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Saturday, August 30, 2014

Rapidly Mutating Ebola Renders Diagnostic Tests Inaccurate – AKA: You May Have a New Strain of Ebola and Test Negative


An international team of scientists — some of whom succumbed to the virus during the course of their research — has sequenced 99 Ebola virus genomes from 78 patients in Sierra Leone, creating a valuable trove of genetic data for scientists and health care workers struggling to bring the growing outbreak under control.



“We were able to sequence and analyze our samples with about a 10-day turnaround. This is unprecedented, as earlier studies have usually taken many months with much smaller datasets,” says Daniel J. Park, a co-author and computational biologist at the Broad Institute, in an email interview with Mashable.

The research, which used an advanced genetic analysis technique known as deep sequencing, reveals that the disease is rapidly accumulating mutations as it spreads.

The team found 395 genetic changes, including 341 that make this outbreak distinct from the viral genomes tied to previous Ebola outbreaks, and 50 that are unique to the West African outbreak more broadly.


Of particular interest are mutations that alter protein sequences, since they could potentially change the accuracy of diagnostic tests for the virus as well as vaccines and therapies. 

It is unclear if these mutations are related to the severity of the current outbreak, but further genetic analysis could determine this.
For starters, the data show that the virus is rapidly accumulating new mutations as it spreads through people. “We’ve found over 250 mutations that are changing in real time as we’re watching,” Sabeti says.

While moving through the human population in West Africa, she says, the virus has been collecting mutations about twice as quickly as it did while circulating among animals in the past decade or so.


“The more time you give a virus to mutate and the more human-to-human transmission you see,” she says, “the more opportunities you give it to fall upon some [mutation] that could make it more easily transmissible or more pathogenic.”

Sabeti says she doesn’t know if that’s happening yet. But the rapid change in the virus’ genome could weaken the tools researchers have to detect Ebola or, potentially, to treat patients.

Diagnostic tests, experimental vaccines and drugs for Ebola — like the one recently used to treat two American patients — are all based on the gene sequences of the virus, Sabeti says. “If the virus is mutating away from the known sequence, that could be important to how these things work.”

Read more at http://investmentwatchblog.com/rapidly-mutating-ebola-renders-diagnostic-tests-inaccurate-aka-you-may-have-a-new-strain-of-ebola-and-test-negative/#L2cxy9LQc6meCo1S.99