2017
DOI: 10.7554/elife.26875
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Parallel evolution of influenza across multiple spatiotemporal scales

Abstract: Viral variants that arise in the global influenza population begin as de novo mutations in single infected hosts, but the evolutionary dynamics that transform within-host variation to global genetic diversity are poorly understood. Here, we demonstrate that influenza evolution within infected humans recapitulates many evolutionary dynamics observed at the global scale. We deep-sequence longitudinal samples from four immunocompromised patients with long-term H3N2 influenza infections. We find parallel evolution… Show more

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Cited by 124 publications
(142 citation statements)
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“…Resistant variants will likely be present at low levels relative to susceptible strains making transmission of resistance far less likely. Important exceptions may occur in immunocompromised hosts who might shed respiratory viruses for longer and at higher levels, thereby increasing the chance of de novo resistance (32), or in the context of only moderately potent antiviral therapy. Finally, our model projects a high likelihood of success for neutralizing antibodies and cellular immunotherapies provided that they achieve adequate potency and are dosed early.…”
Section: Discussionmentioning
confidence: 99%
“…Resistant variants will likely be present at low levels relative to susceptible strains making transmission of resistance far less likely. Important exceptions may occur in immunocompromised hosts who might shed respiratory viruses for longer and at higher levels, thereby increasing the chance of de novo resistance (32), or in the context of only moderately potent antiviral therapy. Finally, our model projects a high likelihood of success for neutralizing antibodies and cellular immunotherapies provided that they achieve adequate potency and are dosed early.…”
Section: Discussionmentioning
confidence: 99%
“…To put it scientifically, it is nuts that all this and much more have happened in only approximately a decade. If they were not already, RNA viruses have become the star child of evolutionary biologists, whether for day-by-day or eon-by-eon examples of evolution (Koonin, 2007;Koonin et al, 2008Koonin et al, , 2015Shi et al, 2016;Xue et al, 2017). With our world expanded and our place in it shrunk, there is still much to do regarding viral sequencing for our own quotidian human RNA viruses (Tang et al, 2017).…”
Section: Make It Stopmentioning
confidence: 99%
“…Such chronically infected hosts might sometimes be able to generate genetically unique forms of viruses [25]. Only recently have the tools become precise enough to reveal genetic differentiation of viruses within single hosts, and for influenza virus, as many as ten variants per individual human infection have been observed [26]. The high mutation rate of influenza virus (and perhaps other RNA viruses), as well as their capacity to share nucleic acids horizontally (when the same host cells are coinfected by different strains; [24]), could enable some hosts to facilitate parasite evolution.…”
Section: Forms Of Ec and Their Biological Significancementioning
confidence: 99%