Evidence map›Paper›PMID 40005620›Full record

ArticleMicroorganisms2025

SARS-CoV-2 XEC: A Genome-Based Survey.

Fabio Scarpa, Francesco Branda, Giancarlo Ceccarelli, Chiara Romano, Chiara Locci, Noemi Pascale, Ilenia Azzena, Pier Luigi Fiori, Marco Casu, Stefano Pascarella and 5 more

Abstract read
In one paragraph

Article in Microorganisms, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Review
  2. Article
  3. Evolution of a fuzzy ribonucleoprotein complex in viral assembly.bioRxiv : the preprint server for biology · 2025
    Article
  4. Review
  5. 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

15 authors.

Fabio ScarpaDepartment of Biomedical Sciences, University of Sassari, 07100 Sassari, Italy.ORCID 0000-0002-3501-714X
Francesco BrandaUnit of Medical Statistics and Molecular Epidemiology, Università Campus Bio-Medico di Roma, 00128 Rome, Italy.ORCID 0000-0002-9485-3877
Giancarlo CeccarelliDepartment of Public Health and Infectious Diseases, University of Rome Sapienza, 00161 Rome, Italy.ORCID 0000-0001-5921-3180
Chiara RomanoUnit of Medical Statistics and Molecular Epidemiology, Università Campus Bio-Medico di Roma, 00128 Rome, Italy.
Chiara LocciDepartment of Biomedical Sciences, University of Sassari, 07100 Sassari, Italy.
Noemi PascaleDepartment of Veterinary Medicine, University of Sassari, Via Vienna 2, 07100 Sassari, Italy.
Ilenia AzzenaDepartment of Veterinary Medicine, University of Sassari, Via Vienna 2, 07100 Sassari, Italy.
Pier Luigi FioriDepartment of Biomedical Sciences, University of Sassari, 07100 Sassari, Italy.ORCID 0000-0001-6190-612X
Marco CasuDepartment of Veterinary Medicine, University of Sassari, Via Vienna 2, 07100 Sassari, Italy.ORCID 0000-0002-5042-4851
Stefano PascarellaDepartment of Biochemical Sciences "A. Rossi Fanelli", Sapienza, 00185 Rome, Italy.ORCID 0000-0002-6822-4022
Miriana QuarantaDepartment of Biochemical Sciences "A. Rossi Fanelli", Sapienza, 00185 Rome, Italy.ORCID 0009-0003-0855-485X
Domenico BenvenutoDipartimento di Sicurezza e Bioetica, Sezione di Malattie Infettive, Università Cattolica del Sacro Cuore, 00168 Rome, Italy.ORCID 0000-0003-3833-2927
Roberto CaudaDipartimento di Sicurezza e Bioetica, Sezione di Malattie Infettive, Università Cattolica del Sacro Cuore, 00168 Rome, Italy.ORCID 0000-0002-1498-4229
Massimo CiccozziUnit of Medical Statistics and Molecular Epidemiology, Università Campus Bio-Medico di Roma, 00128 Rome, Italy.ORCID 0000-0003-3866-9239
Daria SannaDepartment of Biomedical Sciences, University of Sassari, 07100 Sassari, Italy.ORCID 0000-0002-3058-4663

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Recombination, a process of genetic exchange between distinct organisms, has played a critical role in the emergence of SARS-CoV-2 variants such as the XEC recombinant. This study provides a detailed genomic and structural characterization of XEC, derived from the recombination of lineages KP.3.3 (donor) and KS.1.1 (acceptor). Phylogenomic analyses reveal that XEC and its descendant XEC.1 form a monophyletic clade with close evolutionary ties to KP.3.3. The genomic breakpoint, spanning nucleotide positions 22,363-22,463, marks the shift from KS.1.1 to KP.3.3 within the spike protein gene. Mutational analysis highlights shared traits with its parental lineages, including mutations associated with immune evasion, receptor affinity, and fusogenicity. Notable changes, such as Q493E and L455S, may confer unique immunogenic properties, though XEC's overall immune escape potential is limited by the absence of new mutations in conserved epitopes. Despite these mutations, XEC demonstrates restricted geographical spread, low genetic variability, and an evolutionary trajectory indicative of an evolutionary dead-end. Bayesian Skyline Plot analysis corroborates this, showing stable but declining population size. These findings underscore the need for ongoing genomic surveillance to monitor recombinant variants' characteristics and public health impact. This study contributes to understanding viral evolution and highlights the importance of distinguishing variants of concern from those with minimal epidemiological significance.

Indexed as

evolutionary trajectorygenetic diversitygenomic surveillancepandemic monitoringphylogenomic analysisSARS-CoV-2spike protein mutationsviral recombinationXEC recombinant

Identifiers

PMID40005620
PMCPMC11857677

What OpenQuestion holds

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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.