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Influenza A viral burst size from thousands of infected single cells using droplet quantitative PCR (dqPCR)

  • Geoffrey K. Zath ,

    Contributed equally to this work with: Geoffrey K. Zath, Mallory M. Thomas

    Roles Conceptualization, Data curation, Formal analysis, Investigation, Methodology, Software, Validation, Visualization, Writing – original draft, Writing – review & editing

    Affiliations Center for Biofilm Engineering, Montana State University, Bozeman, Montana, United States of America, Department of Chemical and Biological Engineering, Montana State University, Bozeman, Montana, United States of America

  • Mallory M. Thomas ,

    Contributed equally to this work with: Geoffrey K. Zath, Mallory M. Thomas

    Roles Data curation, Formal analysis, Investigation, Methodology, Validation, Visualization, Writing – review & editing

    Affiliations Center for Biofilm Engineering, Montana State University, Bozeman, Montana, United States of America, Department of Physiology and Biomedical Engineering, Mayo Clinic, Rochester, Minnesota, United States of America, Department of Microbiology and Cell Biology, Montana State University, Bozeman, Montana, United States of America

  • Emma K. Loveday,

    Roles Investigation, Methodology

    Affiliations Center for Biofilm Engineering, Montana State University, Bozeman, Montana, United States of America, Department of Chemical and Biological Engineering, Montana State University, Bozeman, Montana, United States of America

  • Dimitri A. Bikos,

    Roles Investigation, Methodology

    Affiliations Center for Biofilm Engineering, Montana State University, Bozeman, Montana, United States of America, Department of Chemical and Biological Engineering, Montana State University, Bozeman, Montana, United States of America

  • Steven Sanche,

    Roles Formal analysis

    Affiliation Theoretical Biology and Biophysics, Los Alamos National Laboratory, Los Alamos, New Mexico, United States of America

  • Ruian Ke,

    Roles Conceptualization, Formal analysis, Funding acquisition, Resources

    Affiliation Theoretical Biology and Biophysics, Los Alamos National Laboratory, Los Alamos, New Mexico, United States of America

  • Christopher B. Brooke,

    Roles Conceptualization, Funding acquisition, Resources

    Affiliation Department of Microbiology, University of Illinois, Urbana-Champaign, Urbana, Illinois, United States of America

  • Connie B. Chang

    Roles Conceptualization, Funding acquisition, Methodology, Project administration, Resources, Supervision, Writing – review & editing

    chang.connie@mayo.edu

    Affiliation Department of Physiology and Biomedical Engineering, Mayo Clinic, Rochester, Minnesota, United States of America

Abstract

An important aspect of how viruses spread and infect is the viral burst size, or the number of new viruses produced by each infected cell. Surprisingly, this value remains poorly characterized for influenza A virus (IAV), commonly known as the flu. In this study, we screened tens of thousands of cells using a microfluidic method called droplet quantitative PCR (dqPCR). The high-throughput capability of dqPCR enabled the measurement of a large population of infected cells producing progeny virus. By measuring the fully assembled and successfully released viruses from these infected cells, we discover that the viral burst sizes for both the seasonal H3N2 and the 2009 pandemic H1N1 strains vary significantly, with H3N2 ranging from 101 to 104 viruses per cell, and H1N1 ranging from 101 to 103 viruses per cell. Some infected cells produce average numbers of new viruses, while others generate extensive number of viruses. In fact, we find that only 10% of the single-cell infections are responsible for creating a significant portion of all the viruses. This small fraction produced approximately 60% of new viruses for H3N2 and 40% for H1N1. On average, each infected cell of the H3N2 flu strain produced 709 new viruses, whereas for H1N1, each infected cell produced 358 viruses. This novel method reveals insights into the flu virus and can lead to improved strategies for managing and preventing the spread of viruses.

Author summary

Viruses infect and exploit host cells to reproduce and spread. The viral burst size, or the number of viral particles released from an infected cell, plays a critical role in understanding infection dynamics and overall viral fitness. However, accurately determining burst size for many single cells using conventional laboratory methods can be challenging. Here, we introduce dqPCR, a droplet microfluidic method for the rapid measurement of influenza virus numbers produced by thousands of individual cells. Our findings revealed that only a small proportion of infected cells are responsible for producing a significant portion of the total viral population. By utilizing this method in future studies, we can gain a deeper understanding of the role of diversity in rapidly evolving viruses.

Introduction

The number of viral particles produced from an infected host cell is known as the viral burst size. First characterized in bacteriophage populations [1,2], burst size is an important measure of viral fitness and plays an important role in modeling of viral infection dynamics [3]. To study viral infections, tissue culture systems or animal models are typically used; however, these methods provide an average measurement of infected cells and may not capture the variation between individual infected cells [4]. In the case of influenza A virus (IAV) infection, individual cells exhibit significant heterogeneity in production of infectious virions [5,6], viral gene expression [69], and host innate immune activation [8]. Previous estimates of IAV burst size indicate a similar trend; average IAV burst size measured from bulk tissue culture was estimated at 11.5 plaque forming units (pfu) per cell [10] while single cell measurements ranged from 1 to 1000 pfu/cell [5]. However, these estimates relied on plaque assays and were limited to quantification of fully infectious viral particles. The plaque assays overlooked the majority of non-infectious particles that make up 90–99% of virions in the IAV population that rely on co-infection to propagate [11,12]. Therefore, new techniques are needed to accurately determine the IAV burst size by capturing the full range of particle types released from single-cell infections.

Various methods have been used to measure IAV production from single-cell infections, including RT-PCR [5,6,13], RNA sequencing [69], flow cytometry [11], and infectivity titer [5,6,13]. However, each method has limitations in accurately measuring viral burst size. Infectivity assays only detect fully infectious viral particles and cannot account for incomplete viral particles [11,12] that contribute to viral replication and host immune responses [14]. RT-PCR, RNA sequencing, and flow cytometry typically measure intracellular viral replication, neglecting the packaging and release of extracellular viral particles. These methods are limited because intracellular viral transcription may correlate poorly with viral progeny production [9]. Additionally, these methods can be low-throughput, capturing only a limited number of single-cell infections [57,9,13], and may not be sufficient to study highly diverse viral populations like IAV. Determining IAV burst size distributions, therefore, requires a high-throughput method capable of measuring extracellular viral particles released during single-cell infection. One such method is drop-based microfluidics. This flexible platform enables high-throughput, single cell virology experimentation in isolated microenvironments [1520]. Recently, we demonstrated that IAV can replicate in single cells encapsulated in drops and is comparable to bulk infection [21].

Existing drop-based microfluidic methods for quantifying genome copies rely on endpoint measurements like droplet digital PCR (ddPCR) or real-time fluorescence measurements using qPCR on a microfluidic chip. However, these approaches have limitations. ddPCR can only confirm the presence or absence of nucleic acids [22,23] and cannot quantify the contents of an individual drop. qPCR on a chip can quantify the contents of an individual drop, but requires complex microfluidic devices and results are relatively low-throughput [2430]. Improving the throughput of drop-based qPCR would allow for rapid measurement of a significantly larger number of drops, thus enabling the study of large and diverse viral populations.

In this study, we introduce a microfluidic method called droplet quantitative PCR (dqPCR), which combines our prior work [21,31] with flow-based droplet fluorescence detection. The dqPCR method is used to measure extracellular burst size distributions of thousands of IAV-infected single cells that were encapsulated into drops. Human alveolar epithelial (A549) cells were infected with either influenza A/Perth/16/2009 (H3N2; human seasonal isolate) or influenza A/California/07/2009 (H1N1; 2009 pandemic strain) at multiplicity of infection (MOI) of 0.1. The IAV burst sizes were found to be highly diverse, spanning three orders of magnitude (101 to 104 viruses/cell) for H3N2 and two orders of magnitude (101 to 103 viruses/cell) for H1N1 across thousands of single cell infection measurements. IAV production followed a negative-binomial distribution, with modeled mean burst sizes of 709 and 358 viruses/drop for H3N2 and H1N1, respectively. Notably, we found that 10% of cells produced ≈60% or ≈40% of M gene RNA during H3N2 or H1N1 infections, respectively. The dqPCR method provides a novel high-throughput approach for quantifying released viruses from infected single cells and introduces an unprecedented means for characterizing the infection dynamics of highly heterogeneous viral populations.

