Evidence map›Paper›PMID 36146740›Full record

ArticleViruses2022

Viral Metagenomics for the Identification of Emerging Infections in Clinical Samples with Inconclusive Dengue, Zika, and Chikungunya Viral Amplification.

Juliana Vanessa Cavalcante Souza, Hazerral de Oliveira Santos, Anderson Brandão Leite, Marta Giovanetti, Rafael Dos Santos Bezerra, Eneas de Carvalho, Jardelina de Souza Todão Bernardino, Vincent Louis Viala, Rodrigo Haddad, Massimo Ciccozzi and 6 more

Abstract read
In one paragraph

Article in Viruses, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. 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. Review
  2. Integrating metagenomics and metatranscriptomics intoThe Journal of general virology · 2026
    Review
  3. Review
  4. Dengue encephalitis: what's new?Current opinion in infectious diseases · 2025
    Review
  5. Review
  6. Article
  7. Article
  8. Review
  9. Article
  10. Review
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

16 authors.

Juliana Vanessa Cavalcante SouzaCentral Laboratory of Public Health, Maceio 57036-860, Brazil.
Hazerral de Oliveira SantosCentral Laboratory of Public Health, Maceio 57036-860, Brazil.
Anderson Brandão LeiteCentral Laboratory of Public Health, Maceio 57036-860, Brazil.
Marta GiovanettiDepartment of Science and Technology for Humans and the Environment, University of Campus Bio-Medico di Roma, 00185 Rome, Italy.ORCID 0000-0002-5849-7326
Rafael Dos Santos BezerraBlood Center of Ribeirao Preto, Faculty of Medicine of Ribeirao Preto, University of Sao Paulo, Rua Tenente Catão Roxo 2501, Ribeirao Preto, Sao Paulo 14051-140, Brazil.
Eneas de CarvalhoDepartment of Biotechnology (NuCEL), Butantan Institute, Sao Paulo 05503-900, Brazil.
Jardelina de Souza Todão BernardinoDepartment of Biotechnology (NuCEL), Butantan Institute, Sao Paulo 05503-900, Brazil.
Vincent Louis VialaDepartment of Biotechnology (NuCEL), Butantan Institute, Sao Paulo 05503-900, Brazil.ORCID 0000-0003-2267-9985
Rodrigo HaddadFaculty of Ceilandia, University of Brasilia, Federal District, Brasília 70904-970, Brazil.ORCID 0000-0003-4699-164X
Massimo CiccozziEpidemiology and Statistic Unit, University of Campus Bio-Medico di Roma, 00185 Rome, Italy.ORCID 0000-0003-3866-9239
Luiz Carlos Junior AlcantaraLaboratory of Flaviviruses, Oswaldo Cruz Foundation, Rio de Janeiro 21040-900, Brazil.
Sandra Coccuzzo SampaioDepartment of Biotechnology (NuCEL), Butantan Institute, Sao Paulo 05503-900, Brazil.
Dimas Tadeu CovasBlood Center of Ribeirao Preto, Faculty of Medicine of Ribeirao Preto, University of Sao Paulo, Rua Tenente Catão Roxo 2501, Ribeirao Preto, Sao Paulo 14051-140, Brazil.ORCID 0000-0002-7364-2595
Simone KashimaBlood Center of Ribeirao Preto, Faculty of Medicine of Ribeirao Preto, University of Sao Paulo, Rua Tenente Catão Roxo 2501, Ribeirao Preto, Sao Paulo 14051-140, Brazil.
Maria Carolina EliasDepartment of Biotechnology (NuCEL), Butantan Institute, Sao Paulo 05503-900, Brazil.ORCID 0000-0002-0501-8280
Svetoslav Nanev SlavovBlood Center of Ribeirao Preto, Faculty of Medicine of Ribeirao Preto, University of Sao Paulo, Rua Tenente Catão Roxo 2501, Ribeirao Preto, Sao Paulo 14051-140, Brazil.ORCID 0000-0003-0805-6140

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Viral metagenomics is increasingly being used for the identification of emerging and re-emerging viral pathogens in clinical samples with unknown etiology. The objective of this study was to shield light on the metavirome composition in clinical samples obtained from patients with clinical history compatible with an arboviral infection, but that presented inconclusive results when tested using RT-qPCR. The inconclusive amplification results might be an indication of the presence of an emerging arboviral agent that is inefficiently amplified by conventional PCR techniques. A total of eight serum samples with inconclusive amplification results for the routinely tested arboviruses-dengue (DENV), Zika (ZIKV), and Chikungunya (CHIKV) obtained during DENV and CHIKV outbreaks registered in the state of Alagoas, Northeast Brazil between July and August 2021-were submitted to metagenomic next-generation sequencing assay using NextSeq 2000 and bioinformatic pipeline for viral discovery. The performed bioinformatic analysis revealed the presence of two arboviruses: DENV type 2 (DENV-2) and CHIKV with a high genome coverage. Further, the metavirome of those samples revealed the presence of multiple commensal viruses apparently without clinical significance. The phylogenetic analysis demonstrated that the DENV-2 genome belonged to the Asian/American genotype and clustered with other Brazilian strains. The identified CHIKV genome was taxonomically assigned as ECSA genotype, which is circulating in Brazil. Together, our results reinforce the utility of metagenomics as a valuable tool for viral identification in samples with inconclusive arboviral amplification. Viral metagenomics is one of the most potent methods for the identification of emerging arboviruses.

Indexed as

Chikungunya FeverChikungunya virusDengueDengue VirusZika VirusZika Virus InfectionArbovirusesCommunicable Diseases, EmergingHumansMetagenomicsPhylogenyReal-Time Polymerase Chain ReactionBrazilChikungunyadengueemerging arbovirusesgenotypesmetagenomicsRT-qPCRvirome

Identifiers

PMID36146740
PMCPMC9505086

What OpenQuestion holds

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LicenceCC BY
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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.