Evidence map›Paper›PMID 41103028›Full record

ArticleThe Journal of infectious diseases2026

Genomic Surveillance and Antigenic Characterization of Respiratory Syncytial Virus (RSV) in Spain During the 2023-2024 Season of Nirsevimab Administration.

María Iglesias-Caballero, Vicente Mas, Albert Campoy, Cristina Calvo, María Luz García, Sonia Alcolea, Laura Moreno-Parrado, Jordi Reina, Ana Navascués, Andrés Antón and 13 more

Abstract read
In one paragraph

Article in The Journal of infectious diseases, 2026. 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.

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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

23 authors.

María Iglesias-CaballeroReference and Research Laboratory for Respiratory Virus, National Centre for Microbiology, Instituto de Salud Carlos III, Madrid, Spain.ORCID 0000-0002-3248-4471
Vicente MasReference and Research Laboratory for Respiratory Virus, National Centre for Microbiology, Instituto de Salud Carlos III, Madrid, Spain.
Albert CampoyReference and Research Laboratory for Respiratory Virus, National Centre for Microbiology, Instituto de Salud Carlos III, Madrid, Spain.
Cristina CalvoPaediatric Infectious and Tropical Diseases Department, Universitary Hospital La Paz, Hospital La Paz Institute for Health Research (IdiPAZ Foundation), Madrid, Spain.ORCID 0000-0002-6503-3423
María Luz GarcíaConsortium for Biomedical Research in Infectious Diseases (CIBERINFEC), Madrid, Spain.
Sonia AlcoleaPaediatric Infectious and Tropical Diseases Department, Universitary Hospital La Paz, Hospital La Paz Institute for Health Research (IdiPAZ Foundation), Madrid, Spain.ORCID 0000-0003-1233-1723
Laura Moreno-ParradoMicrobiology Department, Universitary Hospital Virgen de Arrixaca, Murcia, Spain.
Jordi ReinaMicrobiology Department,Universitary Hospital Son Espases, Mallorca, Spain.
Ana NavascuésClinical Microbiology Unit, Navarra Universitary Hospital, Pamplona, Navarra, Spain.
Andrés AntónConsortium for Biomedical Research in Infectious Diseases (CIBERINFEC), Madrid, Spain.ORCID 0000-0002-1476-0815
Carlos Davina-NunezMicrobiology and Infectology Research Group, Galicia Sur Health Research Institute (IIS Galicia Sur), Vigo, Spain.ORCID 0000-0001-6952-2219
Sonia Perez-CastroMicrobiology and Infectology Research Group, Galicia Sur Health Research Institute (IIS Galicia Sur), Vigo, Spain.ORCID 0000-0003-1734-1904
José CostaMicrobiology Department, Santiago Universitary Hospital Complex, Santiago de Compostela, Spain.
Ana Fernández-GonzálezMicrobiology Department, A Coruña Universitary Hospital Complex, A Coruña, Spain.
José Antonio LepeMicrobiology Department, Universitary Hospital Virgen del Rocío, Sevilla, Spain.ORCID 0000-0002-3635-4930
Cristina GaonaMicrobiology Department, Badajoz Universitary Hospital Complex, Badajoz, Spain.
Zulema PérezMicrobiology Department, Central Universitary Hospital of Asturias, Oviedo, Spain.
Diego García-Martínez de ArtolaMicrobiology Unit, Nuestra Señora de Candelaria University Hospital, Instituto de Investigación Sanitaria de Canarias, Santa Cruz de Tenerife, Spain.
Sonia Vázquez-MorónReference and Research Laboratory for Respiratory Virus, National Centre for Microbiology, Instituto de Salud Carlos III, Madrid, Spain.
Sara CamareroReference and Research Laboratory for Respiratory Virus, National Centre for Microbiology, Instituto de Salud Carlos III, Madrid, Spain.
Olga CanoReference and Research Laboratory for Respiratory Virus, National Centre for Microbiology, Instituto de Salud Carlos III, Madrid, Spain.
Francisco PozoReference and Research Laboratory for Respiratory Virus, National Centre for Microbiology, Instituto de Salud Carlos III, Madrid, Spain.
Inmaculada CasasReference and Research Laboratory for Respiratory Virus, National Centre for Microbiology, Instituto de Salud Carlos III, Madrid, Spain.ORCID 0000-0003-1840-1198

Funding

Cabildo Insular de TenerifeCLARITY-Horizon Europe Program 101137201COVIDSEQ-UNESPA MPY 226/22Instituto de Salud Carlos III PI21/00377Instituto de Salud Carlos III PI21CIII/00019Instituto de Salud Carlos III PI22/00054UNESPA
6 · The paper itself

Abstract

Respiratory Syncytial Virus (RSV) is a leading cause of respiratory infections in infants and older adults. In Spain, surveillance is supported by the SiVIRA system and the RELECOV genomic sequencing network. The 2023-2024 season marked the first nationwide administration of nirsevimab, a monoclonal antibody for preventing severe RSV in infants. This study analyzes the genomic evolution of RSV during this period, focusing on potential escape mutations in the F protein. RSV-A showed high genetic diversity with eleven circulating lineages, while RSV-B was dominated by lineage B.D.E.1. Phylogenetic analysis revealed three distinct B.D.4.1.1 groups, one sharing mutations with B.D.E.1 in the nirsevimab binding site. Despite these changes, neutralization assays confirmed that nirsevimab and other monoclonal antibodies remained effective. No significant antigenic drift compromising immunoprophylaxis was observed. These findings support the continued efficacy of nirsevimab and highlight the importance of genomic surveillance for tracking RSV evolution and informing future immunization strategies.

Indexed as

Antibodies, Monoclonal, HumanizedAntigens, ViralRespiratory Syncytial Virus, HumanRespiratory Syncytial Virus InfectionsAntibodies, ViralAntiviral AgentsFemaleGenetic VariationGenome, ViralHumansInfantPhylogenySeasonsSpainViral Fusion ProteinsAntibodies, Monoclonal, HumanizedAntibodies, ViralAntigens, ViralAntiviral AgentsViral Fusion Proteinsgenomic and antigenic surveillancenirsevimabRELECOV multicentre studyRSV

Identifiers

PMID41103028
PMCPMC13017623

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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.