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Published on: November 10, 2023
The emergence, impact, and evolution of human metapneumovirus variants from 2014 to 2021 in Spain
Maria Piñana1, Alejandra González-Sánchez1, Cristina Andrés1
1Respiratory Viruses Unit, Microbiology Department, Vall d'Hebron Institut de Recerca (VHIR), Vall d'Hebron Hospital Universitari, Vall d'Hebron Barcelona Hospital Campus, Universitat Autònoma de Barcelona, Barcelona, Spain.
Background:
Human metapneumovirus (HMPV) is an important aetiologic agent of respiratory tract infection (RTI). This study aimed to describe the prevalence, genetic diversity, and evolutionary dynamics of HMPV.
Methods:
Laboratory-confirmed HMPV were characterised based on partial-coding G gene sequences with MEGA.v6.0. WGS was performed with Illumina, and evolutionary analyses with Datamonkey and Nextstrain.
Results:
HMPV prevalence was 2.5%, peaking in February-April and with an alternation in the predominance of HMPV-A and -B until the emergence of SARS-CoV-2, not circulating until summer and autumn-winter 2021, with a higher prevalence and with the almost only circulation of A2c111dup. G and SH proteins were the most variable, and 70% of F protein was under negative selection. Mutation rate of HMPV genome was 6.95 × 10-4 substitutions/site/year.
Conclusion:
HMPV showed a significant morbidity until the emergence of SARS-CoV-2 pandemic in 2020, not circulating again until summer and autumn 2021, with a higher prevalence and with almost the only circulation of A2c111dup, probably due to a more efficient immune evasion mechanism. The F protein showed a very conserved nature, supporting the need for steric shielding. The tMRCA showed a recent emergence of the A2c variants carrying duplications, supporting the importance of virological surveillance.
Insights
Human metapneumovirus (HMPV) caused significant respiratory illness before SARS-CoV-2. Post-pandemic, HMPV re-emerged with dominant A2c111dup variants, likely due to immune evasion, highlighting the need for surveillance.
Area of Science:
- Virology
- Epidemiology
- Molecular Evolution
Background:
- Human metapneumovirus (HMPV) is a significant cause of respiratory tract infections (RTIs).
- Understanding HMPV's prevalence and genetic changes is crucial for public health.
- The emergence of SARS-CoV-2 impacted HMPV circulation patterns.
Purpose of the Study:
- To determine the prevalence of HMPV.
- To analyze the genetic diversity and evolutionary dynamics of HMPV.
- To investigate HMPV's behavior in relation to the SARS-CoV-2 pandemic.
Main Methods:
- Laboratory confirmation of HMPV cases.
- Partial-coding G gene sequencing for characterization.
- Whole Genome Sequencing (WGS) and phylogenetic analyses using Nextstrain and Datamonkey.
Main Results:
- HMPV prevalence was 2.5%, with peak seasons from February to April.
- Alternating predominance of HMPV-A and -B was observed until SARS-CoV-2 emergence.
- Post-2020, A2c111dup variants predominated, showing higher prevalence and mutation rates (6.95 × 10-4 subs/site/year).
- G and SH proteins exhibited high variability, while the F protein was under negative selection.
Conclusions:
- HMPV caused significant morbidity, with altered circulation post-SARS-CoV-2.
- The dominance of A2c111dup variants suggests enhanced immune evasion.
- Conserved F protein supports steric shielding, and recent emergence of duplicated A2c variants underscores the need for ongoing virological surveillance.
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