2003
DOI: 10.1038/nature01509
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Ecological and immunological determinants of influenza evolution

Abstract: In pandemic and epidemic forms, influenza causes substantial, sometimes catastrophic, morbidity and mortality. Intense selection from the host immune system drives antigenic change in influenza A and B, resulting in continuous replacement of circulating strains with new variants able to re-infect hosts immune to earlier types. This 'antigenic drift' often requires a new vaccine to be formulated before each annual epidemic. However, given the high transmissibility and mutation rate of influenza, the constancy o… Show more

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Cited by 625 publications
(769 citation statements)
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“…This difference in transmissibility could be attributed to underlying differences in the age patterns of infection among influenza (sub)types. Influenza A/H3N2 viruses have the fastest evolutionary rates [59], causing re-infection of a single individual with the same subtype multiple times through life, thereby allowing for a larger pool of susceptibles, and higher transmissibility. By contrast, B viruses have the slowest evolutionary rate [59] and infect mainly children [60], perhaps explaining their lower transmissibility.…”
Section: Discussionmentioning
confidence: 99%
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“…This difference in transmissibility could be attributed to underlying differences in the age patterns of infection among influenza (sub)types. Influenza A/H3N2 viruses have the fastest evolutionary rates [59], causing re-infection of a single individual with the same subtype multiple times through life, thereby allowing for a larger pool of susceptibles, and higher transmissibility. By contrast, B viruses have the slowest evolutionary rate [59] and infect mainly children [60], perhaps explaining their lower transmissibility.…”
Section: Discussionmentioning
confidence: 99%
“…Influenza A/H3N2 viruses have the fastest evolutionary rates [59], causing re-infection of a single individual with the same subtype multiple times through life, thereby allowing for a larger pool of susceptibles, and higher transmissibility. By contrast, B viruses have the slowest evolutionary rate [59] and infect mainly children [60], perhaps explaining their lower transmissibility. A/H1N1 viruses have intermediate evolutionary rate [59] and did not display a clear relationship with transmissibility in our study.…”
Section: Discussionmentioning
confidence: 99%
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“…Ferguson et al (2003) and Tria et al (2005) The strain that is first introduced in the population can be considered to be the next generation of the a-lineage, while the strain that is introduced later will be referred to as the b-strain. Now imagine that strain a has already made an epidemic and that strain b comes to the population.…”
Section: Selection In a Drifting Virus Populationmentioning
confidence: 99%
“…Because of the multiple strains and the complexities of the population based herd-immunity, an account for the transmission dynamics and mutation process sufficiently detailed to reproduce the drift-like behavior seems to require individual based computer simulations (Ferguson et al, 2003;Tria et al, 2005). To avoid the complexities of such models we will not attempt to include all processes involved in influenza drift but rather study branching as "a perturbation off" the normal drift process.…”
Section: Introductionmentioning
confidence: 99%