The population genetics and evolutionary epidemiology of RNA viruses
Identifieur interne : 000559 ( Pmc/Corpus ); précédent : 000558; suivant : 000560The population genetics and evolutionary epidemiology of RNA viruses
Auteurs : Andrés Moya ; Edward C. Holmes ; Fernando González-CandelasSource :
- Nature Reviews. Microbiology [ 1740-1526 ] ; 2004.
Abstract
The authors discuss the main mechanisms of RNA virus evolution — mutation, recombination, natural selection, genetic drift and migration, and how these interact to shape the genetic structure of populations. The quasispecies model of RNA virus evolution is explained and the question of whether this model provides an accurate description of RNA virus evolution is discussed. Experiments that can be carried out to test the basic principles of evolutionary theory are briefly described. The authors review what such experiments have told us about virus evolution and, more widely, what these experiments have revealed in terms of general evolutionary principles. RNA viruses evolve quickly, so a detailed reconstruction of their epidemiological history can be undertaken. The authors show how epidemiological patterns of viruses result from their evolution at two different levels: within individual hosts (and vectors) and among hosts at the population level. Using several examples, including HIV and SARS, the authors describe how studying RNA virus evolution could be used to understand virus emergence. Finally, the important topics of the evolution of virulence and resistance to drugs are discussed.
Url:
DOI: 10.1038/nrmicro863
PubMed: 15031727
PubMed Central: 7096949
Links to Exploration step
PMC:7096949Le document en format XML
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<author><name sortKey="Gonzalez Candelas, Fernando" sort="Gonzalez Candelas, Fernando" uniqKey="Gonzalez Candelas F" first="Fernando" last="González-Candelas">Fernando González-Candelas</name>
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<series><title level="j">Nature Reviews. Microbiology</title>
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<front><div type="abstract" xml:lang="en"><title>Key Points</title>
<p id="Par4"><list list-type="bullet"><list-item><p id="Par5">The authors discuss the main mechanisms of RNA virus evolution — mutation, recombination, natural selection, genetic drift and migration, and how these interact to shape the genetic structure of populations.</p>
</list-item>
<list-item><p id="Par6">The quasispecies model of RNA virus evolution is explained and the question of whether this model provides an accurate description of RNA virus evolution is discussed.</p>
</list-item>
<list-item><p id="Par7">Experiments that can be carried out to test the basic principles of evolutionary theory are briefly described. The authors review what such experiments have told us about virus evolution and, more widely, what these experiments have revealed in terms of general evolutionary principles.</p>
</list-item>
<list-item><p id="Par8">RNA viruses evolve quickly, so a detailed reconstruction of their epidemiological history can be undertaken. The authors show how epidemiological patterns of viruses result from their evolution at two different levels: within individual hosts (and vectors) and among hosts at the population level.</p>
</list-item>
<list-item><p id="Par9">Using several examples, including HIV and SARS, the authors describe how studying RNA virus evolution could be used to understand virus emergence.</p>
</list-item>
<list-item><p id="Par10">Finally, the important topics of the evolution of virulence and resistance to drugs are discussed.</p>
</list-item>
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<pmc article-type="review-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Nat Rev Microbiol</journal-id>
<journal-id journal-id-type="iso-abbrev">Nat. Rev. Microbiol</journal-id>
<journal-title-group><journal-title>Nature Reviews. Microbiology</journal-title>
</journal-title-group>
<issn pub-type="ppub">1740-1526</issn>
<issn pub-type="epub">1740-1534</issn>
<publisher><publisher-name>Nature Publishing Group UK</publisher-name>
<publisher-loc>London</publisher-loc>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">15031727</article-id>
<article-id pub-id-type="pmc">7096949</article-id>
<article-id pub-id-type="publisher-id">BFnrmicro863</article-id>
<article-id pub-id-type="doi">10.1038/nrmicro863</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Article</subject>
</subj-group>
</article-categories>
<title-group><article-title>The population genetics and evolutionary epidemiology of RNA viruses</article-title>
</title-group>
<contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Moya</surname>
<given-names>Andrés</given-names>
</name>
<address><email>andres.moya@uv.es</email>
</address>
<xref ref-type="aff" rid="Aff1">1</xref>
<bio><p id="Par1">Andrés Moya is currently head of the Cavanilles Institute for Biodiversity and Evolutionary Biology at the University of Valencia. He did two Ph.Ds at the University of Valencia, where he studied biology and philosophy. After postdoctoral work at the University of California (Davis), he was appointed Associate Professor of Genetics, and later Full Professor of Genetics at the University of Valencia. He has twice been visiting professor at the University of California (Irvine). His current research interests focus on the theoretical and experimental studies of population genetics and evolution of RNA viruses, as well as on evolutionary genomics of endosymbiotic bacteria from insects. As part of his research programme he has applied population genetics theory and molecular tools to the conservation biology and biological control of several species. He is a fellow of the American Association for the Advancement of Science.</p>
</bio>
</contrib>
<contrib contrib-type="author"><name><surname>Holmes</surname>
<given-names>Edward C.</given-names>
</name>
<xref ref-type="aff" rid="Aff2">2</xref>
<bio><p id="Par2">Eddie Holmes did his Ph.D. work at the University of Cambridge, where he studied the molecular evolution of primates. After undertaking postdoctoral research at the Universities of California (Davis) and Edinburgh, he came to Oxford in 1993 and, since 1999, he has been the University Lecturer in Evolutionary Biology and a Fellow of New College. He is interested in the broad aspects of the evolutionary biology of RNA viruses, from case studies of specific viruses, such as HIV, dengue and rabies, to exploring the principal mechanisms of viral evolution.</p>
</bio>
</contrib>
<contrib contrib-type="author"><name><surname>González-Candelas</surname>
<given-names>Fernando</given-names>
</name>
<xref ref-type="aff" rid="Aff1">1</xref>
<bio><p id="Par3">Fernando González Candelas is currently an Associate Professor of Genetics at the University of Valencia. He did his Ph.D. work at the University of Valencia, where he studied the ecological and population genetics of <italic>Drosophila</italic>
, which was followed by postdoctoral work at Washington State University and the University of California (Irvine) on theoretical population genetics. His current research interests focus on the population and evolutionary biology of Mediterranean endemic /Limonium/(Plumbaginaceae) species and in the application of population and evolutionary genetics to the molecular epidemiology of viruses, especially hepatitis C and HIV, and other infectious microorganisms.</p>
</bio>
</contrib>
<aff id="Aff1"><label>1</label>
<institution-wrap><institution-id institution-id-type="GRID">grid.5338.d</institution-id>
<institution-id institution-id-type="ISNI">0000 0001 2173 938X</institution-id>
<institution>Institut Cavanilles de Biodiversitat i Biolog'a Evolutiva, Universitat de València, Apartado Postal 22085,</institution>
</institution-wrap>
Valencia, 46071 Spain</aff>
<aff id="Aff2"><label>2</label>
<institution-wrap><institution-id institution-id-type="GRID">grid.4991.5</institution-id>
<institution-id institution-id-type="ISNI">0000 0004 1936 8948</institution-id>
<institution>Department of Zoology,</institution>
<institution>University of Oxford,</institution>
</institution-wrap>
South Parks Road, Oxford, OX1 3PS UK</aff>
</contrib-group>
<pub-date pub-type="ppub"><year>2004</year>
</pub-date>
<volume>2</volume>
<issue>4</issue>
<fpage>279</fpage>
<lpage>288</lpage>
<permissions><copyright-statement>© Nature Publishing Group 2004</copyright-statement>
<license><license-p>This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.</license-p>
</license>
</permissions>
<abstract id="Abs1" abstract-type="KeyPoints"><title>Key Points</title>
<p id="Par4"><list list-type="bullet"><list-item><p id="Par5">The authors discuss the main mechanisms of RNA virus evolution — mutation, recombination, natural selection, genetic drift and migration, and how these interact to shape the genetic structure of populations.</p>
</list-item>
<list-item><p id="Par6">The quasispecies model of RNA virus evolution is explained and the question of whether this model provides an accurate description of RNA virus evolution is discussed.</p>
</list-item>
<list-item><p id="Par7">Experiments that can be carried out to test the basic principles of evolutionary theory are briefly described. The authors review what such experiments have told us about virus evolution and, more widely, what these experiments have revealed in terms of general evolutionary principles.</p>
</list-item>
<list-item><p id="Par8">RNA viruses evolve quickly, so a detailed reconstruction of their epidemiological history can be undertaken. The authors show how epidemiological patterns of viruses result from their evolution at two different levels: within individual hosts (and vectors) and among hosts at the population level.</p>
