Evidence map›Paper›PMID 33627662›Full record

ArticleNature communications2021

Comparison of rhesus and cynomolgus macaques as an infection model for COVID-19.

Francisco J Salguero, Andrew D White, Gillian S Slack, Susan A Fotheringham, Kevin R Bewley, Karen E Gooch, Stephanie Longet, Holly E Humphries, Robert J Watson, Laura Hunter and 54 more

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 115 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
115citing papers in PubMed, 3 pooled it
9.3field-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

115 citing papers in PubMed, 3 syntheses or guidelines pooled it, 163 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. A Meta-Analysis of Rhesus Macaques (Comparative medicine · 2021
    Pooled it
  4. Article
  5. Article
  6. Article
  7. Comparison of [Molecular imaging and biology · 2026
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. SIRPα Immuno-PET Provides a Pan-Myeloid View of Immune Activity During COVID-19.Journal of nuclear medicine : official publication, Society of Nuclear Medicine · 2026
    Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Review
  19. Article
  20. Article

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

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

64 authors at 6 institutions in 2 countries.

Francisco J SalgueroNational Infection Service, Public Health England (PHE), Porton Down, Salisbury, Wiltshire, UK.
Andrew D WhiteNational Infection Service, Public Health England (PHE), Porton Down, Salisbury, Wiltshire, UK.ORCID 0000-0001-9481-0079
Gillian S SlackNational Infection Service, Public Health England (PHE), Porton Down, Salisbury, Wiltshire, UK.
Susan A FotheringhamNational Infection Service, Public Health England (PHE), Porton Down, Salisbury, Wiltshire, UK.
Kevin R BewleyNational Infection Service, Public Health England (PHE), Porton Down, Salisbury, Wiltshire, UK.ORCID 0000-0002-9078-6734
Karen E GoochNational Infection Service, Public Health England (PHE), Porton Down, Salisbury, Wiltshire, UK.
Stephanie LongetNational Infection Service, Public Health England (PHE), Porton Down, Salisbury, Wiltshire, UK.ORCID 0000-0001-5026-431X
Holly E HumphriesNational Infection Service, Public Health England (PHE), Porton Down, Salisbury, Wiltshire, UK.
Robert J WatsonNational Infection Service, Public Health England (PHE), Porton Down, Salisbury, Wiltshire, UK.
Laura HunterNational Infection Service, Public Health England (PHE), Porton Down, Salisbury, Wiltshire, UK.
Kathryn A RyanNational Infection Service, Public Health England (PHE), Porton Down, Salisbury, Wiltshire, UK.ORCID 0000-0001-8608-1144
Yper HallNational Infection Service, Public Health England (PHE), Porton Down, Salisbury, Wiltshire, UK.
Laura SibleyNational Infection Service, Public Health England (PHE), Porton Down, Salisbury, Wiltshire, UK.
Charlotte SarfasNational Infection Service, Public Health England (PHE), Porton Down, Salisbury, Wiltshire, UK.
Lauren AllenNational Infection Service, Public Health England (PHE), Porton Down, Salisbury, Wiltshire, UK.
Marilyn AramNational Infection Service, Public Health England (PHE), Porton Down, Salisbury, Wiltshire, UK.
Emily BruntNational Infection Service, Public Health England (PHE), Porton Down, Salisbury, Wiltshire, UK.
Phillip BrownNational Infection Service, Public Health England (PHE), Porton Down, Salisbury, Wiltshire, UK.ORCID 0000-0001-6367-6495
Karen R ButtigiegNational Infection Service, Public Health England (PHE), Porton Down, Salisbury, Wiltshire, UK.
Breeze E CavellNational Infection Service, Public Health England (PHE), Porton Down, Salisbury, Wiltshire, UK.ORCID 0000-0001-9897-1590
Rebecca CobbNational Infection Service, Public Health England (PHE), Porton Down, Salisbury, Wiltshire, UK.
Naomi S CoombesNational Infection Service, Public Health England (PHE), Porton Down, Salisbury, Wiltshire, UK.
Alistair DarbyInstitute of Infection, Veterinary and Ecological Sciences, University of Liverpool, Liverpool, UK.
Owen Daykin-PontNational Infection Service, Public Health England (PHE), Porton Down, Salisbury, Wiltshire, UK.
Michael J ElmoreNational Infection Service, Public Health England (PHE), Porton Down, Salisbury, Wiltshire, UK.ORCID 0000-0001-9425-2660
Isabel Garcia-DorivalInstitute of Infection, Veterinary and Ecological Sciences, University of Liverpool, Liverpool, UK.
Konstantinos GkolfinosNational Infection Service, Public Health England (PHE), Porton Down, Salisbury, Wiltshire, UK.
Kerry J GodwinNational Infection Service, Public Health England (PHE), Porton Down, Salisbury, Wiltshire, UK.
Jade GourietNational Infection Service, Public Health England (PHE), Porton Down, Salisbury, Wiltshire, UK.
Rachel HalkerstonNational Infection Service, Public Health England (PHE), Porton Down, Salisbury, Wiltshire, UK.
Debbie J HarrisNational Infection Service, Public Health England (PHE), Porton Down, Salisbury, Wiltshire, UK.
Thomas HenderNational Infection Service, Public Health England (PHE), Porton Down, Salisbury, Wiltshire, UK.
Catherine M K HoNational Infection Service, Public Health England (PHE), Porton Down, Salisbury, Wiltshire, UK.
Chelsea L KennardNational Infection Service, Public Health England (PHE), Porton Down, Salisbury, Wiltshire, UK.
Daniel KnottNational Infection Service, Public Health England (PHE), Porton Down, Salisbury, Wiltshire, UK.
Stephanie LeungNational Infection Service, Public Health England (PHE), Porton Down, Salisbury, Wiltshire, UK.
Vanessa LucasNational Infection Service, Public Health England (PHE), Porton Down, Salisbury, Wiltshire, UK.
Adam MabbuttNational Infection Service, Public Health England (PHE), Porton Down, Salisbury, Wiltshire, UK.
Alexandra L MorrisonNational Infection Service, Public Health England (PHE), Porton Down, Salisbury, Wiltshire, UK.
Charlotte NelsonInstitute of Infection, Veterinary and Ecological Sciences, University of Liverpool, Liverpool, UK.
Didier NgaboNational Infection Service, Public Health England (PHE), Porton Down, Salisbury, Wiltshire, UK.ORCID 0000-0003-1818-1439
Jemma PatersonNational Infection Service, Public Health England (PHE), Porton Down, Salisbury, Wiltshire, UK.
Elizabeth J PennNational Infection Service, Public Health England (PHE), Porton Down, Salisbury, Wiltshire, UK.
Steve PullanNational Infection Service, Public Health England (PHE), Porton Down, Salisbury, Wiltshire, UK.
Irene TaylorNational Infection Service, Public Health England (PHE), Porton Down, Salisbury, Wiltshire, UK.
Tom TiptonNational Infection Service, Public Health England (PHE), Porton Down, Salisbury, Wiltshire, UK.ORCID 0000-0002-0573-528X
Stephen ThomasNational Infection Service, Public Health England (PHE), Porton Down, Salisbury, Wiltshire, UK.
Julia A TreeNational Infection Service, Public Health England (PHE), Porton Down, Salisbury, Wiltshire, UK.
Carrie TurnerNational Infection Service, Public Health England (PHE), Porton Down, Salisbury, Wiltshire, UK.
Edith VamosInstitute of Infection, Veterinary and Ecological Sciences, University of Liverpool, Liverpool, UK.
Nadina WandNational Infection Service, Public Health England (PHE), Porton Down, Salisbury, Wiltshire, UK.ORCID 0000-0002-5518-4367
Nathan R WiblinNational Infection Service, Public Health England (PHE), Porton Down, Salisbury, Wiltshire, UK.
Sue CharltonNational Infection Service, Public Health England (PHE), Porton Down, Salisbury, Wiltshire, UK.
Xiaofeng DongInstitute of Infection, Veterinary and Ecological Sciences, University of Liverpool, Liverpool, UK.
Bassam HallisNational Infection Service, Public Health England (PHE), Porton Down, Salisbury, Wiltshire, UK.
Geoffrey PearsonNational Infection Service, Public Health England (PHE), Porton Down, Salisbury, Wiltshire, UK.
Emma L RaynerNational Infection Service, Public Health England (PHE), Porton Down, Salisbury, Wiltshire, UK.
Andrew G NicholsonRoyal Brompton and Harefield NHS Foundation Trust, and National Heart and Lung Institute, Imperial College, London, UK.
Simon G FunnellNational Infection Service, Public Health England (PHE), Porton Down, Salisbury, Wiltshire, UK.ORCID 0000-0002-4254-2751
Julian A HiscoxInstitute of Infection, Veterinary and Ecological Sciences, University of Liverpool, Liverpool, UK.
Mike J DennisNational Infection Service, Public Health England (PHE), Porton Down, Salisbury, Wiltshire, UK.
Fergus V GleesonDepartment of Oncology, Oxford University, Oxford, UK.
Sally SharpeNational Infection Service, Public Health England (PHE), Porton Down, Salisbury, Wiltshire, UK.
Miles W CarrollNational Infection Service, Public Health England (PHE), Porton Down, Salisbury, Wiltshire, UK. miles.carroll@phe.gov.uk.
Public Health England · GBUniversity of Liverpool · GBAgency for Science, Technology and Research · SGCentre for Human Genetics · GBRoyal Brompton & Harefield NHS Foundation Trust · GBUniversity of Oxford · GB