Results

Drop-based microfluidic platform for measuring viral burst size from single-cell infections

To determine IAV burst size from single cell infections, H3N2 and H1N1 strains were first inoculated onto A549 cells in bulk culture with an MOI of 0.1 pfu/cell (Fig 1A). A low MOI was chosen to ensure that of the few cells that were infected, most cells were infected with a single virion, as variation in cellular MOI could affect our measurements due to co-infection [32]. While a low MOI of 0.1 is expected to result in only a small portion of the infected cells producing progeny virus, the high-throughput capability of dqPCR enables the screening of tens of thousands of drops. Single infected cells were then encapsulated into 100 μm diameter microfluidic drops, such that most drops were either empty or contained a single cell (Fig 1B). Drops were incubated for 18 hours post infection (hpi) to allow for replication of IAV progeny virus (Fig 1C) with numbers comparable to bulk infection (S1 Fig). Interestingly, the supernatant collected from drops produced slightly more progeny virus than bulk (2.4× to 6.8× greater production, p << 0.05). The burst sizes of single-cell infections were quantified by the number of IAV genome copies (cpd), which can be equated to viruses per cell for each drop that contains an infected cell producing progeny virus. We note that these infected cells that produced progeny virus represent a small portion of the total infected cell population. The genome copies were measured using a multiplexed RT-qPCR assay targeting two template sequences, the IAV M gene and cellular β-actin (S1 Table), following our previous work [31]. A microfluidic chip [20] was used to split off a 1/8th portion of the drop containing progeny virus and merge with a continuous flow of RT-qPCR mix (Fig 1D). This sampling method isolates extracellular viral progeny released from the infected host cell, allowing us to quantify genome copies only from fully assembled and released extracellular virions. Note that our recent work indicates minimal amplification efficiency loss when directly amplifying infected supernatant in drops compared to bulk qPCR [21]. Based on this finding, we assume that using an M gene stock serves as a suitable standard for comparing our infected drop samples. Drops containing progeny virus and RT-qPCR mix were thermocycled using a standard qPCR machine and removed at successive PCR cycle numbers, N (Fig 1E). Normalized drop fluorescence intensities (ΔRN, S5 Materials and Methods) were measured by flowing drops through a microfluidic device mounted on a custom optical detection microscope [33] (Fig 1F). This flow-based detection method significantly increased the throughput of our drop fluorescence measurements during burst size experiments compared to our previous static image analyses [31]. ΔRN of filtered drops were converted to M gene and β-actin cpd using dqPCR (Fig 1G). A variable filter was applied to drops containing high amounts of β-actin to exclude them from the final burst size distributions (S8 Results). These drops were assumed to be contaminated with intracellular lysate and were not included in further analysis. The abundance of M gene RNA across thousands of single-cell infections revealed a wide distribution of IAV burst sizes (Fig 1H).

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Fig 1. Drop-based Microfluidic Platform for Measuring Viral Burst Size from Single-Cell Infections.

(A) IAV (H1N1 or H3N2) was inoculated onto plated A549 cells at an MOI of 0.1 pfu/cell. (B) Single infected cells were encapsulated into 100 μm drops using a flow-focusing device. (C) Drops were incubated at 37°C for 18 hpi to allow for replication of IAV progeny virus. (D) In-drop infections were injected into a microfluidic device that splits 1/8th of the extracellular progeny virus from the host cell and merges these viruses with a continuous flow of multiplexed RT-qPCR mix targeting IAV M gene RNA and cellular β-actin mRNA. (E) Drops were thermocycled in a standard qPCR machine and sampled at discontinuous N. (F) ΔRN was measured serially using flow-based detection. (G) ΔRN values were converted to RNA cpd using dqPCR. (H) IAV burst size distributions of M gene RNA cpd from thousands of single-cell infections (green bars). The mean burst size of each distribution was calculated from a parametric model (gray curve) fitted to our data.

https://doi.org/10.1371/journal.ppat.1012257.g001

Droplet Quantitative PCR (dqPCR) method for converting drop fluorescence to nucleic acid concentration

The dqPCR method allows for the construction of standard curves that directly relate ΔRN (normalized drop fluorescence) to M gene RNA copy number (cpd). In traditional RT-qPCR, standard curves plot the cycle threshold (Ct) at which reporter fluorescence rises above background for a dilution series of known RNA template concentrations (S7 Materials and Methods). This method requires continuous measurements of fluorescence amplification across all N. However, in dqPCR, drops are sampled discontinuously and only require evaluation of sample fluorescence at a single N.

To construct standard curves at a single N using dqPCR, we generated a reference amplification curve for a known RNA template concentration amplified in drops (Fig 2A, solid blue curve, 1.71 × 102 M gene cpd). Drop ΔRN was measured at N = 1, 10, 13, 16, 19, 22, 28 and 40 (Fig 2A, black dots). A continuous amplification curve was fit to the discontinuous drop fluorescence measurements using sigmoidal curve fitting using PCR efficiency (SCF-E) (S8 Materials and Methods). The model determined four PCR efficiency (EN) parameters that best fit the ΔRN values of the sampled N (Emax, Emin, N0.5, and k). Once fit, these parameters were used to calculate the EN curve for all N (Fig 2A, dashed black curve). The EN curve was then used to produce a ΔRN reference amplification curve that included non-sampled N (Fig 2A, solid blue curve). SCF-E was validated for bulk RT-qPCR of M gene RNA (S5A Fig) across five orders of magnitude (S2 Results and S2 Table). Additionally, SCF-E was validated for drops of 1.71 × 102 M gene cpd (S12A Fig).

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Fig 2. Droplet Quantitative PCR (dqPCR) Model for Converting Drop Fluorescence to Nucleic Acid Concentration.

(A) M gene RNA (1.71 × 102 cpd) was amplified in 50 μm drops. ΔRN was detected at N = 1, 10, 13, 16, 19, 22, 28, 40 and displayed as the mean (black dots) with error bars representing one standard deviation. Approximately 1000 drops were detected at each cycle. A continuous reference amplification curve (blue solid curve) was reconstructed from discontinuous ΔRN measurements using SCF-E. The EN curve (black dashed curve) was fit to ΔRN at sampled cycle numbers to calculate ΔRN at non-sampled cycle numbers. (B) The efficiency parameters fit from the reference amplification curve (blue solid curve) were used to model 1000 virtual amplification curves (gray dashed curves, subset of 10 shown), creating a high-resolution dilution series called an Amplification Curve Library (ACL), representing 1000 unique M gene RNA concentrations. (C) Standard curves were constructed using ΔRN from all virtual curves at a single N (i.e., cycle 18). The valid range of the standard curve (gray shaded area) is determined by the min and max ΔRN of the reference curve.

https://doi.org/10.1371/journal.ppat.1012257.g002

The EN parameters obtained from the reference amplification curve were used to model virtual amplification curves, creating a high-resolution dilution series referred to as an Amplification Curve Library (ACL) (S9 Materials and Methods). The ACL simulated 1000 virtual amplification curves, each with a unique RNA template concentration (Fig 2B, dashed gray curves, subset of 10 shown). Once constructed, the ACL was used to generate a standard curve that related RNA template concentration to ΔRN at a single N (Fig 2C). This was done by recording ΔRN of every virtual curve at a single N (e.g., N = 18) where unknown drops were sampled (Fig 2B, black vertical line). The valid range for conversion with the standard curve (Fig 2C, gray shaded area) was determined by the ΔRN values of the reference curve (Fig 2A). The maximum valid ΔRN was calculated as the mean minus the standard deviation of ΔRN at N = 40, which removes drops where amplification has plateaued. The minimum valid ΔRN was set at the 99th percentile of ΔRN at N = 1 to remove background fluorescence. ACL standard curves were shown to be robust across N for both bulk (S4 Results) and drops (S12B Fig). Additionally, we tested ACL standard curves for human and plant DNA template sequences (S5 Results) and found that ΔRN accurately converted to genome concentrations within a two-fold change of the expected means. Together, the SCF-E model for generating reference amplification curves and the ACL method of constructing standard curves form the dqPCR analysis pipeline that enables the conversion of drop fluorescence to cpd (Fig 2).

Resolving IAV M Gene RNA concentrations from single and mixed droplet populations

To validate the capability of dqPCR to resolve a range of RNA concentrations in drops, we conducted a control experiment amplifying three known concentrations of M gene RNA (1.71 × 101, 1.71 × 102, and 1.71 × 103 cpd) in 50 μm drops (Fig 3A). These RNA concentrations were selected because they fall within the expected range of IAV single-cell burst sizes from previous estimates [5,9,10]. ΔRN was measured for each group individually at multiple intermediate N and converted to M gene cpd using dqPCR (S6 Table). A new reference amplification curve of 1.71 × 102 M gene cpd was generated for each M gene group, as PCR kinetics can vary from day to day (S13 Fig). The measured mean M gene cpd at each sampled N for all concentrations fell within a 2-fold change of the expected concentration (S14 Fig). A linear mixed-effects model showed minimal deviation from the expected concentration at different cycle numbers (<1% difference/cycle, S6 Results).

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Fig 3. Resolving IAV M Gene RNA Concentrations from Single and Mixed Droplet Populations.

(A) Three known concentrations of M gene RNA, 1.71 × 101 cpd (red), 1.71 × 102 cpd (blue), and 1.71 × 103 cpd (green) were amplified in 50 μm drops. (B) ΔRN was detected at multiple different N (S6 Table) within each group and converted to M gene cpd. M gene cpd measurements were pooled to a single distribution for each group, with means of 2.03 × 101 cpd (red, n = 4,513 drops); 1.31 × 102 (blue, n = 15,899 drops); 1.16 × 103 (green, n = 65,249 drops). (C) The uniformity of each distribution was quantified using G. (D) Three M gene RNA concentrations in drops were collected in a mixed sample. (E) Mixed ΔRN were detected at N = 16–19, converted to M gene cpd, and pooled to a single distribution (grey bars, n = 68,748). Three individual peaks were isolated from the mixed distribution using GMM analysis (black curve) (S7 Table). (F) The heterogeneity of the mixed population compared to the individual populations in (C) was significantly greater with G = 0.639.

https://doi.org/10.1371/journal.ppat.1012257.g003

Thus, M gene cpd measurements from all N were pooled together into single distributions with means of 2.03 × 101 cpd (red, n = 4,513 drops), 1.31 × 102 (blue, n = 15,899 drops), 1.16 × 103 (green, n = 65,249 drops) (Fig 3B). Distributions were centered around the expected mean and exhibited a linear relationship between measured and expected cpd, falling within a 2-fold change of the expected mean (S17 Fig). The heterogeneity of each distribution was examined using the Gini coefficient (G) (Fig 3C); a value typically used to measure the degree of wealth inequality and ranges from 0 to 1 [34]. A G value of 0 indicates total equality, where each cell produces the same number of viruses, while a G value of 1 signifies absolute inequality, where one cell produces all the viruses. Thus, a higher G corresponds to a more heterogeneous distribution. The uniformity of each M gene distribution (Fig 3C) was as follows: 101 cpd (G = 0.215), 102 cpd (G = 0.117) or 103 cpd (G = 0.173). These values represent the baseline level of noise for single concentrations M gene RNA in drops (~G < 0.22) (Fig 3C).

