A Selective Bottleneck Shapes the Evolutionary Mutant Spectra of Enterovirus A71 during Viral Dissemination in Humans
| Autor: | Shih Min Wang, Pin Hwa Kuo, Ching Chuan Liu, Yi Hui Huang, Jen Ren Wang, Huey Pin Tsai, Sheng Wen Huang |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Central Nervous System
0301 basic medicine viruses Viral pathogenesis Respiratory System 030106 microbiology Immunology Central nervous system Viral quasispecies Disease Biology Virus Replication Microbiology Deep sequencing Evolution Molecular Pathogenesis Plasma 03 medical and health sciences Virology Enterovirus Infections medicine Humans Child Retrospective Studies Genetics High-Throughput Nucleotide Sequencing Integumentary system Enterovirus A Human Gastrointestinal Tract Quasispecies 030104 developmental biology medicine.anatomical_structure Amino Acid Substitution Haplotypes Genetic Diversity and Evolution Insect Science Mutation Tissue tropism Capsid Proteins |
| Zdroj: | Journal of Virology. 91 |
| ISSN: | 1098-5514 0022-538X |
| Popis: | RNA viruses accumulate mutations to rapidly adapt to environmental changes. Enterovirus A71 (EV-A71) causes various clinical manifestations with occasional severe neurological complications. However, the mechanism by which EV-A71 evolves within the human body is unclear. Utilizing deep sequencing and haplotype analyses of viruses from various tissues of an autopsy patient, we sought to define the evolutionary pathway by which enterovirus A71 evolves fitness for invading the central nervous system in humans. Broad mutant spectra with divergent mutations were observed at the initial infection sites in the respiratory and digestive systems. After viral invasion, we identified a haplotype switch and dominant haplotype, with glycine at VP1 residue 31 (VP1-31G) in viral particles disseminated into the integumentary and central nervous systems. In vitro viral growth and fitness analyses indicated that VP1-31G conferred growth and a fitness advantage in human neuronal cells, whereas VP1-31D conferred enhanced replication in human colorectal cells. A higher proportion of VP1-31G was also found among fatal cases, suggesting that it may facilitate central nervous system infection in humans. Our data provide the first glimpse of EV-A71 quasispecies from oral tissues to the central nervous system within humans, showing broad implications for the surveillance and pathogenesis of this reemerging viral pathogen. IMPORTANCE EV-A71 continues to be a worldwide burden to public health. Although EV-A71 is the major etiological agent of hand, foot, and mouth disease, it can also cause neurological pulmonary edema, encephalitis, and even death, especially in children. Understanding selection processes enabling dissemination and accurately estimating EV-A71 diversity during invasion in humans are critical for applications in viral pathogenesis and vaccine studies. Here, we define a selection bottleneck appearing in respiratory and digestive tissues. Glycine substitution at VP1 residue 31 helps viruses break through the bottleneck and invade the central nervous system. This substitution is also advantageous for replication in neuronal cells in vitro . Considering that fatal cases contain enhanced glycine substitution at VP1-31, we suggest that the increased prevalence of VP1-31G may alter viral tropism and aid central nervous system invasion. Our findings provide new insights into a dynamic mutant spectral switch active during acute viral infection with emerging viral pathogens. |
| Databáze: | OpenAIRE |
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