Evidence map›Paper›PMID 33963845›Full record

ArticleDatabase : the journal of biological databases and curation2021

COVIDOUTCOME-estimating COVID severity based on mutation signatures in the SARS-CoV-2 genome.

Ádám Nagy, Balázs Ligeti, János Szebeni, Sándor Pongor, Balázs Gyrffy

Abstract read
In one paragraph

Article in Database : the journal of biological databases and curation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
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

14 citing papers in PubMed.

  1. Article
  2. Prediction models for COVID-19 disease outcomes.Emerging microbes & infections · 2024
    Article
  3. Article
  4. Article
  5. Article
  6. Applying the digital data and the bioinformatics tools in SARS-CoV-2 research.Computational and structural biotechnology journal · 2023
    Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. 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

5 authors.

Ádám NagyDepartment of Bioinformatics, Semmelweis University, u 7-9, Tűzoltó, Budapest H-1094, Hungary.
Balázs LigetiFaculty of Information Technology and Bionics, Pázmány Péter Catholic University, 50/A, Práter u, Budapest H-1083, Hungary.
János SzebeniDepartment of Nanomedicine, Semmelweis University, 4, Nagyvárad tér, Budapest H-1089, Hungary.
Sándor PongorFaculty of Information Technology and Bionics, Pázmány Péter Catholic University, 50/A, Práter u, Budapest H-1083, Hungary.
Balázs GyrffyDepartment of Bioinformatics, Semmelweis University, u 7-9, Tűzoltó, Budapest H-1094, Hungary.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Numerous studies demonstrate frequent mutations in the genome of SARS-CoV-2. Our goal was to statistically link mutations to severe disease outcome. We used an automated machine learning approach where 1594 viral genomes with available clinical follow-up data were used as the training set (797 'severe' and 797 'mild'). The best algorithm, based on random forest classification combined with the LASSO feature selection algorithm, was employed to the training set to link mutation signatures and outcome. The performance of the final model was estimated by repeated, stratified, 10-fold cross validation (CV) and then adjusted for multiple testing with Bootstrap Bias Corrected CV. We identified 26 protein and Untranslated Region (UTR) mutations significantly linked to severe outcome. The best classification algorithm uses a mutation signature of 22 mutations as well as the patient's age as the input and shows high classification efficiency with an area under the curve (AUC) of 0.94 [confidence interval (CI): [0.912, 0.962]] and a prediction accuracy of 87% (CI: [0.830, 0.903]). Finally, we established an online platform (https://covidoutcome.com/) that is capable to use a viral sequence and the patient's age as the input and provides a percentage estimation of disease severity. We demonstrate a statistical association between mutation signatures of SARS-CoV-2 and severe outcome of COVID-19. The established analysis platform enables a real-time analysis of new viral genomes.

Indexed as

Genome, ViralMutationSeverity of Illness IndexArea Under CurveCOVID-19Datasets as TopicHumansMachine LearningProbabilitySARS-CoV-2Untranslated RegionsUntranslated Regions

Identifiers

PMID33963845
PMCPMC8106440

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.