</list-item>
<list-item><p id="Par9">Using several examples, including HIV and SARS, the authors describe how studying RNA virus evolution could be used to understand virus emergence.</p>
</list-item>
<list-item><p id="Par10">Finally, the important topics of the evolution of virulence and resistance to drugs are discussed.</p>
</list-item>
</list>
</p>
</abstract>
<abstract id="Abs2"><p id="Par11">RNA viruses are ubiquitous intracellular parasites that are responsible for many emerging diseases, including AIDS and SARS. Here, we discuss the principal mechanisms of RNA virus evolution and highlight areas where future research is required. The rapidity of sequence change in RNA viruses means that they are useful experimental models for the study of evolution in general and it enables us to watch them change in 'real time', and retrace the spread through populations with molecular phylogenies. An understanding of the mechanisms of RNA virus sequence change is also crucial to predicting important aspects of their emergence and long-term evolution.</p>
</abstract>
<custom-meta-group><custom-meta><meta-name>issue-copyright-statement</meta-name>
<meta-value>© Springer Nature Limited 2004</meta-value>
</custom-meta>
</custom-meta-group>
</article-meta>
</front>
<body><sec id="Sec1"><title>Main</title>
<p id="Par12">RNA viruses have become an important area of study for epidemiologists and evolutionary biologists alike<sup><xref ref-type="bibr" rid="CR1">1</xref>
,<xref ref-type="bibr" rid="CR2">2</xref>
,<xref ref-type="bibr" rid="CR3">3</xref>
</sup>
. Much of this research is centred on two main themes; understanding the mechanisms of RNA virus evolution, often through experimental analyses, and reconstruction of the epidemiological history of a given virus, namely its origin and spread through populations and the forces that promote its emergence. Here, we review the progress and current state of both these research topics.</p>
<p id="Par13"><bold>Mechanisms of viral evolution</bold>
</p>
<p id="Par14"><bold><italic>Processes of evolutionary change.</italic>
</bold>
Central to population genetics is understanding how the five main forces of evolutionary change — mutation, recombination, natural selection, <xref rid="Glos1" ref-type="list">GENETIC DRIFT</xref>
and migration — interact to shape the genetic structure of populations. These same forces are also central to understanding RNA virus evolution, although their relative strengths differ to those observed for DNA-based organisms.</p>
<p id="Par15">For RNA viruses, most attention has been directed towards mutation, selection and genetic drift. We can understand their importance and interaction by considering four basic properties of RNA virus populations. First, RNA viruses often have very large population sizes, such that the number of viral particles in a given organism might be as high as 10<sup>12</sup>
. Second, such immense population sizes, which are several orders of magnitude larger than those observed for cellular organisms, are a product of explosive replication. For example, a single infectious particle can produce an average of 100,000 viral copies in 10 hours. As natural selection is most efficient with large populations, it is no surprise that experiments using RNA viruses have shown that selection is of fundamental importance in controlling their evolutionary dynamics, such that new mutants with increased <xref rid="Glos2" ref-type="list">FITNESS</xref>
(as measured by their selection coefficient, <italic>s</italic>
) continually appear and out-compete older, inferior alleles<sup><xref ref-type="bibr" rid="CR4">4</xref>
</sup>
. Third, owing to the lack of proofreading activity in their polymerase proteins, RNA viruses exhibit the highest mutation rates of any group of organisms, approximately one mutation per genome, per replication<sup><xref ref-type="bibr" rid="CR5">5</xref>
,<xref ref-type="bibr" rid="CR6">6</xref>
</sup>
. Finally, the genome sizes of RNA viruses are typically small, ranging from only 3 kb to ∼30 kb, with a median size of ∼9 kb. These last two properties are intimately related because high-mutation rates are theoretically expected to limit genome size. In particular, a mutation rate that exceeds a notional <xref rid="Glos3" ref-type="list">ERROR THRESHOLD</xref>
(set at approximately the reciprocal of the genome size) generates so many deleterious mutations in each replication cycle that even the fittest viral genomes are unable to reproduce, and population size decreases to extinction<sup><xref ref-type="bibr" rid="CR7">7</xref>
,<xref ref-type="bibr" rid="CR8">8</xref>
</sup>
. However, RNA viruses that exist close to (but below) the error threshold are also able to produce many beneficial mutations in a short time, thereby enhancing adaptability, provided that their populations are sufficiently large.</p>
<p id="Par16">In the simple situation outlined above, RNA viruses should evolve in a highly deterministic manner, with the process of natural selection working efficiently on a vast array of mutational variants. Although it is true that RNA virus populations are often highly diverse, this is not sufficient to explain the entirety of RNA virus evolution. In particular, deterministic approaches assume that population sizes are universally large, such that the fate of a given mutation can be predicted if its frequency and fitness are known. Although the population sizes of RNA viruses are often very large, factors such as variation in replication potential among variants, differences in generation time among infected cells and <xref rid="Glos4" ref-type="list">POPULATION BOTTLENECKS</xref>
, most notably during transmission between hosts, might lead to an <xref rid="Glos5" ref-type="list">EFFECTIVE POPULATION SIZE</xref>
(denoted <italic>N</italic>
<sub>e</sub>
) that is much smaller than the actual number of infected cells. Theory predicts that in populations where N<sub>e</sub>
is small (such that the compound parameter <italic>N</italic>
<sub>e</sub>
<italic>s</italic>
< 1), genetic drift has an important role in determining the frequency and fate of mutations<sup><xref ref-type="bibr" rid="CR9">9</xref>
</sup>
.</p>
<p id="Par17">Recombination might also have an important role in RNA virus evolution. Although most studies indicate that recombination rates in many RNA viruses are often lower than those in other organisms<sup><xref ref-type="bibr" rid="CR10">10</xref>
</sup>
, there are notable exceptions. Perhaps the most dramatic is HIV, in which the genomic recombination rate exceeds the genomic mutation rate<sup><xref ref-type="bibr" rid="CR11">11</xref>
</sup>
. Frequent recombination seems advantageous because it can create high fitness genotypes more rapidly than by mutation alone. Moreover, recombination might also purge deleterious mutations from virus populations, thereby preventing a dramatic decrease in fitness (see below). However, simulation studies have indicated that frequent recombination is more likely to reduce fitness when mutation rates are close to the error threshold<sup><xref ref-type="bibr" rid="CR12">12</xref>
</sup>
. Finally, recombination rates in RNA viruses might not be set by natural selection at all. Rather, they could simply be a passive function of the replication machinery or ecological circumstances of the virus in question. For example, recombination rates seem to be particularly low in negative-sense RNA viruses<sup><xref ref-type="bibr" rid="CR13">13</xref>
</sup>
, which might be a result of the RNA-packaging mechanism. Understanding the causes of variation in recombination rate among RNA viruses is a key area for future study.</p>
<p id="Par18">A final factor to consider in RNA virus evolution is migration. Migration (also referred to as gene flow) must not only be understood at a macroscopic level (that is, among hosts within a population, among populations or between host species), but also within a single infected individual. From the site of inoculation, viruses can be transported to several tissues, generating intra-host spatial variation<sup><xref ref-type="bibr" rid="CR14">14</xref>
</sup>
. However, the effect of a non-uniform population distribution on the spread, fitness and variability of virus populations has been much less studied than other evolutionary factors, although in some experiments a positive correlation between migration rate and the average fitness of the population has been observed<sup><xref ref-type="bibr" rid="CR15">15</xref>
</sup>
.</p>
<p id="Par19"><bold><italic>The quasispecies as a model of RNA virus evolution.</italic>
</bold>
The remarkable mutational power of RNA viruses has meant that their evolution has often been considered to be different to DNA-based organisms<sup><xref ref-type="bibr" rid="CR1">1</xref>
</sup>
. Key to this is the concept of the quasispecies, which was first developed by Eigen and Schuster<sup><xref ref-type="bibr" rid="CR16">16</xref>
</sup>
to understand the dynamics of primitive evolutionary systems. RNA viruses are of particular importance in this respect as they might represent biological entities that evolve according to the rules of quasispecies theory. The basis of quasispecies theory is the notion that the target of natural selection is not simply the fastest growing replicator, but rather a broad spectrum of mutants that are produced by erroneous copying of the fittest (or master) sequence<sup><xref ref-type="bibr" rid="CR16">16</xref>
