Evidence map›Paper›PMID 32981112›Full record

ReviewHistopathology2021

Hunting coronavirus by transmission electron microscopy - a guide to SARS-CoV-2-associated ultrastructural pathology in COVID-19 tissues.

Helmut Hopfer, Martin C Herzig, Rainer Gosert, Thomas Menter, Jürgen Hench, Alexandar Tzankov, Hans H Hirsch, Sara E Miller

Open access · bronzeAbstract readReview
In one paragraph

Review in Histopathology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 58 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
58citing papers in PubMed, 2 pooled it
2.4field-weighted citation impact, top 6% 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

58 citing papers in PubMed, 2 syntheses or guidelines pooled it, 119 citations in OpenAlex.

  1. Pooled it
  2. Histopathological findings and clinicopathologic correlation in COVID-19: a systematic review.Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc · 2021
    Pooled it
  3. Review
  4. Article
  5. Article
  6. Article
  7. A survey of SARS-CoV-2 tropism.Infectious diseases & immunity · 2025
    Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Long COVID: From olfactory dysfunctions to viral Parkinsonism.World journal of otorhinolaryngology - head and neck surgery · 2024
    Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. COVID-19 Biogenesis and Intracellular Transport.International journal of molecular sciences · 2023
    Review
  18. Article
  19. Article
  20. Review
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 3 institutions in 2 countries.

Helmut HopferPathology, Institute of Medical Genetics and Pathology, University Hospital Basel, University of Basel, Basel, Switzerland.ORCID https://orcid.org/0000-0003-1755-2170
Martin C HerzigPathology, Institute of Medical Genetics and Pathology, University Hospital Basel, University of Basel, Basel, Switzerland.
Rainer GosertClinical Virology, Laboratory Medicine, University Hospital Basel, Basel, Switzerland.
Thomas MenterPathology, Institute of Medical Genetics and Pathology, University Hospital Basel, University of Basel, Basel, Switzerland.ORCID https://orcid.org/0000-0002-0847-6156
Jürgen HenchPathology, Institute of Medical Genetics and Pathology, University Hospital Basel, University of Basel, Basel, Switzerland.
Alexandar TzankovPathology, Institute of Medical Genetics and Pathology, University Hospital Basel, University of Basel, Basel, Switzerland.ORCID https://orcid.org/0000-0002-1100-3819
Hans H HirschClinical Virology, Laboratory Medicine, University Hospital Basel, Basel, Switzerland.
Sara E MillerDepartment of Pathology, Duke University Medical Center, Durham, NC, USA.
University of Basel · CHDuke Medical Center · USUniversity Hospital of Basel · CH

Funding

Botnar Research Centre for Child Health
6 · The paper itself

Abstract

Transmission electron microscopy has become a valuable tool to investigate tissues of COVID-19 patients because it allows visualisation of SARS-CoV-2, but the 'virus-like particles' described in several organs have been highly contested. Because most electron microscopists in pathology are not accustomed to analysing viral particles and subcellular structures, our review aims to discuss the ultrastructural changes associated with SARS-CoV-2 infection and COVID-19 with respect to pathology, virology and electron microscopy. Using micrographs from infected cell cultures and autopsy tissues, we show how coronavirus replication affects ultrastructure and put the morphological findings in the context of viral replication, which induces extensive remodelling of the intracellular membrane systems. Virions assemble by budding into the endoplasmic reticulum-Golgi intermediate complex and are characterised by electron-dense dots of cross-sections of the nucleocapsid inside the viral particles. Physiological mimickers such as multivesicular bodies or coated vesicles serve as perfect decoys. Compared to other in-situ techniques, transmission electron microscopy is the only method to visualise assembled virions in tissues, and will be required to prove SARS-CoV-2 replication outside the respiratory tract. In practice, documenting in tissues the characteristic features seen in infected cell cultures seems to be much more difficult than anticipated. In our view, the hunt for coronavirus by transmission electron microscopy is still on.

Indexed as

Coronavirus InfectionsCOVID-19HumansMicroscopy, Electron, TransmissionRNA, ViralSARS-CoV-2VirionVirus AssemblyVirus ReplicationRNA, Viralcoronaviruselectron microscopyultrastructurevirus replication

Identifiers

PMID32981112
PMCPMC7537546
OpenAlexW3087771094

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.