Funding

Medical Research Council
6 · The paper itself

Abstract

A novel coronavirus, SARS-CoV-2, has been identified as the causative agent of the current COVID-19 pandemic. Animal models, and in particular non-human primates, are essential to understand the pathogenesis of emerging diseases and to assess the safety and efficacy of novel vaccines and therapeutics. Here, we show that SARS-CoV-2 replicates in the upper and lower respiratory tract and causes pulmonary lesions in both rhesus and cynomolgus macaques. Immune responses against SARS-CoV-2 are also similar in both species and equivalent to those reported in milder infections and convalescent human patients. This finding is reiterated by our transcriptional analysis of respiratory samples revealing the global response to infection. We describe a new method for lung histopathology scoring that will provide a metric to enable clearer decision making for this key endpoint. In contrast to prior publications, in which rhesus are accepted to be the preferred study species, we provide convincing evidence that both macaque species authentically represent mild to moderate forms of COVID-19 observed in the majority of the human population and both species should be used to evaluate the safety and efficacy of interventions against SARS-CoV-2. Importantly, accessing cynomolgus macaques will greatly alleviate the pressures on current rhesus stocks.

Indexed as

AnimalsCOVID-19Disease Models, AnimalFemaleImmunity, CellularInterferon-gammaLungMacaca fascicularisMacaca mulattaMalePandemicsSARS-CoV-2Interferon-gamma

Identifiers

PMID33627662
PMCPMC7904795
OpenAlexW3085293961

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.