,<xref ref-type="bibr" rid="CR17">17</xref>
</sup>
. Natural selection acts on the entire quasispecies because mutation rates close to the error threshold mean that individual viral genomes are linked by a mutational coupling — all the possible mutational links between viral genomes are established — so that the whole population evolves as a single unit. One particularly important implication of this special form of group selection is that the fastest replicating RNA viral genomes could be out-competed by those with lower replication rates if the latter have a high probability of being generated by mutation from closely related variants.</p>
<p id="Par20">An important question is whether the quasispecies model is an accurate description of RNA virus evolution. Experimental evidence for the quasispecies was first reported for the bacteriophage Qβ<sup><xref ref-type="bibr" rid="CR18">18</xref>
</sup>
. Subsequent experiments with mammalian vesicular stomatitis virus (VSV) provided one of the most important supporting observations for the quasispecies — a high-fitness viral variant was suppressed by one of lower fitness<sup><xref ref-type="bibr" rid="CR19">19</xref>
</sup>
. However, this can also be explained by genetic drift; the probability that any variant achieves fixation in a population is partially dependent on its initial frequency, so most rare, albeit advantageous, variants are lost by drift in small populations. Indeed, a generic problem of quasispecies theory is that genetic drift is expected to be extremely restricted<sup><xref ref-type="bibr" rid="CR17">17</xref>
</sup>
, which might not be the case for viruses in Nature<sup><xref ref-type="bibr" rid="CR20">20</xref>
,<xref ref-type="bibr" rid="CR21">21</xref>
</sup>
. More recently, <italic>in vitro</italic>
studies of the evolutionary dynamics of bacteriophage φ6 provided evidence for one aspect of quasispecies theory — that viral genomes differ in their mutational spectra and that this affects fitness<sup><xref ref-type="bibr" rid="CR22">22</xref>
</sup>
. However, because these experiments used small populations and <xref rid="Glos6" ref-type="list">RUGGED FITNESS LANDSCAPES</xref>
, and because little is known about fitness landscapes in Nature, the generality of these results in uncertain.</p>
<p id="Par21">Although the quasispecies has a firm theoretical foundation, and there is some evidence for it in laboratory populations, whether it applies to RNA viruses in nature is less clear. For example, simple observations of high levels of genetic variation in RNA viruses are not sufficient to prove the existence of quasispecies, although this is often the only evidence presented, nor is the existence of an error threshold, which can easily be explained using evolutionary models<sup><xref ref-type="bibr" rid="CR8">8</xref>
</sup>
. Rather, to demonstrate that RNA viruses form quasispecies it is necessary to show that natural selection acts on viral populations as a unit. Testing this prediction in Nature will be one of the most important future areas of study for those investigating the mechanics of viral evolution.</p>
<p id="Par22"><bold>Experimental evolution of RNA viruses</bold>
</p>
<p id="Par23">Experimental evolution constitutes a powerful tool for simulating natural evolution<sup><xref ref-type="bibr" rid="CR23">23</xref>
</sup>
and is frequently used to test the basic principles of evolutionary theory<sup><xref ref-type="bibr" rid="CR24">24</xref>
</sup>
. <xref rid="Sec2" ref-type="sec">Box 1</xref>
provides a schematic overview of experiments of this type. The strength of the experimental approach is that the phenotypic and molecular changes of RNA viral populations can be monitored in real time. More importantly, under an appropriate experimental setting, it is also possible to directly estimate changes in fitness, one of the main goals of modern population genetics. A panoply of experiments have highlighted both the mechanisms of RNA virus evolution and what RNA viruses can tell us about evolution in general.</p>
<p id="Par24"><bold><italic>What have experiments told us about viral evolution?</italic>
</bold>
Experimental studies have made a substantial contribution towards understanding the processes that govern RNA virus evolution<sup><xref ref-type="bibr" rid="CR25">25</xref>
</sup>
. The main findings of these experiments can be grouped into three general types. First, the molecular basis of adaptive evolution in viruses, including the occurrence and frequency of <xref rid="Glos7" ref-type="list">CONVERGENT EVOLUTION</xref>
<sup><xref ref-type="bibr" rid="CR26">26</xref>
,<xref ref-type="bibr" rid="CR27">27</xref>
</sup>
, viral attenuation<sup><xref ref-type="bibr" rid="CR28">28</xref>
</sup>
and compensatory mutations<sup><xref ref-type="bibr" rid="CR29">29</xref>
</sup>
. Second, the role of population bottlenecks and the accumulation of deleterious mutations, and how they affect fitness<sup><xref ref-type="bibr" rid="CR30">30</xref>
,<xref ref-type="bibr" rid="CR31">31</xref>
,<xref ref-type="bibr" rid="CR32">32</xref>
,<xref ref-type="bibr" rid="CR33">33</xref>
</sup>
. Finally, the importance of <xref rid="Glos8" ref-type="list">CLONAL INTERFERENCE</xref>
<sup><xref ref-type="bibr" rid="CR34">34</xref>
</sup>
and <xref rid="Glos9" ref-type="list">COMPLEMENTATION</xref>
<sup><xref ref-type="bibr" rid="CR35">35</xref>
</sup>
in determining rates of viral adaptation. In brief, these studies make eight conclusions<sup><xref ref-type="bibr" rid="CR36">36</xref>
</sup>
. First, there is extensive convergent and parallel evolution (both in genotype and in phenotype) across lineages replicating in the same host, perhaps reflecting the fact that relatively few sites are free to vary when genome sizes are small. Second, advantageous mutations that are fixed early on when viruses are challenged with new environments confer the largest fitness benefit. Third, phenotypic evolution tends to mirror the evolution of fitness increments, with large changes occurring early in new environments. Fourth, rates of nucleotide substitution remain approximately constant through time. Fifth, overall genetic diversity remains low during the phase of maximum fitness increase and rises once fitness becomes asymptotic. Sixth, evolutionary changes that increase fitness in one host often, although not always, reduce fitness in an alternative host. Seventh, population bottlenecks and spatial heterogeneity lead to an increase in unique nucleotide substitutions. Finally, severe reductions in population size can lead to the accumulation of deleterious mutations and consequent fitness losses.</p>
<p id="Par25"><bold><italic>What have experiments told as about evolution in general?</italic>
</bold>
Many fundamental questions in evolutionary biology have been addressed using RNA viruses as model experimental systems. One of the first questions addressed concerned a severe consequence of deleterious mutation accumulation known as <xref rid="Glos10" ref-type="list">MULLER'S RATCHET</xref>
<sup><xref ref-type="bibr" rid="CR37">37</xref>
</sup>
. Studies have explored how clonally evolving RNA viruses prevent the excessive build-up of deleterious mutations in populations that are experiencing strong bottlenecks or small effective sizes<sup><xref ref-type="bibr" rid="CR38">38</xref>
</sup>
. One popular suggestion is that sexual reproduction has evolved in RNA viruses, because it allows them to escape Muller's ratchet when effective population sizes are small<sup><xref ref-type="bibr" rid="CR39">39</xref>
,<xref ref-type="bibr" rid="CR40">40</xref>
,<xref ref-type="bibr" rid="CR41">41</xref>
</sup>
. In this model, the accumulation of deleterious mutations is expected to be less of a problem for RNA viruses that either recombine or undergo reassortment in the case of viruses with segmented genomes. However, recombination rates are often so low in RNA viruses that it is difficult to hypothesize that they have a direct fitness benefit. In the face of low recombination rates, RNA viruses could escape Muller's ratchet because their long-term effective population sizes might not be small enough to allow deleterious mutations to accumulate, or perhaps compensatory mutations are sufficiently frequent to counteract fitness losses<sup><xref ref-type="bibr" rid="CR42">42</xref>
</sup>
.</p>
<p id="Par26">Experimental evolution with RNA viruses has also been crucial for studying the dynamics of natural selection. This has been the case, for instance, in studies of <xref rid="Glos11" ref-type="list">COMPETITIVE EXCLUSION</xref>
<sup><xref ref-type="bibr" rid="CR43">43</xref>
</sup>
, the <xref rid="Glos12" ref-type="list">RED QUEEN HYPOTHESIS</xref>
<sup><xref ref-type="bibr" rid="CR43">43</xref>
</sup>
, convergent evolution<sup><xref ref-type="bibr" rid="CR26">26</xref>
,<xref ref-type="bibr" rid="CR27">27</xref>
,<xref ref-type="bibr" rid="CR44">44</xref>
</sup>
and the rhythm of adaptive change<sup><xref ref-type="bibr" rid="CR45">45</xref>
</sup>
. We expect RNA viruses to continue to have an important role in this area for many years to come. Finally, one promising area involves using RNA viruses to test theories for the evolution of cooperation. For example, Turner and Chao conducted a series of experiments with bacteriophage φ6 in which they demonstrated that RNA viruses could evolve under <xref rid="Glos13" ref-type="list">PRISONER'S DILEMMA</xref>
conditions<sup><xref ref-type="bibr" rid="CR46">46</xref>
</sup>
, and also escape from it<sup><xref ref-type="bibr" rid="CR47">47</xref>
</sup>
.</p>
