Sunetra Gupta

MRC-PHE Centre for Environment and Health, Department of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, United Kingdom.

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May 2019

Identifying genes associated with invasive disease in S. pneumoniae by applying a machine learning approach to whole genome sequence typing data.

Authors:

Uri Obolski Andrea Gori José Lourenço Craig Thompson Robin Thompson Neil French Robert S Heyderman Sunetra Gupta

Sci Rep 2019 03 11;9(1):4049. Epub 2019 Mar 11.

University of Oxford, Department of Zoology, Oxford, UK.

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March 2019

HBV vaccination and PMTCT as elimination tools in the presence of HIV: insights from a clinical cohort and dynamic model.

Authors:

Anna L McNaughton José Lourenço Louise Hattingh Emily Adland Samantha Daniels Anriette Van Zyl Connie S Akiror Susan Wareing Katie Jeffery M Azim Ansari Paul Klenerman Philip J R Goulder Sunetra Gupta Pieter Jooste Philippa C Matthews

BMC Med 2019 02 21;17(1):43. Epub 2019 Feb 21.

Nuffield Department of Medicine, Peter Medawar Building for Pathogen Research, South Parks Road, Oxford, OX1 3SY, UK.

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February 2019

Reverse immunodynamics: a new method for identifying targets of protective immunity.

Authors:

Katrina J Spensley Paul S Wikramaratna Bridget S Penman Andrew Walker Adrian L Smith Oliver G Pybus Létitia Jean Sunetra Gupta José Lourenço

Sci Rep 2019 02 15;9(1):2164. Epub 2019 Feb 15.

Department of Zoology, University of Oxford, Oxford, OX1 3PS, UK.

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February 2019

The spatial epidemiology of sickle-cell anaemia in India.

Authors:

Carinna Hockham Samir Bhatt Roshan Colah Malay B Mukherjee Bridget S Penman Sunetra Gupta Frédéric B Piel

Sci Rep 2018 12 6;8(1):17685. Epub 2018 Dec 6.

Evolutionary Ecology of Infectious Disease Group, Peter Medawar Building for Pathogen Research, Department of Zoology, University of Oxford, Oxford, UK.

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December 2018

A naturally protective epitope of limited variability as an influenza vaccine target.

Authors:

Craig P Thompson José Lourenço Adam A Walters Uri Obolski Matthew Edmans Duncan S Palmer Kreepa Kooblall George W Carnell Daniel O'Connor Thomas A Bowden Oliver G Pybus Andrew J Pollard Nigel J Temperton Teresa Lambe Sarah C Gilbert Sunetra Gupta

Nat Commun 2018 09 21;9(1):3859. Epub 2018 Sep 21.

Department of Zoology, University of Oxford, Oxford, OX1 3PS, UK.

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September 2018

Correction: Quantifying the contribution of malaria to febrile illness amongst African children.

Authors:

Ursula Dalrymple Ewan Cameron Samir Bhatt Daniel J Weiss Sunetra Gupta Peter W Gething

Elife 2018 05 16;7. Epub 2018 May 16.

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May 2018

Challenges in dengue research: A computational perspective.

Authors:

José Lourenço Warren Tennant Nuno R Faria Andrew Walker Sunetra Gupta Mario Recker

Evol Appl 2018 04 5;11(4):516-533. Epub 2017 Nov 5.

Centre for Mathematics and the Environment University of Exeter Penryn UK.

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April 2018

Analysis of HIV-1 envelope evolution suggests antibody-mediated selection of common epitopes among Chinese former plasma donors from a narrow-source outbreak.

Authors:

Sophie M Andrews Yonghong Zhang Tao Dong Sarah L Rowland-Jones Sunetra Gupta Joakim Esbjörnsson

Sci Rep 2018 04 10;8(1):5743. Epub 2018 Apr 10.

Nuffield Department of Medicine, University of Oxford, Oxford, United Kingdom.

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April 2018

A multi-country study of dengue vaccination strategies with Dengvaxia and a future vaccine candidate in three dengue-endemic countries: Vietnam, Thailand, and Colombia.

Authors:

Jung-Seok Lee José Lourenço Sunetra Gupta Andrew Farlow

Vaccine 2018 04 21;36(17):2346-2355. Epub 2018 Mar 21.

Department of Zoology, University of Oxford, Oxford, UK.

