Evidence map›Paper›PMID 34156583›Full record

ArticleVirus genes2021

Genetic characterisation of the influenza viruses circulating in Bulgaria during the 2019-2020 winter season.

Neli Korsun, Ivelina Trifonova, Silvia Voleva, Iliyana Grigorova, Svetla Angelova

Open access · hybridAbstract read
In one paragraph

Article in Virus genes, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.0field-weighted citation impact, top 14% 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

11 citing papers in PubMed, 16 citations in OpenAlex.

  1. Article
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  3. Molecular Evolution of Influenza A Viruses From Mauritius, 2017-2019.Influenza and other respiratory viruses · 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

5 authors at 1 institution in 1 country.

Neli KorsunDepartment of Virology, National Laboratory "Influenza and ARI", National Centre of Infectious and Parasitic Diseases, Sofia, Bulgaria. neli_korsun@abv.bg.ORCID http://orcid.org/0000-0002-3188-2283
Ivelina TrifonovaDepartment of Virology, National Laboratory "Influenza and ARI", National Centre of Infectious and Parasitic Diseases, Sofia, Bulgaria.
Silvia VolevaDepartment of Virology, National Laboratory "Influenza and ARI", National Centre of Infectious and Parasitic Diseases, Sofia, Bulgaria.
Iliyana GrigorovaDepartment of Virology, National Laboratory "Influenza and ARI", National Centre of Infectious and Parasitic Diseases, Sofia, Bulgaria.
Svetla AngelovaDepartment of Virology, National Laboratory "Influenza and ARI", National Centre of Infectious and Parasitic Diseases, Sofia, Bulgaria.
National Center of Infectious and Parasitic Diseases · BG

Funding

National Science Foundation Project DH 13-15/20.12.2017
6 · The paper itself

Abstract

Influenza viruses have a high potential for genetic changes. The objectives of this study were to analyse influenza virus circulation in Bulgaria during the 2019/2020 season, to perform a phylogenetic and molecular analyses of the haemagglutinin (HA) and neuraminidase (NA) sequences of representative influenza strains, and to identify amino acid substitutions compared to the current vaccine strains. Seasonal influenza viruses A(H3N2), A(H1N1)pdm09 and B/Victoria-lineage were detected using a real-time RT-PCR in 323 (23.3%), 149 (10.7%) and 138 (9.9%) out of 1387 patient samples studied, respectively. The HA genes of A(H3N2) viruses analysed belonged to clades 3C.3a (21 strains) and 3C.2a (5 strains): subclades 3C.2a1b + T131K, 3C.2a1b + T135K-B and 3C.2a1b + T135K-A. The clade 3C.3a and subclade 3C.2a1b viruses carried 5 and 14-17 substitutions in HA, as well as 3 and 9 substitutions in NA, respectively, in comparison with the A/Kansas/14/2017 vaccine virus, including some substitutions in the HA antigenic sites A, B, C and E. All 21 A(H1N1)pdm09 viruses sequenced fell into 6B.1A5A subclade. Amino acid sequence analysis revealed the presence of 7-11 substitutions in HA, compared to the A/Brisbane/02/2018 vaccine virus, three of which occurred in antigenic site Sb, along with 6-9 changes at positions in NA. All 10 B/Victoria-lineage viruses sequenced belonged to clade 1A with a triple deletion in HA1 (genetic group 1A(Δ3)B) and carried 7 and 3 substitutions in HA and NA, respectively, with respect to the B/Colorado/06/2017 vaccine virus. The results of this study confirm the rapid evolution of influenza viruses and the need for continuous antigenic and genetic surveillance.

Indexed as

Amino Acid SubstitutionHemagglutinin Glycoproteins, Influenza VirusHumansInfluenza A Virus, H1N1 SubtypeInfluenza A Virus, H3N2 SubtypeInfluenza, HumanInfluenza VaccinesNeuraminidaseOrthomyxoviridaePhylogenySeasonsHemagglutinin Glycoproteins, Influenza VirusInfluenza VaccinesNeuraminidaseAmino acid substitutionGenetic characterisationInfluenza virus

Identifiers

PMID34156583
PMCPMC8217981
OpenAlexW3174398508

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Registered trials

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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.