2019
DOI: 10.1098/rsif.2019.0165
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A general framework for modelling the impact of co-infections on pathogen evolution

Abstract: Theoretical models suggest that mixed-strain infections, or co-infections, are an important driver of pathogen evolution. However, the within-host dynamics of co-infections vary enormously, which complicates efforts to develop a general understanding of how co-infections affect evolution. Here, we develop a general framework which condenses the within-host dynamics of co-infections into a few key outcomes, the most important of which is the overall R 0 of the co-infection. S… Show more

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Cited by 10 publications
(8 citation statements)
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“…However, it may also be the case that a mutation has a disproportionate effect on intracellular viral fitness. Future work should therefore examine the impact of a mutation’s ‘dominance’ [ 32 ] on in vivo viral evolution.…”
Section: Discussionmentioning
confidence: 99%
“…However, it may also be the case that a mutation has a disproportionate effect on intracellular viral fitness. Future work should therefore examine the impact of a mutation’s ‘dominance’ [ 32 ] on in vivo viral evolution.…”
Section: Discussionmentioning
confidence: 99%
“…However, it may also be the case that a mutation has a disproportionate effect on intracellular viral fitness. Future work should therefore examine the impact of a mutation's 'dominance' [30] on in vivo viral evolution.…”
Section: Discussionmentioning
confidence: 99%
“…Our model agrees that in the face of a growth-transmission trade-off, transmission mutants have the greatest chance of establishing new infections under a tight transmission bottleneck that allows them to avoid competition during colonization, but predicts that competitive exclusion may promote selection for transmission even in respiratory pathogens like IAV and S. pneumoniae . More recent theory has investigated the influence of transmission bottlenecks on the evolution of an emerging pathogen, specifically with R 0 < 1, and the probability that a mutation prevents its extinction in the human population [23, 24]. These models, like ours, find that tight transmission bottlenecks can aid selection for transmissibility through a founder effect, and that wide bottlenecks can prevent the emergence of mutations that improve transmissibility at the expense of within-host fitness, even if they improve R 0 .…”
Section: Discussionmentioning
confidence: 99%