Evidence map›Paper›PMID 33627333›Full record

ArticleBMJ open respiratory research2021

Assessment of SARS-CoV-2 infectivity of upper respiratory specimens from COVID-19 patients by virus isolation using VeroE6/TMPRSS2 cells.

Souichi Yamada, Shuetsu Fukushi, Hitomi Kinoshita, Makoto Ohnishi, Tadaki Suzuki, Tsuguto Fujimoto, Masayuki Saijo, Ken Maeda, Virus Diagnosis Group (NIID Toyama)

Open access · goldAbstract read
In one paragraph

Article in BMJ open respiratory research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 8% 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

31 citing papers in PubMed, 1 synthesis or guideline pooled it, 49 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Synthetic host defense peptide inhibits SARS-CoV-2 replicationAntimicrobial agents and chemotherapy · 2025
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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

9 authors at 1 institution in 1 country.

Souichi YamadaVirology 1, NIID, Shinjuku-ku, Tokyo, Japan.
Shuetsu FukushiVirology 1, NIID, Shinjuku-ku, Tokyo, Japan fukushi@nih.go.jp.ORCID 0000-0003-2718-6813
Hitomi KinoshitaVirology 1, NIID, Shinjuku-ku, Tokyo, Japan.
Makoto OhnishiNIID, Shinjuku-ku, Tokyo, Japan.
Tadaki SuzukiDepartment of Pathology, NIID, Shinjuku-ku, Tokyo, Japan.
Tsuguto FujimotoCenter for Infectious Disease Risk Management, NIID, Shinjuku-ku, Tokyo, Japan.
Masayuki SaijoVirology 1, NIID, Shinjuku-ku, Tokyo, Japan.
Ken MaedaDepartment of Veterinary Science, NIID, Shinjuku-ku, Tokyo, Japan.
Virus Diagnosis Group (NIID Toyama)
National Institute of Infectious Diseases · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAn outbreak of novel coronavirus (SARS-CoV-2)-associated respiratory infectious diseases (COVID-19) emerged in 2019 and has spread rapidly in humans around the world. The demonstration of in vitro infectiousness of respiratory specimens is an informative surrogate for SARS-CoV-2 transmission from patients with COVID-19; accordingly, viral isolation assays in cell culture are an important aspect of laboratory diagnostics for COVID-19.

methodsWe developed a simple and rapid protocol for isolating SARS-CoV-2 from respiratory specimens using VeroE6/TMPRSS2 cells, a cell line that is highly susceptible to the virus. We also investigated a correlation between isolation of SARS-CoV-2 and viral load detected by real-time RT-PCR (rRT-PCR) using N2 primer/probe set that has been developed for testing of COVID-19 in Japan.

resultsThe SARS-CoV-2 isolation protocol did not require blind passage of inoculated cells and yielded the results of viral isolation within 7 days after inoculation. Specimens with cycle threshold (Ct) values of <20.2, determined by rRT-PCR, were predicted to be isolation-positive. On the other hand, 6.9% of specimens with Ct values >35 were virus isolation-positive, indicating that low viral loads (high Ct values) in upper respiratory specimens do not always indicate no risk of containing transmissible virus.

conclusionIn combination with rRT-PCR, the SARS-CoV-2 isolation protocol provides a means for assessing the potential risk of transmissible virus in upper respiratory specimens.

Indexed as

AnimalsCell LineChlorocebus aethiopsCOVID-19COVID-19 Nucleic Acid TestingCytopathogenic Effect, ViralHumansNasal CavityNasopharynxSalivaSARS-CoV-2Serine EndopeptidasesSpecimen HandlingVero CellsSerine EndopeptidasesTMPRSS2 protein, humanCOVID-19viral infection

Identifiers

PMID33627333
PMCPMC7907832
OpenAlexW3131302997

What OpenQuestion holds

Textmetadata
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.