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Uncover the intricate evolution of virulence in pathogens, explore the impact of antibiotic resistance and disease emergence, learn about Evolutionary Stable Strategies (ESS), and delve into the tradeoffs faced by pathogens to maximize transmission while minimizing virulence.
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Evolution of Virulence Matthew H. Bonds The François-Xavier Bagnoud Center for Health and Human Rights Harvard School of Public Health Partners in Health
Outline of Presentation • Background to Disease Evolution • - Evolution of virulence • - Antibiotic resistance • - Disease emergence • Evolutionary Stable Strategies (ESS) • Evolution of Virulence • - single infection • - multiple infections
Background to Disease Evolution Evolution of Virulence Antibiotic Resistance Disease Emergence
Background to Disease Evolution Evolution of Virulence Antibiotic Resistance Disease Emergence
Background to Disease Evolution Evolution: Achange in genetic material in a population from generation to the next. - We say that organisms evolve to “maximize their fitness”
Background to Disease Evolution Evolution: Achange in genetic material in a population from generation to the next. - We say that organisms evolve to “maximize their fitness” 2. Fitness ≅ Reproductivity
Background to Disease Evolution Evolution: Achange in genetic material in a population from generation to the next. - We say that organisms evolve to “maximize their fitness” 2. Fitness ≅ Reproductivity = number of surviving offspring or number of reproductive offspring
Background to Disease Evolution Evolution: Achange in genetic material in a population from generation to the next. - We say that organisms evolve to “maximize their fitness” 2. Fitness ≅ Reproductivity = number of surviving offspring or number of reproductive offspring
Evolutionarily Stable Strategy Evolutionarily Stable Strategy (ESS): A strategy which, if adopted by a population, cannot be invaded by any alternative strategy that is initially rare. An ESS is a kind of Nash equilibrium.
What is the ESS for a Pathogen? A strategy adopted by some kind of pathogen, for which an alternative (mutant) strategy, cannot invade.
What is the ESS for a Pathogen? A strategy adopted by some kind of pathogen, for which an alternative (mutant) strategy, cannot invade.
What is the ESS for a Pathogen? A strategy adopted by some kind of pathogen, for which an alternative (mutant) strategy, cannot invade.
What is the ESS for a Pathogen? A strategy adopted by some kind of pathogen, for which an alternative (mutant) strategy, cannot invade.
What is the ESS for a Pathogen? A strategy adopted by some kind of pathogen, for which an alternative (mutant) strategy, cannot invade.
What is the ESS for a Pathogen? A strategy adopted by some kind of pathogen, for which an alternative (mutant) strategy, cannot invade. A strategy that maximizes the Basic Reproductive Ratio is evolutionarily stable (Anderson and May, 1982)
ESS for a Pathogen? What are the evolutionary tradeoffs faced by pathogens?
ESS for a Pathogen? What are the evolutionary tradeoffs faced by pathogens? Pathogens should evolve to maximize the transmission rate and minimize the disease-induced death rate.
ESS for a Pathogen? What are the evolutionary tradeoffs faced by pathogens? Pathogens should evolve to maximize the transmission rate and minimize the disease-induced death rate. There must be a tradeoff between transmission and virulence! ?
ESS for a Pathogen? Tradeoff between transmission and killing the host v
ESS for a Pathogen? Maximize Ro with respect to v v* v
ESS for Multiple Pathogens? Maximize Ro with respect to v v* v
ESS for Multiple Pathogens? Maximize Ro with respect to v
Summary The evolutionarily stable strategy for a pathogen is the strategy that maximizes its basic reproductive ratio Typically, the phenotype that we consider to be evolving is the disease-induced mortality rate (virulence) There may be a tradeoff between virulence and transmission The ESS level of virulence depends on coinfection. The host represents a common property resource, and the Co-evolutionarily stable strategy is the outcome of a prisoner’s dilemma.