<p id="Par27">Despite the power of experiments, there are still difficulties in estimating some of the important parameters in evolutionary biology, such as the rate of deleterious mutation and fitness values. In recent years, a number of <italic>in silico</italic>
approaches have been used to answer these questions, most notably with computer-generated genomes ('digital organisms') that are designed to behave as living systems. Digital organisms have the ability to create a copy of their own genome, but are subject to copying errors, so that populations of programs evolve in, and adapt to, their environments<sup><xref ref-type="bibr" rid="CR48">48</xref>
</sup>
. Although digital organisms are not as sophisticated as viruses, they are useful study tools because experiments can be easily controlled and repeated. Digital organisms have been useful in studying predicted adaptive evolution over short and long timescales<sup><xref ref-type="bibr" rid="CR49">49</xref>
,<xref ref-type="bibr" rid="CR50">50</xref>
</sup>
, the role of epistasis in evolution<sup><xref ref-type="bibr" rid="CR51">51</xref>
</sup>
and testing key aspects of quasispecies theory, particularly whether fast replicators can be less fit than slower replicators at high-mutation rates<sup><xref ref-type="bibr" rid="CR52">52</xref>
</sup>
.</p>
<p id="Par28"><bold>Molecular epidemiology of RNA viruses</bold>
</p>
<p id="Par29">Molecular epidemiology was first introduced to the study of infectious disease in the early 1970s<sup><xref ref-type="bibr" rid="CR53">53</xref>
</sup>
. Since this time, the analysis of gene sequence variation has become a standard practice for virologists with an interest in epidemiology, especially with the advent of new, high-throughput sequencing technologies. From the typing of viral populations to the study of the origins of a new virus, viral gene sequence variation has been used to answer a wide variety of questions, increasing both the quantity and quality of the epidemiological data available. In this section, we discuss how particular aspects of RNA virus evolution affect the reconstruction of their epidemiological history. In this context, it is important to note that the observed epidemiological patterns of viruses result from their evolution at two different levels: within individual hosts<sup><xref ref-type="bibr" rid="CR54">54</xref>
</sup>
(and vectors<sup><xref ref-type="bibr" rid="CR55">55</xref>
</sup>
) and among hosts at the population level. RNA viruses differ greatly in their patterns and processes of intra- and inter-host evolution, as well as in the duration of the infection caused and the type of immune response that is induced. Such factors must be considered when discussing their epidemiological dynamics in a comparative setting<sup><xref ref-type="bibr" rid="CR3">3</xref>
</sup>
.</p>
<p id="Par30"><bold><italic>Inferring epidemiological history.</italic>
</bold>
Many aspects of the epidemiological history of viruses can be graphically summarized in a phylogenetic tree. The timescale of these trees can vary from a few weeks to many centuries, and depends on the rate of accumulation of variation in the sequences under study and the timescale of sampling. Although graphically very similar, there are important differences between phylogenetic trees and gene genealogies<sup><xref ref-type="bibr" rid="CR56">56</xref>
</sup>
. The former are used to analyse the evolutionary history of distinct viral species or genes, usually by sampling one representative of each unit under study. By contrast, genealogies depict the history of genetic polymorphisms segregating in contemporaneous populations. Gene genealogies have been used extensively in the study of RNA viruses because their rapid evolution means that sequence variation increases over very short periods of time. Indeed, RNA viruses constitute the most important class of measurably evolving populations<sup><xref ref-type="bibr" rid="CR57">57</xref>
</sup>
, with evolution even occurring during the infection of a single individual<sup><xref ref-type="bibr" rid="CR58">58</xref>
</sup>
. More accurate methods of evolutionary inference have already been designed for these rapidly evolving populations<sup><xref ref-type="bibr" rid="CR59">59</xref>
,<xref ref-type="bibr" rid="CR60">60</xref>
,<xref ref-type="bibr" rid="CR61">61</xref>
</sup>
. In particular, whereas phylogenetic trees generally depict strictly bifurcating patterns of relationships, gene genealogies can take into account recombination, which will lead to inter-connected networks of lineages. Moreover, using a statistical approach called coalescent theory<sup><xref ref-type="bibr" rid="CR62">62</xref>
,<xref ref-type="bibr" rid="CR63">63</xref>
,<xref ref-type="bibr" rid="CR64">64</xref>
</sup>
, it is possible to infer demographic processes from genetic polymorphism data, most notably, rates of viral population growth and decline. Coalescent methods can operate under several population genetic models and use gene genealogies as key analytical tools. Coalescent theory therefore provides a crucial conceptual link between phylogenetics and population genetics.</p>
<p id="Par31">Both phylogenies and gene genealogies are relevant for the epidemiological analysis of RNA viruses and are useful for investigating the origin of new viruses<sup><xref ref-type="bibr" rid="CR65">65</xref>
,<xref ref-type="bibr" rid="CR66">66</xref>
,<xref ref-type="bibr" rid="CR67">67</xref>
</sup>
or identifying the source of an outbreak<sup><xref ref-type="bibr" rid="CR68">68</xref>
,<xref ref-type="bibr" rid="CR69">69</xref>
,<xref ref-type="bibr" rid="CR70">70</xref>
,<xref ref-type="bibr" rid="CR71">71</xref>
</sup>
. Used in conjunction with population genetic theory, they are also essential for the identification of positive<sup><xref ref-type="bibr" rid="CR72">72</xref>
,<xref ref-type="bibr" rid="CR73">73</xref>
</sup>
, or purifying<sup><xref ref-type="bibr" rid="CR74">74</xref>
</sup>
, natural selection at nucleotide sites, the presence and extent of recombination<sup><xref ref-type="bibr" rid="CR13">13</xref>
,<xref ref-type="bibr" rid="CR75">75</xref>
,<xref ref-type="bibr" rid="CR76">76</xref>
</sup>
and for dating important points in the history of epidemics<sup><xref ref-type="bibr" rid="CR67">67</xref>
,<xref ref-type="bibr" rid="CR77">77</xref>
,<xref ref-type="bibr" rid="CR78">78</xref>
</sup>
. Genealogical analysis is especially relevant for reconstructing the recent epidemiological history of viral populations<sup><xref ref-type="bibr" rid="CR66">66</xref>
,<xref ref-type="bibr" rid="CR79">79</xref>
,<xref ref-type="bibr" rid="CR80">80</xref>
,<xref ref-type="bibr" rid="CR81">81</xref>
</sup>
, such as in forensic studies (<xref rid="Sec3" ref-type="sec">Box 2</xref>
, <xref rid="Fig1" ref-type="fig">Fig. 1</xref>
), and therefore have important implications for determining public health policies.<fig id="Fig1"><label>Figure 1</label>
<caption><title>Two alternative epidemiological scenarios translate into different phylogenetic tree topologies, the statistical support for which can be compared directly.</title>
<p>The tree in panel <bold>a</bold>
depicts a common and close origin for samples 1–3 (node A), which is separate from the control samples 4–7 (node B). Node A might correspond to a single outbreak or a suspected transmission among these patients, whereas node B includes samples suspected, but not related to, the outbreak (4–7) and unrelated population controls (8,9). Panel <bold>b</bold>
represents the alternative proposal for sample 1, which is now separated from the former cluster and instead groups with the control samples. Similar proposals can be separately formulated for each of the samples 1–3.</p>
</caption>
<graphic xlink:href="41579_2004_Article_BFnrmicro863_Fig1_HTML" id="d29e739"></graphic>
</fig>
</p>
<p id="Par32"><bold><italic>Rates of evolutionary change in RNA viruses.</italic>
</bold>
Although it is fair to assume that frequent mutation means that long-term rates of nucleotide substitution are usually high in RNA viruses, in reality these rates might vary widely, both within and among genes in the same species and among viral species<sup><xref ref-type="bibr" rid="CR82">82</xref>
</sup>
. Indeed, present data indicate that viral substitution rates are much more variable than their underlying mutation rates<sup><xref ref-type="bibr" rid="CR5">5</xref>
,<xref ref-type="bibr" rid="CR6">6</xref>
</sup>
, which is most likely a reflection of important differences in replication dynamics. For example, the nucleotide substitution rate in human T-lymphotropic virus type II (HTLV-II) varies from ∼1 × 10<sup>−4</sup>
substitutions per site per year in epidemics with high rates of transmission and where replication is rapid, such as those in injecting drug users, to ∼1 × 10<sup>−7</sup>
substitutions per site per year in endemic situations, where viruses are maintained within hosts through the clonal expansion of infected cells rather than by active replication<sup><xref ref-type="bibr" rid="CR83">83</xref>
</sup>
. However, in many RNA viruses, substitution rates of 1 × 10<sup>−3</sup>
to 1 × 10<sup>−4</sup>
substitutions per site per year are observed<sup><xref ref-type="bibr" rid="CR82">82</xref>
</sup>
. The variation in substitution rates across viral genomes has benefits, because it allows different epidemiological questions to be addressed, relating to different temporal scales. So, rapidly evolving (hypervariable) gene regions are informative for studying viral evolution within individuals, or for identifying the source of a particular disease outbreak. More conserved regions are better suited for in-depth phylogenetic inference, from analysing viral genotypes at the species to family levels.</p>
