Evidence map›Paper›PMID 33795879›Full record

ArticleNature microbiology2021

Detection of respiratory syncytial virus defective genomes in nasal secretions is associated with distinct clinical outcomes.

Sébastien A Felt, Yan Sun, Agnieszka Jozwik, Allan Paras, Maximillian S Habibi, David Nickle, Larry Anderson, Emna Achouri, Kristen A Feemster, Ana María Cárdenas and 6 more

Open access · greenAbstract read
In one paragraph

Article in Nature microbiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed
7.2field-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

50 citing papers in PubMed, 68 citations in OpenAlex.

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  14. Spatio-temporal modelling ofbioRxiv : the preprint server for biology · 2025
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  20. Introduction to Respiratory Syncytial Virus.Methods in molecular biology (Clifton, N.J.) · 2025
    Article
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

16 authors at 7 institutions in 2 countries.

Sébastien A Felt *Department of Pathobiology, School of Veterinary Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Yan Sun *Department of Pathobiology, School of Veterinary Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Agnieszka JozwikDepartment of Infectious Disease, Imperial College London, London, UK.
Allan ParasDepartment of Infectious Disease, Imperial College London, London, UK.
Maximillian S HabibiDepartment of Infectious Disease, Imperial College London, London, UK.
David NickleMerck & Co., Inc., Kenilworth, NJ, USA.
Larry AndersonPediatric Infectious Disease, Emory University, Atlanta, GA, USA.
Emna AchouriDepartment of Molecular Microbiology and Center for Women Infectious Disease Research, Washington University School of Medicine, St Louis, MO, USA.
Kristen A FeemsterDivision of Infectious Diseases, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Ana María CárdenasInfectious Disease Diagnostics Laboratory, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Kedir N TuriDivision of Allergy, Pulmonary, and Critical Care Medicine, Vanderbilt University Medical Center, Nashville, TN, USA.ORCID http://orcid.org/0000-0002-3853-9357
Meiping ChangMerck & Co., Inc., Kenilworth, NJ, USA.
Tina V HartertDivision of Allergy, Pulmonary, and Critical Care Medicine, Vanderbilt University Medical Center, Nashville, TN, USA.
Shaon SenguptaDepartment of Pediatrics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.ORCID http://orcid.org/0000-0001-5237-3835
Christopher ChiuDepartment of Infectious Disease, Imperial College London, London, UK. c.chiu@imperial.ac.uk.ORCID http://orcid.org/0000-0003-0914-920X
Carolina B LópezDepartment of Pathobiology, School of Veterinary Medicine, University of Pennsylvania, Philadelphia, PA, USA. clopezzalaquett@wustl.edu.ORCID http://orcid.org/0000-0002-7669-6572
Imperial College London · GBChildren's Hospital of Philadelphia · USWashington University in St. Louis · USMerck & Co., Inc., Rahway, NJ, USA (United States) · USVanderbilt University Medical Center · USEmory University · USUniversity of Rochester · US

Funding

VANDERBILT UNIVERSITY CTSA FOR PEDIATRIC RESEARCHUL1RR024975 · NCRR · VANDERBILT UNIVERSITY · PI BERNARD, GORDON RAPHAEL · 2007 to 2011
$45.7M
Viral and Host Determinants of Infant and Childhood Allergy and AsthmaU19AI095227 · NIAID · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Tina V Hartert · 2011 to 2026
$34.9M
Defective Viral genomes in RSV pathogenesisR01AI137062 · NIAID · WASHINGTON UNIVERSITY · PI Carolina B. Lopez · 2018 to 2026
$4.2M
Mechanisms of DDO AdjuvancyR01AI134862 · NIAID · WASHINGTON UNIVERSITY · PI LOPEZ, CAROLINA B. · 2018 to 2022
$2.4M
Midcareer Investigator Patient-oriented Research Award in Bronchiolitis & AsthmaK24AI077930 · NIAID · VANDERBILT UNIVERSITY MEDICAL CENTER · PI HARTERT, TINA V · 2008 to 2017
$1.6M
The Vanderbilt Institute for Clinical and Translational Research (VICTR) TL1TL1RR024978 · NCRR · VANDERBILT UNIVERSITY · PI BERNARD, GORDON RAPHAEL · 2007 to 2011
$1.3M
Identification of Early Metabolomic and Immune Endotypes of Allergy and Asthma: An Integrated Multiomics ApproachK01HL149989 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI TURI, KEDIR NESHA · 2020 to 2024
$810k
Medical Research Council G0902266NCRR NIH HHS TL1 RR024978NCRR NIH HHS UL1 RR024975NHLBI NIH HHS K01 HL149989NIAID NIH HHS K24 AI077930NIAID NIH HHS R01 AI134862NIAID NIH HHS R01 AI137062NIAID NIH HHS U19 AI095227Wellcome TrustWellcome Trust 087805/Z/08/Z
6 · The paper itself

Abstract

Respiratory syncytial virus (RSV) causes respiratory illness in children, immunosuppressed individuals and the elderly. However, the viral factors influencing the clinical outcome of RSV infections remain poorly defined. Defective viral genomes (DVGs) can suppress virus replication by competing for viral proteins and by stimulating antiviral immunity. We studied the association between detection of DVGs of the copy-back type and disease severity in three RSV A-confirmed cohorts. In hospitalized children, detection of DVGs in respiratory samples at or around the time of admission associated strongly with more severe disease, higher viral load and a stronger pro-inflammatory response. Interestingly, in experimentally infected adults, the presence of DVGs in respiratory secretions differentially associated with RSV disease severity depending on when DVGs were detected. Detection of DVGs early after infection associated with low viral loads and mild disease, whereas detection of DVGs late after infection, especially if DVGs were present for prolonged periods, associated with high viral loads and severe disease. Taken together, we demonstrate that the kinetics of DVG accumulation and duration could predict clinical outcome of RSV A infection in humans, and thus could be used as a prognostic tool to identify patients at risk of worse clinical disease.

Indexed as

Genome, ViralCohort StudiesDefective VirusesFemaleHumansInfantInfant, NewbornMaleNasal MucosaRespiratory Syncytial Virus, HumanRespiratory Syncytial Virus Infections

Identifiers

PMID33795879
PMCPMC9098209
OpenAlexW3139937866

What OpenQuestion holds

Textmetadata
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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.