Evidence map›Paper›PMID 38408924›Full record

ArticleBMC infectious diseases2024

Nasopharyngeal angiotensin converting enzyme 2 (ACE2) expression as a risk-factor for SARS-CoV-2 transmission in concurrent hospital associated outbreaks.

Aidan M Nikiforuk, Kevin S Kuchinski, Katy Short, Susan Roman, Mike A Irvine, Natalie Prystajecky, Agatha N Jassem, David M Patrick, Inna Sekirov

Open access · goldAbstract read
In one paragraph

Article in BMC infectious diseases, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.8field-weighted citation impact, top 32% 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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. 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

9 authors at 4 institutions in 1 country.

Aidan M NikiforukBritish Columbia Centre for Disease Control, V5Z 4R4, Vancouver, BC, Canada.
Kevin S KuchinskiBritish Columbia Centre for Disease Control, V5Z 4R4, Vancouver, BC, Canada.
Katy ShortFraser Health Authority, V3L 3C2, New Westminster, BC, Canada.
Susan RomanFraser Health Authority, V3L 3C2, New Westminster, BC, Canada.
Mike A IrvineBritish Columbia Centre for Disease Control, V5Z 4R4, Vancouver, BC, Canada.
Natalie PrystajeckyBritish Columbia Centre for Disease Control, V5Z 4R4, Vancouver, BC, Canada.
Agatha N JassemBritish Columbia Centre for Disease Control, V5Z 4R4, Vancouver, BC, Canada.
David M PatrickBritish Columbia Centre for Disease Control, V5Z 4R4, Vancouver, BC, Canada.
Inna SekirovBritish Columbia Centre for Disease Control, V5Z 4R4, Vancouver, BC, Canada. Inna.Sekirov@bccdc.ca.
University of British Columbia · CABC Centre for Disease Control · CAFraser Health · CASimon Fraser University · CA

Funding

CIHR #434951
6 · The paper itself

Abstract

backgroundWidespread human-to-human transmission of the severe acute respiratory syndrome coronavirus two (SARS-CoV-2) stems from a strong affinity for the cellular receptor angiotensin converting enzyme two (ACE2). We investigate the relationship between a patient's nasopharyngeal ACE2 transcription and secondary transmission within a series of concurrent hospital associated SARS-CoV-2 outbreaks in British Columbia, Canada.

methodsEpidemiological case data from the outbreak investigations was merged with public health laboratory records and viral lineage calls, from whole genome sequencing, to reconstruct the concurrent outbreaks using infection tracing transmission network analysis. ACE2 transcription and RNA viral load were measured by quantitative real-time polymerase chain reaction. The transmission network was resolved to calculate the number of potential secondary cases. Bivariate and multivariable analyses using Poisson and Negative Binomial regression models was performed to estimate the association between ACE2 transcription the number of SARS-CoV-2 secondary cases.

resultsThe infection tracing transmission network provided n = 76 potential transmission events across n = 103 cases. Bivariate comparisons found that on average ACE2 transcription did not differ between patients and healthcare workers (P = 0.86). High ACE2 transcription was observed in 98.6% of transmission events, either the primary or secondary case had above average ACE2. Multivariable analysis found that the association between ACE2 transcription (log

conclusionOur study suggests that ACE2 transcription has a positive association with SARS-CoV-2 secondary transmission in admitted inpatients, but not health care workers in concurrent hospital associated outbreaks, and it should be further investigated as a risk-factor for viral transmission.

Indexed as

COVID-19SARS-CoV-2Angiotensin-Converting Enzyme 2British ColumbiaDisease OutbreaksHospitalsHumansRNAACE2 protein, humanAngiotensin-Converting Enzyme 2RNAACE2Infection tracingMultivariable analysisNegative binomial regressionOutbreak investigationPoisson regression modelSARS-CoV-2Transmission network

Identifiers

PMID38408924
PMCPMC10898082
OpenAlexW4392154951

What Socratic holds

Textmetadata
LicenceCC BY
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.