Evidence map›Paper›PMID 35982307›Full record

ArticleNature medicine2022

Programmable antivirals targeting critical conserved viral RNA secondary structures from influenza A virus and SARS-CoV-2.

Rachel J Hagey, Menashe Elazar, Edward A Pham, Siqi Tian, Lily Ben-Avi, Claire Bernardin-Souibgui, Matthew F Yee, Fernando R Moreira, Meirav Vilan Rabinovitch, Rita M Meganck and 22 more

Open access · bronzeAbstract read
In one paragraph

Article in Nature medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed
7.0field-weighted citation impact, top 2% 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

37 citing papers in PubMed, 50 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Review
  6. Article
  7. Review
  8. Article
  9. Article
  10. "Fertile" Mutations in SARS-CoV-2 RNA More Frequently Occurred in Hairpin Loops That Determine Virus Evolution.APMIS : acta pathologica, microbiologica, et immunologica Scandinavica · 2025
    Article
  11. Review
  12. Structural basis for the function of long noncoding RNAbioRxiv : the preprint server for biology · 2025
    Article
  13. Emerging roles of transfer RNA fragments in the CNS.Brain : a journal of neurology · 2025
    Review
  14. Article
  15. Review
  16. Article
  17. Article
  18. Review
  19. Review
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

32 authors at 9 institutions in 1 country.

Rachel J HageyViRx@Stanford, Stanford Medicine, Stanford, CA, USA.
Menashe ElazarViRx@Stanford, Stanford Medicine, Stanford, CA, USA.
Edward A PhamViRx@Stanford, Stanford Medicine, Stanford, CA, USA.
Siqi TianDepartment of Biochemistry, Stanford University, Stanford, CA, USA.
Lily Ben-AviDepartment of Medicine, Division of Gastroenterology and Hepatology, Stanford University School of Medicine, Stanford, CA, USA.ORCID http://orcid.org/0000-0003-0154-3341
Claire Bernardin-SouibguiDepartment of Medicine, Division of Gastroenterology and Hepatology, Stanford University School of Medicine, Stanford, CA, USA.
Matthew F YeeDepartment of Medicine, Division of Gastroenterology and Hepatology, Stanford University School of Medicine, Stanford, CA, USA.
Fernando R MoreiraDepartment of Epidemiology, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Meirav Vilan RabinovitchDepartment of Medicine, Division of Gastroenterology and Hepatology, Stanford University School of Medicine, Stanford, CA, USA.
Rita M MeganckDepartment of Epidemiology, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.ORCID http://orcid.org/0000-0003-2799-3754
Benjamin FramDepartment of Medicine, Division of Gastroenterology and Hepatology, Stanford University School of Medicine, Stanford, CA, USA.
Aimee BeckDivision of Infectious Diseases and Geographic Medicine, Department of Medicine, Stanford University, Stanford, CA, USA.
Scott A GibsonInstitute for Antiviral Research, Department of Animal, Dairy, and Veterinary Sciences, Utah State University, Logan, UT, USA.
Grace LamDepartment of Medicine, Division of Gastroenterology and Hepatology, Stanford University School of Medicine, Stanford, CA, USA.
Josephine DeveraDepartment of Medicine, Division of Gastroenterology and Hepatology, Stanford University School of Medicine, Stanford, CA, USA.
Wipapat KladwangDepartment of Biochemistry, Stanford University, Stanford, CA, USA.
Khanh NguyenDepartment of Medicine, Division of Gastroenterology and Hepatology, Stanford University School of Medicine, Stanford, CA, USA.
Anming XiongDepartment of Medicine, Division of Gastroenterology and Hepatology, Stanford University School of Medicine, Stanford, CA, USA.
Steven SchaffertDepartment of Medicine, Biomedical Informatics Research, Stanford University School of Medicine, Stanford, CA, USA.
Talia AvisarDepartment of Medicine, Division of Gastroenterology and Hepatology, Stanford University School of Medicine, Stanford, CA, USA.
Ping LiuDepartment of Medicine, Division of Gastroenterology and Hepatology, Stanford University School of Medicine, Stanford, CA, USA.
Arjun RustagiDivision of Infectious Diseases and Geographic Medicine, Department of Medicine, Stanford University, Stanford, CA, USA.ORCID http://orcid.org/0000-0002-6921-1012
Carl J FichtenbaumDepartment of Internal Medicine, Division of Infectious Diseases, University of Cincinnati College of Medicine, Cincinnati, OH, USA.ORCID http://orcid.org/0000-0002-6778-7253
Phillip S PangDepartment of Medicine, Division of Gastroenterology and Hepatology, Stanford University School of Medicine, Stanford, CA, USA.
Purvesh KhatriDepartment of Medicine, Biomedical Informatics Research, Stanford University School of Medicine, Stanford, CA, USA.ORCID http://orcid.org/0000-0002-4143-4708
Chien-Te TsengDepartment of Microbiology and Immunology, University of Texas Medical Branch, Galveston, TX, USA.ORCID http://orcid.org/0000-0001-5726-9834
Jeffery K TaubenbergerViral Pathogenesis and Evolution Section, Laboratory of Infectious Diseases, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD, USA.ORCID http://orcid.org/0000-0002-9694-7228
Catherine A BlishDivision of Infectious Diseases and Geographic Medicine, Department of Medicine, Stanford University, Stanford, CA, USA.ORCID http://orcid.org/0000-0001-6946-7627
Brett L HurstInstitute for Antiviral Research, Department of Animal, Dairy, and Veterinary Sciences, Utah State University, Logan, UT, USA.ORCID http://orcid.org/0000-0003-1025-5878
Timothy P SheahanDepartment of Epidemiology, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.ORCID http://orcid.org/0000-0001-9181-2183
Rhiju DasDepartment of Biochemistry, Stanford University, Stanford, CA, USA.ORCID http://orcid.org/0000-0001-7497-0972
Jeffrey S GlennViRx@Stanford, Stanford Medicine, Stanford, CA, USA. jeffrey.glenn@stanford.edu.
Stanford University · USStanford Medicine · USUniversity of North Carolina at Chapel Hill · USUtah State University · USChan Zuckerberg Initiative (United States) · USNational Institutes of Health · USThe University of Texas Medical Branch at Galveston · USUnited States Department of Veterans Affairs · USUniversity of Cincinnati Medical Center · US

