Evidence map›Paper›PMID 40924669›Full record

ArticleJCI insight2025

Virologic characteristics of SARS-CoV-2 infection across evolving Omicron subvariants.

Julie Boucau, Owen T Glover, Caitlin Marino, Gregory E Edelstein, Manish C Choudhary, Yijia Li, Brooke M Leeman, Zahra Reynolds, Karry Su, Dessie Tien and 12 more

Abstract read
In one paragraph

Article in JCI insight, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Trial
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

22 authors.

Julie BoucauRagon Institute of Mass General Brigham, Cambridge, Massachusetts, USA.
Owen T GloverRagon Institute of Mass General Brigham, Cambridge, Massachusetts, USA.
Caitlin MarinoRagon Institute of Mass General Brigham, Cambridge, Massachusetts, USA.
Gregory E EdelsteinBrigham and Women's Hospital, Boston, Massachusetts, USA.
Manish C ChoudharyBrigham and Women's Hospital, Boston, Massachusetts, USA.
Yijia LiBrigham and Women's Hospital, Boston, Massachusetts, USA.
Brooke M LeemanBrigham and Women's Hospital, Boston, Massachusetts, USA.
Zahra ReynoldsMassachusetts General Hospital, Boston, Massachusetts, USA.
Karry SuMassachusetts General Hospital, Boston, Massachusetts, USA.
Dessie TienMassachusetts General Hospital, Boston, Massachusetts, USA.
Chase B MandellMassachusetts General Hospital, Boston, Massachusetts, USA.
Eliza PassellMassachusetts General Hospital, Boston, Massachusetts, USA.
Andrew AlexandrescuMassachusetts General Hospital, Boston, Massachusetts, USA.
Emory AbarMassachusetts General Hospital, Boston, Massachusetts, USA.
Mamadou BarryMassachusetts General Hospital, Boston, Massachusetts, USA.
Dibya GhimireMassachusetts General Hospital, Boston, Massachusetts, USA.
Tammy D VyasMassachusetts General Hospital, Boston, Massachusetts, USA.
Jatin M VyasMassachusetts General Hospital, Boston, Massachusetts, USA.
Jacob E LemieuxMassachusetts General Hospital, Boston, Massachusetts, USA.
Jonathan Z LiBrigham and Women's Hospital, Boston, Massachusetts, USA.
Mark J SiednerMassachusetts General Hospital, Boston, Massachusetts, USA.
Amy K BarczakRagon Institute of Mass General Brigham, Cambridge, Massachusetts, USA.

Funding

The impact of HIV viral diversity and cellular immunity on HIV pathogenesisP30AI060354 · NIAID · HARVARD UNIVERSITY (MEDICAL SCHOOL) · PI RAJESH T GANDHI · 2004 to 2026
$94.4M
Viral Genomics: evolution, spread, and host interactionsU19AI110818 · NIAID · BROAD INSTITUTE, INC. · PI EARL, ASHLEE MIRIAM · 2014 to 2024
$66.5M
Characterization of Persistent COVID-19R01AI176287 · NIAID · BRIGHAM AND WOMEN'S HOSPITAL · PI Amy K Barczak, Jonathan Li · 2023 to 2026
$3.4M
Mentoring patient-oriented research to improve cardiovascular health among people with HIV in sub-Saharan AfricaK24HL166024 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI MARK J SIEDNER · 2022 to 2026
$616k
NHLBI NIH HHS K24 HL166024NIAID NIH HHS P30 AI060354NIAID NIH HHS R01 AI176287NIAID NIH HHS U19 AI110818
6 · The paper itself

Abstract

BACKGROUNDSARS-CoV-2 has evolved subvariants since the emergence of the Omicron variant in 2021. Whether these changes impact viral shedding and transmissibility is not known.METHODSPOSITIVES is a prospective longitudinal cohort of individuals with mild SARS-CoV-2 infection. Ambulatory, immunocompetent participants who did not receive antivirals self-administered 6 anterior nasal swabs over 15 days. Samples were analyzed by qPCR to quantify viral RNA, semiquantitative viral culture to detect shedding of replication-competent virus, and whole-genome sequencing to classify subvariants. Our predictor of interest was Omicron subvariants: BA.1x, BA.2x, BA.4/5x, XBB.x, and JN.x. Outcomes included RNA levels and duration of shedding replication-competent virus. We additionally explored whether symptoms are a valid marker for ending isolation.RESULTSThe median peak nasal SARS-CoV-2 RNA (6.0-6.3 log10 RNA copies/mL), median days to peak RNA (4-5 days), median days to undetectable viral RNA (12-14 days), and median days to negative viral culture (4-8 days) were similar across Omicron subvariants. Number and duration of symptoms were also similar. For all subvariants, a sizeable percentage (range 27.5%-56.0%) shed replication-competent virus after fever resolution and improvement of symptoms.CONCLUSIONDespite ongoing viral evolution, key aspects of viral dynamics of SARS-CoV-2 infection, including the duration of shedding replication-competent virus, have not substantially changed across Omicron subvariants. Replication-competent shedding of these subvariants is detected for a large proportion of people who meet criteria for ending isolation.FUNDINGNIH (U19 AI110818, R01 AI176287, K24 HL166024), the Massachusetts Consortium on Pathogen Readiness, and the Massachusetts General Hospital Department of Medicine.

Indexed as

COVID-19SARS-CoV-2AdultAgedFemaleHumansLongitudinal StudiesMaleMiddle AgedProspective StudiesRNA, ViralVirus SheddingRNA, ViralClinical ResearchCOVID-19Infectious disease

Identifiers

PMID40924669
PMCPMC12581670

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.