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Tracking the next pandemic: Avian Flu Talk

Ebola Mutated during outbreak

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    Posted: August 28 2014 at 11:55am
This from the Washington post

By Brady Dennis August 28 at 2:02 PM

The Ebola virus sweeping through West Africa has mutated repeatedly during the current outbreak, a fact that could hinder diagnosis and treatment of the devastating disease, according to scientists who have genetically sequenced the virus in scores of victims.

The findings, published Thursday in the journal Science, also offer new insights into the origins of the largest and most deadly Ebola outbreak in history, which has killed more than 1,500 people in four countries and shows few signs of slowing. It also provided another reminder of the deep toll the outbreak has taken on health workers and others in the affected areas, as five of the paper’s more than 50 co-authors died from Ebola before publication.

In a collaboration led by scientists at Harvard University and aided by officials at Sierra Leone’s health ministry, researchers sequenced Ebola virus genomes from 78 patients beginning in the early days of the outbreak this spring. Those 99 samples — some patients were tested more than once — suggested that the outbreak began with a single human infection before spreading rapidly, like a spark that grows into a wildfire.

Ebola’s arrival in Sierra Leone in May started with a funeral, according to Thursday’s findings. A young pregnant woman tested positive for the virus and was treated at Kenema Government Hospital. Health workers who traced her contacts discovered that she and more than a dozen other women recently had attended the burial of a traditional healer who had been treating Ebola patients near the Sierra Leone-Guinea border. All of them had been infected.

“They realized she was not an isolated case,” said Pardis Sabeti, an associate professor at Harvard whose lab sequenced the Ebola genomes and quickly made public the data earlier this summer.
The Ebola outbreak in West Africa eventually could exceed 20,000 cases, more than six times as many as are known now, according to the World Health Organization. (AP)

The genomic sequencing also offers hints as to how the Ebola “Zaire” strain at the heart of the current outbreak — one of five types of Ebola virus known to infect humans — likely ended up in West Africa in the first place. Researchers said the data suggests that the virus spread from an animal host, possibly bats, and that diverged around 2004 from an Ebola strain in central Africa, where previous outbreaks have occurred.

“We don’t actually know where the virus has been since then,” said Sabeti, referring to the time between 2004 and when the virus resurfaced earlier this year. “We’re trying to piece together an historical record.”

Thursday’s study also details hundreds of genetic mutations that make the current Ebola outbreak different from any in the past. Some of those changes have the potential to affect the accuracy of diagnostic tests or the effectiveness of vaccines and treatments under development for the disease.

“We’ve uncovered more than 300 genetic clues about what sets this outbreak apart from previous outbreaks,” Stephen Gire, one of the study’s co-authors and an infectious disease researcher at Harvard, said in an announcement about the findings. “Although we don’t know whether these differences are related to the severity of the current outbreak, by sharing these data with the research community, we hope to speed up our understanding of this epidemic and support global efforts to contain it.”

Sabeti said researchers are expecting to receive additional Ebola samples soon from Nigeria. They plan to sequence those, as well, and release the data as soon as possible.

“The fact that we can do this in real time while the outbreak is still going is breathtaking,” said Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases at the National Institutes of Health, said of the group’s rapid genomic sequencing of the virus, which he said could have taken two years or longer in the past. “We didn’t have this technology years ago. What they did was really extraordinary.”

Fauci said Thursday’s findings also underscore the necessity to get the outbreak under control before the Ebola virus continues to morph.

“We’re left with a situation where if, in fact, this thing smolders on and on, we know mutations will accumulate,” he said. “And that has its own set of problems. We’ve really got to get this thing shut off.”

Sabeti said she that since she and her colleagues published the sequencing data, they have heard from companies working on vaccines and treatments, as well as by researchers developing new diagnostic tests, who want to understand how the mutations could affect those efforts. Only through such collaboration, she said, can scientists tackle the current outbreak with the speed it deserves.

