Evidence map›Paper›PMID 40847264›Full record

ReviewJournal of epidemiology and global health2025

Unveiling the Future of Infective Endocarditis Diagnosis: The Transformative Role of Metagenomic Next-Generation Sequencing in Culture-Negative Cases.

Shafiu A Umar Shinge, Binbin Zhang, Baixin Zheng, Yongjia Qiang, Hussein M Ali, Youmbi T Vanessa Melchiade, Lu Zhang, Minnan Gao, Guibin Feng, Kuan Zeng and 1 more

Abstract readReview
In one paragraph

Review in Journal of epidemiology and global health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Review
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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

11 authors.

Shafiu A Umar Shinge *Department of Cardiovascular Surgery, The Eighth Affiliated Hospital of Sun Yat-sen University, Futian, Shenzhen, 518033, China.ORCID http://orcid.org/0000-0003-0351-4229
Binbin Zhang *Department of Cardiovascular Surgery, The Eighth Affiliated Hospital of Sun Yat-sen University, Futian, Shenzhen, 518033, China.
Baixin ZhengDepartment of Cardiovascular Surgery, The Eighth Affiliated Hospital of Sun Yat-sen University, Futian, Shenzhen, 518033, China.
Yongjia QiangDepartment of Cardiovascular Surgery, The Eighth Affiliated Hospital of Sun Yat-sen University, Futian, Shenzhen, 518033, China.
Hussein M AliDepartment of Pediatric, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
Youmbi T Vanessa MelchiadeDepartment of Cardiovascular Surgery, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China.
Lu ZhangDepartment of Cardiovascular Surgery, The Eighth Affiliated Hospital of Sun Yat-sen University, Futian, Shenzhen, 518033, China.
Minnan GaoDepartment of Cardiovascular Surgery, The Eighth Affiliated Hospital of Sun Yat-sen University, Futian, Shenzhen, 518033, China.
Guibin FengDepartment of Cardiovascular Surgery, The Eighth Affiliated Hospital of Sun Yat-sen University, Futian, Shenzhen, 518033, China.
Kuan ZengDepartment of Cardiovascular Surgery, The Eighth Affiliated Hospital of Sun Yat-sen University, Futian, Shenzhen, 518033, China. zengkuan3@mail.sysu.edu.cn.
Yanqi YangDepartment of Cardiovascular Surgery, The Eighth Affiliated Hospital of Sun Yat-sen University, Futian, Shenzhen, 518033, China. yanqiyang_lio@yahoo.se.

Funding

Sun Yat-sen University Eighth Hospital Cohort Construction Project GCCRCYJ065
6 · The paper itself

Abstract

Culture-negative infective endocarditis (CNE) remains a significant diagnostic challenge in cardiology and infectious disease, often leading to delayed or empirical treatment. Metagenomic next-generation sequencing (mNGS) has emerged as a complementary diagnostic tool capable of identifying fastidious, unexpected, or novel pathogens without prior assumptions. This narrative review synthesizes evidence from 152 studies (2015-2024), evaluating mNGS within existing diagnostic frameworks for culture-negative IE. Compared to conventional diagnostics (blood cultures, PCR, 16 S rRNA sequencing), mNGS demonstrates enhanced detection capabilities for polymicrobial infections and rare pathogens, though methodological heterogeneity across studies precludes definitive performance comparisons. Performance varies substantially based on sample type, sequencing platform, and bioinformatic pipelines. Real-world applications reveal persistent challenges, including cost barriers, interpretive complexities in low-biomass samples, and contamination risks. Integration with host-response biomarkers and AI-driven interpretation platforms shows promise for advancing clinical utility. For mNGS to be effectively integrated into routine CNE care, standardization, regulatory clarity, and equitable implementation will be essential.

Indexed as

EndocarditisHigh-Throughput Nucleotide SequencingMetagenomicsHumansAntibiotic stewardshipCulture-negative infective endocarditisHeart valveInfectious disease diagnosticsMetagenomic next-generation sequencing (mNGS)Precision medicine

Identifiers

PMID40847264
PMCPMC12373624

What OpenQuestion holds

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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.