Evidence map›Paper›PMID 36851504›Full record

ArticleViruses2023

Viral Population Heterogeneity and Fluctuating Mutational Pattern during a Persistent SARS-CoV-2 Infection in an Immunocompromised Patient.

Martina Brandolini, Silvia Zannoli, Giulia Gatti, Valentina Arfilli, Monica Cricca, Giorgio Dirani, Agnese Denicolò, Simona Semprini, Laura Grumiro, Manuela Imola and 8 more

Abstract readCase Reports
In one paragraph

Article in Viruses, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed.

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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

18 authors.

Martina BrandoliniUnit of Microbiology, The Greater Romagna Area Hub Laboratory, 47522 Cesena, Italy.
Silvia ZannoliUnit of Microbiology, The Greater Romagna Area Hub Laboratory, 47522 Cesena, Italy.
Giulia GattiUnit of Microbiology, The Greater Romagna Area Hub Laboratory, 47522 Cesena, Italy.
Valentina ArfilliUnit of Microbiology, The Greater Romagna Area Hub Laboratory, 47522 Cesena, Italy.
Monica CriccaUnit of Microbiology, The Greater Romagna Area Hub Laboratory, 47522 Cesena, Italy.
Giorgio DiraniUnit of Microbiology, The Greater Romagna Area Hub Laboratory, 47522 Cesena, Italy.
Agnese DenicolòUnit of Microbiology, The Greater Romagna Area Hub Laboratory, 47522 Cesena, Italy.
Simona SempriniUnit of Microbiology, The Greater Romagna Area Hub Laboratory, 47522 Cesena, Italy.
Laura GrumiroUnit of Microbiology, The Greater Romagna Area Hub Laboratory, 47522 Cesena, Italy.ORCID 0000-0003-2297-3009
Manuela ImolaUnit of Ematology, AUSL Romagna, 47900 Rimini, Italy.
Damiano LarneUnit of Infectious Diseases, AUSL Romagna, 47900 Rimini, Italy.
Maria Michela MarinoUnit of Microbiology, The Greater Romagna Area Hub Laboratory, 47522 Cesena, Italy.
Martina ManeraUnit of Microbiology, The Greater Romagna Area Hub Laboratory, 47522 Cesena, Italy.
Andrea ManciniUnit of Microbiology, The Greater Romagna Area Hub Laboratory, 47522 Cesena, Italy.
Francesca TaddeiUnit of Microbiology, The Greater Romagna Area Hub Laboratory, 47522 Cesena, Italy.ORCID 0000-0003-2707-2082
Manuel ZagarrigoDepartment of Medical and Surgical Sciences (DIMEC)-Alma Mater Studiorum, University of Bologna, 40138 Bologna, Italy.ORCID 0000-0003-4008-1477
Carlo BiagettiUnit of Infectious Diseases, AUSL Romagna, 47900 Rimini, Italy.
Vittorio SambriUnit of Microbiology, The Greater Romagna Area Hub Laboratory, 47522 Cesena, Italy.ORCID 0000-0002-5012-7355

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Literature offers plenty of cases of immunocompromised patients, who develop chronic and severe SARS-CoV-2 infections. The aim of this study is to provide further insight into SARS-CoV-2 evolutionary dynamic taking into exam a subject suffering from follicular lymphoma, who developed a persistent infection for over 7 months. Eight nasopharyngeal swabs were obtained, and were analyses by qRT-PCR for diagnostic purposes. All of them were considered eligible (Ct < 30) for NGS sequencing. Sequence analysis showed that all sequences matched the B.1.617.2 AY.122 lineage, but they differed by few mutations identifying three genetically similar subpopulations, which evolved during the course of infection, demonstrating that prolonged replication is paralleled with intra-host virus evolution. These evidences support the hypothesis that SARS-CoV-2 adaptive capacities are able to shape a heterogeneous viral population in the context of immunocompromised patients. Spill-over of viral variants with enhanced transmissibility or immune escape capacities from these subjects is plausible.

Indexed as

COVID-19HumansImmunocompromised HostMutationSARS-CoV-2COVID-19immunocompromised patientsintra-host evolutionNGS whole-genome sequencingSARS-CoV-2

Identifiers

PMID36851504
PMCPMC9962589

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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.