One of the most common causes of congenital disability, the human cytomegalovirus (HCMV), is less prone to mutation than previously thought, a finding that could help develop a successful vaccine, University College London (UCL) researchers have found.

HCMV, a DNA virus and type of herpes virus, is one of the world's most common and widespread human infections, affecting between 45% to 100% of the adult population, depending on age and geographic area. While generally asymptomatic, HCMV is a concern for pregnant women, their unborn babies, and patients with a weakened immune system. However, developing a vaccine has proved elusive.

Previous global research has shown that within a single individual HCMV there is a high genome (genetic) diversity, leading to theories that HCMV has a high mutation rate. Such a trait is normally seen in RNA viruses, such as human immunodeficiency vurus (HIV) or hepatitis C; this makes it hard to develop vaccines against these viruses.

Now, using new viral genome sequencing and bioinformatic and modeling tools developed at UCL, researchers have analyzed immunocompromised patient blood samples and shown that HCMV is not mutating any more than other DNA viruses. Instead, the frequent occurrence of mixed-infections caused by genetically different HCMV strains leads to findings of high genome diversity within an individual.

The study, funded by the European Union, has been published in Proceedings of the National Academy of Sciences.

Lead author, professor Judith Breuer (UCL Division on Infection & Immunity), said, "It has been claimed that HCMV is as diverse as the more error-prone RNA viruses such as HIV and epatitis C virus and this has led to a lot of confusion in the field."

"Using our novel genome sequencing and bioinformatics modeling approaches, we have shown that the apparently high HCMV diversity seen in some clinical samples is caused not by HCMV mutation; rather, it is due to frequent co-infection with multiple strains of HCMV."

"Our study confirms for the first time that HCMV mutation rates are similar to other DNA viruses, providing some reassurance for the development of vaccines, as unlike the hyperdiverse RNA viruses, HCMV is unlikely to mutate to evade vaccines."

New UCL sequencing tool

Professor Breuer's work focuses on the application of next-generation deep genome sequencing, helping uncover new virus characteristics. The Breuer Lab has pioneered whole-pathogen genome sequencing, by methods called "targeted enrichment," to generate high-quality whole viral genomes directly from clinical material, without the need for viral culture or polymerase chain reaction (PCR). She has combined these methods with cutting-edge bioinformatics including the newly developed Haplotype Reconstruction of Longitudinal Sequence Data (HaRoLD). Developed at UCL, HaRoLD is a new computational tool that applies Bayesian mixture models to reconstruct the genome sequence of each individual virus present in a sample containing multiple viruses.

"This process is comparable to sorting several jigsaw puzzles that have been jumbled up together," added Professor Breuer. "The new bioinformatics methods for re-constructing individual genome sequences from a mixed infection will allow us to identify the factors, including recombination, that drive HCMV evolution in a patient, providing a precision approach to managing infections."