Antimicrobial resistance (AMR) arises due to two main reasons: pathogens are either intrinsically resistant to the antimicrobials, or they can develop new resistance mechanisms in a continuous fashion over time and space. The latter has been referred to as within-host evolution of antimicrobial resistance and studied in infectious disease settings such as Tuberculosis [1]. During antibiotic treatment for example within-host evolutionary AMR dynamics plays an important role [2] and presents significant challenges in terms of optimizing treatment dosage. The study by Djidjou-Demasse et al. [3] contributes to addressing such challenges by developing a modelling approach that utilizes integro-differential equations to mathematically capture continuity in the space of the bacterial resistance levels.

Given its importance as a major public health concern with enormous societal consequences around the world, the evolution of drug resistance in the context of various pathogens has been extensively studied using population genetics approaches [4]. This problem has been also addressed using mathematical modelling approaches including Ordinary Differential Equations (ODE)-based [5. 6] and more recently Stochastic Differential Equations (SDE)-based models [7]. In [3] the authors propose a model of within-host AMR evolution in the absence and presence of drug treatment. The advantage of the proposed modelling approach is that it allows for AMR to be represented as a continuous quantitative trait, describing the level of resistance of the bacterial population termed quantitative AMR (qAMR) in [3]. Moreover, consistent with recent experimental evidence [2] integro-differential equations take into account both, the dynamics of the bacterial population density, referred to as “bottleneck size” in [2] as well as the evolution of its level of resistance due to drug-induced selection. 

The model proposed in [3] has been extensively and rigorously analysed to address various scenarios including the significance of host immune response in drug efficiency, treatment failure and preventive strategies. The drug treatment chosen to be investigated in this study, namely chemotherapy, has been characterised in terms of the level of evolved resistance by the bacterial population in presence of antimicrobial pressure at equilibrium.

Furthermore, the minimal duration of drug administration on bacterial growth and the emergence of AMR has been probed in the model by changing the initial population size and average resistance levels. A potential limitation of the proposed model is the assumption that mutations occur frequently (i.e. during growth), which may not be necessarily the case in certain experimental and/or clinical situations.

References

[1] Castro RAD, Borrell S, Gagneux S (2021) The within-host evolution of antimicrobial resistance in Mycobacterium tuberculosis. FEMS Microbiology Reviews, 45, fuaa071. https://doi.org/10.1093/femsre/fuaa071

[2] Mahrt N, Tietze A, Künzel S, Franzenburg S, Barbosa C, Jansen G, Schulenburg H (2021) Bottleneck size and selection level reproducibly impact evolution of antibiotic resistance. Nature Ecology & Evolution, 5, 1233–1242. https://doi.org/10.1038/s41559-021-01511-2

[3] Djidjou-Demasse R, Sofonea MT, Choisy M, Alizon S (2021) Within-host evolutionary dynamics of antimicrobial quantitative resistance. HAL, hal-03194023, ver. 4 peer-reviewed and recommended by Peer Community in Mathematical and Computational Biology. https://hal.archives-ouvertes.fr/hal-03194023

[4] Wilson BA, Garud NR, Feder AF, Assaf ZJ, Pennings PS (2016) The population genetics of drug resistance evolution in natural populations of viral, bacterial and eukaryotic pathogens. Molecular Ecology, 25, 42–66. https://doi.org/10.1111/mec.13474

[5] Blanquart F, Lehtinen S, Lipsitch M, Fraser C (2018) The evolution of antibiotic resistance in a structured host population. Journal of The Royal Society Interface, 15, 20180040. https://doi.org/10.1098/rsif.2018.0040

[6] Jacopin E, Lehtinen S, Débarre F, Blanquart F (2020) Factors favouring the evolution of multidrug resistance in bacteria. Journal of The Royal Society Interface, 17, 20200105. https://doi.org/10.1098/rsif.2020.0105

[7] Igler C, Rolff J, Regoes R (2021) Multi-step vs. single-step resistance evolution under different drugs, pharmacokinetics, and treatment regimens (BS Cooper, PJ Wittkopp, Eds,). eLife, 10, e64116. https://doi.org/10.7554/eLife.64116

In standard mutation-selection models for describing the dynamics of phenotypically structured populations, it is often assumed that the mutation rate is constant across the phenotypes. In particular, this assumption leads to a constant diffusion coefficient for diffusion approximation models (Perthame, 2007 and references therein).   

