Evidence map›Paper›PMID 42841217›Full record

ArticleEmerging microbes & infections2026

Unravelling the transmission dynamics and evolutionary trajectory of mpox in South Korea: 2022-2025 outbreak.

Minji Lee, Chi-Hwan Choi, Sang Eun Lee, Jin-Won Kim, Gyuri Sim, Jeong Hyun Lee, Hwajung Yi, Yoon-Seok Chung

Abstract read
In one paragraph

Article in Emerging microbes & infections, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Minji LeeDivision of High-risk Pathogens, Department of Laboratory Diagnosis and Analysis, Korea Disease Control and Prevention Agency, Cheongju, Republic of Korea.
Chi-Hwan ChoiDivision of High-risk Pathogens, Department of Laboratory Diagnosis and Analysis, Korea Disease Control and Prevention Agency, Cheongju, Republic of Korea.
Sang Eun LeeDivision of High-risk Pathogens, Department of Laboratory Diagnosis and Analysis, Korea Disease Control and Prevention Agency, Cheongju, Republic of Korea.
Jin-Won KimDivision of High-risk Pathogens, Department of Laboratory Diagnosis and Analysis, Korea Disease Control and Prevention Agency, Cheongju, Republic of Korea.
Gyuri SimDivision of High-risk Pathogens, Department of Laboratory Diagnosis and Analysis, Korea Disease Control and Prevention Agency, Cheongju, Republic of Korea.
Jeong Hyun LeeDivision of High-risk Pathogens, Department of Laboratory Diagnosis and Analysis, Korea Disease Control and Prevention Agency, Cheongju, Republic of Korea.
Hwajung YiDivision of High-risk Pathogens, Department of Laboratory Diagnosis and Analysis, Korea Disease Control and Prevention Agency, Cheongju, Republic of Korea.
Yoon-Seok ChungDivision of High-risk Pathogens, Department of Laboratory Diagnosis and Analysis, Korea Disease Control and Prevention Agency, Cheongju, Republic of Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The 2022 monkeypox (mpox) outbreak, driven by clade IIb monkeypox virus (MPXV), was facilitated by human-to-human transmission, particularly within heavy-tailed sexual networks. APOBEC3-associated mutations have been a prominent feature of MPXV genomic evolution during the global outbreak. National genomic data were collected from clinical samples by the Korea Disease Control and Prevention Agency to examine the transmission dynamics and molecular evolution of MPXV. Target enrichment-based next-generation sequencing was used to generate high-quality genomes. Mutation profiling was used to identify key genetic changes; clustering based on common variants provided insights into national transmission dynamics and molecular evolution. Analysis of mpox-positive samples revealed the linkage of most cases to sub-lineage C.1 and a few cases to C.1.1. Genomic clustering revealed an uneven distribution of cases, with a dominant cluster accounting for a substantial proportion of domestic transmission while most other cluster remained relatively limited in size, consistent with heterogeneous transmission patterns. APOBEC3-associated mutations progressively accumulated during the outbreak and were frequently observed in genomic regions associated with viral structural integrity and cell-to-cell transmission and host-modulation, indicating continued genomic diversification during human-to-human transmission. Together with the dominance of localized clusters, these findings suggest heterogeneous transmission patterns and the possible contribution of epidemiologically unrecognized transmission to the spread of MPXV in South Korea. These results underscore value of integrating genomic surveillance and targeted interventions to characterize transmission patterns and monitor viral genomic changes of potential biological or public health relevance.

Indexed as

Disease OutbreaksEvolution, MolecularMpox, MonkeypoxAnimalsGenome, ViralHigh-Throughput Nucleotide SequencingHumansMutationPhylogenyRepublic of KoreaAPOBEC3-mediated mutagenesisgenomic surveillancemolecular evolutionMonkeypox virusMpoxnext-generation sequencingtransmission dynamicsviral adaptation

Identifiers

PMID42841217
PMCPMC13686212

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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.