Abstract
Influenza is an RNA virus with a genome comprised of eight gene segments. Recent experiments show that the vast majority of virions fail to express one or more gene segments and thus cannot cause a productive infection on their own. These particles, called semi-infectious particles (SIPs), can induce virion production through complementation when multiple SIPs are present in an infected cell. Previous within-host influenza models ignore the potential effects of coinfection and SIPs during virus infection. Here, to investigate the extent that SIPs and coinfection impact viral dynamics, we constructed two within-host models that explicitly keep track of SIPs and coinfection, and fitted the models to clinical data published previously. We found that the model making a more realistic assumption that viruses can only reach a limited number of target cells allows for frequent co-infection during early viral exponential growth and predicts that SIPs contribute substantially to viral load. Furthermore, the model provides a new interpretation of the determinants of viral growth and predicts that the virus within-host growth rate (a measure of viral fitness) is relatively insensitive to the fraction of virions being SIPs, consistent with biological observations. Our results highlight the important role that cellular co-infection can play in regulating infection dynamics and provide a potential explanation for why SIP production is not highly deleterious. More broadly, the model can be used as a general framework to understand coinfection/superinfection in other viral infections.