To further confirm the ability of dqPCR to resolve a mixed drop population, we conducted another control experiment in which the same three known concentrations of M gene RNA (1.71 × 101, 1.71 × 102, or 1.71 × 103 cpd) were separately encapsulated into 50 μm drops and collected as a mixed sample prior to thermocycling (Fig 3D). ΔRN of the mixed drops was detected at N = 16–19 and converted to M gene cpd, enabling high-throughput analysis with over 69,000 drops sampled (Fig 3E). The data from the mixed sample yielded three individual distributions and were isolated using a Gaussian mixture model (GMM) (S7 Results and S7 Table). G for the mixed drop sample containing 101 to 103 M gene cpd was 0.639 (Fig 3F), demonstrating greater heterogeneity compared to the measurement of single RNA concentrations in drops, as expected. These results demonstrate the ability to resolve three M gene RNA concentrations from a mixed concentration of drops.

H3N2 and H1N1 single-cell infection burst size distributions

To determine the burst size distributions of H3N2 and H1N1 populations, we measured M gene RNA abundance in >104 drops containing the small portion of infected cells that successfully produced progeny virus. Infected drops were processed by isolating 1/8th of a drop containing progeny viruses and merging it with RT-qPCR mix. The merged drops were thermocycled and analyzed using flow-based fluorescence detection. To ensure that the experimental burst size measurements only included extracellular viral progeny and did not include intracellular viral RNA from cell lysate, a multiplexed RT-qPCR assay was used to detect the presence of an abundant cellular protein, β-actin (S18 Fig). Drops with high levels of β-actin were filtered out from the final burst size distributions using a variable filter (S8 Results). Filtered drops were quantified at N = 16, 19, 22, 25, and 28 (S8 Table) using dqPCR and pooled to create single burst size distributions. For each biological replicate, a new SCF-E reference curve (S20 Fig) was used for dqPCR (S9 Table). As an additional control to ensure that the measurements included only extracellular viral progeny, single IAV-infected cells in drops were treated with oseltamivir, a drug preventing the cleavage of assembled viral particles from the host membrane. Infected cells treated with oseltamivir exhibited M gene RNA abundance comparable to mock infected cells at 18 hpi. (S9 Results, S21 Fig).

Experimental IAV burst sizes revealed increased progeny virus production in the H3N2 population compared to H1N1, as observed from a random sample of 100 drops and plotting in ascending order of M gene RNA (Fig 4A). The burst size distributions were highly diverse, ranging from ~101 to ~103 M gene cpd for H1N1 (n = 5,585 drops) and an order of magnitude higher, from ~101 to ~104 M gene cpd, for H3N2 (n = 9,620 drops) (Fig 4B). The mean of the H3N2 distribution was 1.0 × 103 M gene cpd (Fig 4B, blue bars). This fell outside of the interquartile range (IQR) of the distribution, with lower (25th percentile) and upper (75th percentile) bounds of 93 and 890 M gene cpd, respectively (S8 Table). The mean can fall outside of the IQR in a highly skewed distribution, which occurs when a small fraction of the infected cell population produces a greater proportion of virus. The mean of the H1N1 burst size distribution was 4.8 × 102 M gene cpd (Fig 4B, red bars), falling within the IQR of 88 and 630 M gene cpd (S8 Table). This suggests less heterogeneity in the H1N1 population, which is further supported by examining the uniformity of each distribution using G (Fig 4C). The H3N2 distribution is less uniform (GH3N2 = 0.705) compared to H1N1 (GH1N1 = 0.586). In both viruses, a minor population of infected cells produces a large fraction of progeny virus. For H3N2, 10% of infected cells produced ≈60% of measured progeny virus (Fig 4C, blue dotted line). For H1N1, 10% of infected cells produced ≈40% of progeny virus (Fig 4C, red dashed line).

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Fig 4. H3N2 and H1N1 Single-Cell Infection Burst Size Distributions.

IAV burst sizes of H3N2 (blue) and H1N1 (red) were sampled at N = 16, 19, 22, 25, and 28 across three biological replicates (S8 Table). (A) Low to high M gene RNA (cpd) from a random sample of drops (n = 100) for H3N2 (blue) and H1N1 (red). (B) Single burst size distributions for H3N2 (blue, n = 9,620) and H1N1 (red, n = 5,585) populations. The measured mean burst sizes were 1.0 × 103 M gene cpd (H3N2) and 4.8 × 102 M gene cpd (H1N1). (C) The H3N2 distribution (G = 0.705) was less uniform than H1N1 (G = 0.586). (D-E) Distributions were fitted to a negative binomial (grey curve, S10 Table). The modeled mean burst sizes were (D) 709 cpd (H3N2) and (E) 385 cpd (H1N1).

https://doi.org/10.1371/journal.ppat.1012257.g004

To estimate the most accurate mean burst size, we apply a statistical model (S10 Results) that considers both measurement noise and distribution shape. The model demonstrated that the burst size data is best fit by a negative-binomial distribution (Fig 4D–4E). The shape parameter of the negative binomial distribution was estimated to be 0.48 and 0.49 for H3N2 and H1N1, respectively (S10 Table). This indicates extreme cell-to-cell variability in burst sizes for both H3N2 and H1N1 populations, as the negative-binomial distribution is considered highly dispersed when the shape parameter is less than 1. Using the negative binomial fit, we estimated that the modeled mean burst sizes for each population were 709 viruses/cell for H3N2 and 358 viruses/cell for H1N1 (Fig 4D–4E).

Discussion

We introduce a droplet microfluidic method called dqPCR to quantify viral burst size from thousands of single infected cells that successfully produced progeny virus. dqPCR is a quantitative PCR technique for droplets that does not require specialized microfluidic devices or continuous measurements of a sample. This has led to a drastic improvement in throughput compared to previous on-chip qPCR work [2430]. Compared to ddPCR, which measures only single genome copies per drop, dqPCR can resolve a range of genome copies from a single copy to up to thousands of copies per drop.

Estimating viral burst sizes using population averaging masks cell-to-cell variability. Additionally, single-cell burst size estimates based upon infectivity, like the plaque assay, do not account for the production of incomplete particles that are abundant in IAV populations [11,12]. Here, we account for both infectious and non-infectious particles released from single infected cells by quantifying viral genome abundance. This method does not measure particle number from all infected cells in the population, but rather only those infected cells that successfully produced and released progeny virus into the extracellular environment. Future work could combine simultaneous tracking of cellular infection with burst size quantification to reveal the true proportion of the infected cell population that produce IAV progeny particles. Nonetheless, we account for all single cells in the productive infection population, without averaging, to investigate whether one cell produces more progeny or if all cells produce equal progeny. We measured IAV burst sizes across >104 drops containing cells producing H3N2 or H1N1 progeny virus. This has yielded the largest estimate of single-cell viral burst size to date. The range of our burst size measurements spanned from 101 to 104 viruses/drop, which is an order of magnitude wider than previous, lower throughput (n = 430) estimates of H1N1 infectious virus production in single cells (101 to 103 pfu/cell) [5]. This is likely due to our method that measures all viral genome copies rather than infectious particles. A mean burst size of 709 and 358 viruses/cell was modeled for H3N2 and H1N1 strains, respectively, from highly dispersed negative-binomial distributions. The mean burst size for H3N2 (709 viruses/cell) compares similarly with a previous mean estimate of 962 viruses/cell for H3N2 in a bulk culture [10]. One caveat of this study is that some drops contained more than one cell per drop. Across both populations, for a drop that contained a cell or cells, an average of 86% of these drops were loaded with 1 cell, 12% with 2 cells, and 2% with 3 cells or more (S23 Fig). Another limitation of this study is that the cells were not synchronized to the same growth stage, which may influence viral numbers. Future work can improve upon our methods to encapsulate exactly one cell per drop [35,36] and explore cell synchronization.

The observed heterogeneity in the single cell burst sizes (GH3N2 = 0.705 and GH1N1 = 0.586) indicates that a minor population (10%) of infected host cells produced a large fraction of progeny virus (≈60% for H3N2 and ≈40% for H1N1) (Fig 4C). While our burst size measurements quantify the number of M gene segments, similar heterogeneity has been observed when quantifying the number of HA and NA segments using single-cell sequencing (G = 0.78), where 6.5% of infected cells generated over 50% of the counted progeny virus [9], although this study examined fewer single cells (n = 92). Additionally, these trends align with single-cell transcriptomic studies of IAV infection, which show that 10–15% of infected cells are responsible for 50% of viral gene expression [7], although levels of intracellular transcripts are not well correlated to progeny virus production [9].

This study is the first to compare viral burst sizes of two different clinically relevant human IAV strains and provides the first burst size estimate for the H3N2 strain, revealing differences in progeny production between the two strains. Future research could investigate specific viral and host factors that contribute to the observed heterogeneity in viral output, both within and between IAV strains, as well as the extent to which in vitro measurements reflect burst sizes across different host cell types in vivo. As dqPCR is a multiplexed assay, it can be adapted to simultaneously measure multiple template sequences, such as other genome segments within IAV or both virus and host templates. In the case of IAV, dqPCR could be applied to investigate segment reassortment [37] or the frequency of incomplete viral genomes [1012], or it could be extended to study genome recombination in other viruses [18]. The dqPCR method presented here not only expands our current toolset for high-throughput single-cell characterization, but also enables the detection of nucleic acid abundance on an unprecedented scale. Future research can leverage the highly resolved single-cell data sets provided by dqPCR to further characterize host-virus interactions, improve diagnostics, or develop more effective vaccines and anti-viral treatments.

