Evidence map›Paper›PMID 40022017›Full record

ArticleBMC infectious diseases2025

JN.1 variants circulating in Italy from October 2023 to April 2024: genetic diversity and immune recognition.

Emanuela Giombini, Ilaria Schiavoni, Luigina Ambrosio, Alessandra Lo Presti, Angela Di Martino, Stefano Fiore, Pasqualina Leone, Francesca Fortunato, Rosa Prato, Giorgio Fedele and 3 more

Abstract read
In one paragraph

Article in BMC infectious diseases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Article
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

13 authors.

Emanuela Giombini *Department of Infectious Diseases, Istituto Superiore Di Sanità, Rome, Italy.
Ilaria Schiavoni *Department of Infectious Diseases, Istituto Superiore Di Sanità, Rome, Italy.
Luigina AmbrosioDepartment of Infectious Diseases, Istituto Superiore Di Sanità, Rome, Italy.
Alessandra Lo PrestiDepartment of Infectious Diseases, Istituto Superiore Di Sanità, Rome, Italy.
Angela Di MartinoDepartment of Infectious Diseases, Istituto Superiore Di Sanità, Rome, Italy.
Stefano FioreDepartment of Infectious Diseases, Istituto Superiore Di Sanità, Rome, Italy.
Pasqualina LeoneDepartment of Infectious Diseases, Istituto Superiore Di Sanità, Rome, Italy.
Francesca FortunatoDepartment of Medical and Surgical Sciences, Hygiene Unit, Policlinico Foggia Hospital, University of Foggia, Foggia, Italy.
Rosa PratoDepartment of Medical and Surgical Sciences, Hygiene Unit, Policlinico Foggia Hospital, University of Foggia, Foggia, Italy.
Giorgio FedeleDepartment of Infectious Diseases, Istituto Superiore Di Sanità, Rome, Italy.
Anna Teresa PalamaraDepartment of Infectious Diseases, Istituto Superiore Di Sanità, Rome, Italy.
Paola StefanelliDepartment of Infectious Diseases, Istituto Superiore Di Sanità, Rome, Italy. paola.stefanelli@iss.it.
Italian Genomic Laboratory Network

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe continuous emergence of SARS-CoV-2 variants and subvariants poses significant public health challenges. The latest designated subvariant JN.1, with all its descendants, shows more than 30 mutations in the spike gene. JN.1 has raised concerns due to its genomic diversity and its potential to enhance transmissibility and immune evasion. This study aims to analyse the molecular characteristics of JN.1-related lineages (JN.1*) identified in Italy from October 2023 to April 2024 and to evaluate the neutralization activity against JN.1 of a subsample of sera from individuals vaccinated with XBB.1.5 mRNA.

methodsThe genomic diversity of the spike gene of 794 JN.1* strain was evaluated and phylogenetic analysis was conducted to compare the distance to XBB.1.5. Moreover, serum neutralization assays were performed on a subsample of 19 healthcare workers (HCWs) vaccinated with the monovalent XBB.1.5 mRNA booster to assess neutralizing capacity against JN.1.

resultsSequence analysis displayed high spike variability between JN.1* and phylogenetic investigation confirmed a substantial differentiation between JN.1* and XBB.1.5 spike regions with 29 shared mutations, of which 17 were located within the RBD region. Pre-booster neutralization activity against JN.1 was observed in 42% of HCWs sera, increasing significantly post-booster, with all HCWs showing neutralization capacity three months after vaccination. A significant correlation was found between anti-trimeric Spike IgG levels and neutralizing titers against JN.1.

conclusionsThe study highlights the variability of JN.1* in Italy. Results on a subsample of sera from HCWs vaccinated with XBB.1.5 mRNA booster vaccine suggested enhanced neutralization activity against JN.1.

Indexed as

COVID-19Genetic VariationSARS-CoV-2Spike Glycoprotein, CoronavirusAdultAntibodies, NeutralizingAntibodies, ViralCOVID-19 VaccinesFemaleHealth PersonnelHumansItalyMaleMiddle AgedMutationNeutralization TestsAntibodies, NeutralizingAntibodies, ViralCOVID-19 VaccinesSpike Glycoprotein, Coronavirusspike protein, SARS-CoV-2Genomic surveillanceJN.1Neutralizing antibodiesPhylogenetic analysisSARS-CoV-2

Identifiers

PMID40022017
PMCPMC11871800

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.