<p id="Par33">In a number of cases it has been proposed that molecular evolution within specific RNA virus genes proceeds at a constant rate. Such <xref rid="Glos14" ref-type="list">MOLECULAR CLOCKS</xref>
have been proposed for human influenza A virus<sup><xref ref-type="bibr" rid="CR84">84</xref>
</sup>
, although the constancy of the evolutionary rate does not hold in many other cases<sup><xref ref-type="bibr" rid="CR82">82</xref>
,<xref ref-type="bibr" rid="CR85">85</xref>
,<xref ref-type="bibr" rid="CR86">86</xref>
,<xref ref-type="bibr" rid="CR87">87</xref>
</sup>
. Non-clocklike evolution can result from a number of evolutionary forces, such as changes in host species, changes in structural and functional constraints<sup><xref ref-type="bibr" rid="CR88">88</xref>
,<xref ref-type="bibr" rid="CR89">89</xref>
</sup>
, and the occurrence of positive selection. Although most modern methods of phylogenetic analysis incorporate such rate variation — so that it is unlikely to cause significant error in the reconstruction of tree topologies — it can have an important impact on the analysis of divergence times.</p>
<p id="Par34"><bold>The emergence of RNA viruses</bold>
</p>
<p id="Par35">The past 25 years have seen the emergence of several RNA viruses,which are either new to medical science or have increased in prevalence to the extent that they are now a major concern for public health. Agents that fall into this category include HIV, hepatitis C virus and, most recently, severe acute respiratory syndrome coronavirus (SARS-CoV). Given the continuing threat that is posed by viral diseases, it is essential that we determine the factors underlying viral emergence.</p>
<p id="Par36"><bold><italic>The evolutionary genetics of viral emergence.</italic>
</bold>
Hosts acquire RNA viruses by two different mechanisms. First, owing to host–virus co-speciation, host populations might have carried a specific RNA virus for their entire evolutionary history. Although co-speciation has been proposed in some RNA viruses<sup><xref ref-type="bibr" rid="CR90">90</xref>
</sup>
, the process seems to be rare. This is most likely a result of the short infectious periods of many RNA viruses, so that they have limited opportunity for the sustained transmission that is probably needed for co-speciation. By contrast, many DNA viruses establish persistent infections and are therefore expected to be able to follow long-term patterns of host speciation<sup><xref ref-type="bibr" rid="CR91">91</xref>
</sup>
.</p>
<p id="Par37">A more common method by which RNA viruses could enter new host species is through lateral transfer from different reservoir species. Both ecology and genetics seem to be important in determining whether a virus is able to successfully cross species boundaries. In many cases, ecological factors are the most important. Although such factors are diverse, and have been reviewed in detail elsewhere<sup><xref ref-type="bibr" rid="CR92">92</xref>
,<xref ref-type="bibr" rid="CR93">93</xref>
</sup>
, they usually reflect changes in either the proximity or density of the host and/or reservoir species, which increase the likelihood that humans are exposed to new pathogens and that sustained transmission networks will be established.</p>
<p id="Par38">Far less is known about the possible genetic factors that might affect the ability of viruses to cross species boundaries. Although RNA viruses are the group of pathogens that seem most able to cross species boundaries<sup><xref ref-type="bibr" rid="CR94">94</xref>
</sup>
, perhaps because high mutation rates provide them with an increased capacity to adapt to new hosts<sup><xref ref-type="bibr" rid="CR95">95</xref>
</sup>
, not all RNA viruses are equally equipped in this respect. For example, in many cases, RNA viruses (such as rabies virus infection in humans) establish 'dead-end' infections in specific hosts, without subsequent transmission, which reflects imperfect adaptation. This indicates that there are constraints that inhibit viral adaptation to new hosts, perhaps owing to the fitness trade-offs that seem commonplace in viruses that need to infect different hosts or cell types<sup><xref ref-type="bibr" rid="CR25">25</xref>
,<xref ref-type="bibr" rid="CR96">96</xref>
</sup>
. Therefore, infecting different hosts is likely to represent a major adaptive challenge for RNA viruses, despite their mutation rate. Examples are animal vector-borne viruses, which are less subject to adaptive evolution than their non-vector-borne counterparts, presumably owing to the difficulties that are associated with simultaneous replication in hosts as divergent as invertebrates and vertebrates<sup><xref ref-type="bibr" rid="CR97">97</xref>
</sup>
. If extended over longer periods of time, this will lead to a phylogenetic rule of cross-species transmission, such that the greater the evolutionary distance between hosts, the lower the probability of viral transfer among them<sup><xref ref-type="bibr" rid="CR98">98</xref>
</sup>
.</p>
<p id="Par39">A fundamental aspect of the mechanistic basis of viral emergence is the relationship between virus and host cell receptors<sup><xref ref-type="bibr" rid="CR99">99</xref>
</sup>
. Unless a virus has sequences that are able to recognize the cellular receptors of a potential host species, successful cross-species transmission will not be possible. Therefore, jumping species boundaries might only be a problem for an RNA virus if it has to adapt to different cellular receptors, although this still does not guarantee that sustained transmission will be established in the new host. An informative example is provided by influenza A virus. Birds are the main species reservoir, and avian influenza A viruses are usually unable to jump directly into humans because they lack the necessary mutations in the haemagglutinin (HA) gene to infect human cells<sup><xref ref-type="bibr" rid="CR100">100</xref>
</sup>
. Even when avian influenza A viruses do infect humans, human-to-human transmission might not be established. More generally, the relationship between the virus and the host cell receptor predicts an association between the number of cells a virus infects and its host range, thereby explaining whether a virus is a host 'specialist' or 'generalist'. Determining whether such a relationship exists should be a key goal in understanding the genetic basis of viral emergence.</p>
<p id="Par40"><bold><italic>Case studies in viral emergence.</italic>
</bold>
The complex interplay between ecology and genetics in viral emergence can be seen in HIV. An important ecological factor in HIV emergence involves the bushmeat trade in west Africa. Not only have a wide range of related simian immunodeficiency viruses (SIVs) been isolated from animal carcasses<sup><xref ref-type="bibr" rid="CR101">101</xref>
</sup>
, but the bushmeat trade has increased owing to encroachment by humans on the ranges occupied by non-human primates. The SIV that is found in chimpanzees (SIVcpz) is the closest relative, and therefore the most likely ancestor, of human HIV-1 (Ref. <xref ref-type="bibr" rid="CR102">102</xref>
), whereas SIVsm from sooty mangabeys seems to be the reservoir population for HIV-2 (Ref. <xref ref-type="bibr" rid="CR103">103</xref>
). For both HIV-1 and HIV-2, there have been multiple transfers of virus from their reservoirs into humans, with these viruses most likely establishing themselves in humans during the last century<sup><xref ref-type="bibr" rid="CR67">67</xref>
,<xref ref-type="bibr" rid="CR77">77</xref>
</sup>
. Also of importance, was the movement of individuals infected early in the epidemic from small, isolated rural populations to cities in Africa<sup><xref ref-type="bibr" rid="CR103">103</xref>
</sup>
, which enabled incipient epidemic strains to reach a large number of susceptible hosts. Yet, genetics is also likely to have been important in the emergence of HIV. In particular, phylogenetic studies indicate that SIVs are most easily transmissable among related primate hosts<sup><xref ref-type="bibr" rid="CR104">104</xref>
</sup>
, implying that not all possible instances of cross-species viral transmission that could occur do occur, and that adaptive constraints might exist.</p>
<p id="Par41">A more recent and highly publicized example of viral emergence is provided by the SARS-CoV, the agent of a severe form of pneumonia that has killed more than 700 people worldwide since its appearance in China in November 2002. It is unclear whether the epidemic of 2002–2003 was the first appearance of SARS, or whether the virus had sporadically entered human populations previously, but without detrimental consequences. The animal reservoir for SARS-CoV is also a subject for debate. Phylogenetic analysis reveals that SARS-CoV is equidistant between coronavirus groups 1 and 2, which are usually isolated from mammalian species, and coronavirus group 3, which is currently confined to birds<sup><xref ref-type="bibr" rid="CR65">65</xref>
,<xref ref-type="bibr" rid="CR105">105</xref>
,<xref ref-type="bibr" rid="CR106">106</xref>
</sup>
(<xref rid="Fig2" ref-type="fig">Fig. 2</xref>
). Moreover, the sequence divergence between these three groups and SARS-CoV is so large that SARS-CoV has clearly experienced a long period of independent evolution. Studies of animals sold at Chinese markets have detected antibodies in a number of mammalian species<sup><xref ref-type="bibr" rid="CR107">107</xref>
</sup>
. Most notably, viruses obtained from the Himalayan palm civet (a member of the <italic>Viverridae</italic>
