Year: 2020
Type: article
Abstract: Predicting how pathogen populations will change over time is challenging. Such has been the case with Streptococcus pneumoniae, an important human pathogen, and the pneumococcal conjugate vaccines (PCVs), which target only a fraction of the strains in the population. Here, we use the frequencies of accessory genes to predict changes in the pneumococcal population after vaccination, hypothesizing that these frequencies reflect negative frequency-dependent selection (NFDS) on the gene products. We find that the standardized predicted fitness of a strain, estimated by an NFDS-based model at the time the vaccine is introduced, enables us to predict whether the strain increases or decreases in prevalence following vaccination. Further, we are able to forecast the equilibrium post-vaccine population composition and assess the invasion capacity of emerging lineages. Overall, we provide a method for predicting the impact of an intervention on pneumococcal populations with potential application to other bacterial pathogens in which NFDS is a driving force.
Source: PLoS Biology
Language: English
Subfield: Epidemiology
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $3,000
Awards: G1683598284, G17091616, MIDAS Center for Communicable Disease Dynamics, Evolutionary dynamics underlying pneumococcal genomic diversity., G3120089969, Evolutionary dynamics underlying pneumococcal genomic diversity., Mechanisms and Population Genomics of Pneumococcal Antigenic Diversity, Scalable inference algorithms for Bayesian evolutionary epidemiology, G6520098237, G709560905, G8229061963, G9000008914, G9000087992, G9000195442, Epidemiology of Infectious Diseases
OpenAlex ID: W3094143455
