Alejandra González-Sánchez

Ms. Alejandra González-Sánchez

orcid

Research Focus & Metrics

Academic Career Length

5Years (2022-Present)

(Calculated once Scilit publication data is synced: current year − year of first publication + 1)

Representative Publications

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14 March 2022 in Viruses
Verified
Journal Article
Open access
PDF file
JQJosep Quer
Josep Quer
SCSergi Colomer-Castell
Sergi Colomer-Castell
CCCarolina Campos/Josep Campos
Carolina Campos/Josep Campos
CACristina Andrés
Cristina Andrés
MPMaria Piñana
Maria Piñana
DTDavid Tabernero
David Tabernero
Virus pandemics have happened, are happening and will happen again. In recent decades, the rate of zoonotic viral spillover into humans has accelerated, mirroring the expansion of our global footprint and travel network, including the expansion of viral vectors and the destruction of natural spaces, bringing humans closer to wild animals. Once viral cross-species transmission to humans occurs, transmission cannot be stopped by cement walls but by developing barriers based on knowledge that can prevent or reduce the effects of any pandemic. Controlling a local transmission affecting few individuals is more efficient that confronting a community outbreak in which infections cannot be traced. Genetic detection, identification, and characterization of infectious agents using next-generation sequencing (NGS) has been proven to be a powerful tool allowing for the development of fast PCR-based molecular assays, the rapid development of vaccines based on mRNA and DNA, the identification of outbreaks, transmission dynamics and spill-over events, the detection of new variants and treatment of vaccine resistance mutations, the development of direct-acting antiviral drugs, the discovery of relevant minority variants to improve knowledge of the viral life cycle, strengths and weaknesses, the potential for becoming dominant to take appropriate preventive measures, and the discovery of new routes of viral transmission.

6 April 2024 in Journal of Infection
Verified
Journal Article
Open access
MPMaria Piñana
Maria Piñana
AGAlejandra González-Sánchez
Alejandra González-Sánchez
CACristina Andrés
Cristina Andrés
JVJorgina Vila
Jorgina Vila
ACAnna Creus-Costa
Anna Creus-Costa
AAAndrés Antón
Andrés Antón
This study investigated the prevalence, genetic diversity, and evolution of human respiratory syncytial virus (HRSV) in Barcelona from 2013 to 2023. Respiratory specimens from patients with RTI suspicion at Hospital Universitari Vall d'Hebron were collected from October/2013 to May/2023 for laboratory-confirmation of respiratory viruses. Next-generation sequencing was performed in randomly-selected samples with Illumina technology. Phylogenetic analyses of whole genome sequences were performed with BEAST v1.10.4. Signals of selection and evolutionary pressures were inferred by population dynamics and evolutionary analyses. Mutations in major surface proteins were genetic and structurally characterised, emphasizing those within antigenic epitopes. Analyzing 139,625 samples, 5.3% were HRSV-positive (3,008 HRSV-A, 3,882 HRSV-B, 56 HRSV-A and -B, and 495 unsubtyped HRSV), with a higher prevalence observed in the paediatric population. Pandemic-related shifts in seasonal patterns returned to normal in 2022-2023. A total of 198 whole-genome sequences were obtained for HRSV-A (6.6% of the HRSV-A positive samples) belonging to GA2.3.5 lineage. For HRSV-B, 167 samples were sequenced (4.3% of the HRSV-B positive samples), belonging to GB5.0.2, GB5.0.4a and GB5.0.5a. HRSV-B exhibited a higher evolution rate. Post-SARS-CoV-2 pandemic, both subtypes showed increased evolutionary rates and decreased effective population size initially, followed by a sharp increase. Analyses indicated negative selective pressure on HRSV. Mutations in antigenic epitopes, including S276N and M274I in palivizumab-targeted site II, and I206M, Q209R, and S211N in nirsevimab-targeted site Ø, were identified. Particularly in the context of the large-scale use in 2023-2024 season of nirsevimab, continuous epidemiological and genomic surveillance is crucial.

20 February 2023 in Viruses
Verified
Journal Article
Open access
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MIMarta Ibáñez-Lligoña
Marta Ibáñez-Lligoña
SCSergi Colomer-Castell
Sergi Colomer-Castell
AGAlejandra González-Sánchez
Alejandra González-Sánchez
Josep GregoriJosep Gregori
Josep Gregori
CCCarolina Campos/Josep Campos
Carolina Campos/Josep Campos
JQJosep Quer
Josep Quer
Epidemics and pandemics have occurred since the beginning of time, resulting in millions of deaths. Many such disease outbreaks are caused by viruses. Some viruses, particularly RNA viruses, are characterized by their high genetic variability, and this can affect certain phenotypic features: tropism, antigenicity, and susceptibility to antiviral drugs, vaccines, and the host immune response. The best strategy to face the emergence of new infectious genomes is prompt identification. However, currently available diagnostic tests are often limited for detecting new agents. High-throughput next-generation sequencing technologies based on metagenomics may be the solution to detect new infectious genomes and properly diagnose certain diseases. Metagenomic techniques enable the identification and characterization of disease-causing agents, but they require a large amount of genetic material and involve complex bioinformatic analyses. A wide variety of analytical tools can be used in the quality control and pre-processing of metagenomic data, filtering of untargeted sequences, assembly and quality control of reads, and taxonomic profiling of sequences to identify new viruses and ones that have been sequenced and uploaded to dedicated databases. Although there have been huge advances in the field of metagenomics, there is still a lack of consensus about which of the various approaches should be used for specific data analysis tasks. In this review, we provide some background on the study of viral infections, describe the contribution of metagenomics to this field, and place special emphasis on the bioinformatic tools (with their capabilities and limitations) available for use in metagenomic analyses of viral pathogens.