Patout et al (2021) study the dependence of the mutation rate on the birth rate, by introducing some diffusion approximations at the population level, derived from the large population limit of a stochastic, individual-based model. The reaction-diffusion model in this article is of the “cross-diffusion” type: The form of “cross-diffusion” also appeared in ecological literature as a type of biased movement behaviors for organisms (Shigesada et al., 1979). The key underlying assumption for “cross-diffusion” is that the transition probability at the individual level depends solely upon the condition at the departure point. Patout et al (2021) envision that a higher birth rate yields more mutations per unit of time. One of their motivations is that during cancer development, the mutation rates of cancer cells at the population level could be correlated with reproduction success.   

The reaction-diffusion approximation model derived in this article illustrates several interesting phenomena: For the time evolution situation, their model predicts different solution trajectories under various assumptions on the fitness function, e.g. the trajectory could initially move towards the birth optimum but eventually end up at the survival optimum. Their model also predicts that the mean fitness could be flat for some period of time, which might provide another alternative to explain observed data. At the steady-state level, their model suggests that the populations are more concentrated around the survival optimum, which agrees with the evolution of the time-dependent solution trajectories.   

Perhaps one of the most interesting contributions of the study of Patout et al (2021) is to give us a new perspective to model the mutation rate in phenotypically structured populations and subsequently, and to help us better understand the connection between mutation and selection. More broadly, this article offers some new insights into the evolutionary dynamics of phenotypically structured populations, along with potential implications in empirical studies.   

References

Perthame B (2007) Transport Equations in Biology Frontiers in Mathematics. Birkhäuser, Basel. https://doi.org/10.1007/978-3-7643-7842-4_2

Patout F, Forien R, Alfaro M, Papaïx J, Roques L (2021) The emergence of a birth-dependent mutation rate in asexuals: causes and consequences. bioRxiv, 2021.06.11.448026, ver. 3 peer-reviewed and recommended by Peer Community in Mathematical and Computational Biology. https://doi.org/10.1101/2021.06.11.448026

Shigesada N, Kawasaki K, Teramoto E (1979) Spatial segregation of interacting species. Journal of Theoretical Biology, 79, 83–99. https://doi.org/10.1016/0022-5193(79)90258-3

Galtier [1] introduces “Aphid,” a new statistical method that estimates the contributions of gene flow (GF) and incomplete lineage sorting (ILS) to phylogenetic conflict.  Aphid is based on the observation that GF tends to make gene genealogies shorter, whereas ILS makes them longer.  Rather than fitting the full likelihood, it models the distribution of gene genealogies as a mixture of several canonical gene genealogies in which coalescence times are set equal to their expectations under different models. This simplification makes Aphid far faster than competing methods. In addition, it deals gracefully with bidirectional gene flow—an impossibility under competing models. Because of these advantages, Aphid represents an important addition to the toolkit of evolutionary genetics.

In the interest of speed, Aphid makes several simplifying assumptions. Yet even when these were violated, Aphid did well at estimating parameters from simulated data. It seems to be reasonably robust.

Aphid studies phylogenetic conflict, which occurs when some loci imply one phylogenetic tree and other loci imply another. This happens when the interval between successive speciation events is fairly short. If this interval is too short,  however,  Aphid’s approximations break down, and its estimates are biased. Galtier suggests caution when the fraction of discordant phylogenetic trees exceeds 50–55%. Thus, Aphids will be most useful when the interval between speciation events is short, but not too short.

Galtier applies the new method to three sets of primate data. In two of these data sets  (baboons and African apes), Aphid detects gene flow that would likely be missed by competing methods. These competing methods are primarily sensitive to gene flow that is asymmetric in two senses: (1) greater flow in one direction than the other, and (2) unequal gene flow connecting an outgroup to two sister species.  Aphid finds evidence of symmetric gene flow in the ancestry of baboons and also in that of African apes. The data suggest that ancestral humans and chimpanzees both interbred with ancestral gorillas, and at about the same rate.  Aphid’s ability to detect this signature sets it apart from competing methods.