Materials and methods

Virus strains and cell lines

Influenza A virus (IAV) strains H1N1 (A/California/07/09) and H3N2 (A/Perth/16/2009) were obtained as seed stock from Dr. Christopher Brooke (University of Illinois Urbana-Champaign) and expanded in Madin-Darby canine kidney cells (MDCK) and human alveolar epithelial cells (A549) obtained from ATCC (CCL-34, CCL-185). MDCK cells were maintained in Dulbecco’s Modified Eagle medium (Corning) supplemented with 10% fetal bovine serum (FBS) (HyClone) and 1× penicillin-streptomycin (pen/strep) (Fisher Scientific). A549 cells were maintained in Hams F-12 medium (Corning), also supplemented with 10% FBS and 1× pen/strep. IAV seed stocks were generated using the JetPRIME kit (Polyplus) to co-transfect Human kidney epithelial-like cells (293T) with 8 plasmids each carrying the sequence of one IAV genome segment: pDZ::PB2, pDZ::PB1, pDZ::PA, pDZ::HA, pDZ::NP, pDZ::NA, pDZ::M, and pDZ::NS. Plaque isolates from transfection supernatants were then amplified in MDCK cells to produce IAV seed stocks. The seed stock virus population (P1) was expanded into working stocks (P2) for both the H1N1 and H3N2 strains. For expansion, an MOI of 0.0001 was used with an expansion time of 3 dpi based on cytopathic effect. The working stocks were used for all experiments and generated by infecting MDCK cells with seed stock at an MOI of 0.01 pfu/cell. Working stock titers were determined by plaque assay on MDCK cells. IAV burst sizes were measured from single-cell infection of A549 cells at an MOI of 0.1 pfu/cell.

Microfluidic device fabrication

Microfluidic devices were fabricated using polydimethylsiloxane (PDMS) (Sylgard 184) by patterning SU-8 photoresist on silicon wafers using standard soft photolithography.

IAV infection

A549 cells were seeded onto 6-well plates at a concentration of 1 × 106 cells/well and incubated at 37°C with 5% CO2 for 24 hrs. Enough wells were plated to collect a final cell suspension of 2 × 106 cells/mL following infection. For our experiments, we plated cells onto 6 wells for infection samples and 4 wells for mock infection controls. Confluent cell monolayers were washed twice with 1× PBS (Corning) and infected at an MOI of 0.1 with H1N1 or H3N2 working stocks suspended in A549 infection media (Ham’s F-12 medium supplemented with 1 mM HEPES (HyClone), 1× pen/strep, 0.2% Bovine Serum Albumin (BSA) (MP Biomedical) and 1 μg/mL TPCK-trypsin (Worthington Biomedical). Infected cells were incubated at 37°C for 1 hr. Mock infected cells were treated with media without the virus and otherwise processed the same as infected cells. After 1 hr, supernatants were removed and replaced with 2 mL of fresh media for an additional 1 hr incubation period at 37°C. Following the second incubation period, cells were washed twice with 1× PBS. Cells were then detached from wells using 300 μL of 0.25% Trypsin containing 1× EDTA (Fisher Scientific) for 5 min. Next, 700 μl of A549 culture media (Hams F-12 medium supplemented with 10% FBS and 1× pen/strep) was added to the cells to neutralize trypsinization. Cells were collected into two final suspensions, infected and mock, and the wells were washed one more time with 500 μl of A549 culture media. Cell suspensions were centrifuged at 500 × g for 5 min to pellet, washed with 1× PBS, and centrifuged a second time. The washed cell pellets were each resuspended in infection media (Ham’s F-12 media supplemented with 1 mM HEPES, 1× pen/strep and 0.2% BSA) at a final concentration of 2 × 106 cells/mL. For each IAV strain (H1N1 or H3N2), we sampled drop and bulk infections, with mock infection controls at the following timepoints: drop infection (0 and 24 hpi), bulk infection (0 and 24 hpi), mock drop infection (24 hpi), mock bulk infection (24 hpi). This required final cell suspension volumes of 3 mL for infected cells (2 mL for drop infections, 1 mL for bulk infections) and 2 mL for mock-infected cells (1.5 mL for mock drop infections, and 500 μl for mock bulk infection). For bulk infection and mock samples, 500 μl of cell suspensions were re-plated onto 3 wells for a final concentration of 1 × 106 cells/well. Re-plated cells were either incubated at 37°C with 5% CO2 for 24 hpi or immediately frozen at -80°C for 0 hpi. Drop infection protocols are described in the following section.

Droplet encapsulation of infected cells

Single A549 cells infected with either H1N1 or H3N2 were encapsulated in 100 μm diameter drops using a flow-focusing drop-making device. Mock-infected cells were encapsulated using the same procedure. A 2 mL suspension of 2 × 106 cells/mL in media was loaded into a 3 mL syringe and injected into the device at 1000 μL/hr using syringe pumps (New Era NE-1000). Simultaneously, 4.5 mL of 1.5 wt% (w/w) solution of PEG-PFPE2-based surfactant (RAN Biotechnologies, #008-FluoroSurfactant) in fluorinated HFE 7500 oil (3M) was loaded into a 5 mL syringe and injected at 3000 μL/hr. Drops were collected for 30 min into a 5 mL syringe. Syringes were capped and incubated at 37°C and 5% CO2 for 24 hpi to allow for viral replication in drops. Drop infections sampled at 0 hpi were immediately frozen overnight at -80°C.

Droplet Quantitative PCR (dqPCR) of isolated progeny viruses

A multiplexed RT-qPCR assay was used to simultaneously amplify both IAV M gene RNA and cellular β-actin mRNA [31]. Drops containing infected cells were split and merged with RT-qPCR mix. Drops were thermocycled and drop fluorescence was measured using epifluorescence or flow-based fluorescence detection.

More detailed methods are in S1S9 Materials and Methods files.

Supporting information

S4 Materials and Methods. Droplet Quantitative PCR (dqPCR) of Isolated Progeny Viruses.

https://doi.org/10.1371/journal.ppat.1012257.s004

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S7 Materials and Methods. Cycle Threshold (Ct) Method of Creating Standard Curves for RT-qPCR.

https://doi.org/10.1371/journal.ppat.1012257.s007

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S8 Materials and Methods. Sigmoidal Curve Fitting using PCR Efficiency (SCF-E).

https://doi.org/10.1371/journal.ppat.1012257.s008

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S9 Materials and Methods. Amplification Curve Library (ACL) Method of Constructing Standard Curves for RT-qPCR.

https://doi.org/10.1371/journal.ppat.1012257.s009

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S1 Results. Comparing M Gene Abundance During Bulk and Drop Infections.

https://doi.org/10.1371/journal.ppat.1012257.s010

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S2 Results. Validating SCF-E with Bulk RT-qPCR of IAV M Gene.

https://doi.org/10.1371/journal.ppat.1012257.s011

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S3 Results. Setting a PCR Efficiency Constant (EN) for the ACL.

https://doi.org/10.1371/journal.ppat.1012257.s012

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S4 Results. Validating ACL Standard Curves for Multiple PCR Cycle Numbers.

https://doi.org/10.1371/journal.ppat.1012257.s013

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S5 Results. Validating ACL Standard Curves for Multiple Template Sequences.

https://doi.org/10.1371/journal.ppat.1012257.s014

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S6 Results. Validating dqPCR for Multiple PCR Cycle Numbers.

https://doi.org/10.1371/journal.ppat.1012257.s015

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S7 Results. Extracting Individual Distributions from Mixed Droplet Detection Data.

https://doi.org/10.1371/journal.ppat.1012257.s016

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S8 Results. Filtering of Drops Containing Cell Lysate from Burst Size Distributions.

https://doi.org/10.1371/journal.ppat.1012257.s017

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S9 Results. Oseltamivir (OST) treatment of IAV Infected Cells During Drop Infections.

https://doi.org/10.1371/journal.ppat.1012257.s018

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S10 Results. Modeling IAV Burst Size Distributions from Droplet RNA Concentration.

https://doi.org/10.1371/journal.ppat.1012257.s019

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S1 Fig. Comparison of IAV M Gene Abundance During Bulk and Drop Infections.

IAV strains (H1N1 and H3N2) were separately used to infect A549 cells under bulk cell culture and single cell encapsulation in 100 μm diameter microfluidic drops. M gene abundance (copies/μL) was measured using a bulk RT-qPCR assay from the supernatant of both bulk and drop infections at 0 and 18 hpi. Experimental details can be found in S1 Results. Each bar represents the pooled data from three replicate experiments. Error bars represent one standard deviation.

https://doi.org/10.1371/journal.ppat.1012257.s020

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S2 Fig. Sigmoidal Curve Fitting using PCR Efficiency (SCF-E).