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April 2018

Vaccination can drive an increase in frequencies of antibiotic resistance among nonvaccine serotypes of .

Authors:

Uri Obolski José Lourenço Craig Thompson Robin Thompson Andrea Gori Sunetra Gupta

Proc Natl Acad Sci U S A 2018 03 6;115(12):3102-3107. Epub 2018 Mar 6.

Department of Zoology, University of Oxford, Oxford OX2 6GG, United Kingdom.

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March 2018

Quantifying the contribution of malaria to febrile illness amongst African children.

Authors:

Ursula Dalrymple Ewan Cameron Samir Bhatt Daniel J Weiss Sunetra Gupta Peter W Gething

Elife 2017 10 16;6. Epub 2017 Oct 16.

Big Data Institute, Li Ka Shing Centre for Health Information and Discovery, University of Oxford, Oxford, United Kingdom.

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October 2017

Competing species leave many potential niches unfilled.

Authors:

Ben Ashby Eleanor Watkins José Lourenço Sunetra Gupta Kevin R Foster

Nat Ecol Evol 2017 Oct 18;1(10):1495-1501. Epub 2017 Sep 18.

Department of Zoology, University of Oxford, Oxford, OX1 3PS, UK.

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October 2017

Lineage structure of Streptococcus pneumoniae may be driven by immune selection on the groEL heat-shock protein.

Authors:

José Lourenço Eleanor R Watkins Uri Obolski Samuel J Peacock Callum Morris Martin C J Maiden Sunetra Gupta

Sci Rep 2017 08 22;7(1):9023. Epub 2017 Aug 22.

Department of Zoology, University of Oxford, Oxford, United Kingdom.

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August 2017

Detecting signatures of past pathogen selection on human HLA loci: are there needles in the haystack?

Authors:

Bridget S Penman Sunetra Gupta

Parasitology 2018 05 15;145(6):731-739. Epub 2017 Aug 15.

Department of Zoology,University of Oxford,Oxford, OX1 3PS,UK.

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May 2018

How has publishing changed in the last twenty years?

Authors:

Sunetra Gupta

Notes Rec R Soc Lond 2016 Dec;70(4):391-2

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December 2016

Reducing HIV infection in people who inject drugs is impossible without targeting recently-infected subjects.

Authors:

Tetyana I Vasylyeva Samuel R Friedman Jose Lourenco Sunetra Gupta Angelos Hatzakis Oliver G Pybus Aris Katzourakis Pavlo Smyrnov Timokratis Karamitros Dimitrios Paraskevis Gkikas Magiorkinis

AIDS 2016 11;30(18):2885-2890

aDepartment of Zoology, University of Oxford, Oxford, United Kingdom bNational Development and Research Institutes, Inc, New York, New York, USA cDepartment of Hygiene, Epidemiology, and Medical Statistics, Athens University Medical School, Athens, Greece dInternational HIV/AIDS Alliance in Ukraine, Kyiv, Ukraine.

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November 2016

Metabolic competition as a driver of bacterial population structure.

Authors:

Eleanor R Watkins Martin Cj Maiden Sunetra Gupta

Future Microbiol 2016 10 23;11:1339-1357. Epub 2016 Sep 23.

Department of Zoology, University of Oxford, South Parks Road, Oxford, OX1 3PS, UK.

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October 2016

Reproduction, infection and killer-cell immunoglobulin-like receptor haplotype evolution.

Authors:

Bridget S Penman Ashley Moffett Olympe Chazara Sunetra Gupta Peter Parham

Immunogenetics 2016 Nov 12;68(10):755-764. Epub 2016 Aug 12.

Department of Structural Biology, Stanford University, Stanford, CA, 94035, USA.

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November 2016

Sickle haemoglobin, haemoglobin C and malaria mortality feedbacks.

Authors:

Bronner P Gonçalves Sunetra Gupta Bridget S Penman

Malar J 2016 Jan 12;15:26. Epub 2016 Jan 12.

Department of Zoology, University of Oxford, South Parks Road, Oxford, OX1 3PS, UK.

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January 2016

Observed and expected frequencies of structural hemoglobin variants in newborn screening surveys in Africa and the Middle East: deviations from Hardy-Weinberg equilibrium.

