Evidence map›Paper›PMID 41177147›Full record

ArticleInfluenza and other respiratory viruses2025

Route of Inoculation Determines Symptom Profile and Replication Dynamics After low Pathogenic Avian Influenza A(H7N9) Virus Infection in Ferrets.

Sook-San Wong, Mark Zanin, Min-Suk Song, Cristina Contreras, Thomas P Fabrizio, Eun-Kyo Hong, Hye Kwon Kim, Woonsung Na, Richard J Webby, Sun-Woo Yoon

Abstract read
In one paragraph

Article in Influenza and other respiratory viruses, 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. Article
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

10 authors.

Sook-San WongHKU-Pasteur Research Pole, LKS Faculty of Medicine, the University of Hong Kong, Hong Kong, SAR, China.ORCID https://orcid.org/0000-0002-1290-191X
Mark ZaninSchool of Public Health, LKS Faculty of Medicine, the University of Hong Kong, Hong Kong.ORCID https://orcid.org/0000-0003-3158-1744
Min-Suk SongChungbuk National University College of Medicine, Cheongju, Republic of Korea.
Cristina ContrerasDepartment of Host-Pathogen Interactions, St. Jude Children's Research Hospital, Memphis, Tennessee, USA.
Thomas P FabrizioDepartment of Host-Pathogen Interactions, St. Jude Children's Research Hospital, Memphis, Tennessee, USA.
Eun-Kyo HongDepartment of Vaccine Biotechnology, Gyeongkuk National University, Andong, Republic of Korea.
Hye Kwon KimDepartment of Microbiology, Chungbuk National University, Cheongju, Republic of Korea.ORCID https://orcid.org/0000-0003-3458-3403
Woonsung NaSchool of Dentistry, Seoul National University, Seoul, Republic of Korea.
Richard J WebbyDepartment of Host-Pathogen Interactions, St. Jude Children's Research Hospital, Memphis, Tennessee, USA.ORCID https://orcid.org/0000-0002-4397-7132
Sun-Woo YoonDepartment of Vaccine Biotechnology, Gyeongkuk National University, Andong, Republic of Korea.ORCID https://orcid.org/0000-0002-1448-4494

Funding

Hong Kong SAR Government T11-712/19-NMinistry of Education and National Research Foundation of South KoreaNIAID NIH HHS HHSN266200700005CNIAID NIH HHS HHSN272200900007CNIAID NIH HHS HHSN272201400006C
6 · The paper itself

Abstract

backgroundAlthough influenza A viruses (IAVs) are respiratory pathogens, infections may occur via nonrespiratory routes. However, the effects of different routes of exposure on the course of infection and disease are not well characterized.

methodsThis study assessed the pathogenicity and host responses in ferrets inoculated with the low pathogenic A/Anhui/1/2013 (H7N9) influenza A virus via different routes. Ferrets were inoculated through various routes, and viral replication in the respiratory tract was evaluated using nasal wash samples as well as respiratory and nonrespiratory tissues. Host immune responses were analyzed using peripheral blood collected from the virus-inoculated ferrets.

resultsInoculation of ferrets with H7N9 via the intranasal (IN), intraocular (IO), or intraesophageal (IE) routes revealed that IN inoculation led to the greatest distribution of virus, whereas IO and IE inoculation led to more restricted viral spread. However, despite different routes, the respiratory tract remained the preferred site of IAV replication. IN- and IE-inoculation led to greater symptom severity compared to IO inoculation. Proinflammatory cytokine expression was highest in IN-inoculated ferrets and was not always associated with cumulative viral loads.

conclusionsOverall, these results indicated that the route of inoculation can influence tissue distribution and disease outcomes, but the respiratory tract remains the primary site of viral replication.

Indexed as

Influenza A Virus, H7N9 SubtypeOrthomyxoviridae InfectionsVirus ReplicationAnimalsDisease Models, AnimalFemaleFerretsMaleRespiratory SystemViral LoadferretH7N9influenza viruspathogenicityroute of inoculation

Identifiers

PMID41177147
PMCPMC12579965

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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.