A four-parametric sigmoid function was used to model decreasing PCR efficiency (EN) at each cycle number (N) (Eq. S3). This model was fitted to discontinuous fluorescence measurements (FN) of a known RNA template concentration (CRNA, ref) to generate a continuous reference amplification curve (Eq. S4 and S5). Reference curves used in burst size experiments were generated with CRNA, ref = 1.71 × 102 RNA (cpd). In the SCF-E model, EN is the PCR efficiency at cycle N; Emax is the maximum PCR efficiency at cycle number 1 and ranges from of 0.9 to 1; Emin is the minimum PCR efficiency at cycle number 40 and ranges from 0 to 0.1; N0.5 is the cycle number at which EN equals 0.5; and k is the shape parameter of the curve. As k increases, the shape of the curve flattens, and as k decreases, the shape of the curve becomes steeper. Thirty values of each of the four efficiency parameters (Emax, Emin, N0.5, and k) were used to test 8.1×105 (304) curve fits to experimental fluorescence measurements. The set of efficiency parameters yielding the best fit were used to construct the SCF-E reference curve (solid blue curve).

https://doi.org/10.1371/journal.ppat.1012257.s021

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S3 Fig. Translating a Single SCF-E Reference Curve into 1000 Virtual Amplification Curves.

ACLs consist of virtual amplification curves that share the same Emax, Emin, and k parameters as the reference curve but have unique N0.5 values. This is done by substituting N0.5, ref from Eq. S5 with N0.5, virt in Eq. S7. We input 1000 evenly spaced N0.5, virt values between cycle numbers N = 1 to 40, resulting in 1000 virtual amplification curves, each associated with a unique theoretical RNA concentration (CRNA, virt). Virtual curves with N0.5, virt < N0.5, ref (leftmost pink solid curve) correspond to higher RNA concentrations compared to the reference curve, whereas curves with N0.5, virt > N0.5, ref (rightmost yellow solid curve) represent lower RNA concentrations than the reference (middle blue solid curve). The efficiency curve for reference and virtual curves is illustrated as a dashed blue line.

https://doi.org/10.1371/journal.ppat.1012257.s022

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S4 Fig. Calculating RNA Template Concentration of the Virtual Amplification Curves.

We relate the known RNA concentration of the reference curve (CRNA, ref) to the unknown RNA concentrations of the virtual curves (CRNA, virt) based on their position on the x-axis (cycle number, N). In Eq. S10, we define a relationship between the known cycle numbers where PCR efficiency is equal to 0.5 for the reference (N0.5, ref) and virtual (N0.5, virt) curves and their respective RNA concentrations (CRNA). By rearranging Eq. S10, we can calculate the unknown CRNA, virt using Eq. S12. To perform the calculation, the slope of the line (m) in Eq. S13 is determined using a PCR efficiency constant (EN). As indicated by Eq. S13, an increase in EN leads to a decrease in m (dotted black line), expanding the range of CRNA, virt in the ACL (from solid triangle to open triangle, and from solid square to open square). This relationship is visually illustrated here with Eq. S8.

https://doi.org/10.1371/journal.ppat.1012257.s023

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S5 Fig. Constructing a Standard Curve from the ACL.

(A) Construction of an amplification curve library (ACL) (S3 Fig). Three CRNA, virt within the ACL are displayed here (pink, blue, yellow), with the leftmost pink curve representing a higher CRNA, virt compared to the rightmost yellow curve. (B) ACL standard curves (solid line, dashed line, dotted line) are constructed from the FN of CRNA, virt (pink, blue, yellow) at a particular cycle number (15, 20, 25). The cycle number chosen for the ACL standard curve corresponds to the cycle number at which unknown RNA concentrations are sampled. In this method, only virtual curves in the exponential or linear phase at the selected cycle number can be included in the standard curve (grey shaded regions in A and B). This is because the early amplification and plateau regions of multiple virtual curves may overlap at a single cycle number. To ensure that only useable regions are selected for the standard curve, we establish threshold values based on the fluorescence of the reference curve. The upper threshold is set at 1 standard deviation below the FN at cycle 40, and the lower threshold is set at the 99th percentile of the FN at cycle 1. For example, as amplification proceeds for a particular CRNA, virt (pink curve) in A, the FN increases and intersects cycles 15, 20, and 25 at the three points (squares). However, only two of those points are within the valid range of the ACL standard curves in B.

https://doi.org/10.1371/journal.ppat.1012257.s024

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S6 Fig. Comparison of SCF-E and SCF Methods of Fitting PCR Amplification Curves.

Fluorescence intensities (ΔRN) of bulk RT-qPCR amplification of six concentrations of IAV M gene RNA (S2 Table, 10-fold dilutions from 2.62 × 104 to 2.62 × 109 copies/μL) were measured at N = 1 to 40. The concentration of each dilution decreases from left to right when viewing the amplification curves. (A) Amplification curves generated with the SCF-E model (dotted gray curves) had an average fit of R2 = 0.9996 across all RNA concentrations (S3 Table). (B) Amplification curves generated with the SCF model (dotted gray curves) had an average fit of R2 = 0.9975 across all RNA concentrations (S3 Table). (C) For a single M gene RNA concentration (2.62 × 107 copies/μL), the SCF-E model provided a better fit (R2 = 0.9996) than SCF (R2 = 0.9972). The difference in fit is most noticeable at the lower (ΔRN < 1) and higher (ΔRN > 4) fluorescence values, representing the exponential and plateau phases of PCR amplification (magnified insets). All error bars represent one standard deviation from the average fluorescence measured across three technical replicates.

https://doi.org/10.1371/journal.ppat.1012257.s025

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S7 Fig. Setting a PCR Efficiency Constant (EN) for the ACL.

To calculate EN at N = N0.5−3, we determined N0.5 of the SCF-E reference curve, which corresponds to N where EN = 0.5 (A to B). N0.5−3 represents three cycles prior to N0.5 (C). We recorded the EN at N0.5−3 (D). When N = N0.5−3 is inserted into Eq. S3, the term N0.5 cancels out, resulting in a constant value of -3 for (N–N0.5). The EN calculated in this step is used in Eq. S13 to determine m.

https://doi.org/10.1371/journal.ppat.1012257.s026

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S8 Fig. Linear regression of measured to expected RNA concentrations from S4 Table.

We compared cycle numbers (N) at which PCR efficiency (EN, Eq. S3) of the reference curve is used to calculate the constant m (Eq. S13), for assigning RNA template concentrations to virtual curves in the ACL. We tested the cycle number at which PCR efficiency is equal to 0.5 (N0.5) and the five cycles preceding it (N = N0.5−1 to N = N0.5−5), to construct six ACLs for comparison. From each ACL, a standard curve was constructed at PCR cycle number 20. We evaluated the dynamic range of each standard curve in S4 Table. The ACL standard curve with the widest dynamic range and the highest degree of accuracy (R2) between measured (CRNA, ACL) and expected (CRNA, expected) M gene RNA concentrations was built using EN at N = N0.5−3. For this ACL, the dynamic range of the standard curve was 4.70 log10 RNA copies/μL (S4 Table, dynamic range of 2.62 × 104 to 1.31 × 109 copies/μL) with R2 = 0.990 between CRNA, ACL, and CRNA, expected. Therefore, the EN at N = N0.5−3 was used to construct all amplification curve libraries in this work.

https://doi.org/10.1371/journal.ppat.1012257.s027

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S9 Fig. Linear regression of measured to expected RNA concentrations from S5 Table.

We compared the dynamic range of ACL standard curves from different cycle numbers (N = 17 to 23) to the Ct standard curve. Standard curves were used to convert fluorescence to template concentration for a known dilution series of IAV M gene RNA (S2 Table, three replicates of 21 concentrations between 2.62 × 104 to 2.62 × 109 copies/uL). Standard curve dynamic range and degree of accuracy (R2) between measured (CRNA, ACL) and expected (CRNA, expected) M gene RNA concentrations were evaluated in S5 Table.

https://doi.org/10.1371/journal.ppat.1012257.s028

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S10 Fig. Variability in M gene RNA Concentrations Measured with ACL Standard Curves by PCR Cycle Number.

We examined variability between standard curves obtained from different ACL cycle numbers using two measures: (A) coefficient of variation (CV %) and (B) percent difference (%). Standard curves were constructed from ACL cycle numbers (N = 17 to 23, individual plots) and used to convert fluorescence to RNA concentration (CRNA, ACL) across 23 IAV M gene RNA concentrations (S2 Table). (A) CV (%) is the ratio of the standard deviation to the mean CRNA, ACL, and it quantifies the variability within replicates of the same M gene RNA concentration. A linear regression (dotted line) was conducted to compare CV (%) across M gene RNA concentrations. The results revealed a weak linear relationship (R2 < 0.28) for all cycle numbers. (B) Percent difference (%) measures the variability between CRNA, ACL and the expected RNA concentration (CRNA, expected). Similarly, a weak relationship (R2 < 0.36) was observed between the starting RNA concentration and percent difference (%) for all cycle numbers. To assess the variability in ACL standard curves, a comparison was made with Ct standard curves (A and B, first upper left plot), for CV (%) and percent difference (%). The analysis indicated no linear response for CV (%) (R2 = 0.0236) and a weak linear response for percent difference (%) (R2 = 0.2477) across the M gene RNA concentrations.

https://doi.org/10.1371/journal.ppat.1012257.s029

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S11 Fig. Validating ACL Standard Curves for Multiple Template Sequences.

