Real-time tracking of virus evolution
	
	
	Trevor Bedford (@trvrb)
	
	24 Jun 2016
	
	Federation Meeting of Korean Basic Medical Scientists
	
	Incheon, Republic of Korea
	Slides at bedford.io/talks/
	Phylogenies describe history
	 
	Phylogenies describe history
	 
	
		Haeckel 1879
	
	Phylogenies describe history
	 
	
	Phylogenies reveal process
	 
	
		Darwin 1859
	
	Epidemic process
	 
	Sample some individuals
	 
	Sequence and determine phylogeny
	 
	Sequence and determine phylogeny
	 
	Localized Middle Eastern MERS-CoV phylogeny
	 
	
	Regional West African Ebola phylogeny
	 
	
	Global influenza phylogeny
	 
	
	Applications of evolutionary analysis for vaccine strain selection and charting outbreak spread
	Influenza virion
	 
	Influenza H3N2 vaccine updates
	 
	H3N2 phylogeny showing antigenic drift
	 
	H3N2 phylogeny showing antigenic drift
	 
	Drift variants rapidly take over the virus population
	
	Timely surveillance and rapid analysis essential to understand ongoing influenza evolution
	
		nextflu
	
	Project to provide a real-time view of the evolving influenza population
	
All in collaboration with Richard Neher
	 
	
		nextflu
		pipeline
	
	
	
		- Download all recent HA sequences from GISAID
- Filter to remove outliers
- Subsample across time and space
- Align sequences
- Build tree
- Estimate frequencies
- Export for visualization
Up-to-date analysis publicly available at:
	
	The future is here, it's just not evenly distributed yet
 — William Gibson
	USA music industry, 2011 dollars per capita
	 
	Influenza population turnover
	 
	Vaccine strain selection timeline
	 
	Seek to explain change in clade frequencies over 1 year
	 
	Fitness models can project clade frequencies
	
	Clade frequencies $X$ derive from the fitnesses $f$ and frequencies $x$ of constituent viruses, such that
	$$\hat{X}_v(t+\Delta t) = \sum_{i:v} x_i(t) \, \mathrm{exp}(f_i \, \Delta t)$$
	This captures clonal interference between competing lineages
	 
	
	Predictive fitness models
	
	A simple predictive model estimates the fitness $f$ of virus $i$ as
	$$\hat{f}_i = \beta^\mathrm{ep} \, f_i^\mathrm{ep} + \beta^\mathrm{ne} \, f_i^\mathrm{ne}$$
	where $f_i^\mathrm{ep}$ measures cross-immunity via substitutions at epitope sites and $f_i^\mathrm{ep}$ measures mutational load via substitutions at non-epitope sites
	 
	
	We implement a similar model based on two predictors
	
	
		- Clade frequency change
- Antigenic advancement
Project frequencies forward, 
 growing clades have high fitness
	 
	Calculate HI drop from ancestor, 
 drifted clades have high fitness
	 
	Fitness model parameterization
	
	Our predictive model estimates the fitness $f$ of virus $i$ as
	
	$$\hat{f}_i = \beta^\mathrm{freq} \, f_i^\mathrm{freq} + \beta^\mathrm{HI} \, f_i^\mathrm{HI}$$
	
	We learn coefficients and validate model based on previous 15 H3N2 seasons
	Clade growth rate is well correlated (ρ = 0.66)
	 
	Growth vs decline correct in 84% of cases
	 
	Trajectories show more detailed congruence
	 
	Further work on predictive modeling
	
	
		- Integrate data predictors and data sources, e.g. geography
- Possible to build predictive models for H1N1 and B and to forecast NA evolution
Real-time analyses are actionable and thus, may inform influenza vaccine strain selection
	Epidemic basically contained, but resulted in >28,000 confirmed cases and >11,000 deaths
	 
	Early sequencing showed single origin of epidemic
	 
	
	Continued spread through Dec 2014
	 
	
	At epidemic height, geographic spread of particular interest
	 
	
		Rambaut 2015
	
	Later on, tracking transmission clusters of primary importance
	 
	
	Evolutionary analyses helped to establish the degree of adaptive evolution occurring
	 
	
	Selective patterns differ across genome
	 
	
	Phylogeographic analyses reveal detailed patterns of spatial movement
	 
	
		Dudas et al 2016
	
	Animation by Gytis Dudas
    
	
		Dudas et al 2016
	
	Important analyses, let's make them more rapid and more automated
	Tracking epidemic spread in real-time:
	
	Rapid on-the-ground sequencing by Ian Goodfellow, Matt Cotten and colleagues
	
	Deployment of MinION sequencing to Guinea by Nick Loman, Josh Quick, Lauren Cowley and colleagues
	 
	
	Virus endemic to Africa, emergence in Southeast Asia in the last century
	 
	
	Spread eastward through the South Pacific
	 
	
	Isolated epidemics in the South Pacific
	 
	
	Single arrival into the Americas in early 2014
	 
	
	Working on analysis of ongoing evolution:
	
	ZiBRA: Project to do real-time sequencing of Zika in Brazil
	 
	Road trip through northeast Brazil to collect samples and sequence
	 
	Sequencing on the MinION nanopore sequencer
	
	Moving forward, genetically-informed outbreak response requires:
	
	
	
		- Rapid sharing of sequence data, genetic context critical
- Technologies for rapid diagnostics and sequencing
- Technologies to rapidly conduct phylogenetic inference
- Technologies to explore genetic relationships and inform epidemiological investigation
Acknowledgements
	
	Influenza: WHO Global Influenza Surveillance Network, GISAID, Worldwide Influenza Centre 
	at the Francis Crick Institute, Richard Neher, Colin Russell, Andrew Rambaut
	Ebola: data producers, Gytis Dudas, Andrew Rambaut, Philipe Lemey, Richard Neher,
	Nick Loman, Ian Goodfellow, Paul Kellam, Danny Park, Kristian Andersen, Pardis Sabeti
	Zika: data producers, Nick Loman, Nuno Faria, Andrew Rambaut, Oliver Pybus, Richard Neher,
	Charlton Callender, Allison Black, Luiz Alcantara and the rest of the ZiBRA team
	
	Contact
	
	
	
		- Website: bedford.io
- Twitter: @trvrb
- Slides: bedford.io/talks/real-time-tracking-fmkbms/