IHU Méditerranée Infection, Marseille, France.
Aix-Marseille Université., Institut de Recherche pour le Développement (IRD), Microbes Evolution Phylogeny and Infections (MEPHI), Marseille, France.
J Med Virol. 2023 Nov;95(11):e29209. doi: 10.1002/jmv.29209.
The tremendous majority of RNA genomes from pathogenic viruses analyzed and deposited in databases are consensus or "democratic" genomes. They represent the genomes most frequently found in the clinical samples of patients but do not account for the huge genetic diversity of coexisting genomes, which is better described as quasispecies. A viral quasispecies is defined as the dynamic distribution of nonidentical but closely related mutants, variants, recombinant, or reassortant viral genomes. Viral quasispecies have collective behavior and dynamics and are the subject of internal interactions that comprise interference, complementation, or cooperation. In the setting of SARS-CoV-2 infection, intrahost SARS-CoV-2 genetic diversity was recently notably reported for immunocompromised, chronically infected patients, for patients treated with monoclonal antibodies targeting the viral spike protein, and for different body compartments of a single patient. A question that deserves attention is whether such diversity is generated postinfection from a clonal genome in response to selection pressure or is already present at the time of infection as a quasispecies. In the present review, we summarize the data supporting that hosts are infected by a "wild bunch" of viruses rather than by multiple virions sharing the same genome. Each virion in the "wild bunch" may have different virulence and tissue tropisms. As the number of viruses replicated during host infections is huge, a viral quasispecies at any time of infection is wide and is also influenced by host-specific selection pressure after infection, which accounts for the difficulty in deciphering and predicting the appearance of more fit variants and the evolution of epidemics of novel RNA viruses.
绝大多数经过分析并在数据库中储存的致病性病毒的 RNA 基因组都是共识或“民主”基因组。它们代表了在患者临床样本中最常发现的基因组,但并未说明共存基因组的巨大遗传多样性,后者更适合被描述为准种。病毒准种被定义为非同源但密切相关的突变体、变体、重组或重配病毒基因组的动态分布。病毒准种具有集体行为和动态性,是内部相互作用的主体,包括干扰、互补或合作。在 SARS-CoV-2 感染的情况下,最近有报道称,免疫功能低下、慢性感染患者、针对病毒刺突蛋白的单克隆抗体治疗患者以及单个患者的不同身体部位的 SARS-CoV-2 宿主内遗传多样性显著增加。值得关注的一个问题是,这种多样性是在感染后从克隆基因组中产生的,以应对选择压力,还是在感染时已经作为准种存在。在本综述中,我们总结了支持宿主感染的是“野生病毒群”而不是具有相同基因组的多个病毒颗粒的数据。“野生病毒群”中的每个病毒颗粒可能具有不同的毒力和组织嗜性。由于宿主感染期间复制的病毒数量巨大,感染时的病毒准种很广泛,并且还受到感染后宿主特异性选择压力的影响,这解释了为什么难以解读和预测更适应的变体的出现以及新型 RNA 病毒的流行演变。