Standard curves constructed using the (A) ACL method or (B) Ct method were used to convert fluorescence to template concentration (CRNA/DNA, ACL) for a known dilution series of three different template sequences: IAV M gene RNA (green/gray dots, ranging from 2.62 × 104 to 2.92 × 109 copies/μL), human MYCN gene DNA (blue squares, ranging from 1.88 × 100 to 1.88 × 103 copies/μL), and soybean Lectin endogene DNA (red circles, ranging from 6.4 × 100 to 4.0 × 103 copies/μL). Each dilution of the templates had varying numbers of technical replicates: 3 for the M gene, 94 for the MYCN, and 18 for the Lectin dataset. The M gene ACL was built with a 107 copies/μL reference curve fitted with either the SCF-E (green dots) or SCF (grey dots) model. The standard curve from the M gene ACL was constructed at a single cycle number (N = 20). The MYCN libraries were built with a 1,875 copies/μL reference curve, and the Soybean ACL was built with an 800 copies/μL reference curve, both fitted using the SCF-E model. The standard curves from these ACLs were constructed at N = 27 (MYCN) and N = 29 (Lectin). An R2 value quantified the linear response between measured CRNA/DNA, ACL to expected concentrations (CRNA/DNA, expected) across template concentrations. Dotted lines indicate a 2-fold change from CRNA/DNA, expected, and error bars represent one standard deviation from the mean.

https://doi.org/10.1371/journal.ppat.1012257.s030

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S12 Fig. Droplet Quantitative PCR (dqPCR) of the IAV M gene.

(A) SCF-E reference amplification curve generated for 1.71 × 102 cpd of IAV M gene RNA amplified in 50 μm drops. Drop fluorescence intensity (ΔRN) was detected at PCR cycle numbers N = 1, 13, 16, 19, 22, 25, 28, 40 and displayed as a mean (black dots) and one standard deviation (error bars) (≈1000 or more drops per cycle number). The estimated PCR efficiency (EN) curve (dashed blue line) used during SCF-E produced a well-fitting reference amplification curve (dotted red line, R2 = 0.9995). (B) dqPCR was validated for a single concentration of M gene RNA (1.71x102 cpd) across three biological replicates. The samples were collected at various cycle numbers: rep 1 (red squares) at N = 19 to 21 and rep 2 (blue circles) and rep 3 (green triangles) at N = 19 to 22. Drop fluorescence was converted to M gene RNA concentration (CRNA, ACL) within a 2-fold change of the expected mean (dotted lines) for all cycle numbers. Dashed lines indicate a fixed effects model with upper and lower bounds set as the 95% confidence intervals. (C) Representative epifluorescence images of 50 μm diameter drops at PCR cycle numbers 1, 19, and 40.

https://doi.org/10.1371/journal.ppat.1012257.s031

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S13 Fig. SCF-E Reference Amplification Curves used in Fig 3B.

Three known concentrations of M gene RNA, 1.71 × 101 cpd (red dots), 1.71 × 102 cpd (blue dots), and 1.71 × 103 cpd (green dots), were amplified in 50 μm drops. Drop fluorescence (ΔRN) was detected at multiple PCR cycle numbers (S6 Table, note that cycles 19–21 in the 10 cpd group were below background and not included in the table) and converted to M gene cpd using dqPCR (Fig 3B). For each experiment run on different days, a new SCF-E reference curve was generated from the amplification of 1.71 × 102 cpd (red dotted line, blue dashed line, green solid line).

https://doi.org/10.1371/journal.ppat.1012257.s032

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S14 Fig. Using dqPCR to Quantify Three IAV M gene RNA Concentrations at Multiple Cycle Numbers.

Three known IAV M gene RNA concentrations, 1.17 × 101 cpd (10 cpd, red circles), 1.17 × 102 cpd (100 cpd, blue crosses), and 1.17 × 103 cpd (1000 cpd, green squares) were amplified in 50 μm drops. Drop fluorescence (ΔRN) was detected at multiple PCR cycle numbers (S6 Table) and converted to M gene cpd (CRNA, ACL) using dqPCR. CRNA, ACL measurements were pooled together and displayed as a single distribution in Fig 3B. Dashed lines indicate the expected M gene cpd, and dotted lines represent a 2-fold change from the expected mean.

https://doi.org/10.1371/journal.ppat.1012257.s033

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S15 Fig. Analysis of Variance (ANOVA) for dqPCR of Three IAV M Gene RNA Concentrations.

Three known IAV M gene RNA concentrations, 1.17 × 101 cpd (10 cpd plot), 1.17 × 102 cpd (100 cpd plot), and 1.17 × 103 cpd (1000 cpd plot), were amplified in 50 μm drops. Drop fluorescence (ΔRN) was detected at multiple PCR cycle numbers (S6 Table) and converted to M gene cpd (CRNA, ACL) using the dqPCR model. CRNA, ACL measurements were pooled together and displayed as a single distribution in Fig 3B. To examine the contribution of error within individual PCR cycle numbers to overall error in the pooled distributions, we performed an Analysis of Variance (ANOVA) test on a random sample of 100 drops from each group. (A) The 10 cpd group, quantified at PCR cycle numbers 22–25, had mean CRNA, ACL values that differed by cycle number (ANOVA p-value <0.05). This variability due to cycle number accounted for 8% of the total error in the pooled distribution. (B) The 100 cpd group, quantified at PCR cycle numbers 19–22, had mean CRNA, ACL values that differed by cycle number (ANOVA p-value <0.05). This variability due to cycle number accounted for 59% of the total error in the pooled distribution. (C) The 1000 cpd group, quantified at PCR cycle numbers 16–22, had mean CRNA, ACL values that differed by cycle number (ANOVA p-value <0.05). This variability due to cycle number accounted for 7% of the total error in the pooled distribution.

https://doi.org/10.1371/journal.ppat.1012257.s034

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S16 Fig. Linear Mixed Effects Model (LME) for dqPCR of Three IAV M Gene RNA Concentrations.

Three known IAV M gene RNA concentrations, 1.17 × 101 cpd (10 cpd, red circle), 1.17 × 102 cpd (100 cpd, blue cross), and 1.17 × 103 cpd (1000 cpd, green triangle), were amplified in 50 μm drops. Drop fluorescence (ΔRN) was detected at multiple PCR cycle numbers (S6 Table) and converted to M gene cpd (CRNA, ACL). CRNA, ACL measurements were pooled together and displayed as a single distribution in Fig 3B. To further examine the contribution of error within individual PCR cycle numbers to overall error in the pooled distributions, we calculated the percent difference (%) (Eq. S14) between the measured CRNA, ACL values and their expected M gene cpd (CRNA, expected), across cycle numbers. This analysis informed the validity of pooling conversions measured from multiple PCR cycles in our burst size experiments. Percent differences were compared using a linear mixed effects model (LME) with a 95% confidence interval (CI) (dotted lines). In the LME, we set cycle as the fixed effect variable and CRNA, expect as the random effect variable. Both variables were log-transformed during the model fit, as replication cycles correspond to RNA copy numbers on a log scale. The fixed effects coefficients described a negative relationship between the slope and percent difference from the expected RNA concentration of -0.85% per cycle number (p-value <0.05, SE = 0.01). While the p-value indicates significance, the magnitude of the relationship is small (~1%/cycle), maintaining that it is valid to pool dqPCR data from different cycle numbers.

https://doi.org/10.1371/journal.ppat.1012257.s035

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S17 Fig. Using dqPCR to Quantify IAV M gene RNA Concentration, Pooled Cycle Numbers.

Three known IAV M gene RNA concentrations, 1.17 × 101 cpd, 1.17 × 102 cpd, 1.17 × 103 cpd, were amplified in 50 μm drops. Drop fluorescence (ΔRN) was detected at multiple PCR cycle numbers (S6 Table) and converted to M gene cpd (CRNA, ACL) using dqPCR. CRNA, ACL measurements were pooled together and plotted against the expected M gene cpd (CRNA, expected). Two biological replicates (black circle and green triangle) are shown. The solid line represents a 1:1 relationship between CRNA, ACL and CRNA, expected, dashed lines indicate a 2-fold change from the expected mean.

https://doi.org/10.1371/journal.ppat.1012257.s036

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S18 Fig. β-actin mRNA abundance increases with cell concentration.

A bulk RT-qPCR assay was performed to amplify β-actin mRNA from lysed A549 cells after 24 hr of incubation. There was a strong linear relationship between β-actin and cell concentration (dashed black line, R2 = 0.995), validating its use as a reliable marker for the detection of intracellular lysate in drops during our burst size experiments.

https://doi.org/10.1371/journal.ppat.1012257.s037

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S19 Fig. Multiplexed dqPCR for Detection of IAV M gene and Cellular β-actin.

(A) Both M gene RNA (red) and β-actin mRNA (black) were detected by multiplexed dqPCR from H1N1 infection in drops (n = 2000). Data is presented in ascending order of RNA concentration, prior to β-actin filtering (indicated by the dashed black line). (B) Showing a zoomed-in region of (A), with drop indexes 1900 to 2000.

https://doi.org/10.1371/journal.ppat.1012257.s038

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S20 Fig. SCF-E Reference Curves for Burst Size Replicate Experiments.

For each burst size replicate experiment (S8 Table), a new reference amplification curve was constructed for dqPCR (S9 Table). To generate these curves, a known concentration of M gene RNA (1.71 × 102 cpd) was amplified in 100 μm drops. Drop fluorescence intensity (ΔRN) was measured at PCR cycle numbers N = 1, 16, 19, 22. 25, 28, 31 and 40. The ΔRN of drops from each cycle number are shown as the mean (black dots) with error bars representing one standard deviation. SCF-E was used to create a continuous reference amplification curve (orange dashed line) from discontinuous ΔRN measurements, using an estimate for the PCR efficiency (blue dashed line).

https://doi.org/10.1371/journal.ppat.1012257.s039

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S21 Fig. Oseltamivir (OST) treatment of IAV infected cells during drop infections.

