Evidence map›Paper›PMID 40863229›Full record

ArticleDiseases (Basel, Switzerland)2025

Epidemiology and Genetic Diversity of Human Metapneumovirus in Patients with Severe Acute Respiratory Infection from 2023 to 2024 in Ningxia, China.

Ting Mu, Jianxin Pei, Jingting Wang, Ling Niu, Zhonglan Wu

Abstract read
In one paragraph

Article in Diseases (Basel, Switzerland), 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. Article
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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

5 authors.

Ting MuNingxia Hui Autonomous Region Center for Disease Control and Prevention, Ningxia Hui Autonomous Region Academy of Preventive Medicine, NO.4 Fengchao Road, Yinchuan 750004, China.ORCID 0009-0003-4323-6494
Jianxin PeiNingxia Hui Autonomous Region Center for Disease Control and Prevention, Ningxia Hui Autonomous Region Academy of Preventive Medicine, NO.4 Fengchao Road, Yinchuan 750004, China.
Jingting WangNingxia Hui Autonomous Region Center for Disease Control and Prevention, Ningxia Hui Autonomous Region Academy of Preventive Medicine, NO.4 Fengchao Road, Yinchuan 750004, China.
Ling NiuZhongwei Center for Disease Control and Prevention, Zhongwei 755000, China.
Zhonglan WuNingxia Hui Autonomous Region Center for Disease Control and Prevention, Ningxia Hui Autonomous Region Academy of Preventive Medicine, NO.4 Fengchao Road, Yinchuan 750004, China.ORCID 0000-0003-3420-1268

Funding

Ningxia Natural Science Foundation: Based on NGS Technology Platform to Study on the Precise Identification of Pathogens of Severe Pneumonia in Acute Respiratory Infections. (No: 2024AAC03734)
6 · The paper itself

Abstract

backgroundHuman metapneumovirus (HMPV) is a major pathogen responsible for causing severe acute respiratory infections (SARI). Whole-genome sequencing can better identify transmission events and outbreaks. In this study, we aimed to investigate the epidemiology and genetic diversity of HMPV in SARI cases in Ningxia, China.

methodsWe collected respiratory tract samples from hospitalized patients with SARI from October 2023 to September 2024 in Ningxia, China. Nasopharyngeal swabs were tested for respiratory viruses with qRT-PCR. Whole-genome sequences were determined for samples with high viral loads using an amplicon-based method.

resultsWe enrolled 2873 SARI patients from October 2023 to September 2024, and found an HMPV-positive proportion of 3.06% (88/2873). Children aged 4 years were particularly susceptible to HMPV infection, with a positive proportion of 10.92% (13/119). HMPV exhibits distinct seasonal characteristics, consistent with its established epidemiological pattern, with a peak incidence occurring during winter months. Sixteen complete HMPV genome sequences were obtained. Among these, 81.25% (13/16) were identified as genotype A (A2.2.2: 92.31%, 12/13; A2.2.1: 7.69%, 1/13) and 18.75% (3/16) as genotype B1. Notably, the dominant strain was 111nt-dup in genotype A2.2.2. Sequence analysis of HMPV genes revealed divergent G-gene sequence identities between different genotypes. Additionally, the potential glycosylation sites of the G protein varied across genotypes.

conclusionsIn this study, we found that the 111nt-dup strain was the dominant one in genotype A, and multiple genotypes co-circulated in Ningxia from October 2023 to September 2024. The HMPV G protein exhibited the highest level of inter-strain diversity between genotypes. These findings provide valuable insights into the prevention and control of HMPV infections in China.

Indexed as

epidemiologyevolutiongenotypehuman metapneumovirus

Identifiers

PMID40863229
PMCPMC12385779

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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.