Evidence map›Paper›PMID 34037430›Full record

ArticleJournal of clinical microbiology2021

Multiplex SARS-CoV-2 Genotyping Reverse Transcriptase PCR for Population-Level Variant Screening and Epidemiologic Surveillance.

Hannah Wang, Jacob A Miller, Michelle Verghese, Mamdouh Sibai, Daniel Solis, Kenji O Mfuh, Becky Jiang, Naomi Iwai, Marilyn Mar, ChunHong Huang and 4 more

Open access · greenAbstract read
In one paragraph

Article in Journal of clinical microbiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 71 papers.

0numbers the graph read from it
0cells of the map it votes in
71citing papers in PubMed
5.9field-weighted citation impact, top 3% 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

71 citing papers in PubMed, 93 citations in OpenAlex.

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  12. Lessons identified for a future pandemic.The Journal of antimicrobial chemotherapy · 2023
    Article
  13. SARS-CoV-2 genomics and impact on clinical care for COVID-19.The Journal of antimicrobial chemotherapy · 2023
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11 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

14 authors at 2 institutions in 1 country.

Hannah Wang *Department of Pathology, Stanford University School of Medicine, Stanford, California, USA.
Jacob A Miller *Department of Radiation Oncology, Stanford University School of Medicine, Stanford, California, USA.
Michelle VergheseDepartment of Pathology, Stanford University School of Medicine, Stanford, California, USA.
Mamdouh SibaiClinical Virology Laboratory, Stanford Health Care, Stanford, California, USA.
Daniel SolisDepartment of Pathology, Stanford University School of Medicine, Stanford, California, USA.
Kenji O MfuhClinical Virology Laboratory, Stanford Health Care, Stanford, California, USA.
Becky JiangClinical Virology Laboratory, Stanford Health Care, Stanford, California, USA.
Naomi IwaiClinical Virology Laboratory, Stanford Health Care, Stanford, California, USA.
Marilyn MarClinical Virology Laboratory, Stanford Health Care, Stanford, California, USA.
ChunHong HuangDepartment of Pathology, Stanford University School of Medicine, Stanford, California, USA.
Fumiko YamamotoDepartment of Pathology, Stanford University School of Medicine, Stanford, California, USA.
Malaya K SahooDepartment of Pathology, Stanford University School of Medicine, Stanford, California, USA.
James ZehnderDepartment of Pathology, Stanford University School of Medicine, Stanford, California, USA.
Benjamin A PinskyDepartment of Pathology, Stanford University School of Medicine, Stanford, California, USA.
Stanford University · USStanford Health Care · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The emergence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) variants with concerning phenotypic mutations is of public health interest. Genomic surveillance is an important tool for a pandemic response, but many laboratories do not have the resources to support population-level sequencing. We hypothesized that a nucleic acid amplification test (NAAT) to genotype mutations in the viral spike protein could facilitate high-throughput variant surveillance. We designed and analytically validated a one-step multiplex allele-specific reverse transcriptase PCR (RT-qPCR) to detect three nonsynonymous spike protein mutations (L452R, E484K, N501Y). Assay specificity was validated with next-generation whole-genome sequencing. We then screened a large cohort of SARS-CoV-2-positive specimens from our San Francisco Bay Area population. Between 1 December 2020 and 1 March 2021, we screened 4,049 unique infections by genotyping RT-qPCR, with an assay failure rate of 2.8%. We detected 1,567 L452R mutations (38.7%), 34 N501Y mutations (0.84%), 22 E484K mutations (0.54%), and 3 (0.07%) E484K plus N501Y mutations. The assay had perfect (100%) concordance with whole-genome sequencing of a validation subset of 229 specimens and detected B.1.1.7, B.1.351, B.1.427, B.1.429, B.1.526, and P.2 variants, among others. The assay revealed the rapid emergence of the L452R variant in our population, with a prevalence of 24.8% in December 2020 that increased to 62.5% in March 2021. We developed and clinically implemented a genotyping RT-qPCR to conduct high-throughput SARS-CoV-2 variant screening. This approach can be adapted for emerging mutations and immediately implemented in laboratories already performing NAAT worldwide using existing equipment, personnel, and extracted nucleic acid.

Indexed as

COVID-19SARS-CoV-2Epidemiological MonitoringGenotypeHumansReverse Transcriptase Polymerase Chain ReactionCOVID-19genotypingRT-qPCRSARS-CoV-2variant

Identifiers

PMID34037430
PMCPMC8373211
OpenAlexW3165204317

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.