MDCK cells infected with IAV H1N1 were encapsulated into 100 μm diameter microfluidic drops. During encapsulation, infected cells were either suspended in standard droplet infection media (+H1N1 -OST) or in droplet infection media treated with 10 μM concentration of oseltamivir (+H1N1 +OST). Mock infected cells encapsulated in standard infection media (-H1N1 –OST) were used as a negative control. M gene abundance (copies / μL) was measured using a bulk RT-qPCR assay from the supernatant of broken drops sampled at 0 and 18 hpi. Each bar represents the pooled data from three technical replicates. Significance stars (*** p < 0.001 and **** p < 0.0001) obtained by a two-sample Student’s t-test.

https://doi.org/10.1371/journal.ppat.1012257.s040

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S22 Fig. Best Fit Model to Estimate IAV Burst Size Distributions from S10 Table.

We used a simulation-based approach to estimate the IAV burst distributions shown in Fig 4D. We considered three distribution models: lognormal (solid gray curve), Poisson (dashed gray curve), and negative-binomial distribution (solid blue or red curve, corresponding to H3N2 and H1N1 distributions, respectively). The parameters for each distribution are provided in S10 Table. Based on the analysis, burst sizes were found to best fit a negative binomial distribution.

https://doi.org/10.1371/journal.ppat.1012257.s041

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S23 Fig. Cell Loading During Burst Size Replicate Experiments.

(A) Images of 100 μm drops re-injected into a microfluidic device were captured at the beginning and end of each burst size replicate experiment to monitor cell loading. Drops containing a single cell are indicated by blue arrows. (B) Across all H3N2 and H1N1 replicate experiments, cell loading was determined by counting the percentage of drops containing cells (mean = 25% ± 4%). Cell loading in drops was assumed to follow a Poisson distribution. For a population of drops with 25% containing cells, the estimated Poisson mean (λ) is 0.29 cells/drop. In this case, ≈75% of drops are empty, ≈21.5% of drops contain one cell, ≈3% contain two cells, and ≈0.5% of drops contain three or more cells. The bar graph displays the drop counts for the replicates from left to right, which are 753, 679, 538, 719, 774, and 582.

https://doi.org/10.1371/journal.ppat.1012257.s042

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S1 Table. RT-qPCR Template and Primer Sequences.

All sequences are listed in the 5’ to 3’ direction. The M gene template control was constructed as linear dsDNA containing a T7 promoter (underlined), forward and reverse primer binding sites (italicized), a probe binding site (bold), and a partial M gene sequence. The M gene dsDNA was in vitro transcribed prior to use as a positive control. The M gene TaqMan probe carried a FAM fluorophore with a BHQ1 quencher. The β-actin template control was constructed as a dsDNA plasmid containing forward and reverse primer binding sites (italicized), and a probe binding site (bold), and a partial β-actin mRNA sequence. The β-actin TaqMan probe carried a Cy5 fluorophore with a BHQ2 quencher.

https://doi.org/10.1371/journal.ppat.1012257.s043

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S2 Table. IAV M Gene RNA Concentrations Amplified by Bulk RT-qPCR and Used to Validate dqPCR.

https://doi.org/10.1371/journal.ppat.1012257.s044

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S3 Table. SCF-E and SCF Curve Fitting Parameters for S6 Fig.

https://doi.org/10.1371/journal.ppat.1012257.s045

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S4 Table. Dynamic Range of ACL Standard Curves Built with Different EN Constants.

We compared cycle numbers (N) at which PCR efficiency (EN) of the reference curve is used to calculate the constant m (and EN). This constant determines the RNA template concentration assigned to virtual curves in the ACL. EN is calculated using Eq. S3 and m is calculated using Eq. S13. We used the cycle number at which PCR efficiency is equal to 0.5 (N0.5) and the five cycles preceding it (N = N0.5−1 to N = N0.5−5), to construct six ACLs for comparison. From each ACL, a standard curve was generated at PCR cycle number 20. This standard curve was then used to convert fluorescence (FN) to template concentration (CRNA) for a known dilution series of M gene RNA (S2 Table, three replicates of 21 concentrations between 2.62 × 104 to 2.62 × 109 copies/μL). The minimum (CRNA, min) and maximum (CRNA, max) concentrations in the dilution series, whose measured RNA concentration fell within a 2-fold change of the expected concentrations, marked the dynamic range of each standard curve. The R2 value quantifies the linear regression (S8 Fig) between the measured (CRNA, ACL) and expected (CRNA, expected) RNA concentrations. The ACL built with EN at N = N0.5−3 produced a cycle 20 standard curve with the highest dynamic range and the greatest degree of accuracy (R2). Therefore, an offset of -3 cycles was used to construct all ACLs in this work.

https://doi.org/10.1371/journal.ppat.1012257.s046

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S5 Table. Dynamic Range of ACL Standard Curves from Different ACL Cycle Numbers.

We compared the dynamic range of standard curves created using the amplification curve library (ACL) method to that of the cycle threshold (Ct) method. Standard curves were used to convert fluorescence to template concentration for a known dilution series of IAV M gene RNA (S2 Table, three replicates of 21 concentrations between 2.62 × 104 to 2.62 × 109 copies/μL). In the ACL method, multiple standard curves were constructed from individual cycle numbers (N = 17 to 23). On the other hand, in the Ct method, a single standard curve is built from multiple Ct values, with one Ct value corresponding to each concentration of M gene RNA. The dynamic range of each standard curve was determined by identifying the minimum (CRNA, min) and maximum (CRNA, max) concentrations within the dilution series that yielded measured RNA concentration falling within a 2-fold change of the expected concentrations. The R2 value quantifies the linear response (S9 Fig) between the measured (CRNA, ACL) and expected (CRNA, expected) RNA concentrations.

https://doi.org/10.1371/journal.ppat.1012257.s047

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S6 Table. Using dqPCR to Quantify IAV M Gene RNA Concentrations at Multiple Cycle Numbers.

Three known IAV M gene RNA concentrations, 1.71 × 101 cpd (101), 1.71 × 102 cpd (102), and 1.71 × 103 cpd (103), were amplified in 50 μm drops. Drop fluorescence (ΔRN) was detected at multiple PCR cycle numbers and converted to M gene cpd (CRNA, ACL) using dqPCR. CRNA, ACL measurements from different cycle numbers were pooled together and presented as a single distribution in Fig 3B. To assess the variability between individual cycle numbers and the pooled distribution, we analyzed the standard deviation of the mean CRNA, ACL and the coefficient of variation (CV %) across the number of sampled drops (n) at each N.

https://doi.org/10.1371/journal.ppat.1012257.s048

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S7 Table. Maximum Likelihood Estimates for a Gaussian Mixture Model (GMM) Used to Extract Individual Distributions from Mixed Droplet Detection Data.

To use dqPCR for measuring IAV burst size in a heterogeneous population of single-cell infections, we validated the method’s ability to isolate individual distributions from a sample containing multiple M gene RNA concentrations. We applied a Gaussian mixture model (GMM) on dqPCR data obtained from three known IAV M gene RNA concentrations: 1.17 × 101 cpd, 1.17 × 102 cpd, and 1.17 × 103 cpd, mixed together in a single sample (data shown in Fig 3E). Model assumptions are described in S7 Results. In the model, xi represents the number of M gene RNA copies (cpd). Each Gaussian has a different weight (wi) corresponding to the probability that a random drop in the mixture has xi copies, a predicted mean (Bi, representing measurement bias) and variance (, representing measurement noise).

https://doi.org/10.1371/journal.ppat.1012257.s049

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S8 Table. Burst Size Replicate Experiments.

IAV burst sizes were measured from thousands of individual drops sampled at cycle numbers N = 16, 19, 22, 25, and 28 in three biological replicates. The measurements were used to determine the number of IAV M gene RNA and cellular β-actin mRNA (cpd). Drops containing high β-actin cpd (S19 Fig) were assumed to contain non-packaged, intracellular, M gene RNA and were subsequently filtered from the final burst size distributions (Filtered Drops, S8 Results). We present the average measured burst size for each replicate, along with the interquartile range (IQR) that represents the lower 25th and upper 75th percentile of the distributions. The heterogeneity of each distribution was examined using the Gini coefficient (G). If G = 0, the distribution is completely homogeneous, meaning that each cell produces the same number of viruses. Conversely, if G = 1, the distribution is completely heterogeneous, where one cell produces all the viruses. Thus, a higher G corresponds to a more heterogeneous distribution.

https://doi.org/10.1371/journal.ppat.1012257.s050

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S9 Table. dqPCR Parameters Used in Burst Size Replicate Experiments.

The parameters used to create reference standard curves using SCF-E (S20 Fig, orange dotted curves) for each burst size experiment.

https://doi.org/10.1371/journal.ppat.1012257.s051

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S10 Table. Best Fit Model to Estimate IAV Burst Size in Fig 4D.

We used a simulation-based approach to estimate the IAV burst distributions shown in Fig 4D. We considered three possible distributions: lognormal, Poisson, and negative-binomial, all with unknown parameters. First, we simulated the viral burst size based on the assumed distribution. For each simulated value of burst size x, we introduced measurement noise by assuming a log-normal distribution. The mean of the log-normal distribution was determined by the bias function B(x), and the standard deviation was determined by σ(x). Next, we computed a density function using a kernel density estimation with a Gaussian kernel to represent the resulting distribution. We then used this density function to calculate the log-likelihood of the observed data. We estimated the parameters for each distribution and for each dataset (H3N2 or H1N1) by maximizing the likelihood of observations reported in Fig 4D.

https://doi.org/10.1371/journal.ppat.1012257.s052

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Acknowledgments

We thank Humberto Sanchez for help with protocols and Carter Hoffman for helpful discussions.