“There’s nothing you should crowdsource more than an epidemic. It has this urgency where we need every person working on it,” Sabeti said. “It took a village to make this paper happen. It will take a planet to help get this virus under control.”

http://www.washingtonpost.com/national/health-science/ebola-virus-has-mutated-during-course-of-outbreak/2014/08/28/98235aaa-2ecb-11e4-bb9b-997ae96fad33_story.html

This may explain what i was talking about in an earlier post, the fact that some people who initially tested negative, and went through the 21 day incubation period later tested positive, or infected others. Such as the sawyer contact and the British nurse with the baby story.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote pheasant Quote  Post ReplyReply Direct Link To This Post Posted: August 28 2014 at 12:17pm
From Routers, different story.

Gene studies of Ebola in Sierra Leone show virus is mutating fast

By Julie Steenhuysen

CHICAGO Thu Aug 28, 2014 2:53pm EDT
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Aug 28 (Reuters) - Genetic studies of some of the earliest Ebola cases in Sierra Leone reveal more than 300 genetic changes in the virus as it leapt from person to person, changes that could blunt the effectiveness of diagnostic tests and experimental treatments now in development, researchers said on Thursday.

"We found the virus is doing what viruses do. It's mutating," said Pardis Sabeti of Harvard University and the Broad Institute, who led the massive study of samples from 78 people in Sierra Leone, all of whose infections could be traced to a faith healer whose claims of a cure attracted Ebola patients from Guinea, where the virus first took hold.

The findings, published in Science, suggest the virus is mutating quickly and in ways that could affect current diagnostics and future vaccines and treatments, such as GlaxoSmithKline's Ebola vaccine, which was just fast-tracked to begin clinical trials, or the antibody drug ZMapp, being developed by California biotech Mapp Biopharmaceutical.

The findings come as the World Health Organization said that the epidemic could infect more than 20,000 people and spread to more countries. A WHO representative could not immediately be reached for comment on the latest genetic study.

Study coauthor Robert Garry of Tulane University said the virus is mutating at twice the rate in people as it was in animal hosts, such as fruit bats.

Garry said the study has shown changes in the glycoprotein, the surface protein that binds the virus to human cells, allowing it to start replicating in its human host. "It's also what your immune system will recognize," he said.

In an unusual step, the researchers posted the sequences online as soon as they became available, giving other researchers early access to the data.

Erica Ollmann Saphire of the Scripps Research Institute in La Jolla, California, has already checked the data to see if it impacts the three antibodies in ZMapp, a drug in short supply that has been tried on several individuals, including the two U.S. missionaries who contracted Ebola in Sierra Leone and who have since recovered.

"It appears that they do not (affect ZMapp)," said Saphire, who directs a consortium to develop antibody treatments for Ebola and related viruses. But she said the data "will be critical to seeing if any of the other antibodies in our pool could be affected."

Saphire said the speed with which Sabeti and colleagues mapped genetic changes in the virus gives researchers information that "will also be critical" to companies developing RNA-based therapeutics.

That could impact treatments under way from Vancouver-based Tekmira Pharmaceuticals Corp and privately held Profectus BioSciences of Tarrytown, New York.

Part of what makes the data useful is the precise picture it paints as the epidemic unfolded. Sabeti credits years of work by her lab, colleagues at Tulane and the Sierra Leone Ministry of Health and Sanitation in developing a response network for Lassa fever, a virus similar to Ebola that is endemic in West Africa.

Several of the study authors gave their lives to the work, including Dr Sheik Humarr Khan, the beloved "hero" doctor from the Kenema Government Hospital, who died from Ebola.

The team had been doing surveillance for two months when the first case of Ebola arrived from Guinea on May 25. That case involved a "sowei" or tribal healer, whose claim of a cure lured sick Ebola victims from nearby Guinea.

"When she contracted Ebola and died, there were a lot of people who came to her funeral," Garry said. One of these was a young pregnant woman who became infected and traveled to Kenema Government Hospital, where she was diagnosed with Ebola.

With the Lassa surveillance team in place, they quickly began testing samples.

