Evidence map›Paper›PMID 33306459›Full record

ArticleEmerging microbes & infections2021

SARS-CoV-2 genomic characterization and clinical manifestation of the COVID-19 outbreak in Uruguay.

Victoria Elizondo, Gordon W Harkins, Batsirai Mabvakure, Sabine Smidt, Paul Zappile, Christian Marier, Matthew T Maurano, Victoria Perez, Natalia Mazza, Carolina Beloso and 15 more

Open access · goldAbstract read
In one paragraph

Article in Emerging microbes & infections, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
1.0field-weighted citation impact, top 13% 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

24 citing papers in PubMed, 44 citations in OpenAlex.

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  19. SARS-CoV-2 in Transit: Characterization of SARS-CoV-2 Genomes From Venezuelan Migrants in Colombia.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2021
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

25 authors at 8 institutions in 5 countries.

Victoria ElizondoLaboratorio de Biología Molecular, Asociación Española Primera en Salud, Montevideo, Uruguay.
Gordon W HarkinsSouth African Medical Research Council Capacity Development Unit, South African National Bioinformatics Institute, University of the Western Cape, Bellville, South Africa.ORCID https://orcid.org/0000-0003-0041-8047
Batsirai MabvakureDepartment of Medicine, Johns Hopkins School of Medicine, Baltimore, MD, USA.
Sabine SmidtSouth African Medical Research Council Capacity Development Unit, South African National Bioinformatics Institute, University of the Western Cape, Bellville, South Africa.
Paul ZappileGenome Technology Center, Office for Science and Research, NYU Langone Health, New York, NY, USA.
Christian MarierGenome Technology Center, Office for Science and Research, NYU Langone Health, New York, NY, USA.
Matthew T MauranoDepartment of Pathology, NYU Grossman School of Medicine, New York, NY, USA.
Victoria PerezLaboratorio de Biología Molecular, Asociación Española Primera en Salud, Montevideo, Uruguay.
Natalia MazzaLaboratorio de Biología Molecular, Asociación Española Primera en Salud, Montevideo, Uruguay.ORCID https://orcid.org/0000-0002-9139-5313
Carolina BelosoLaboratorio de Biología Molecular, Asociación Española Primera en Salud, Montevideo, Uruguay.
Silvana IfranLaboratorio de Biología Molecular, Asociación Española Primera en Salud, Montevideo, Uruguay.
Mariana FernandezLaboratorio de Biología Molecular, Asociación Española Primera en Salud, Montevideo, Uruguay.
Andrea SantiniLaboratorio de Biología Molecular, Asociación Española Primera en Salud, Montevideo, Uruguay.
Veronica PerezLaboratorio de Biología Molecular, Asociación Española Primera en Salud, Montevideo, Uruguay.
Veronica EstevezLaboratorio de Biología Molecular, Asociación Española Primera en Salud, Montevideo, Uruguay.
Matilde NinLaboratorio de Biología Molecular, Asociación Española Primera en Salud, Montevideo, Uruguay.
Gonzalo ManriqueLaboratorio de Biología Molecular, Asociación Española Primera en Salud, Montevideo, Uruguay.
Leticia PerezLaboratorio de Biología Molecular, Asociación Española Primera en Salud, Montevideo, Uruguay.
Fabiana RossLaboratorio de Biología Molecular, Asociación Española Primera en Salud, Montevideo, Uruguay.
Susana BoschiLaboratorio de Biología Molecular, Asociación Española Primera en Salud, Montevideo, Uruguay.
Maria Noel ZubillagaLaboratorio de Biología Molecular, Asociación Española Primera en Salud, Montevideo, Uruguay.
Raquel BallesteLaboratorio de Biología Molecular, Asociación Española Primera en Salud, Montevideo, Uruguay.
Simon DellicourSpatial Epidemiology Lab. (SpELL), Université Libre de Bruxelles, Bruxelles, Belgium.ORCID https://orcid.org/0000-0001-9558-1052
Adriana HeguyGenome Technology Center, Office for Science and Research, NYU Langone Health, New York, NY, USA.ORCID https://orcid.org/0000-0002-2836-6683
Ralf DuerrDepartment of Pathology, NYU Grossman School of Medicine, New York, NY, USA.ORCID https://orcid.org/0000-0001-9569-9237
Office of Science · USInstituto de Medicina Tropical · PYSouth African Medical Research Council · ZAInstitute for Systems Biology · USInstituto de Investigaciones Biológicas Clemente Estable · UYJohns Hopkins University · USNew York University · USUniversité Libre de Bruxelles · BE

Funding

Vaccine FacilityP30CA016087 · NCI · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI ANIRBAN MAITRA · 1985 to 2026
$83.1M
Novel HIV-1 Env trimer probes for efficient isolation of broadly neutralizing antibodiesR01AI122953 · NIAID · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI WU, XUELING · 2016 to 2019
$2.6M
Genomic organization of long-distance gene regulationR35GM119703 · NIGMS · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI MAURANO, MATTHEW THOMAS · 2016 to 2020
$2.1M
NCI NIH HHS P30 CA016087NIAID NIH HHS R01 AI122953NIGMS NIH HHS R35 GM119703
6 · The paper itself

Abstract

COVID-19 is a respiratory illness caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and declared by the World Health Organization a global public health emergency. Among the severe outbreaks across South America, Uruguay has become known for curtailing SARS-CoV-2 exceptionally well. To understand the SARS-CoV-2 introductions, local transmissions, and associations with genomic and clinical parameters in Uruguay, we sequenced the viral genomes of 44 outpatients and inpatients in a private healthcare system in its capital, Montevideo, from March to May 2020. We performed a phylogeographic analysis using sequences from our cohort and other studies that indicate a minimum of 23 independent introductions into Uruguay, resulting in five major transmission clusters. Our data suggest that most introductions resulting in chains of transmission originate from other South American countries, with the earliest seeding of the virus in late February 2020, weeks before the borders were closed to all non-citizens and a partial lockdown implemented. Genetic analyses suggest a dominance of S and G clades (G, GH, GR) that make up >90% of the viral strains in our study. In our cohort, lethal outcome of SARS-CoV-2 infection significantly correlated with arterial hypertension, kidney failure, and ICU admission (FDR < 0.01), but not with any mutation in a structural or non-structural protein, such as the spike D614G mutation. Our study contributes genetic, phylodynamic, and clinical correlation data about the exceptionally well-curbed SARS-CoV-2 outbreak in Uruguay, which furthers the understanding of disease patterns and regional aspects of the pandemic in Latin America.

Indexed as

MutationAdolescentAdultAgedAged, 80 and overCOVID-19Disease OutbreaksFemaleHumansMaleMiddle AgedPhylogenyPolymorphism, Single NucleotideSARS-CoV-2UruguayYoung Adultclinical correlationsCOVID-19 outbreakfull genome amplicon sequencingphylogeographic BEAST analysisSARS-CoV-2South Americaspike D614G genetic mutationUruguay

Identifiers

PMID33306459
PMCPMC7832039
OpenAlexW3113137944

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.