References

[1]   Nicolas Galtier (2023) “An approximate likelihood method reveals ancient gene flow between human, chimpanzee and gorilla”. bioRxiv, ver. 3 peer-reviewed and recommended by Peer Community in Mathematical and Computational Biology.  https://doi.org/10.1101/2023.07.06.547897

We often use genetic data from a single site, or even a single individual, to estimate the history of effective population size, Ne, over time scales in excess of a million years. Mazet and Noûs [2] emphasize that such estimates may not mean what they seem to mean.  The ups and downs of Ne may reflect changes in gene flow or selection, rather than changes in census population size. In fact, gene flow may cause Ne to decline even if the rate of gene flow has remained constant.

Consider for example the estimates of archaic population size in Fig. 1, which show an apparent decline in population size between roughly 700 kya and 300 kya. It is tempting to interpret this as evidence of a declining number of individuals, but that is not the only plausible interpretation.

Each of these estimates is based on the genome of a single diploid individual. As we trace the ancestry of that individual backwards into the past, the ancestors are likely to remain in the same locale for at least a generation or two. Being neighbors, there’s a chance they will mate. This implies that in the recent past, the ancestors of a sampled individual lived in a population of small effective size.

As we continue backwards into the past, there is more and more time for the ancestors to move around on the landscape. The farther back we go, the less likely they are to be neighbors, and the less likely they are to mate. In this more remote past, the ancestors of our sample lived in a population of larger effective size, even if neither the number of individuals nor the rate of gene flow has changed.

For awhile then, Ne should increase as we move backwards into the past. This process does not continue forever, because eventually the ancestors will be randomly distributed across the population as a whole. We therefore expect Ne to increase towards an asymptote, which represents the effective size of the entire population.

This simple story gets more complex if there is change in either the census size or the rate of gene flow.  Mazet and Noûs [2] have shown that one can mimic real estimates of population history using models in which the rate of gene flow varies, but census size does not. This implies that the curves in Fig. 1 are ambiguous. The observed changes in Ne could reflect changes in census size, gene flow, or both.

For  this  reason,  Mazet  and  Noûs [2]  would  like  to  replace  the  term  “effective  population size” with an alternative, the “inverse instantaneous coalescent rate,” or IIRC. I don’t share this preference, because the same critique could be made of all definitions of Ne. For example, Wright [3, p. 108] showed in 1931 that Ne varies in response to the sex ratio, and this implies that changes in Ne need not involve any change in census size. This is also true when populations are geographically structured, as Mazet and Noûs [2] have emphasized, but this does not seem to require a new vocabulary.

Figure 1: PSMC estimates of the history of population size based on three archaic genomes: two Neanderthals and a Denisovan [1].

Mazet  and  Noûs  [2]  also  show  that  estimates  of  Ne  can  vary  in  response  to  selection.   It is not hard to see why such an effect might exist. In genomic regions affected by directional or purifying selection, heterozygosity is low, and common ancestors tend to be recent. Such regions may contribute to small estimates of recent Ne. In regions under balancing selection, heterozygosity is high, and common ancestors tend to be ancient. Such regions may contribute to large estimates of ancient Ne. The magnitude of this effect presumably depends on the fraction of the genome under selection and the rate of recombination.

In summary, this article describes several processes that can affect estimates of the history of effective population size. This makes existing estimates ambiguous. For example, should we interpret Fig. 1 as evidence of a declining number of archaic individuals, or in terms of gene flow among archaic subpopulations? But these questions also present research opportunities. If the observed decline reflects gene flow, what does this imply about the geographic structure of archaic populations? Can we resolve the ambiguity by integrating samples from different locales, or using archaeological estimates of population density or interregional trade?

REFERENCES

[1] Fabrizio Mafessoni et al. “A high-coverage Neandertal genome from Chagyrskaya Cave”. Proceedings of the National Academy of Sciences, USA  117.26 (2020), pp. 15132–15136. https://doi.org/10.1073/pnas.2004944117.

[2] Olivier Mazet and Camille Noûs. “Population genetics: coalescence rate and demographic parameters inference”. arXiv, ver. 2 peer-reviewed and recommended by Peer Community In Mathematical and Computational Biology (2023). https://doi.org/10.48550/ARXIV.2207.02111.

[3] Sewall Wright. “Evolution in mendelian populations”. Genetics 16 (1931), pp. 97–159. https://doi.org/10.48550/ARXIV.2207.0211110.1093/genetics/16.2.97.