4 January 2022 in Emerging Microbes & Infections
Verified
Journal Article
Open access
CACristina Andrés
Cristina Andrés
MPMaria Piñana
Maria Piñana
BBBlanca Borràs-Bermejo
Blanca Borràs-Bermejo
AGAlejandra González-Sánchez
Alejandra González-Sánchez
DGDamir Garcia-Cehic
Damir Garcia-Cehic
AAAndrés Antón
Andrés Antón
Herein we describe the genetic diversity of circulating SARS-CoV-2 viruses by whole-genome sequencing (WGS) in Barcelona city (Catalonia, Spain) throughout the first four pandemic waves. From weeks 11/2020 to 24/2021, SARS-CoV-2-positive respiratory samples were randomly selected per clinical setting (80% from primary care or 20% from hospital), age group, and week. WGS was performed following the ARTICv3 protocol on MiSeq or NextSeq2000 Illumina platforms. Nearly complete consensus sequences were used for genetic characterisation based on GISAID and PANGOLIN nomenclatures. From 2,475 samples, 2,166 (87%) were fully sequenced (78% from primary care and 22% from hospital settings). Multiple genetic lineages were co-circulating, but four were predominant at different periods. While B.1.5 (50.68%) and B.1.1 (32.88%) were the major lineages during the first pandemic wave, B.1.177 (66.85%) and B.1.1.7 (83.80%) were predominant during the second, third and fourth waves, respectively. Almost all (96.4%) were carrying D614G mutation in the S protein, with additional mutations that define lineages or variants. But some mutations of concern, such as E484 K from B.1.351 and P.1 lineages are currently under monitoring, together with those observed in the receptor binding domain or N-terminal domain, such as L452R and T478 K from B.1.617.2 lineage. The fact that a predominant lineage was observed in each pandemic wave, suggests advantageous properties over other contemporary co-circulating variants. This genetic variability should be monitored, especially when massive vaccination campaign is ongoing because the potential selection and emergence of novel antigenic SARS-CoV-2 strains related to immunological escapement events.

4 December 2025 in Eurosurveillance
Verified
Journal Article
Open access
NSNarcís Saubi
Narcís Saubi
CACristina Andrés
Cristina Andrés
IPIgnasi Prats-Méndez
Ignasi Prats-Méndez
AGAlejandra González-Sánchez
Alejandra González-Sánchez
ADAlysa Davtyan
Alysa Davtyan
ONOn Behalf Of The Sivic Infectious Diseases Sentinel Network
On Behalf Of The Sivic Infectious Diseases Sentinel Network
Between July and October 2025, among the total 117 influenza A(H1N1)pdm09 strains characterised in Catalonia, 20% to 100% per week were carrying the NA:S247N substitution. The mutation, conferring reduced susceptibility to oseltamivir, was phenotypically confirmed (IC 50 between 0.82 and 1.63 nM, compared to median IC 50 of 0.3 nM for susceptible strains). An increased proportion of S247N variants was also observed in sequence data (10,944 sequences) from other parts of Spain and five of 35 submitting countries across Europe.

Verified
Journal Article
Open access
PDF file
EDEva Dopico
Eva Dopico
MVMarta Vila
Marta Vila
DTDavid Tabernero
David Tabernero
Josep GregoriJosep Gregori
Josep Gregori
A-Ariadna Rando -Segura
Ariadna Rando -Segura
MCMaria Francesca Cortese
Maria Francesca Cortese
Our aim was to develop an accurate, highly sensitive method for HBV genotype determination and detection of genotype mixtures. We examined the preS and 5′ end of the HBV X gene (5X) regions of the HBV genome using next-generation sequencing (NGS). The 1852 haplotypes obtained were subjected to genotyping via the Distance-Based discrimination method (DB Rule) using two sets of 95 reference sequences of genotypes A–H. In clinical samples from 125 patients, the main genotypes were A, D, F and H in Caucasian, B and C in Asian and A and E in Sub-Saharan patients. Genotype mixtures were identified in 28 (22.40%) cases, and potential intergenotypic recombination was observed in 29 (23.20%) cases. Furthermore, we evaluated sequence conservation among haplotypes classified into genotypes A, C, D, and E by computing the information content. The preS haplotypes exhibited limited shared conserved regions, whereas the 5X haplotypes revealed two groups of conserved regions across the genotypes assessed. In conclusion, we developed an NGS-based HBV genotyping method utilizing the DB Rule for genotype classification. We identified two regions conserved across different genotypes at 5X, offering promising targets for RNA interference-based antiviral therapies.