) are closely related to human strains of SARS-CoV. Whether this species represents the main reservoir for SARS-CoV is still unclear. Finally, there have also been suggestions that SARS-CoV is a recombinant of mammalian and avian coronaviruses and that this genetic event might have trigged viral emergence<sup><xref ref-type="bibr" rid="CR108">108</xref>
</sup>
. However, because the sequences involved are so divergent, the phylogenetic incongruence in trees of SARS-CoV seems more likely to be due to variation in the molecular clock than inter-coronavirus recombination.<fig id="Fig2"><label>Figure 2</label>
<caption><title>The phylogenetic relationships of SARS coronavirus (SARS-CoV) inferred using sequences of the spike glycoprotein.</title>
<p><bold>a</bold>
| Phylogenetic relationship of SARS-CoV to the known coronaviruses. Owing to the highly divergent nature of these viruses, the analysis was conducted using an alignment of 12 amino acid sequences that are 1,270 residues in length. The tree was inferred using the maximum likelihood (ML) method available in TREE-PUZZLE<sup><xref ref-type="bibr" rid="CR135">135</xref>
</sup>
. Numbers next to some branches represent quartet puzzling support values, which give an indication of the reliability of that branch. SARS-CoV appears as a distinct lineage. <bold>b</bold>
| Magnified phylogeny of representative SARS-CoV strains isolated from humans and the Himalayan palm civet (<italic>Paguma larvata</italic>
), a putative reservoir species. The tree was constructed using the same region as in part a but using nucleotide sequences (16 sequences, 3,765 bp). The tree was inferred using the ML method available in PAUP<sup>*</sup>
<sup><xref ref-type="bibr" rid="CR136">136</xref>
</sup>
. Maximum-likelihood bootstrap values are shown for the main branches. Both trees are mid-point rooted and all horizontal branches are drawn to a scale of the number of substitutions per site (note the difference in scale between the two trees). All parameter settings used in the phylogenetic analysis are available from the authors on request. The following sequences were analysed (abbreviated viral names and GenBank accession numbers are given in parentheses); Group 1 coronaviruses: feline infectious peritonitis virus (FIPV; <ext-link ext-link-type="uri" xlink:href="http://www.ncbi.nlm.nih.gov/nuccore/?term=CAA29535">CAA29535</ext-link>
); Group 2 coronaviruses: bovine coronavirus (BCoV; <ext-link ext-link-type="uri" xlink:href="http://www.ncbi.nlm.nih.gov/nuccore/?term=AF220295">AF220295</ext-link>
), human coronavirus OC43 (HCoV-OC43; <ext-link ext-link-type="uri" xlink:href="http://www.ncbi.nlm.nih.gov/nuccore/?term=S44241">S44241</ext-link>
), murine hepatitis virus (MHV; <ext-link ext-link-type="uri" xlink:href="http://www.ncbi.nlm.nih.gov/nuccore/?term=AF029248">AF029248</ext-link>
, <ext-link ext-link-type="uri" xlink:href="http://www.ncbi.nlm.nih.gov/nuccore/?term=AF201929">AF201929</ext-link>
, <ext-link ext-link-type="uri" xlink:href="http://www.ncbi.nlm.nih.gov/nuccore/?term=AF208066">AF208066</ext-link>
, <ext-link ext-link-type="uri" xlink:href="http://www.ncbi.nlm.nih.gov/nuccore/?term=CAA28484">CAA28484</ext-link>
), rat sialodacryoadenitis coronavirus (SDAV; <ext-link ext-link-type="uri" xlink:href="http://www.ncbi.nlm.nih.gov/nuccore/?term=AAF97738">AAF97738</ext-link>
); porcine haemagglutinating encephalomyelitis virus (PHEV; <ext-link ext-link-type="uri" xlink:href="http://www.ncbi.nlm.nih.gov/nuccore/?term=AF481863">AF481863</ext-link>
); Group 3 coronaviruses: infectious bronchitis virus (IBV; <ext-link ext-link-type="uri" xlink:href="http://www.ncbi.nlm.nih.gov/nuccore/?term=AJ311317">AJ311317</ext-link>
); SARS coronaviruses: Himalayan palm civet SARS-CoV, strains SZ1 (<ext-link ext-link-type="uri" xlink:href="http://www.ncbi.nlm.nih.gov/nuccore/?term=AY304489">AY304489</ext-link>
), SZ3 (<ext-link ext-link-type="uri" xlink:href="http://www.ncbi.nlm.nih.gov/nuccore/?term=AY304486">AY304486</ext-link>
), SZ13 (<ext-link ext-link-type="uri" xlink:href="http://www.ncbi.nlm.nih.gov/nuccore/?term=AY304487">AY304487</ext-link>
) and SZ16 (<ext-link ext-link-type="uri" xlink:href="http://www.ncbi.nlm.nih.gov/nuccore/?term=AY304488">AY304488</ext-link>
), and human SARS-CoV, strains Sin2677 (<ext-link ext-link-type="uri" xlink:href="http://www.ncbi.nlm.nih.gov/nuccore/?term=AY283795">AY283795</ext-link>
), BJ01 (<ext-link ext-link-type="uri" xlink:href="http://www.ncbi.nlm.nih.gov/nuccore/?term=AY278488">AY278488</ext-link>
), CUHK-AG01 (<ext-link ext-link-type="uri" xlink:href="http://www.ncbi.nlm.nih.gov/nuccore/?term=AY345986">AY345986</ext-link>
), GD01 (<ext-link ext-link-type="uri" xlink:href="http://www.ncbi.nlm.nih.gov/nuccore/?term=AY278489">AY278489</ext-link>
), GZ02 (<ext-link ext-link-type="uri" xlink:href="http://www.ncbi.nlm.nih.gov/nuccore/?term=AY390556">AY390556</ext-link>
), GZ50 (<ext-link ext-link-type="uri" xlink:href="http://www.ncbi.nlm.nih.gov/nuccore/?term=AY304495">AY304495</ext-link>
), HSZ-Bc (<ext-link ext-link-type="uri" xlink:href="http://www.ncbi.nlm.nih.gov/nuccore/?term=AY394994">AY394994</ext-link>
), PUMC02 (<ext-link ext-link-type="uri" xlink:href="http://www.ncbi.nlm.nih.gov/nuccore/?term=AY357075">AY357075</ext-link>
), Taiwan TC1 (<ext-link ext-link-type="uri" xlink:href="http://www.ncbi.nlm.nih.gov/nuccore/?term=AY338174">AY338174</ext-link>
), TW7 (<ext-link ext-link-type="uri" xlink:href="http://www.ncbi.nlm.nih.gov/nuccore/?term=AY502930">AY502930</ext-link>
), Urbani (<ext-link ext-link-type="uri" xlink:href="http://www.ncbi.nlm.nih.gov/nuccore/?term=AY278741">AY278741</ext-link>
) and ZS-C (<ext-link ext-link-type="uri" xlink:href="http://www.ncbi.nlm.nih.gov/nuccore/?term=AY395003">AY395003</ext-link>
).</p>
</caption>
<graphic xlink:href="41579_2004_Article_BFnrmicro863_Fig2_HTML" id="d29e1089"></graphic>
</fig>
</p>
<p id="Par42"><bold><italic>Predicting viral emergence.</italic>
</bold>
The 'holy grail' for studies of emerging diseases is to predict which infectious agents are likely to infect human populations in the future. Although we are a long way from making accurate predictions, evolutionary genetics does allow some basic rules to be established, and phylogenetic methods have been used to successfully predict the future population survival of strains of influenza A virus<sup><xref ref-type="bibr" rid="CR109">109</xref>
</sup>
. First, the larger the population size of the reservoir species, the more viruses it can harbour, including those with shorter durations of infection and increased virulence<sup><xref ref-type="bibr" rid="CR110">110</xref>
</sup>
. Consequently, animal species that live at high densities, such as some bats, rodents and birds, are most likely to be reservoirs, particularly those animal populations that already live in close proximity to humans. Less intuitively, if there is a relationship between the breadth of cell tropism and the number of species infected, most attention should be given to those viruses that infect several cell types. More importantly, a comprehensive survey of RNA virus diversity should be undertaken in appropriate animal species. This can be done through the use of degenerate PCR primers that have been designed for several RNA virus families, followed by studies to determine whether the viruses will grow in human cells. Similar approaches have already uncovered a plethora of new virus families from marine environments<sup><xref ref-type="bibr" rid="CR111">111</xref>
</sup>
.</p>
<p id="Par43"><bold>RNA virus evolution in the long term</bold>
</p>
<p id="Par44">One aim of studies of RNA virus evolution is to use our understanding of evolutionary processes in the short term, which have often been acquired from experiments, to predict what evolution will do in the long term. Although evolutionary biologists are rightly nervous about predicting future change, the rapid pace of RNA virus evolution means that these predictions can be tested quickly. Of most immediate interest are patterns of drug resistance and viral virulence.</p>
<p id="Par45"><bold><italic>The evolution of drug resistance.</italic>
</bold>
Understanding drug resistance is one area in which population biology has a direct impact on public health<sup><xref ref-type="bibr" rid="CR112">112</xref>
,<xref ref-type="bibr" rid="CR113">113</xref>
</sup>
. In the case of RNA viruses, most interest has focused on the potential of drugs to control HIV infection. Despite the optimism that initially surrounded the deployment of highly active antiretroviral therapy (HAART), which involves combinations of drugs<sup><xref ref-type="bibr" rid="CR114">114</xref>
</sup>
, antiviral therapy is unlikely to provide a cure for HIV. There are several reasons for this, not least of which is that despite our inability to detect viruses in some patients receiving HAART, viral replication is ongoing, although at greatly reduced levels<sup><xref ref-type="bibr" rid="CR115">115</xref>
</sup>
. Early studies predicting the length of time it would take for resistance to arise under multiple drug therapy also underestimated the importance of recombination in HIV, which we now know is extensive<sup><xref ref-type="bibr" rid="CR116">116</xref>
</sup>
. Frequent recombination could allow drug resistance to be acquired more rapidly than acquisition through mutation alone.</p>
<p id="Par46">There are many factors that influence the evolution of drug resistance, and important results have been obtained — for example, regarding the probability of resistance mutations arising before and during treatment, and the optimal time for the onset of drug treatment<sup><xref ref-type="bibr" rid="CR117">117</xref>