Authors:

Frédéric B Piel Thomas V Adamkiewicz Djesika Amendah Thomas N Williams Sunetra Gupta Scott D Grosse

Genet Med 2016 Mar 3;18(3):265-74. Epub 2015 Dec 3.

National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.

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March 2016

Modeling Combinations of Pre-erythrocytic Plasmodium falciparum Malaria Vaccines.

Authors:

Andrew S Walker José Lourenço Adrian V S Hill Sunetra Gupta

Am J Trop Med Hyg 2015 Dec 26;93(6):1254-1259. Epub 2015 Oct 26.

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December 2015

Understanding the contrasting spatial haplotype patterns of malaria-protective β-globin polymorphisms.

Authors:

Carinna Hockham Frédéric B Piel Sunetra Gupta Bridget S Penman

Infect Genet Evol 2015 Dec 21;36:174-183. Epub 2015 Sep 21.

Department of Zoology, University of Oxford, Oxford, UK. Electronic address:

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December 2015

Vaccination Drives Changes in Metabolic and Virulence Profiles of Streptococcus pneumoniae.

Authors:

Eleanor R Watkins Bridget S Penman José Lourenço Caroline O Buckee Martin C J Maiden Sunetra Gupta

PLoS Pathog 2015 Jul 16;11(7):e1005034. Epub 2015 Jul 16.

Department of Zoology, University of Oxford, Oxford, United Kingdom.

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July 2015

Effects of neutralizing antibodies on escape from CD8+ T-cell responses in HIV-1 infection.

Authors:

Paul S Wikramaratna José Lourenço Paul Klenerman Oliver G Pybus Sunetra Gupta

Philos Trans R Soc Lond B Biol Sci 2015 Aug;370(1675)

Department of Zoology, University of Oxford, Oxford OX1 3PS, UK

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August 2015

MANTIS: an R package that simulates multilocus models of pathogen evolution.

Authors:

José Lourenço Paul S Wikramaratna Sunetra Gupta

BMC Bioinformatics 2015 May 28;16:176. Epub 2015 May 28.

Department of Zoology, University of Oxford, South Parks Road, Oxford, UK.

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May 2015

Modelling challenges in context: lessons from malaria, HIV, and tuberculosis.

Authors:

Lauren M Childs Nadia N Abuelezam Christopher Dye Sunetra Gupta Megan B Murray Brian G Williams Caroline O Buckee

Epidemics 2015 Mar 16;10:102-7. Epub 2015 Feb 16.

Center for Communicable Disease Dynamics, Harvard T.H. Chan School of Public Health, Boston, MA 02115, United States; Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA 02115, United States. Electronic address:

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March 2015

Five challenges in modelling interacting strain dynamics.

Authors:

Paul S Wikramaratna Adam Kucharski Sunetra Gupta Viggo Andreasen Angela R McLean Julia R Gog

Epidemics 2015 Mar 7;10:31-4. Epub 2014 Oct 7.

Department of Applied Mathematics and Theoretical Physics, University of Cambridge, Cambridge CB3 0WA, United Kingdom; Fogarty International Center, National Institutes of Health, Bethesda, MD 20892, USA. Electronic address:

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March 2015

Mastering malaria: what helps and what hurts.

Authors:

Sunetra Gupta

Proc Natl Acad Sci U S A 2015 Mar;112(10):2925-6

Department of Zoology, University of Oxford, Oxford OX1 3PS, United Kingdom

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March 2015

Some considerations concerning the challenge of incorporating social variables into epidemiological models of infectious disease transmission.

Authors:

Tony Barnett Guillaume Fournié Sunetra Gupta Janet Seeley

Glob Public Health 2015 4;10(4):438-48. Epub 2015 Feb 4.

a Department of Global Health and Development , London School of Hygiene and Tropical Medicine , London , UK.

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December 2015

Epistasis and the sensitivity of phenotypic screens for beta thalassaemia.

Authors:

Bridget S Penman Sunetra Gupta David J Weatherall

Br J Haematol 2015 Apr 17;169(1):117-28. Epub 2014 Dec 17.

Department of Zoology, University of Oxford, Oxford, UK.

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April 2015

Contrasting within- and between-host immune selection shapes Neisseria Opa repertoires.

Authors:

Eleanor R Watkins Yonatan H Grad Sunetra Gupta Caroline O Buckee

Sci Rep 2014 Oct 9;4:6554. Epub 2014 Oct 9.

