There are two subgroups of respiratory syncytial virus (RSV), A and B, and within each subgroup, isolates are further divided into clades. Several years ago, multiple subgroup B isolates which contained a duplication of 60 nucleotides in the glycoprotein (G) gene were described. These isolates were given a new clade designation of BA based on the site of isolation, Buenos Aires, Argentina. BA RSV strains have since become the predominant circulating clade of RSV B viruses. We hypothesized that the duplicated region in G serves to enhance the function of G in the virus life cycle. We generated recombinant viruses that express a consensus BA G gene or a consensus BA G gene lacking the duplication (G ⌬dup ). We determined that the duplicated region functions during virus attachment to cells. Additionally, we showed that in vitro, the virus containing the duplication has a fitness advantage compared to the virus without the duplication. Our data demonstrate that the duplicated region in the BA strain G protein augments virus attachment and fitness.
IMPORTANCERespiratory syncytial virus (RSV) is an important pathogen for infants for which there is no vaccine. Different strains of RSV circulate from year to year, and the predominating strains change over time. Subgroup B RSV strains with a duplication in the attachment glycoprotein (G) emerged and then became the dominant B genotype. We found that a recombinant virus harboring the duplication bound more efficiently to cells and was more fit than a recombinant strain lacking the duplication. Our work advances a mechanism for an important natural RSV mutation. R espiratory syncytial virus (RSV) is the most common cause of lower respiratory tract infections in infants worldwide. The attachment glycoprotein (G) is the most variable RSV protein (1). The G protein is a type II transmembrane protein, consisting of an N-terminal cytoplasmic tail, a transmembrane domain, and a Cterminal ectodomain. The ectodomain of RSV G is characterized by two hypervariable, mucin-like domains which flank a central conserved region. As the name implies, most of the variability between G proteins of different strains is located in the hypervariable regions. The final 270 nucleotides (nt) of the G gene, encompassing part of the second hypervariable region, are commonly used to determine classification of RSV strains as belonging to subgroup A or B. Phylogenetic analysis of this region of G also classifies clades within each subgroup (2).In the late 1990s, several isolates of RSV subgroup B strains from Buenos Aires, Argentina, were identified to contain an as yet undescribed duplication of 60 nt in the second hypervariable region of the G gene (3). The duplication was exact, such that an additional sequence of 20 amino acids followed the first run of those residues. The specific genotype of strains containing the duplication was termed "BA" for Buenos Aires, the site of the first described isolation events (4). Since the identification of those original isolates, B strains of RSV harbo...