Metagenomic Approach Reveals the Circulation of Pathogenic Viruses Associated with Respiratory Infections in Peru

Acute respiratory infections (ARIs) are diseases that significantly impact public health, traditional PCR panels often fail to detect acute respiratory infections (ARIs) due to unmonitored viruses, primer mismatches, or geographically isolated variants. To overcome these diagnostic limitations, the...

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Autores principales: Íris Terezinha Santos de Santana Silva, Víctor Jimenez‐Vasquez, Nancy Rojas, Priscila Lope‐Pari, Luis Barcena, Omar Cáceres, Maribel Huaringa, Janet Otárola, Johana Balbuena, Pool Marcos-Carbajal, Sila Ruiton, Enrique Mamani, Carlos Padilla
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Publicado: 2026
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author Íris Terezinha Santos de Santana Silva
Víctor Jimenez‐Vasquez
Nancy Rojas
Priscila Lope‐Pari
Luis Barcena
Omar Cáceres
Maribel Huaringa
Janet Otárola
Johana Balbuena
Pool Marcos-Carbajal
Sila Ruiton
Enrique Mamani
Carlos Padilla
author_browse Carlos Padilla
Enrique Mamani
Janet Otárola
Johana Balbuena
Luis Barcena
Maribel Huaringa
Nancy Rojas
Omar Cáceres
Pool Marcos-Carbajal
Priscila Lope‐Pari
Sila Ruiton
Víctor Jimenez‐Vasquez
Íris Terezinha Santos de Santana Silva
author_facet Íris Terezinha Santos de Santana Silva
Víctor Jimenez‐Vasquez
Nancy Rojas
Priscila Lope‐Pari
Luis Barcena
Omar Cáceres
Maribel Huaringa
Janet Otárola
Johana Balbuena
Pool Marcos-Carbajal
Sila Ruiton
Enrique Mamani
Carlos Padilla
author_sort Íris Terezinha Santos de Santana Silva
collection Producción científica
description Acute respiratory infections (ARIs) are diseases that significantly impact public health, traditional PCR panels often fail to detect acute respiratory infections (ARIs) due to unmonitored viruses, primer mismatches, or geographically isolated variants. To overcome these diagnostic limitations, the primary purpose of this study is to uncover hidden viral etiologies through a stringent mNGS bioinformatic algorithm. By applying untargeted metagenomic sequencing to 300 previously test-negative nasopharyngeal samples across diverse cohorts in Peru, this research aims to characterize undetected pathogens and support national genomic surveillance. Genomic material was amplified via sequence-independent single-primer amplification (SISPA) and sequenced using the Illumina platform. Following quality filtering and human read depletion, taxonomic identification was performed using Kraken2. A stringent custom filtration algorithm based on taxon-specific reads per million ratios (RPMr), SMNR and MAPQ thresholds. Unbiased mNGS of 300 test-negative respiratory samples revealed a viral landscape dominated by Coronaviridae (67.2%; predominantly SARS-CoV-2), followed by Picornaviridae (13.6%), Orthoherpesviridae (12.0%), Paramyxoviridae (5.6%), Anelloviridae (0.8%), and Adenoviridae (0.8%). Agnostic mNGS bypasses targeted assay limitations, revealing that 35.66% of previously negative samples contained hidden pathogens. This approach proves pivotal for respiratory virus surveillance, enhancing pathogen tracking and outbreak detection.
