974
Yifan LiEmerging Infectious Diseases Branch, Walter Reed Army Institute of Research, Silver Spring, MD 20910.ORCID 0000-0001-7038-2671
Daniel B ReevesVaccine and Infectious Disease Division, Fred Hutchinson Cancer Research Center, Seattle, WA 98109.ORCID 0000-0001-5684-9538
M Gordon JoyceEmerging Infectious Diseases Branch, Walter Reed Army Institute of Research, Silver Spring, MD 20910.ORCID 0000-0002-6808-7232
Paul T ScottEmerging Infectious Diseases Branch, Walter Reed Army Institute of Research, Silver Spring, MD 20910.
Mihret F AmareEmerging Infectious Diseases Branch, Walter Reed Army Institute of Research, Silver Spring, MD 20910.ORCID 0000-0002-2696-6116
Sandhya VasanUS Military HIV Research Program, Walter Reed Army Institute of Research, Silver Spring, MD 20910.ORCID 0000-0002-6378-6288
Nelson L MichaelCenter for Infectious Diseases Research, Walter Reed Army Institute of Research, Silver Spring, MD 20910.ORCID 0000-0001-5882-5548
Kayvon ModjarradEmerging Infectious Diseases Branch, Walter Reed Army Institute of Research, Silver Spring, MD 20910; kayvon.modjarrad.civ@mail.mil mrolland@hivresearch.org.ORCID 0000-0002-6514-5572
Morgane RollandEmerging Infectious Diseases Branch, Walter Reed Army Institute of Research, Silver Spring, MD 20910; kayvon.modjarrad.civ@mail.mil mrolland@hivresearch.org.ORCID 0000-0003-3650-8490
Henry M. Jackson Foundation · USWalter Reed Army Institute of Research · USFred Hutch Cancer Center · US

Funding

SDMC: HIV Vaccine Trials NetworkUM1AI068635 · NIAID · FRED HUTCHINSON CANCER RESEARCH CENTER · PI Peter B. Gilbert, Yunda Huang · 2011 to 2026
$385.9M
Simulating persistence and elimination of the HIV reservoirK25AI155224 · NIAID · FRED HUTCHINSON CANCER RESEARCH CENTER · PI REEVES, DANIEL · 2020 to 2024
$581k
NIAID NIH HHS K25 AI155224NIAID NIH HHS UM1 AI068635
6 · The paper itself

Abstract

The magnitude of the COVID-19 pandemic underscores the urgency for a safe and effective vaccine. Many vaccine candidates focus on the Spike protein, as it is targeted by neutralizing antibodies and plays a key role in viral entry. Here we investigate the diversity seen in severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) sequences and compare it to the sequence on which most vaccine candidates are based. Using 18,514 sequences, we perform phylogenetic, population genetics, and structural bioinformatics analyses. We find limited diversity across SARS-CoV-2 genomes: Only 11 sites show polymorphisms in >5% of sequences; yet two mutations, including the D614G mutation in Spike, have already become consensus. Because SARS-CoV-2 is being transmitted more rapidly than it evolves, the viral population is becoming more homogeneous, with a median of seven nucleotide substitutions between genomes. There is evidence of purifying selection but little evidence of diversifying selection, with substitution rates comparable across structural versus nonstructural genes. Finally, the Wuhan-Hu-1 reference sequence for the Spike protein, which is the basis for different vaccine candidates, matches optimized vaccine inserts, being identical to an ancestral sequence and one mutation away from the consensus. While the rapid spread of the D614G mutation warrants further study, our results indicate that drift and bottleneck events can explain the minimal diversity found among SARS-CoV-2 sequences. These findings suggest that a single vaccine candidate should be efficacious against currently circulating lineages.

Indexed as

Genome, ViralBetacoronavirusCoronavirus InfectionsCOVID-19COVID-19 VaccinesGenetic VariationHumansPandemicsPneumonia, ViralPoint MutationSARS-CoV-2Selection, GeneticViral VaccinesCOVID-19 VaccinesViral VaccinesevolutionSARS-CoV-2vaccine

Identifiers

PMID32868447
PMCPMC7519301
OpenAlexW3082387069

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.