Mapping influenza transmission in the ferret model to transmission in humans

  1. Michael G Buhnerkempe  Is a corresponding author
  2. Katelyn Gostic
  3. Miran Park
  4. Prianna Ahsan
  5. Jessica A Belser
  6. James O Lloyd-Smith
  1. University of California, Los Angeles, United States
  2. National Institutes of Health, United States
  3. Centers for Disease Control and Prevention, United States
4 figures and 1 table

Figures

Figure 1 with 1 supplement
Boxplots of influenza SAR estimates by subtype.

(A) Human SAR, (B) ferret respiratory droplet SAR, and (C) ferret direct contact SAR. Solid, black lines represent the subtype medians. Boxes give the inter-quartile range with whiskers extending …

https://doi.org/10.7554/eLife.07969.003
Figure 1—source data 1

Estimates of human household SAR.

https://doi.org/10.7554/eLife.07969.004
Figure 1—source data 2

Ferret influenza transmission studies via respiratory droplets using human isolates.

https://doi.org/10.7554/eLife.07969.005
Figure 1—source data 3

Ferret influenza transmission studies via direct contact using human isolates.

https://doi.org/10.7554/eLife.07969.006
Figure 1—source data 4

Ferret influenza transmission studies via respiratory droplets and direct contact using avian isolates.

https://doi.org/10.7554/eLife.07969.007
Figure 1—figure supplement 1
Analysis supporting inclusion of SAR estimates from isolates generating using reverse genetics.

Comparison of ferret SAR for wild-type influenza isolates and their counterparts engineered using reverse genetics under (A) respiratory droplet and (B) direct contact transmission. Because …

https://doi.org/10.7554/eLife.07969.008
Figure 2 with 1 supplement
Analysis of subtype-specific SAR.

(A) Comparison of human SAR and ferret SAR for ferret respiratory droplet (black squares) and direct contact (red circles). Data points are the mean human SAR by subtype vs the weighted mean ferret …

https://doi.org/10.7554/eLife.07969.009
Figure 2—figure supplement 1
Analysis of subtype-specific SAR including avian isolates for H5N1 and H7N9.

(A) Comparison of human SAR and ferret SAR for ferret respiratory droplet (black squares) and direct contact (red circles). Lines give the best fit weighted linear regression models with weights …

https://doi.org/10.7554/eLife.07969.010
Figure 3 with 3 supplements
Weighted logistic regression predicting the probability of a supercritical classification based on ferret SAR.

(A) Respiratory droplet SAR and (B) direct contact SAR. Solid black line gives the fit of the weighted logistic regression, where model weights are given by the number of ferrets in each experiment. …

https://doi.org/10.7554/eLife.07969.011
Figure 3—figure supplement 1
Comparison of ferret SAR via respiratory droplet and direct contact transmission for single influenza isolates.

Each point represents a single set of experiments that tested an isolate for transmission in ferrets under both respiratory droplet and direct contact transmission with other experimental protocols …

https://doi.org/10.7554/eLife.07969.012
Figure 3—figure supplement 2
Effect of uncertainty in ferret SAR on its relationship with the probability of being classified as supercritical.

(A) Respiratory droplet SAR and (B) direct contact SAR. To assess the impact of binomial uncertainty in ferret SAR estimates, we simulated 1000 datasets by taking binomial samples from each data …

https://doi.org/10.7554/eLife.07969.013
Figure 3—figure supplement 3
ROC curves for classifying pandemic potential using different definitions of transmission and transmission routes.

Receiver operating characteristic (ROC) curves and area under the curve (AUC) using (A) seroconversion and/or viral isolation or (B) viral isolation alone as evidence for transmission in ferrets …

https://doi.org/10.7554/eLife.07969.014
Figure 4 with 1 supplement
Predictions of the transmission pattern for current and historical isolates of concern.

(A) Gain-of-function experiments with H5N1 avian influenza (Herfst et al., 2012; Imai et al., 2012), (B) the reconstructed 1918 pandemic H1N1 strain (Tumpey et al., 2007; Imai et al., 2012), and (C) …

https://doi.org/10.7554/eLife.07969.016
Figure 4—source data 1

Ferret influenza transmission studies via respiratory droplets using strains from gain-of-function experiments with H5N1 avian influenza and the reconstructed 1918 pandemic H1N1 strain.

https://doi.org/10.7554/eLife.07969.017
Figure 4—figure supplement 1
Sample size calculations.

Sample size estimates to achieve 80% power at a significance level of 0.05 when testing whether a ferret SAR estimate is greater than the lower limit of the identified supercritical window (0.643, Fi…

https://doi.org/10.7554/eLife.07969.018

Tables

Table 1

Parameter estimates for the weighted logistic regression relating human transmission class to ferret SAR

https://doi.org/10.7554/eLife.07969.015
DataModelβ0βRDβDCΔAIC
Full dataDirect contact−4.39-6.30-
Respiratory droplet−3.526.10--
Restricted dataRespiratory droplet + direct contact−1.768.72−3.760
Respiratory droplet3.776.42-3.623
Direct contact−3.07-3.7457.348
  1. Bolded estimates are significant at the α = 0.05 level. Due to differing data between ferret respiratory droplet and direct contact transmission experiments, no model selection was done on the full data. Instead, model selection was done only for studies where authors performed respiratory droplet and direct contact transmission experiments on the same isolate.

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