2016
DOI: 10.1038/ncomms13849
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The evolution of sex-specific virulence in infectious diseases

Abstract: Fatality rates of infectious diseases are often higher in men than women. Although this difference is often attributed to a stronger immune response in women, we show that differences in the transmission routes that the sexes provide can result in evolution favouring pathogens with sex-specific virulence. Because women can transmit pathogens during pregnancy, birth or breast-feeding, pathogens adapt, evolving lower virulence in women. This can resolve the long-standing puzzle on progression from Human T-cell L… Show more

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Cited by 54 publications
(63 citation statements)
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References 63 publications
(81 reference statements)
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“…; Gipson and Hall ). Together, this heterogeneity between the sexes is increasingly being linked to the performance of a single pathogen genotype within a male or female host and its subsequent transmission between susceptible hosts (e.g., Cousineau and Alizon ; Úbeda and Jansen ; Hall and Mideo ). Yet, it remains largely unexplored how each sex can influence the relationship between within‐host pathogen competition and virulence (but see Thompson et al.…”
Section: Description Of the Four Infection Types Used In This Study mentioning
confidence: 99%
“…; Gipson and Hall ). Together, this heterogeneity between the sexes is increasingly being linked to the performance of a single pathogen genotype within a male or female host and its subsequent transmission between susceptible hosts (e.g., Cousineau and Alizon ; Úbeda and Jansen ; Hall and Mideo ). Yet, it remains largely unexplored how each sex can influence the relationship between within‐host pathogen competition and virulence (but see Thompson et al.…”
Section: Description Of the Four Infection Types Used In This Study mentioning
confidence: 99%
“…The evolution of parasite adaptations that are specific to males or females could also shape differences in infection between the sexes, regardless of whether or not they inherently differ in immunocompetence (Duneau & Ebert ; Duneau et al . ; Ubeda & Jansen ).…”
Section: Introductionmentioning
confidence: 98%
“…Therefore, sources of heterogeneity in hosts can lead to different predictions than classic virulence evolution theory based on the marginal value theorem, as claimed in a recent conceptual review (Lion & Metz 2018). Our novel results arise because we explicitly assumed stage-structure with maturation from juveniles to adults and reproduction by adults, rather than more generic host heterogeneity, e.g., multiple host species (Regoes et al 2000;Gandon 2004;Osnas & Dobson 2011), vaccination (Gandon et al 2001;Gandon et al 2003;Yates et al 2006;Zurita-Gutiérrez & Lion 2015), or sex (Úbeda & Jansen 2016).…”
Section: Discussionmentioning
confidence: 89%