</sup>
. One important question, which also relates to the mechanics of viral evolution in general, is whether drug-resistance mutations have a fitness cost compared with wild-type alleles in the absence of the drug. If there is a fitness cost, we would hypothesize that resistance mutations would not reach high frequencies in populations, despite their benefit to the virus in hosts. There is evidence that, in the absence of the drug, HIV strains harbouring drug-resistant mutations are less fit than wild-type HIV strains<sup><xref ref-type="bibr" rid="CR118">118</xref>
</sup>
. Unfortunately, in other cases, drug-resistant HIV mutants seem to have greater infectivity, and even replication capacity, than wild-type viruses<sup><xref ref-type="bibr" rid="CR119">119</xref>
</sup>
. Not surprisingly, these mutations are increasingly sampled from drug-naive patients<sup><xref ref-type="bibr" rid="CR120">120</xref>
</sup>
.</p>
<p id="Par47">Even if drug mutations are universally advantageous, their long-term success depends on more than their individual fitness. An important mediating factor is the strength of genetic drift at the population level. If drift is strong, which will be the case if effective population sizes are small, the frequencies that mutations eventually attain in populations has a large stochastic component. For RNA viruses, effective population size reflects the mode of transmission. This can be shown by comparing HIV with influenza A virus<sup><xref ref-type="bibr" rid="CR3">3</xref>
</sup>
. In the case of the respiratory transmitted influenza A virus, the host population is large and extensively mixed. Consequently, advantageous mutations, most notably those that confer antigenic escape, are able to be fixed in the virus population in a regular manner<sup><xref ref-type="bibr" rid="CR121">121</xref>
</sup>
. By contrast, population-level selection seems to be considerably weaker in the sexually transmitted HIV, although some evidence for long-term cytotoxic T lymphocyte (CTL)-mediated selection has been found<sup><xref ref-type="bibr" rid="CR122">122</xref>
</sup>
. This contrasts with intra-host HIV evolution, in which immune-driven natural selection is the dominant evolutionary process<sup><xref ref-type="bibr" rid="CR72">72</xref>
,<xref ref-type="bibr" rid="CR123">123</xref>
,<xref ref-type="bibr" rid="CR124">124</xref>
</sup>
. The reduced impact of selection at the population level is most likely to be caused by extensive variation in rates of partner exchange, which in turn reduces the effective population size<sup><xref ref-type="bibr" rid="CR125">125</xref>
</sup>
, and because there is a large bottleneck at transmission<sup><xref ref-type="bibr" rid="CR126">126</xref>
</sup>
. Therefore, for HIV, intra-host and inter-host evolution seem to be largely decoupled. Although fewer studies have compared intra- and inter-host evolution in acute RNA virus infections, a recent analysis of dengue virus indicated that most amino acid changes that arise within hosts are deleterious in the long term<sup><xref ref-type="bibr" rid="CR74">74</xref>
</sup>
.</p>
<p id="Par48"><bold><italic>The evolution of viral virulence.</italic>
</bold>
The evolution of virulence has long been of interest to population biologists. A common view is that if virulence is a selected trait at all, then it is often involved in a trade-off with transmissibility; the balance of these factors that maximizes the <xref rid="Glos15" ref-type="list">BASIC REPRODUCTIVE RATE</xref>
(<italic>R</italic>
<sub>0</sub>
) of the pathogen is favoured by natural selection<sup><xref ref-type="bibr" rid="CR127">127</xref>
</sup>
, although this has recently been questioned<sup><xref ref-type="bibr" rid="CR128">128</xref>
</sup>
. For RNA viruses it is therefore important to determine whether virulence is optimized and, if so, how it is linked to transmissibility. Complexities arise because virulence is also likely to vary according to the transmission mode<sup><xref ref-type="bibr" rid="CR129">129</xref>
</sup>
, and whether there is a long period of intra-host evolution, including superinfection by other strains, which increases intra-strain competition and therefore virulence<sup><xref ref-type="bibr" rid="CR130">130</xref>
</sup>
. In short, predictions about the long-term evolution of virulence in RNA viruses need to be made on a case-specific basis.</p>
<p id="Par49">However, some aspects of the evolution of virulence reflect those that are associated with drug resistance. For example, if particular mutations confer virulence, then whether they become fixed in populations also depends on the strength of genetic drift, even if they are advantageous. Consequently, the optimal level of virulence might not be acquired by chance in small populations. Similarly, if the evolutionary process differs greatly within and among hosts, a selectively favoured level of virulence within hosts might be disadvantageous among hosts. The intra-host evolution of HIV tends to result in the production of high-virulence viral strains that preferentially use the CXCR4 chemokine receptor, infect cells faster and cause AIDS to develop more rapidly<sup><xref ref-type="bibr" rid="CR131">131</xref>
</sup>
. However, these strains seem to be transmitted less often, indicating that they are selectively disadvantageous in new hosts<sup><xref ref-type="bibr" rid="CR132">132</xref>
</sup>
. Understanding the interplay between virulence and transmissibility is clearly central to understanding the evolution of virulence of RNA virus in diseases.</p>
<p id="Par50"><bold>Conclusions</bold>
</p>
<p id="Par51">Establishing the rules of RNA virus evolution is important: not only will this provide information that is essential for understanding the basic mechanisms of evolutionary change, but it will assist in the design of strategies for the control, treatment and eradication of RNA viruses, and perhaps for predicting their emergence. Although it is clear that RNA viruses are unique in the rapidity with which they mutate, their evolution cannot be described in full without a consideration of all the processes of evolutionary change. A particular challenge for the future is to determine whether viral evolution in nature is similar to that established <italic>in vitro</italic>
. The beauty of RNA viruses is that the link between experimental and natural systems can be made simply — few other organisms are as well suited for studying evolutionary processes.</p>
<sec id="Sec2"><boxed-text><label>Box 1 | Experiments in RNA virus evolution</label>
<p id="Par52">At the start of an experiment (see figure panel a), <italic>n</italic>
flasks containing a cell monolayer are infected with the original mutant (resistant to the wild-type (WT) inhibitor) population. Subsequently, a sample is transferred between flasks until the end of the experiment, when evolved mutants are collected. The final samples can then be analysed in two different ways.<graphic position="anchor" xlink:href="41579_2004_Article_BFnrmicro863_Figa_HTML" id="d29e1251"></graphic>
</p>
<p id="Par53"><bold>Fitness assays</bold>
</p>
<p id="Par54">This technique (shown in panel b of the figure) requires a mixture of the evolved mutant and the ancestral WT, which is then used to infect cell monolayers in a flask and two additional dishes (with and without the WT inhibitor, respectively). On the following day, a sample is taken from the first flask to infect cell monolayers in a new flask and two new dishes (under the same conditions as used previously). The sample from the second flask is then used to infect two new dishes, with and without the WT inhibitor. Plaque numbers are counted as a measure of virus particle numbers. Calculating the logarithm of the mutant/WT quotient against time gives the relative fitness of the evolved mutant.</p>
<p id="Par55"><bold>Growth curves</bold>
</p>
<p id="Par56">This procedure (shown in panel c of the figure) requires the infection of the evolved mutants into cell monolayers in separate flasks, taking several samples from each flask at different times, and using the ancestral WT clone as a control. Plaque numbers are counted in the plate assay to measure viral growth. Calculation of the logarithm of the viral titre against time (<italic>t</italic>
) shows the growth rate for the evolved mutant populations.</p>
</boxed-text>
</sec>
<sec id="Sec3"><boxed-text><label>Box 2 | Molecular epidemiology and forensics</label>
<p id="Par57">Establishing the source of a viral outbreak is one of the many applications of molecular epidemiology. Occasionally, this work has implications other than epidemiological. For instance, Ou <italic>et al</italic>
.<sup><xref ref-type="bibr" rid="CR68">68</xref>
</sup>
were able to identify an HIV-infected dentist as the inadvertent donor of the virus to some of his patients, and to simultaneously discard him as the source of viruses infecting others. More recently, a similar analysis identified a medical doctor as the source of HIV infection in a former lover<sup><xref ref-type="bibr" rid="CR133">133</xref>
</sup>
. This is the first case in which a molecular epidemiological analysis has been accepted as evidence in a criminal court in the United States.</p>
<p id="Par58">Owing to the rapid rate of RNA virus evolution, they can be useful in forensic medicine, given a rigorous statistical framework. For this, it is necessary to translate the proposals of both the defendant and the prosecutor into testable phylogenetic hypotheses. González-Candelas <italic>et al</italic>
.<sup><xref ref-type="bibr" rid="CR134">134</xref>
</sup>
