Evidence map›Paper›PMID 34609969›Full record

ArticleThe Journal of clinical investigation2021

Human parainfluenza virus evolution during lung infection of immunocompromised individuals promotes viral persistence.

Alexander L Greninger, Ksenia Rybkina, Michelle J Lin, Jennifer Drew-Bear, Tara C Marcink, Ryan C Shean, Negar Makhsous, Michael Boeckh, Olivia Harder, Francesca Bovier and 5 more

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of clinical investigation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
3.2field-weighted citation impact, top 7% 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

20 citing papers in PubMed, 25 citations in OpenAlex.

  1. Article
  2. Article
  3. The role of virus in nasal inflammation.European journal of medical research · 2025
    Review
  4. The potential impacts of human genetics on virus emergence.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  5. Article
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  16. Review
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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

15 authors at 6 institutions in 3 countries.

Alexander L GreningerDepartment of Laboratory Medicine and Pathology, University of Washington, Seattle, Washington, USA.
Ksenia RybkinaDepartment of Pediatrics and.
Michelle J LinDepartment of Laboratory Medicine and Pathology, University of Washington, Seattle, Washington, USA.
Jennifer Drew-BearDepartment of Pediatrics and.
Tara C MarcinkDepartment of Pediatrics and.
Ryan C SheanDepartment of Laboratory Medicine and Pathology, University of Washington, Seattle, Washington, USA.
Negar MakhsousDepartment of Laboratory Medicine and Pathology, University of Washington, Seattle, Washington, USA.
Michael BoeckhVaccine and Infectious Disease Division, Fred Hutchinson Cancer Research Center, Seattle, Washington, USA.
Olivia HarderDepartment of Veterinary Biosciences, College of Veterinary Medicine, The Ohio State University, Columbus, Ohio, USA.
Francesca BovierDepartment of Pediatrics and.
Shana R BursteinDepartment of Pediatrics and.
Stefan NiewieskDepartment of Veterinary Biosciences, College of Veterinary Medicine, The Ohio State University, Columbus, Ohio, USA.
Bert K RimaCenter for Experimental Medicine, Queen's University, Belfast, Northern Ireland, United Kingdom.
Matteo PorottoDepartment of Pediatrics and.
Anne MosconaDepartment of Pediatrics and.
Columbia University · USUniversity of Washington · USThe Ohio State University · USFred Hutch Cancer Center · USQueen's University Belfast · GBUniversity of Campania "Luigi Vanvitelli" · IT

Funding

Engineering protease-resistant alpha-beta peptides for broad-spectrum antiviralsR01AI114736 · NIAID · WEILL MEDICAL COLL OF CORNELL UNIV · PI MOSCONA, ANNE · 2015 to 2019
$3.7M
Human parainfluenza virus fusion complexglycoproteins imaged in actionF32AI152275 · NIAID · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI MARCINK, TARA · 2021 to 2023
$177k
NIAID NIH HHS F32 AI152275NIAID NIH HHS R01 AI114736
6 · The paper itself

Abstract

The capacity of respiratory viruses to undergo evolution within the respiratory tract raises the possibility of evolution under the selective pressure of the host environment or drug treatment. Long-term infections in immunocompromised hosts are potential drivers of viral evolution and development of infectious variants. We showed that intrahost evolution in chronic human parainfluenza virus 3 (HPIV3) infection in immunocompromised individuals elicited mutations that favored viral entry and persistence, suggesting that similar processes may operate across enveloped respiratory viruses. We profiled longitudinal HPIV3 infections from 2 immunocompromised individuals that persisted for 278 and 98 days. Mutations accrued in the HPIV3 attachment protein hemagglutinin-neuraminidase (HN), including the first in vivo mutation in HN's receptor binding site responsible for activating the viral fusion process. Fixation of this mutation was associated with exposure to a drug that cleaves host-cell sialic acid moieties. Longitudinal adaptation of HN was associated with features that promote viral entry and persistence in cells, including greater avidity for sialic acid and more active fusion activity in vitro, but not with antibody escape. Long-term infection thus led to mutations promoting viral persistence, suggesting that host-directed therapeutics may support the evolution of viruses that alter their biophysical characteristics to persist in the face of these agents in vivo.

Indexed as

Immunocompromised HostAdultBinding SitesDNA Mutational AnalysisFemaleGene FrequencyGraft vs Host DiseaseHEK293 CellsHumansLeukemia, Myeloid, AcuteLungLung DiseasesMutationMycophenolic AcidN-Acetylneuraminic AcidParainfluenza Virus 3, HumanMycophenolic AcidN-Acetylneuraminic AcidReceptors, VirusSirolimusViral Fusion ProteinsInfluenzaVirology

Identifiers

PMID34609969
PMCPMC8631596
OpenAlexW3203488864

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.