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spelling openalex:W7212807534Metagenomic Approach Reveals the Circulation of Pathogenic Viruses Associated with Respiratory Infections in PeruÍris Terezinha Santos de Santana SilvaVíctor Jimenez‐VasquezNancy RojasPriscila Lope‐PariLuis BarcenaOmar CáceresMaribel HuaringaJanet OtárolaJohana BalbuenaPool Marcos-CarbajalSila RuitonEnrique MamaniCarlos Padillaacute respiratory infectionsmetagenomic next-generation sequencingviral etiologySARS-CoV-2CoronaviridaepicornavirusParamyxoviridaeAnelloviridaeAdenoviridaeviral surveillancePeruoutbreak detectionRespiratory viral infections researchGenomics and Phylogenetic StudiesBacterial Identification and Susceptibility TestingAcute respiratory infections (ARIs) are diseases that significantly impact public health, traditional PCR panels often fail to detect acute respiratory infections (ARIs) due to unmonitored viruses, primer mismatches, or geographically isolated variants. To overcome these diagnostic limitations, the primary purpose of this study is to uncover hidden viral etiologies through a stringent mNGS bioinformatic algorithm. By applying untargeted metagenomic sequencing to 300 previously test-negative nasopharyngeal samples across diverse cohorts in Peru, this research aims to characterize undetected pathogens and support national genomic surveillance. Genomic material was amplified via sequence-independent single-primer amplification (SISPA) and sequenced using the Illumina platform. Following quality filtering and human read depletion, taxonomic identification was performed using Kraken2. A stringent custom filtration algorithm based on taxon-specific reads per million ratios (RPMr), SMNR and MAPQ thresholds. Unbiased mNGS of 300 test-negative respiratory samples revealed a viral landscape dominated by Coronaviridae (67.2%; predominantly SARS-CoV-2), followed by Picornaviridae (13.6%), Orthoherpesviridae (12.0%), Paramyxoviridae (5.6%), Anelloviridae (0.8%), and Adenoviridae (0.8%). Agnostic mNGS bypasses targeted assay limitations, revealing that 35.66% of previously negative samples contained hidden pathogens. This approach proves pivotal for respiratory virus surveillance, enhancing pathogen tracking and outbreak detection.Articlehttps://doi.org/10.3390/microbiolres17090178W7212807534enMicrobiology Research2036-74812036-74732026-09-14
spellingShingle acute respiratory infections
metagenomic next-generation sequencing
viral etiology
SARS-CoV-2
Coronaviridae
picornavirus
Paramyxoviridae
Anelloviridae
Adenoviridae
viral surveillance
Peru
outbreak detection
Respiratory viral infections research
Genomics and Phylogenetic Studies
Bacterial Identification and Susceptibility Testing
Íris Terezinha Santos de Santana Silva
Víctor Jimenez‐Vasquez
Nancy Rojas
Priscila Lope‐Pari
Luis Barcena
Omar Cáceres
Maribel Huaringa
Janet Otárola
Johana Balbuena
Pool Marcos-Carbajal
Sila Ruiton
Enrique Mamani
Carlos Padilla
Metagenomic Approach Reveals the Circulation of Pathogenic Viruses Associated with Respiratory Infections in Peru
title Metagenomic Approach Reveals the Circulation of Pathogenic Viruses Associated with Respiratory Infections in Peru
title_full Metagenomic Approach Reveals the Circulation of Pathogenic Viruses Associated with Respiratory Infections in Peru
title_fullStr Metagenomic Approach Reveals the Circulation of Pathogenic Viruses Associated with Respiratory Infections in Peru
title_full_unstemmed Metagenomic Approach Reveals the Circulation of Pathogenic Viruses Associated with Respiratory Infections in Peru
title_short Metagenomic Approach Reveals the Circulation of Pathogenic Viruses Associated with Respiratory Infections in Peru
title_sort metagenomic approach reveals the circulation of pathogenic viruses associated with respiratory infections in peru
topic acute respiratory infections
metagenomic next-generation sequencing
viral etiology
SARS-CoV-2
Coronaviridae
picornavirus
Paramyxoviridae
Anelloviridae
Adenoviridae
viral surveillance
Peru
outbreak detection
Respiratory viral infections research
Genomics and Phylogenetic Studies
Bacterial Identification and Susceptibility Testing
topic_facet acute respiratory infections
metagenomic next-generation sequencing
viral etiology
SARS-CoV-2
Coronaviridae
picornavirus
Paramyxoviridae
Anelloviridae
Adenoviridae
viral surveillance
Peru
outbreak detection
Respiratory viral infections research
Genomics and Phylogenetic Studies
Bacterial Identification and Susceptibility Testing
url https://doi.org/10.3390/microbiolres17090178
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