But when they combined that variant with the original H3N2 strain, the viral mixture infected cells and grew like gangbusters — certainly better together than the mutant alone and even better together than the unmutated strain alone. Working together, the viral strains were more potent, in much the same way woofers and tweeters work together to produce better sound.
The researchers also saw that when they passaged either strain through serial infections, the second variant also appeared. That is, some amount of the original H3N2 strain mutated, and some amount of the mutant H3N2 strain reverted back to the original form.
It remains to be seen whether the two variants can cooperate in a human body the way they do in cells in the lab.
To do this, Bloom and his team plan to look at viruses from the noses and lungs of patients at Seattle Cancer Care Alliance, Fred Hutch’s treatment arm. Cancer patients who come down with viral infections are followed closely and often have multiple samples taken of their resident viruses, to better understand how to treat the patients.
Xue and Bloom and their colleagues will sequence viruses taken from those patient samples, directly, without passaging them in the lab first. They’re hoping to answer questions like: “What kinds of patterns of genetic diversity can arise within a single person, within a single infection? How does that matter for the infection?” Xue said.
A theory on entrances and exits
The researchers don’t know how this specific cooperation works at a molecular level, but they have a guess.
The H3N2 variant under question harbors a single mutation in the gene coding for the protein known as neuraminidase, or NA, which sits on flu’s surface. Flu particles naturally stick to molecules on the surface of human cells, which helps them better invade those cells. Later in the virus’ life cycle, NA acts like a solvent to dissolve that molecular glue, releasing viral particles when they’re on their way out from an infected cell and freeing them to stick to their next target.
As the researchers’ theory goes, the mutant H3N2 strain may be better at entering cells because it’s stickier, missing the molecular solvent activity. But its growth could be limited alone because it has a hard time exiting cells. A mixture of the two strains could both enter and exit cells with ease — the mutant strain facilitating entry and the original strain helping with cell exit.
And because of the nature of the viral life cycle, where the host cell does all the heavy lifting of replicating and making the virus, it’s also possible that the two variants could combine in the cell. With two viral genomes to work from, the host cell might make new virus particles each carrying a mixture of the original and mutated NA protein. Two different viruses enter and one — hypothetically more potent — hybrid virus leaves.
The researchers are planning experiments to test their theory. And they also want to look for other types of flu cooperation and what kind of environments allow that cooperation to arise.
For Bloom, one of the most interesting aspects of the study was that pieces of the evidence for flu cooperation were right under researchers’ noses, in publicly available surveillance data. But nobody had thought to delve into it. So now he and Xue are wondering, in what other ways could flu cooperate to get ahead?
“The biggest value of the work is we now realize we should be thinking about that question,” he said. “As we go back and look at viral sequences that are already there, we wonder: Are similar cooperative interactions happening?”