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Reply to Jensen and Kowalik: Consideration of mixed infections is central to understanding HCMV intrahost diversity.

Accepted version
Peer-reviewed

Type

Article

Change log

Authors

Houldcroft, Charlotte J  ORCID logo  https://orcid.org/0000-0002-1833-5285
Cudini, Juliana 
Goldstein, Richard A  ORCID logo  https://orcid.org/0000-0001-5148-4672

Abstract

Kowalik and Jensen (1) have reported that intra-host variation in HCMV approaches levels similar to those of HCV, with fast mutation rates mooted as one explanation (2).While we discussed that HCMV mutation rates were postulated as an explanation for high diversity, the focus of our work is on observed inconsistencies in nucleotide diversity between and within patients (3). Kowalik and Jensen did calculate HCMV mutation rates to be similar to MCMV but maintained that this could underestimate the true levels (2). In contrast, our study showed that in the absence of mixed infections, HCMV is no more diverse than other DNA viruses, and considerably less so than chronic RNA viruses. This simple conclusion is different to that of Kowalik and Jensen and had not been stated prior to our publication.

Description

Keywords

Coinfection, Cytomegalovirus, Haplotypes, Humans, Recombination, Genetic, Superinfection

Journal Title

Proc Natl Acad Sci U S A

Conference Name

Journal ISSN

0027-8424
1091-6490

Volume Title

117

Publisher

Proceedings of the National Academy of Sciences

Rights

All rights reserved
Sponsorship
Wellcome Trust (via University College London (UCL)) (Ref 17/0008 539724)
NA