Evidence map›Paper›PMID 35429618›Full record

ArticleVirus research2022

Comparative analysis of SARS-CoV-2 quasispecies in the upper and lower respiratory tract shows an ongoing evolution in the spike cleavage site.

Stefano Gaiarsa, Federica Giardina, Gherard Batisti Biffignandi, Guglielmo Ferrari, Aurora Piazza, Monica Tallarita, Federica Novazzi, Claudio Bandi, Stefania Paolucci, Francesca Rovida and 3 more

Open access · greenAbstract read
In one paragraph

Article in Virus research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.9field-weighted citation impact, top 26% of its field
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

7 citing papers in PubMed, 9 citations in OpenAlex.

  1. SARS-CoV-2 mutant spectrum complexity is an epidemiologically evolvable trait.Proceedings of the National Academy of Sciences of the United States of America · 2025
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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

13 authors at 3 institutions in 1 country.

Stefano GaiarsaMicrobiology and Virology Department, Fondazione IRCCS Policlinico San Matteo, Via Tamelli 5, Pavia 27100, Italy.
Federica GiardinaMicrobiology and Virology Department, Fondazione IRCCS Policlinico San Matteo, Via Tamelli 5, Pavia 27100, Italy.
Gherard Batisti BiffignandiDepartment of Clinical, Surgical, Diagnostic and Pediatric Sciences, University of Pavia, Pavia, Italy.
Guglielmo FerrariMicrobiology and Virology Department, Fondazione IRCCS Policlinico San Matteo, Via Tamelli 5, Pavia 27100, Italy.
Aurora PiazzaDepartment of Clinical, Surgical, Diagnostic and Pediatric Sciences, University of Pavia, Pavia, Italy.
Monica TallaritaMicrobiology and Virology Department, Fondazione IRCCS Policlinico San Matteo, Via Tamelli 5, Pavia 27100, Italy.
Federica NovazziMicrobiology and Virology Department, Fondazione IRCCS Policlinico San Matteo, Via Tamelli 5, Pavia 27100, Italy.
Claudio BandiDepartment of Biosciences and Pediatric Clinical Research Center "Romeo ed Enrica Invernizzi", University of Milan, Milan, Italy.
Stefania PaolucciMicrobiology and Virology Department, Fondazione IRCCS Policlinico San Matteo, Via Tamelli 5, Pavia 27100, Italy.
Francesca RovidaMicrobiology and Virology Department, Fondazione IRCCS Policlinico San Matteo, Via Tamelli 5, Pavia 27100, Italy; Department of Clinical, Surgical, Diagnostic and Pediatric Sciences, University of Pavia, Pavia, Italy.
Giulia CampaniniMicrobiology and Virology Department, Fondazione IRCCS Policlinico San Matteo, Via Tamelli 5, Pavia 27100, Italy.
Antonio PirallaMicrobiology and Virology Department, Fondazione IRCCS Policlinico San Matteo, Via Tamelli 5, Pavia 27100, Italy. Electronic address: a.piralla@smatteo.pv.it.
Fausto BaldantiMicrobiology and Virology Department, Fondazione IRCCS Policlinico San Matteo, Via Tamelli 5, Pavia 27100, Italy; Department of Clinical, Surgical, Diagnostic and Pediatric Sciences, University of Pavia, Pavia, Italy.
Policlinico San Matteo Fondazione · ITUniversity of Pavia · ITUniversity of Milan · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Studies are needed to better understand the genomic evolution of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). This study aimed to describe viral quasispecies population of upper and lower respiratory tract by next-generation sequencing in patients admitted to intensive care unit. A deep sequencing of the S gene of SARS-CoV-2 from 109 clinical specimens, sampled from the upper respiratory tract (URT) and lower respiratory tract (LRT) of 77 patients was performed. A higher incidence of non-synonymous mutations and indels was observed in the LRT among minority variants. This might be explained by the ability of the virus to invade cells without interacting with ACE2 (e.g. exploiting macrophage phagocytosis). Minority variants are highly concentrated around the gene portion encoding for the Spike cleavage site, with a higher incidence in the URT; four mutations are highly recurring among samples and were found associated with the URT. Interestingly, 55.8% of minority variants detected in this locus were T>G and G>T transversions. Results from this study evidenced the presence of selective pressure and suggest that an evolutionary process is still ongoing in one of the crucial sites of spike protein associated with the spillover to humans.

Indexed as

COVID-19SARS-CoV-2High-Throughput Nucleotide SequencingHumansQuasispeciesRespiratory SystemSpike Glycoprotein, CoronavirusSpike Glycoprotein, Coronavirusspike protein, SARS-CoV-2Deep sequencingDeleterious mutationsMinority variantsSARS-CoV-2Spike proteinSpillover

Identifiers

PMID35429618
PMCPMC9008095
OpenAlexW4223941762

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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 Socratic graph.