"We've been able to capture the initial spread from that one person and to follow all of these contacts and everything with sequencing," Garry said.

The team used a technique called deep sequencing in which sequences are done repeatedly to generate highly specific results, allowing them to see not only how the virus is mutating from person to person, but how it is mutating in cells within the same person.

What is not clear from the study is whether the mutations are fueling the epidemic by allowing the virus to grow better in people and become easier to spread. That will require further tests in the lab, Garry said.

(Editing by Matthew Lewis)

http://www.reuters.com/article/2014/08/28/health-ebola-genome-idUSL1N0QY1U020140828?rpc=401
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Albert Quote  Post ReplyReply Direct Link To This Post Posted: August 28 2014 at 12:38pm
Great find! Some on here thought mutating wasn't possible. Another mutation in Congo?

This information needs to be picked apart as it explains and could answer a lot of questions. All and all - not good, but it does shed light on this evolving bug and what we're dealing with - on pandemic course.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote onefluover Quote  Post ReplyReply Direct Link To This Post Posted: August 28 2014 at 1:20pm
KenFine's post on Ebolainfo.org is quite interesting to say the least.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote carbon20 Quote  Post ReplyReply Direct Link To This Post Posted: August 28 2014 at 2:39pm

Genetic clues to spread of Ebola

By Helen BriggsHealth editor, BBC News website
Augustine Goba, laboratory director at Kenema Government Hospital Lassa fever laboratoryExperts at Kenema Government Hospital in Sierra Leone have been monitoring the outbreak

Scientists have tracked the spread of Ebola in West Africa, revealing genetic clues to the course of the outbreak.

Genetic analysis of patient samples suggests the virus spread from Guinea to Sierra Leone at a single funeral.

The virus is mutating and must be contained rapidly, warn African and US experts. But they say there is no evidence the virus is changing its behaviour.

The current outbreak is the largest ever, with more than 3,000 cases.

The number of cases could exceed 20,000 before the outbreak is stemmed, according to the World Health Organization.

"We've uncovered more than 300 genetic clues about what sets this outbreak apart from previous outbreaks," said Stephen Gire from the Broad Institute and Harvard University in the US.

A picture of the isolation ward at Kenema Government Hospital in Kenema, Sierra LeoneThe isolation ward at Kenema Government Hospital in Kenema, Sierra Leone

"Although we don't know whether these differences are related to the severity of the current outbreak, by sharing these data with the research community, we hope to speed up our understanding of this epidemic and support global efforts to contain it."

The data, published in Science, suggests the virus made the leap from animals to humans only once in the current outbreak.

Continue reading the main story

Start Quote

Clearly this virus is evolving, but what's not clear is whether or not the mutations it's accumulating affect the way it behaves.”

Prof Jonathan BallNottingham University

The strain emerged in Central Africa in the past 10 years, probably carried by animals such as fruit bats or primates.

The first human cases appeared in Guinea, then the disease spread to Sierra Leone, reportedly at the funeral of a traditional healer.

There is evidence the virus is mutating, "underscoring the need for rapid containment", the team writes in Science.

"The longer the outbreak happens, the more opportunity the virus has to accumulate mutations," Dr Gire told the BBC.

But he said there was no evidence at present that the virus was changing its behaviour and becoming better adapted to humans.

Commenting on the research, Prof Jonathan Ball, a virus expert at Nottingham University, said: "Clearly this virus is evolving, but what's not clear is whether or not the mutations it's accumulating affect the way it behaves."

The genetic samples came from 78 patients at a hospital in Sierra Leone who were infected in May and June.

These were compared with existing virus samples from Guinea.

Five of the 58 experts named on the paper died from Ebola in Sierra Leone during the study.

Everything we hear is an opinion, not a fact. Everything we see is a perspective, not the truth.🖖

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Post Options Post Options   Thanks (0) Thanks(0)   Quote carbon20 Quote  Post ReplyReply Direct Link To This Post Posted: August 28 2014 at 2:41pm
dont forget its still out there among the Bats and other animals, changing all the time.....
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