Evidence map›Paper›PMID 34446722›Full record

Trial reportNature communications2021

Distinct patterns of within-host virus populations between two subgroups of human respiratory syncytial virus.

Gu-Lung Lin, Simon B Drysdale, Matthew D Snape, Daniel O'Connor, Anthony Brown, George MacIntyre-Cockett, Esther Mellado-Gomez, Mariateresa de Cesare, David Bonsall, M Azim Ansari and 11 more

Erratum issuedOpen access · goldAbstract readClinical Trial
In one paragraph

Trial report in Nature communications, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
4.8field-weighted citation impact, top 4% 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

30 citing papers in PubMed, 42 citations in OpenAlex.

  1. Article
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  5. Unique nasal cell states induced by common pediatric respiratory viruses.bioRxiv : the preprint server for biology · 2026
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

21 authors at 18 institutions in 10 countries.

Gu-Lung LinOxford Vaccine Group, Department of Paediatrics, University of Oxford, Oxford, UK. gu-lung.lin@paediatrics.ox.ac.uk.ORCID http://orcid.org/0000-0002-9950-318X
Simon B DrysdaleOxford Vaccine Group, Department of Paediatrics, University of Oxford, Oxford, UK.ORCID http://orcid.org/0000-0002-6350-6557
Matthew D SnapeOxford Vaccine Group, Department of Paediatrics, University of Oxford, Oxford, UK.
Daniel O'ConnorOxford Vaccine Group, Department of Paediatrics, University of Oxford, Oxford, UK.ORCID http://orcid.org/0000-0002-6902-9886
Anthony BrownPeter Medawar Building for Pathogen Research, University of Oxford, Oxford, UK.ORCID http://orcid.org/0000-0001-6751-3300
George MacIntyre-CockettWellcome Centre for Human Genetics, University of Oxford, Oxford, UK.
Esther Mellado-GomezWellcome Centre for Human Genetics, University of Oxford, Oxford, UK.
Mariateresa de CesareWellcome Centre for Human Genetics, University of Oxford, Oxford, UK.ORCID http://orcid.org/0000-0002-9847-1526
David BonsallWellcome Centre for Human Genetics, University of Oxford, Oxford, UK.
M Azim AnsariWellcome Centre for Human Genetics, University of Oxford, Oxford, UK.
Deniz ÖnerTranslational Biomarkers, Infectious Diseases Therapeutic Area, Janssen Pharmaceutica NV, Beerse, Belgium.
Jeroen AerssensTranslational Biomarkers, Infectious Diseases Therapeutic Area, Janssen Pharmaceutica NV, Beerse, Belgium.
Christopher ButlerNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.
Louis BontDepartment of Pediatrics, Wilhelmina Children's Hospital, University Medical Center Utrecht, Utrecht, Netherlands.
Peter OpenshawNational Heart and Lung Institute, Imperial College London, London, UK.ORCID http://orcid.org/0000-0002-7220-2555
Federico Martinón-TorresTranslational Pediatrics and Infectious Diseases, Hospital Clínico Universitario de Santiago de Compostela, Santiago de Compostela, Spain.ORCID http://orcid.org/0000-0002-9023-581X
Harish NairCentre for Global Health, Usher Institute, Edinburgh Medical School, University of Edinburgh, Edinburgh, UK.ORCID http://orcid.org/0000-0002-9432-9100
Rory BowdenWellcome Centre for Human Genetics, University of Oxford, Oxford, UK.ORCID http://orcid.org/0000-0001-8596-0366
RESCEU Investigators
Tanya GolubchikBig Data Institute, Nuffield Department of Medicine, University of Oxford, Oxford, UK.ORCID http://orcid.org/0000-0003-2765-9828
Andrew J PollardOxford Vaccine Group, Department of Paediatrics, University of Oxford, Oxford, UK.ORCID http://orcid.org/0000-0001-7361-719X
University of Oxford · GBCentre for Human Genetics · GBInstituto de Investigación Sanitaria de Santiago · ESUniversity Medical Center Utrecht · NLUniversity of Edinburgh · GBImperial College London · GBJanssen (Belgium) · BENovavax (United States) · USOpen Data Institute · GBPfizer (United States) · USStatens Serum Institut · DKUniversity of Antwerp · BEUniversity of Turku · FIComplejo Hospitalario Universitario de Santiago · ESPENTA Foundation · ITSanofi (Canada) · CASt George's, University of London · GBUniversity Medical Center Groningen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Human respiratory syncytial virus (RSV) is a major cause of lower respiratory tract infection in young children globally, but little is known about within-host RSV diversity. Here, we characterised within-host RSV populations using deep-sequencing data from 319 nasopharyngeal swabs collected during 2017-2020. RSV-B had lower consensus diversity than RSV-A at the population level, while exhibiting greater within-host diversity. Two RSV-B consensus sequences had an amino acid alteration (K68N) in the fusion (F) protein, which has been associated with reduced susceptibility to nirsevimab (MEDI8897), a novel RSV monoclonal antibody under development. In addition, several minor variants were identified in the antigenic sites of the F protein, one of which may confer resistance to palivizumab, the only licensed RSV monoclonal antibody. The differences in within-host virus populations emphasise the importance of monitoring for vaccine efficacy and may help to explain the different prevalences of monoclonal antibody-escape mutants between the two subgroups.

Indexed as

AgedAntigenic VariationFemaleGenetic VariationHumansInfantMaleMutation, MissenseRespiratory Syncytial Virus, HumanRespiratory Syncytial Virus InfectionsViral ProteinsVirus ReplicationViral Proteins

Identifiers

PMID34446722
PMCPMC8390747
OpenAlexW3194712513

What OpenQuestion holds

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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.