1. Distinct patterns of within-host virus populations between two subgroups of human respiratory syncytial virus
- Author
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Lin, G. -L., Drysdale, S. B., Snape, M. D., O'Connor, D., Brown, A., MacIntyre-Cockett, G., Mellado-Gomez, E., de Cesare, M., Bonsall, D., Ansari, M. A., Oner, D., Aerssens, J., Butler, C., Bont, L., Openshaw, P., Martinon-Torres, F., Nair, H., Bowden, R., Campbell, H., Cunningham, S., Bogaert, D., Beutels, P., Wildenbeest, J., Clutterbuck, E., Mcginley, J., Thwaites, R., Wiseman, D., Gomez-Carballa, A., Rodriguez-Tenreiro, C., Rivero-Calle, I., Dacosta-Urbieta, A., Heikkinen, T., Meijer, A., Fischer, T. K., van den Berge, M., Giaquinto, C., Abram, M., Dormitzer, P., Stoszek, S., Gallichan, S., Rosen, B., Molero, E., Machin, N., Spadetto, M., Golubchik, T., Pollard, A. J., Investigators, RESCEU, and Commission of the European Communities
- Subjects
Male ,viruses ,DIVERSITY ,PROTEIN ,General Physics and Astronomy ,Virus Replication ,INFECTION ,Multidisciplinary ,RSV ,virus diseases ,respiratory system ,Antigenic Variation ,Multidisciplinary Sciences ,ALIGNMENT ,Viral evolution ,Monoclonal ,Science & Technology - Other Topics ,Female ,Viral genetics ,medicine.drug ,Human ,Palivizumab ,Science ,Mutation, Missense ,PALIVIZUMAB ,Respiratory Syncytial Virus Infections ,Biology ,Article ,General Biochemistry, Genetics and Molecular Biology ,Virus ,Viral Proteins ,Antigen ,Lower respiratory tract infection ,Antigenic variation ,medicine ,Humans ,Aged ,Science & Technology ,Genetic Variation ,Infant ,Respiratory Syncytial Virus, Human ,General Chemistry ,Vaccine efficacy ,medicine.disease ,PREVENTION ,Virology ,EVOLUTION ,Viral infection ,ANTIBODIES ,Mutation ,RESCEU Investigators ,Respiratory Syncytial Virus ,Missense ,human activities ,RESISTANCE - Abstract
Human respiratory syncytial virus (RSV) is a major cause of lower respiratory tract infection in young children globally, but little is known about within-host RSV diversity. Here, we characterised within-host RSV populations using deep-sequencing data from 319 nasopharyngeal swabs collected during 2017–2020. RSV-B had lower consensus diversity than RSV-A at the population level, while exhibiting greater within-host diversity. Two RSV-B consensus sequences had an amino acid alteration (K68N) in the fusion (F) protein, which has been associated with reduced susceptibility to nirsevimab (MEDI8897), a novel RSV monoclonal antibody under development. In addition, several minor variants were identified in the antigenic sites of the F protein, one of which may confer resistance to palivizumab, the only licensed RSV monoclonal antibody. The differences in within-host virus populations emphasise the importance of monitoring for vaccine efficacy and may help to explain the different prevalences of monoclonal antibody-escape mutants between the two subgroups., Respiratory syncytial virus (RSV) is a common infection in children and older adults but little is known about within-host viral population diversity. Here, the authors perform deep sequencing and find that RSV subgroup B exhibited more diversity than subgroup A, with implications for development of therapeutics and vaccines.
- Published
- 2021