Evidence map›Paper›PMID 40843521›Full record

ArticleEuro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin2025

Novel (d)PCR assays for influenza A(H5Nx) viruses clade 2.3.4.4b surveillance.

Gerhard Buttinger, Mauro Petrillo, Viviana Valastro, Sabrina Marciano, Marika Crimaudo, Valeria D'Amico, Gabriele Leoni, Renaud Seigneuric, Valentina Paracchini, Piotr Robouch and 9 more

Abstract read
In one paragraph

Article in Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin, 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. Review
  2. 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

19 authors.

Gerhard ButtingerEuropean Commission, Joint Research Centre (JRC), Geel, Belgium.
Mauro PetrilloSeidor Italy S.r.l., Milan, Italy.
Viviana ValastroEU/National Reference Laboratory for Avian Influenza and Newcastle Disease, Istituto Zooprofilattico Sperimentale delle Venezie (IZSVe), Legnaro, Italy.
Sabrina MarcianoEU/National Reference Laboratory for Avian Influenza and Newcastle Disease, Istituto Zooprofilattico Sperimentale delle Venezie (IZSVe), Legnaro, Italy.
Marika CrimaudoEU/National Reference Laboratory for Avian Influenza and Newcastle Disease, Istituto Zooprofilattico Sperimentale delle Venezie (IZSVe), Legnaro, Italy.
Valeria D'AmicoEU/National Reference Laboratory for Avian Influenza and Newcastle Disease, Istituto Zooprofilattico Sperimentale delle Venezie (IZSVe), Legnaro, Italy.
Gabriele LeoniEuropean Commission, Joint Research Centre (JRC), Ispra, Italy.
Renaud SeigneuricEuropean Commission, Joint Research Centre (JRC), Geel, Belgium.
Valentina ParacchiniEuropean Commission, Joint Research Centre (JRC), Geel, Belgium.
Piotr RobouchEuropean Commission, Joint Research Centre (JRC), Geel, Belgium.
Bénédicte LambrechtAvian Virology and Immunology, Sciensano, Brussels, Belgium.
Bernd Manfred GawlikEuropean Commission, Joint Research Centre (JRC), Ispra, Italy.
Calogero TerreginoEU/National Reference Laboratory for Avian Influenza and Newcastle Disease, Istituto Zooprofilattico Sperimentale delle Venezie (IZSVe), Legnaro, Italy.
Carolina VeneriNational Center for Water Safety (CeNSiA), Istituto Superiore di Sanità, Rome, Italy.
Giuseppina La RosaNational Center for Water Safety (CeNSiA), Istituto Superiore di Sanità, Rome, Italy.
Elisabetta SuffrediniDepartment of Food Safety, Nutrition and Veterinary Public Health, Istituto Superiore di Sanità, Rome, Italy.
Maddalena QuerciEuropean Commission, Joint Research Centre (JRC), Ispra, Italy.
Valentina PanzarinEU/National Reference Laboratory for Avian Influenza and Newcastle Disease, Istituto Zooprofilattico Sperimentale delle Venezie (IZSVe), Legnaro, Italy.
Antonio MarchiniEuropean Commission, Joint Research Centre (JRC), Geel, Belgium.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUNDSince March 2024, cases of highly pathogenic avian influenza (HPAI) caused by A(H5N1) virus of clade 2.3.4.4b have been reported in dairy cattle in the United States, followed by spillover to avian and other mammalian species including humans. Although human-to-human transmission has not been reported, the virus's ability to infect mammals and potential of adaptation raise public health concerns, necessitating enhanced monitoring and preparedness.AIMWe aimed to develop digital RT-PCR assays to detect and quantify influenza A(H5N1) 2.3.4.4b viruses in biological and environmental samples.METHODSWe developed two digital RT-PCR assays targeting the matrix protein (JRC-MP) and haemagglutinin (JRC-HA) genes of A(H5N1) 2.3.4.4b viruses. After in silico assessment of inclusivity and exclusivity, we evaluated the assays' performance using RNAs from influenza A(H5N1) viruses isolated from infected animal specimens, in an inter-laboratory exercise with diverse target and non-target isolates, and on wastewater samples either negative or spiked with A(H5N1) 2.3.4.4b RNA.RESULTSThe JRC-MP assay detects influenza A viruses of different subtypes and origins, while the JRC-HA assay specifically detects HPAI A(H5Nx) 2.3.4.4b strains. The assays demonstrated high sensitivity, showing consistent results in the inter-laboratory exercise. They also detected target RNAs in wastewater samples with high accuracy, despite background components, supporting potential use in wastewater surveillance programmes.CONCLUSIONSAligned with One Health strategies for zoonotic avian influenza surveillance, we propose the combined use of these two assays for the rapid and sensitive detection of influenza A(H5Nx) 2.3.4.4b in biological and environmental samples to enhance monitoring and outbreak control measures.

Indexed as

Influenza A virusInfluenza A Virus, H5N1 SubtypeInfluenza, HumanInfluenza in BirdsReal-Time Polymerase Chain ReactionReverse Transcriptase Polymerase Chain ReactionAnimalsBirdsCattleHumansRNA, ViralSensitivity and SpecificityRNA, ViralAvian influenzadigital RT-PCRHPAI A(H5N1) clade 2.3.4.4bmolecular diagnosisqRT-PCRwastewater surveillance

Identifiers

PMID40843521
PMCPMC12372895

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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.