Evidence map›Paper›PMID 37749086›Full record

ArticleNPJ vaccines2023

Rapid emergence and transmission of virulence-associated mutations in the oral poliovirus vaccine following vaccination campaigns.

Katharine S Walter, Jonathan Altamirano, ChunHong Huang, Yuan J Carrington, Frank Zhou, Jason R Andrews, Yvonne Maldonado

Open access · goldAbstract read
In one paragraph

Article in NPJ vaccines, 2023. 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
1.8field-weighted citation impact, top 13% 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

10 citing papers in PubMed, 8 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Katharine S WalterDivision of Epidemiology, University of Utah, Salt Lake City, UT, 84105, USA. Katharine.Walter@hsc.utah.edu.ORCID http://orcid.org/0000-0003-0065-2204
Jonathan AltamiranoDepartment of Epidemiology and Population Health, Stanford University School of Medicine, Stanford, CA, 94305, USA.
ChunHong HuangDepartment of Pediatrics, Stanford University School of Medicine, Stanford, CA, USA.
Yuan J CarringtonDepartment of Pediatrics, Stanford University School of Medicine, Stanford, CA, USA.ORCID http://orcid.org/0000-0003-1615-5587
Frank ZhouDepartment of Pediatrics, Stanford University School of Medicine, Stanford, CA, USA.
Jason R AndrewsDivision of Infectious Diseases and Geographic Medicine, Stanford University School of Medicine, Stanford, CA, 94305, USA.ORCID http://orcid.org/0000-0002-5967-251X
Yvonne MaldonadoDepartment of Epidemiology and Population Health, Stanford University School of Medicine, Stanford, CA, 94305, USA.
Stanford University · USUniversity of Utah · US

Funding

A genomic tool for identifying pathogenic circulating vaccine-derivedpoliovirusesR21AI148810 · NIAID · STANFORD UNIVERSITY · PI MALDONADO, YVONNE A. · 2020 to 2021
$434k
NIAID NIH HHS R21 AI148810
6 · The paper itself

Abstract

There is an increasing burden of circulating vaccine-derived polioviruses (cVDPVs) due to the continued use of oral poliovirus vaccine (OPV). However, the informativeness of routine OPV VP1 sequencing for the early identification of viruses carrying virulence-associated reversion mutations has not been directly evaluated in a controlled setting. We prospectively collected 15,331 stool samples to track OPV shedding from children receiving OPV and their contacts for ten weeks following an immunization campaign in Veracruz State, Mexico and sequenced VP1 genes from 358 samples. We found that OPV was genetically unstable and evolves at an approximately clocklike rate that varies across serotypes and by vaccination status. Overall, 61% (11/18) of OPV-1, 71% (34/48) OPV-2, and 96% (54/56) OPV-3 samples with available data had evidence of a reversion at the key 5' UTR attenuating position and 28% (13/47) of OPV-1, 12% (14/117) OPV-2, and 91% (157/173) OPV-3 of Sabin-like viruses had ≥1 known reversion mutations in the VP1 gene. Our results are consistent with previous work documenting rapid reversion to virulence of OPV and underscores the need for intensive surveillance following OPV use.

Identifiers

PMID37749086
PMCPMC10520055
OpenAlexW4387025251

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.