1] Center for Communicable Disease Dynamics, Harvard School of Public Health, Boston, MA 02115 [2] Department of Epidemiology, Harvard School of Public Health, Boston, MA 02115.

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October 2014

Larger mammalian body size leads to lower retroviral activity.

Authors:

Aris Katzourakis Gkikas Magiorkinis Aaron G Lim Sunetra Gupta Robert Belshaw Robert Gifford

PLoS Pathog 2014 Jul 17;10(7):e1004214. Epub 2014 Jul 17.

MRC-University of Glasgow Centre for Virus Research, Glasgow, United Kingdom.

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July 2014

Contact between bird species of different lifespans can promote the emergence of highly pathogenic avian influenza strains.

Authors:

Paul S Wikramaratna Oliver G Pybus Sunetra Gupta

Proc Natl Acad Sci U S A 2014 Jul 23;111(29):10767-72. Epub 2014 Jun 23.

Department of Zoology, University of Oxford, Oxford OX1 3PS, United Kingdom; and

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July 2014

Effects of epistasis on infectivity range during host-parasite coevolution.

Authors:

Ben Ashby Sunetra Gupta Angus Buckling

Evolution 2014 Oct 25;68(10):2972-82. Epub 2014 Jul 25.

Department of Zoology, University of Oxford, South Parks Road, Oxford, OX1 3PS, United Kingdom.

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October 2014

Parasitic castration promotes coevolutionary cycling but also imposes a cost on sex.

Authors:

Ben Ashby Sunetra Gupta

Evolution 2014 Aug 22;68(8):2234-44. Epub 2014 May 22.

Department of Zoology, University of Oxford, Oxford, OX1 3PS, United Kingdom.

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August 2014

Global migration and the changing distribution of sickle haemoglobin: a quantitative study of temporal trends between 1960 and 2000.

Authors:

Frédéric B Piel Andrew J Tatem Zhuojie Huang Sunetra Gupta Thomas N Williams David J Weatherall

Lancet Glob Health 2014 Feb;2(2):e80-9

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February 2014

Spatial structure mitigates fitness costs in host-parasite coevolution.

Authors:

Ben Ashby Sunetra Gupta Angus Buckling

Am Nat 2014 Mar 15;183(3):E64-74. Epub 2014 Jan 15.

Department of Zoology, University of Oxford, South Parks Road, Oxford OX1 3PS, United Kingdom.

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March 2014

Pathogen selection drives nonoverlapping associations between HLA loci.

Authors:

Bridget S Penman Ben Ashby Caroline O Buckee Sunetra Gupta

Proc Natl Acad Sci U S A 2013 Nov 13;110(48):19645-50. Epub 2013 Nov 13.

Department of Zoology, University of Oxford, Oxford OX1 3PS, United Kingdom.

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November 2013

Global burden of sickle cell anaemia in children under five, 2010-2050: modelling based on demographics, excess mortality, and interventions.

Authors:

Frédéric B Piel Simon I Hay Sunetra Gupta David J Weatherall Thomas N Williams

PLoS Med 2013 16;10(7):e1001484. Epub 2013 Jul 16.

Evolutionary Ecology of Infectious Disease, Department of Zoology, University of Oxford, Oxford, United Kingdom.

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February 2014

The antigenic evolution of influenza: drift or thrift?

Authors:

Paul S Wikramaratna Michi Sandeman Mario Recker Sunetra Gupta

Philos Trans R Soc Lond B Biol Sci 2013 Mar 4;368(1614):20120200. Epub 2013 Feb 4.

Department of Zoology, University of Oxford, Oxford OX1 3PS, UK.

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March 2013

Sexually transmitted infections in polygamous mating systems.

Authors:

Ben Ashby Sunetra Gupta

Philos Trans R Soc Lond B Biol Sci 2013 Mar 21;368(1613):20120048. Epub 2013 Jan 21.

Department of Zoology, University of Oxford, Oxford OX1 3PS, UK.

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March 2013

The roles of competition and mutation in shaping antigenic and genetic diversity in influenza.

Authors:

Daniel Zinder Trevor Bedford Sunetra Gupta Mercedes Pascual

PLoS Pathog 2013 Jan 3;9(1):e1003104. Epub 2013 Jan 3.