References

  1. 1. Burnet FM. A Method for the Study of Bacteriophage Multiplication in Broth. Br J Exp Pathol. 1929 Apr;10(2):109.
  2. 2. Delbrück M. The Burst Size Distribution in the Growth of Bacterial Viruses (Bacteriophages). J Bacteriol. 1945 Aug;50(2):131–5. pmid:16560982
  3. 3. DeLong JP, Al-Sammak MA, Al-Ameeli ZT, Dunigan DD, Edwards KF, Fuhrmann JJ, et al. Towards an integrative view of virus phenotypes. Nat Rev Microbiol. 2021 Sep; pmid:34522049
  4. 4. Jones JE, Le Sage V, Lakdawala SS. Viral and host heterogeneity and their effects on the viral life cycle. Nat Rev Microbiol. 2021 Apr;19(4):272–82. pmid:33024309
  5. 5. Heldt FS, Kupke SY, Dorl S, Reichl U, Frensing T. Single-cell analysis and stochastic modelling unveil large cell-to-cell variability in influenza A virus infection. Nat Commun. 2015 Nov;6:8938. pmid:26586423
  6. 6. Kupke SY, Ly LH, Börno ST, Ruff A, Timmermann B, Vingron M, et al. Single-Cell Analysis Uncovers a Vast Diversity in Intracellular Viral Defective Interfering RNA Content Affecting the Large Cell-to-Cell Heterogeneity in Influenza A Virus Replication. Viruses. 2020 Jan;12(1). pmid:31936115
  7. 7. Russell AB, Trapnell C, Bloom JD. Extreme heterogeneity of influenza virus infection in single cells. Elife. 2018 Feb;7. pmid:29451492
  8. 8. Sun J, Vera JC, Drnevich J, Lin YT, Ke R, Brooke CB. Single cell heterogeneity in influenza A virus gene expression shapes the innate antiviral response to infection. PLoS Pathog. 2020 Jul;16(7):e1008671. pmid:32614923
  9. 9. Bacsik DJ, Dadonaite B, Butler A, Greaney AJ, Heaton NS, Bloom JD. Influenza virus transcription and progeny production are poorly correlated in single cells. bioRxiv. 2022.
  10. 10. Jacobs NT, Onuoha NO, Antia A, Steel J, Antia R, Lowen AC. Incomplete influenza A virus genomes occur frequently but are readily complemented during localized viral spread. Nat Commun. 2019 Aug;10(1):3526. pmid:31387995
  11. 11. Brooke CB, Ince WL, Wrammert J, Ahmed R, Wilson PC, Bennink JR, et al. Most influenza a virions fail to express at least one essential viral protein. J Virol. 2013 Mar;87(6):3155–62. pmid:23283949
  12. 12. Brooke CB. Population Diversity and Collective Interactions during Influenza Virus Infection. J Virol. 2017 Nov;91(22). pmid:28855247
  13. 13. Schulte MB, Andino R. Single-cell analysis uncovers extensive biological noise in poliovirus replication. J Virol. 2014 Jun;88(11):6205–12. pmid:24648454
  14. 14. Vignuzzi M, López CB. Defective viral genomes are key drivers of the virus–host interaction. Nature Microbiology. 2019 Jun;4(7):1075–87. pmid:31160826
  15. 15. Guo MT, Rotem A, Heyman JA, Weitz DA. Droplet microfluidics for high-throughput biological assays. Lab Chip. 2012 Jun;12(12):2146–55. pmid:22318506
  16. 16. Fischer AE, Wu SK, Proescher JBG, Rotem A, Chang CB, Zhang H, et al. A high-throughput drop microfluidic system for virus culture and analysis. J Virol Methods. 2015 Mar;213:111–7. pmid:25522923
  17. 17. Tao Y, Rotem A, Zhang H, Cockrell SK, Koehler SA, Chang CB, et al. Artifact-Free Quantification and Sequencing of Rare Recombinant Viruses by Using Drop-Based Microfluidics. Chembiochem. 2015 Oct;16(15):2167–71. pmid:26247541
  18. 18. Zhang H, Cockrell SK, Kolawole AO, Rotem A, Serohijos AWR, Chang CB, et al. Isolation and Analysis of Rare Norovirus Recombinants from Coinfected Mice Using Drop-Based Microfluidics. J Virol. 2015 Aug;89(15):7722–34. pmid:25972549
  19. 19. Rotem A, Serohijos AWR, Chang CB, Wolfe JT, Fischer AE, Mehoke TS, et al. Evolution on the Biophysical Fitness Landscape of an RNA Virus. Mol Biol Evol. 2018 Oct;35(10):2390–400. pmid:29955873
  20. 20. Tao Y, Rotem A, Zhang H, Chang CB, Basu A, Kolawole AO, et al. Rapid, targeted and culture-free viral infectivity assay in drop-based microfluidics. Lab Chip. 2015 Sep;15(19):3934–40. pmid:26304791
  21. 21. Loveday EK, Sanchez HS, Thomas MM, Chang CB. Single-Cell Infection of Influenza A Virus Using Drop-Based Microfluidics. Microbiol Spectr. 2022 Sep;e0099322. pmid:36125315
  22. 22. Hindson BJ, Ness KD, Masquelier DA, Belgrader P, Heredia NJ, Makarewicz AJ, et al. High-throughput droplet digital PCR system for absolute quantitation of DNA copy number. Anal Chem. 2011 Nov;83(22):8604–10. pmid:22035192
  23. 23. Hatch AC, Fisher JS, Tovar AR, Hsieh AT, Lin R, Pentoney SL, et al. 1-Million droplet array with wide-field fluorescence imaging for digital PCR. Lab Chip. 2011 Nov;11(22):3838–45. pmid:21959960
  24. 24. Beer NR, Hindson BJ, Wheeler EK, Hall SB, Rose KA, Kennedy IM, et al. On-chip, real-time, single-copy polymerase chain reaction in picoliter droplets. Anal Chem. 2007 Nov;79(22):8471–5. pmid:17929880
  25. 25. Beer NR, Wheeler EK, Lee-Houghton L, Watkins N, Nasarabadi S, Hebert N, et al. On-chip single-copy real-time reverse-transcription PCR in isolated picoliter droplets. Anal Chem. 2008 Mar;80(6):1854–8. pmid:18278951
  26. 26. Kiss MM, Ortoleva-Donnelly L, Beer NR, Warner J, Bailey CG, Colston BW, et al. High-throughput quantitative polymerase chain reaction in picoliter droplets. Anal Chem. 2008 Dec;80(23):8975–81. pmid:19551929
  27. 27. Prakash R, Pabbaraju K, Wong S, Wong A, Tellier R, Kaler KVIS. Multiplex, Quantitative, Reverse Transcription PCR Detection of Influenza Viruses Using Droplet Microfluidic Technology. Micromachines. 2014 Dec;6(1):63–79.
  28. 28. Prakash R, Pabbaraju K, Wong S, Wong A, Tellier R, Kaler KVIS. Droplet Microfluidic Chip Based Nucleic Acid Amplification and Real-Time Detection of Influenza Viruses. J Electrochem Soc. 2014 Jan;161(2):B3083–93.
  29. 29. Hajji I, Serra M, Geremie L, Ferrante I, Renault R, Viovy JL, et al. Droplet microfluidic platform for fast and continuous-flow RT-qPCR analysis devoted to cancer diagnosis application. Sens Actuators B Chem. 2020 Jan;303:127171.
  30. 30. Hayes CJ, Dalton TM. Microfluidic droplet-based PCR instrumentation for high-throughput gene expression profiling and biomarker discovery. Biomol Detect Quantif. 2015 Jun;4:22–32. pmid:27077035
  31. 31. Loveday EK, Zath GK, Bikos DA, Jay ZJ, Chang CB. Screening of Additive Formulations Enables Off-Chip Drop Reverse Transcription Quantitative Polymerase Chain Reaction of Single Influenza A Virus Genomes. Anal Chem. 2021 Mar;93(10):4365–73. pmid:33635052
  32. 32. Martin BE, Harris JD, Sun J, Koelle K, others. Cellular co-infection can modulate the efficiency of influenza A virus production and shape the interferon response. PLoS. 2020; pmid:33064776
  33. 33. Mazutis L, Gilbert J, Ung WL, Weitz DA, Griffiths AD, Heyman JA. Single-cell analysis and sorting using droplet-based microfluidics. Nat Protoc. 2013 May;8(5):870–91. pmid:23558786
  34. 34. Gini C. Measurement of Inequality of Incomes. Econ J. 1921 Mar;31(121):124–5.
  35. 35. Carlo DD, Irimia D, Tompkins RG, Toner M. Continuous inertial focusing, ordering, and separation of particles in microchannels. Proceedings of the National Academy of Sciences. 2007;104(48):18892–7. pmid:18025477
  36. 36. Abate AR, Chen CH, Agresti JJ, Weitz DA. Beating Poisson encapsulation statistics using close-packed ordering. Lab Chip. 2009 Sep;9(18):2628–31. pmid:19704976
  37. 37. Chen KY, Karuppusamy J, O’Neill MB, Opuu V, Bahin M, Foulon S, et al. High-throughput droplet-based analysis of influenza A virus genetic reassortment by single-virus RNA sequencing. Proc Natl Acad Sci U S A. 2023 Feb;120(6):e2211098120. pmid:36730204