Funding

Translation Accelerator CoreU19AI171421 · NIAID · STANFORD UNIVERSITY · PI JEFFREY S GLENN · 2022 to 2026
$93.4M
Translational Incubator CoreU19AI109662 · NIAID · STANFORD UNIVERSITY · PI GLENN, JEFFREY S · 2014 to 2019
$28.6M
MOLECULAR BASIS OF HOST-PARASITE INTERACTIONT32AI007328 · NIAID · STANFORD UNIVERSITY · PI JUSTIN L SONNENBURG · 1987 to 2026
$11.9M
TRAINING GRANT IN ACADEMIC GASTROENTEROLOGYT32DK007056 · NIDDK · STANFORD UNIVERSITY · PI Natalie J. Torok · 1986 to 2026
$6.5M
Rapid development of SARS-CoV-2 specific therapeutics that leverage virus specific RNA elementsR01AI132191 · NIAID · STANFORD UNIVERSITY · PI GLENN, JEFFREY S · 2017 to 2020
$5.8M
Mechanisms of persistent Salmonella infectionR01AI116059 · NIAID · STANFORD UNIVERSITY · PI MONACK, DENISE M · 2015 to 2025
$4.6M
Advancing a Novel Pangenotypic Inhibitor of Human Influenza Virus to an INDR56AI111460 · NIAID · STANFORD UNIVERSITY · PI GLENN, JEFFREY S · 2014 to 2014
$1.3M
NIAID NIH HHS R01 AI116059NIAID NIH HHS R01 AI132191NIAID NIH HHS R56 AI111460NIAID NIH HHS T32 AI007328NIAID NIH HHS U19 AI109662NIAID NIH HHS U19 AI171421NIDDK NIH HHS T32 DK007056
6 · The paper itself

Abstract

Influenza A virus's (IAV's) frequent genetic changes challenge vaccine strategies and engender resistance to current drugs. We sought to identify conserved and essential RNA secondary structures within IAV's genome that are predicted to have greater constraints on mutation in response to therapeutic targeting. We identified and genetically validated an RNA structure (packaging stem-loop 2 (PSL2)) that mediates in vitro packaging and in vivo disease and is conserved across all known IAV isolates. A PSL2-targeting locked nucleic acid (LNA), administered 3 d after, or 14 d before, a lethal IAV inoculum provided 100% survival in mice, led to the development of strong immunity to rechallenge with a tenfold lethal inoculum, evaded attempts to select for resistance and retained full potency against neuraminidase inhibitor-resistant virus. Use of an analogous approach to target SARS-CoV-2, prophylactic administration of LNAs specific for highly conserved RNA structures in the viral genome, protected hamsters from efficient transmission of the SARS-CoV-2 USA_WA1/2020 variant. These findings highlight the potential applicability of this approach to any virus of interest via a process we term 'programmable antivirals', with implications for antiviral prophylaxis and post-exposure therapy.

Indexed as

COVID-19 Drug TreatmentInfluenza A virusAnimalsAntiviral AgentsMiceNeuraminidaseRNA, ViralSARS-CoV-2Antiviral AgentsNeuraminidaseRNA, Viral

Identifiers

PMID35982307
PMCPMC10132811
OpenAlexW4292223689

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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.