2016
DOI: 10.1073/pnas.1522930113
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Phylogenetically resolving epidemiologic linkage

Abstract: Although the use of phylogenetic trees in epidemiological investigations has become commonplace, their epidemiological interpretation has not been systematically evaluated. Here, we use an HIV-1 within-host coalescent model to probabilistically evaluate transmission histories of two epidemiologically linked hosts. Previous critique of phylogenetic reconstruction has claimed that direction of transmission is difficult to infer, and that the existence of unsampled intermediary links or common sources can never b… Show more

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Cited by 94 publications
(143 citation statements)
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“…The nature of HIV evolution 23 (both within and between hosts) and the lack of an external reference 29 (root) in distance defined networks, prevents determination of the direction of transmission or whether transmission events proceeded directly between participants or via a third party. However, distance defined transmission networks do allow us to recognize closely related strains and the subpopulation(s) within which they are observed, 30 Figure 2.…”
Section: Discussionmentioning
confidence: 99%
“…The nature of HIV evolution 23 (both within and between hosts) and the lack of an external reference 29 (root) in distance defined networks, prevents determination of the direction of transmission or whether transmission events proceeded directly between participants or via a third party. However, distance defined transmission networks do allow us to recognize closely related strains and the subpopulation(s) within which they are observed, 30 Figure 2.…”
Section: Discussionmentioning
confidence: 99%
“…Also, HIV transmission histories could be correctly inferred by phylogenetic methods . This remains an area of active investigation …”
Section: Selection As a Potential Confounder In Phyloanatomical Analysismentioning
confidence: 99%
“…98 This remains an area of active investigation. [99][100][101] Selection pressures have been found to differ between anatomical compartments. The most extreme form of differing selection pressures arise when specific mutations are required to invade a compartment.…”
Section: S Elec Ti On a S A P Otential Confounder In Phyloanatomic mentioning
confidence: 99%
“…By understanding disease transmission, those investigating a disease can more effectively combat its spread. Computational methods for molecular epidemiology have had a positive impact on public health in a number of cases [2,3], and continue to be used for the study of infectious disease transmission [4].…”
Section: Introductionmentioning
confidence: 99%