Evidence map›Paper›PMID 34728763›Full record

ArticleScientific reports2021

Genomic surveillance of enterovirus associated with aseptic meningitis cases in southern Spain, 2015-2018.

Fabiana Gámbaro, Ana Belén Pérez, Eduardo Agüera, Matthieu Prot, Luis Martínez-Martínez, María Cabrerizo, Etienne Simon-Loriere, Maria Dolores Fernandez-Garcia

Erratum issuedAbstract read
In one paragraph

Article in Scientific reports, 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 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

10 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Enhanced echovirus 11 genomic surveillance in neonatal infections in Spain following a European alert reveals new recombinant forms linked to severe cases, 2019 to 2023.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2024
    Article
  6. Article
  7. Article
  8. Untargeted metagenomic sequencing identifies Toscana virus in patients with idiopathic meningitis, southern Spain, 2015 to 2019.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2023
    Observational
  9. Article
  10. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Fabiana Gámbaro *Institut Pasteur, Paris, France.
Ana Belén Pérez *Hospital Universitario Reina Sofía, Córdoba, Spain.
Eduardo AgüeraHospital Universitario Reina Sofía, Córdoba, Spain.
Matthieu ProtInstitut Pasteur, Paris, France.
Luis Martínez-MartínezHospital Universitario Reina Sofía, Córdoba, Spain.
María CabrerizoNational Centre for Microbiology, Instituto de Salud Carlos III, Madrid, Spain.
Etienne Simon-LoriereInstitut Pasteur, Paris, France. etienne.simon-loriere@pasteur.fr.
Maria Dolores Fernandez-GarciaInstituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), Córdoba, Spain. mdfernandez@isciii.es.

Funding

Instituto de Salud Carlos III CP18/00067Institut Pasteur INCEPTION programme (Investissements d'Avenir grant ANR-16-CONV-0005)Junta de Andalucía, Consejería de Salud y Familias Project number PI-0216-2019
6 · The paper itself

Abstract

New circulating Enterovirus (EV) strains often emerge through recombination. Upsurges of recombinant non-polio enteroviruses (NPEVs) associated with neurologic manifestations such as EVA71 or Echovirus 30 (E30) are a growing public health concern in Europe. Only a few complete genomes of EVs circulating in Spain are available in public databases, making it difficult to address the emergence of recombinant EVs, understand their evolutionary relatedness and the possible implication in human disease. We have used metagenomic (untargeted) NGS to generate full-length EV genomes from CSF samples of EV-positive aseptic meningitis cases in Southern Spain between 2015 and 2018. Our analyses reveal the co-circulation of multiple Enterovirus B (EV-B) types (E6, E11, E13 and E30), including a novel E13 recombinant form. We observed a genetic turnover where emergent lineages (C1 for E6 and I [tentatively proposed in this study] for E30) replaced previous lineages circulating in Spain, some concomitant with outbreaks in other parts of Europe. Metagenomic sequencing provides an effective approach for the analysis of EV genomes directly from PCR-positive CSF samples. The detection of a novel, disease-associated, recombinant form emphasizes the importance of genomic surveillance to monitor spread and evolution of EVs.

Indexed as

Genome, ViralAdolescentAdultEnterovirus B, HumanEnterovirus InfectionsFemaleGenotypeHumansMaleMeningitis, AsepticPhylogenyRNA, ViralSequence Analysis, DNASpainYoung AdultRNA, Viral

Identifiers

PMID34728763
PMCPMC8564535

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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.