used this approach to evaluate the individual likelihoods of a number of hepatitis C virus patients having been infected in a hospital from a common source. In this case, the prosecutor's hypothesis was that each patient was infected at the hospital. Conversely, the defendant's hypothesis was that each patient became separately infected from the general population. These two proposals translate into different phylogenetic tree topologies, the likelihoods of which can be compared directly. The prosecutor's proposal is equivalent to observing a monophyletic group comprising the infected patients, which is significantly distinct from the background population, whereas the defendant's proposal corresponds to the grouping of the sequences from each infected patient with those of the background population. This molecular analysis proved that all the individuals were from a single outbreak, and was the first report of the use of molecular phylogenies to determine the likelihood of a patient sharing the source of infection with other infected patients.</p>
</boxed-text>
</sec>
</sec>
</body>
<back><app-group><app id="App1"><sec id="Sec4"><title>Related links</title>
<sec id="Sec5"><title>FURTHER INFORMATION</title>
<p id="Par60"><ext-link ext-link-type="uri" xlink:href="http://www.uv.es/cavanilles/genevol/index.htm">Unidad de Investigation de Genetica Evolutiva</ext-link>
</p>
<p id="Par61"><ext-link ext-link-type="uri" xlink:href="http://evolve.zoo.ox.ac.uk">Evolutionary Biology Group</ext-link>
</p>
</sec>
</sec>
</app>
</app-group>
<ack><title>Acknowledgements</title>
<p>This work has been funded by The Wellcome Trust, the Spanish Ministerio de Ciencia y Tecnologia and Generalitat Valenciana. We would like to thank J. M. Cuevas and R. Sanjuan for help in preparing <xref rid="Sec2" ref-type="sec">Box 1</xref>
. We also thank four referees for useful comments.</p>
</ack>
<notes notes-type="data-availability"><title>Accession codes</title>
<sec id="d29e1307"><title>Accessions</title>
<p id="Par62"><list list-type="bullet"><title>GenBank/EMBL/DDBJ</title>
<list-item><p id="Par63"><ext-link ext-link-type="uri" xlink:href="http://www.ncbi.nlm.nih.gov/nuccore/?term=AAF97738">AAF97738</ext-link>
</p>
</list-item>
<list-item><p id="Par64"><ext-link ext-link-type="uri" xlink:href="http://www.ncbi.nlm.nih.gov/nuccore/?term=AF029248">AF029248</ext-link>
</p>
</list-item>
<list-item><p id="Par65"><ext-link ext-link-type="uri" xlink:href="http://www.ncbi.nlm.nih.gov/nuccore/?term=AF201929">AF201929</ext-link>
</p>
</list-item>
<list-item><p id="Par66"><ext-link ext-link-type="uri" xlink:href="http://www.ncbi.nlm.nih.gov/nuccore/?term=AF208066">AF208066</ext-link>
</p>
</list-item>
<list-item><p id="Par67"><ext-link ext-link-type="uri" xlink:href="http://www.ncbi.nlm.nih.gov/nuccore/?term=AF220295">AF220295</ext-link>
</p>
</list-item>
<list-item><p id="Par68"><ext-link ext-link-type="uri" xlink:href="http://www.ncbi.nlm.nih.gov/nuccore/?term=AF481863">AF481863</ext-link>
</p>
</list-item>
<list-item><p id="Par69"><ext-link ext-link-type="uri" xlink:href="http://www.ncbi.nlm.nih.gov/nuccore/?term=AJ311317">AJ311317</ext-link>
</p>
</list-item>
<list-item><p id="Par70"><ext-link ext-link-type="uri" xlink:href="http://www.ncbi.nlm.nih.gov/nuccore/?term=AY278488">AY278488</ext-link>
</p>
</list-item>
<list-item><p id="Par71"><ext-link ext-link-type="uri" xlink:href="http://www.ncbi.nlm.nih.gov/nuccore/?term=AY278489">AY278489</ext-link>
</p>
</list-item>
<list-item><p id="Par72"><ext-link ext-link-type="uri" xlink:href="http://www.ncbi.nlm.nih.gov/nuccore/?term=AY278741">AY278741</ext-link>
</p>
</list-item>
<list-item><p id="Par73"><ext-link ext-link-type="uri" xlink:href="http://www.ncbi.nlm.nih.gov/nuccore/?term=AY283795">AY283795</ext-link>
</p>
</list-item>
<list-item><p id="Par74"><ext-link ext-link-type="uri" xlink:href="http://www.ncbi.nlm.nih.gov/nuccore/?term=AY304486">AY304486</ext-link>
</p>
</list-item>
<list-item><p id="Par75"><ext-link ext-link-type="uri" xlink:href="http://www.ncbi.nlm.nih.gov/nuccore/?term=AY304487">AY304487</ext-link>
</p>
</list-item>
<list-item><p id="Par76"><ext-link ext-link-type="uri" xlink:href="http://www.ncbi.nlm.nih.gov/nuccore/?term=AY304488">AY304488</ext-link>
</p>
</list-item>
<list-item><p id="Par77"><ext-link ext-link-type="uri" xlink:href="http://www.ncbi.nlm.nih.gov/nuccore/?term=AY304489">AY304489</ext-link>
</p>
</list-item>
<list-item><p id="Par78"><ext-link ext-link-type="uri" xlink:href="http://www.ncbi.nlm.nih.gov/nuccore/?term=AY304495">AY304495</ext-link>
</p>
</list-item>
<list-item><p id="Par79"><ext-link ext-link-type="uri" xlink:href="http://www.ncbi.nlm.nih.gov/nuccore/?term=AY338174">AY338174</ext-link>
</p>
</list-item>
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</p>
</list-item>
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</p>
</list-item>
<list-item><p id="Par82"><ext-link ext-link-type="uri" xlink:href="http://www.ncbi.nlm.nih.gov/nuccore/?term=AY390556">AY390556</ext-link>
</p>
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</p>
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<list-item><p id="Par87"><ext-link ext-link-type="uri" xlink:href="http://www.ncbi.nlm.nih.gov/nuccore/?term=CAA29535">CAA29535</ext-link>
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</list>
</p>
</sec>
</notes>
<notes notes-type="COI-statement"><title>Competing interests</title>
<p id="Par59">The authors declare no competing financial interests.</p>
</notes>
<glossary><title>Glossary</title>
<def-list><def-item id="Glos1"><term>GENETIC DRIFT</term>
<def><p>Stochastic changes in allele frequencies in a finite population due to the random sampling of genes at reproduction.</p>
</def>
</def-item>
<def-item id="Glos2"><term>FITNESS</term>
<def><p>The contribution of a genotype to the next generation, relative to that of other genotypes in the population, reflecting its probability of survival and its reproductive output.</p>
</def>
</def-item>
<def-item id="Glos3"><term>ERROR THRESHOLD</term>
<def><p>Maximum mutation rate that is tolerable for a given genome size. Crossing the error threshold leads to dramatic fitness losses.</p>
</def>
</def-item>
<def-item id="Glos4"><term>POPULATION BOTTLENECK</term>
<def><p>A severe reduction in population size that causes a loss of genetic variation. Under strong bottlenecks, genetic drift can be more important in evolution than natural selection.</p>
</def>
</def-item>
<def-item id="Glos5"><term>EFFECTIVE POPULATION SIZE</term>
<def><p>(<italic>N</italic>
<sub><italic>e</italic>
</sub>
). The size of an idealized population that would experience genetic drift in the same way as the actual population. <italic>N</italic>
<sub><italic>e</italic>
</sub>
can be lower than the census population size (<italic>N</italic>
) owing to various factors, including a history of population bottlenecks and variance in reproductive rates.</p>
</def>
</def-item>
<def-item id="Glos6"><term>RUGGED FITNESS LANDSCAPE</term>
<def><p>A rugged fitness landscape is one with multiple fitness peaks. The more rugged a landscape the lower the average fitness correlations between neighbouring points.</p>
</def>
</def-item>
<def-item id="Glos7"><term>CONVERGENT EVOLUTION</term>
<def><p>The independent evolution of similar traits in two or more unrelated or distantly related lineages.</p>
</def>
</def-item>
<def-item id="Glos8"><term>CLONAL INTERFERENCE</term>
<def><p>In asexual populations beneficial mutations compete (or 'interfere') with each other as they go to fixation. Therefore, the fixation of advantageous mutations is sequential. This has important implications for the rate of adaptive evolution.</p>
</def>
</def-item>
<def-item id="Glos9"><term>COMPLEMENTATION</term>
<def><p>The cooperative interaction of mutant genes in viral populations resulting in a phenotype closer to the wild type. In a broader sense, it refers to the use of genetic information belonging to another member of the population.</p>
</def>
</def-item>
<def-item id="Glos10"><term>MULLER'S RATCHET</term>
<def><p>The successive build-up of deleterious mutations in finite asexual populations. It has been proposed to be an important reason for the evolution of sexual reproduction.</p>
</def>
</def-item>
<def-item id="Glos11"><term>COMPETITIVE EXCLUSION</term>
<def><p>In the absence of ecological niche differentiation, only one of a set of competing species can occupy a particular niche, leading to the elimination of other species.</p>
</def>
</def-item>
<def-item id="Glos12"><term>RED QUEEN HYPOTHESIS</term>
<def><p>A dynamic equilibrium between competing species, in which no species can ever win, and new adversaries continually replace the losers. It therefore depicts an ongoing arms race.</p>
</def>
</def-item>
<def-item id="Glos13"><term>PRISONER'S DILEMMA</term>
<def><p>A theoretical game that highlights the costs and benefits of the evolution of cooperation. For example, games can be played when the population is composed of 'defectors' and 'cooperators'.</p>
</def>
</def-item>
<def-item id="Glos14"><term>MOLECULAR CLOCK</term>
<def><p>The theory that the evolution of gene or protein sequences proceeds at a constant rate.</p>
</def>
</def-item>
<def-item id="Glos15"><term>BASIC REPRODUCTIVE RATE</term>
<def><p>(<italic>R</italic>
<sub>0</sub>
). For viruses, this is defined as the number of secondary infections that are caused by a single index case in an entirely susceptible population. For an epidemic to proceed, <italic>R</italic>
<sub>0</sub>
needs to exceed 1.</p>
</def>
</def-item>
</def-list>
</glossary>
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