Estimating Vaccine-Driven Selection in Seasonal Influenza

Vaccination could be an evolutionary pressure on seasonal influenza if vaccines reduce the transmission rates of some (“targeted”) strains more than others. In theory, more vaccinated populations should have a lower prevalence of targeted strains compared to less vaccinated popul...

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Main Authors: Frank T. Wen, Sidney M. Bell, Trevor Bedford, Sarah Cobey
Format: Article
Language:English
Published: MDPI AG 2018-09-01
Series:Viruses
Subjects:
Online Access:http://www.mdpi.com/1999-4915/10/9/509
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author Frank T. Wen
Sidney M. Bell
Trevor Bedford
Sarah Cobey
author_facet Frank T. Wen
Sidney M. Bell
Trevor Bedford
Sarah Cobey
author_sort Frank T. Wen
collection DOAJ
description Vaccination could be an evolutionary pressure on seasonal influenza if vaccines reduce the transmission rates of some (“targeted”) strains more than others. In theory, more vaccinated populations should have a lower prevalence of targeted strains compared to less vaccinated populations. We tested for vaccine-induced selection in influenza by comparing strain frequencies between more and less vaccinated human populations. We defined strains in three ways: first as influenza types and subtypes, next as lineages of type B, and finally as clades of influenza A/H3N2. We detected spatial differences partially consistent with vaccine use in the frequencies of subtypes and types and between the lineages of influenza B, suggesting that vaccines do not select strongly among all these phylogenetic groups at regional scales. We did detect a significantly greater frequency of an H3N2 clade with known vaccine escape mutations in more vaccinated countries during the 2014–2015 season, which is consistent with vaccine-driven selection within the H3N2 subtype. Overall, we find more support for vaccine-driven selection when large differences in vaccine effectiveness suggest a strong effect size. Variation in surveillance practices across countries could obscure signals of selection, especially when strain-specific differences in vaccine effectiveness are small. Further examination of the influenza vaccine’s evolutionary effects would benefit from improvements in epidemiological surveillance and reporting.
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spelling doaj.art-ca12d7d7c4084f12a4495a33fe4017472022-12-22T03:08:19ZengMDPI AGViruses1999-49152018-09-0110950910.3390/v10090509v10090509Estimating Vaccine-Driven Selection in Seasonal InfluenzaFrank T. Wen0Sidney M. Bell1Trevor Bedford2Sarah Cobey3Department of Ecology and Evolution, University of Chicago, Chicago, IL 60637, USAVaccine and Infectious Disease Division, Fred Hutchinson Cancer Research Center, Seattle, WA 98109, USAVaccine and Infectious Disease Division, Fred Hutchinson Cancer Research Center, Seattle, WA 98109, USADepartment of Ecology and Evolution, University of Chicago, Chicago, IL 60637, USAVaccination could be an evolutionary pressure on seasonal influenza if vaccines reduce the transmission rates of some (“targeted”) strains more than others. In theory, more vaccinated populations should have a lower prevalence of targeted strains compared to less vaccinated populations. We tested for vaccine-induced selection in influenza by comparing strain frequencies between more and less vaccinated human populations. We defined strains in three ways: first as influenza types and subtypes, next as lineages of type B, and finally as clades of influenza A/H3N2. We detected spatial differences partially consistent with vaccine use in the frequencies of subtypes and types and between the lineages of influenza B, suggesting that vaccines do not select strongly among all these phylogenetic groups at regional scales. We did detect a significantly greater frequency of an H3N2 clade with known vaccine escape mutations in more vaccinated countries during the 2014–2015 season, which is consistent with vaccine-driven selection within the H3N2 subtype. Overall, we find more support for vaccine-driven selection when large differences in vaccine effectiveness suggest a strong effect size. Variation in surveillance practices across countries could obscure signals of selection, especially when strain-specific differences in vaccine effectiveness are small. Further examination of the influenza vaccine’s evolutionary effects would benefit from improvements in epidemiological surveillance and reporting.http://www.mdpi.com/1999-4915/10/9/509strain replacementindirect effectsuniversal vaccines
spellingShingle Frank T. Wen
Sidney M. Bell
Trevor Bedford
Sarah Cobey
Estimating Vaccine-Driven Selection in Seasonal Influenza
Viruses
strain replacement
indirect effects
universal vaccines
title Estimating Vaccine-Driven Selection in Seasonal Influenza
title_full Estimating Vaccine-Driven Selection in Seasonal Influenza
title_fullStr Estimating Vaccine-Driven Selection in Seasonal Influenza
title_full_unstemmed Estimating Vaccine-Driven Selection in Seasonal Influenza
title_short Estimating Vaccine-Driven Selection in Seasonal Influenza
title_sort estimating vaccine driven selection in seasonal influenza
topic strain replacement
indirect effects
universal vaccines
url http://www.mdpi.com/1999-4915/10/9/509
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