University of Michigan, Department of Computational Medicine and Bioinformatics, Department of Ecology and Evolutionary Biology, Ann Arbor, MI, USA.

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January 2013

The emergence and maintenance of sickle cell hotspots in the Mediterranean.

Authors:

Bridget S Penman Sunetra Gupta Caroline O Buckee

Infect Genet Evol 2012 Oct 13;12(7):1543-50. Epub 2012 Jun 13.

Department of Zoology, University of Oxford, Oxford OX1 3PS, UK.

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October 2012

Negative epistasis between α+ thalassaemia and sickle cell trait can explain interpopulation variation in South Asia.

Authors:

Bridget S Penman Saman Habib Kanika Kanchan Sunetra Gupta

Evolution 2011 Dec 11;65(12):3625-32. Epub 2011 Aug 11.

Department of Zoology, University of Oxford, South Parks Road Oxford, OX1 3PS, United Kingdom.

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December 2011

Role of stochastic processes in maintaining discrete strain structure in antigenically diverse pathogen populations.

Authors:

Caroline O Buckee Mario Recker Eleanor R Watkins Sunetra Gupta

Proc Natl Acad Sci U S A 2011 Sep 29;108(37):15504-9. Epub 2011 Aug 29.

Department of Epidemiology, Harvard School of Public Health, Center for Communicable Disease Dynamics, Boston, MA 02115, USA.

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September 2011

Antigenic variation in Plasmodium falciparum malaria involves a highly structured switching pattern.

Authors:

Mario Recker Caroline O Buckee Andrew Serazin Sue Kyes Robert Pinches Zóe Christodoulou Amy L Springer Sunetra Gupta Chris I Newbold

PLoS Pathog 2011 Mar 3;7(3):e1001306. Epub 2011 Mar 3.

Department of Zoology, University of Oxford, Oxford, United Kingdom.

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March 2011

The effects of tertiary and quaternary infections on the epidemiology of dengue.

Authors:

Paul S Wikramaratna Cameron P Simmons Sunetra Gupta Mario Recker

PLoS One 2010 Aug 23;5(8):e12347. Epub 2010 Aug 23.

Department of Zoology, University of Oxford, Oxford, United Kingdom.

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August 2010

Genome-wide association studies in Plasmodium species.

Authors:

Bridget Penman Caroline Buckee Sunetra Gupta Sean Nee

BMC Biol 2010 Jul 13;8:90. Epub 2010 Jul 13.

Department of Zoology, University of Oxford, Oxford OX1 3PS, UK.

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July 2010

Modelling malaria population structure and its implications for control.

Authors:

Caroline O Buckee Sunetra Gupta

Adv Exp Med Biol 2010 ;673:112-26

Department of Zoology, University of Oxford, South Parks Road, Oxford, UK, OX1 3PS.

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August 2010

Long-term evolution of antigen repertoires among carried meningococci.

Authors:

Caroline O Buckee Sunetra Gupta Paula Kriz Martin C J Maiden Keith A Jolley

Proc Biol Sci 2010 Jun 3;277(1688):1635-41. Epub 2010 Feb 3.

Department of Zoology, University of Oxford, Oxford OX1 3PS, UK.

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June 2010

Epistatic interactions between genetic disorders of hemoglobin can explain why the sickle-cell gene is uncommon in the Mediterranean.

Authors:

Bridget S Penman Oliver G Pybus David J Weatherall Sunetra Gupta

Proc Natl Acad Sci U S A 2009 Dec 1;106(50):21242-6. Epub 2009 Dec 1.

Department of Zoology, University of Oxford, South Parks Road, Oxford OX1 3PS, United Kingdom.

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December 2009

Assessing the burden of pregnancy-associated malaria under changing transmission settings.

Authors:

Mario Recker Menno J Bouma Paul Bamford Sunetra Gupta Andy P Dobson

Malar J 2009 Oct 28;8:245. Epub 2009 Oct 28.

Department of Zoology, University of Oxford, Oxford OX1 3PS, UK.

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October 2009

Influenza outbreaks.

Authors:

Paul S Wikramaratna Sunetra Gupta

Cell Microbiol 2009 Jul 6;11(7):1016-24. Epub 2009 Apr 6.

Department of Zoology, University of Oxford, UK.

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July 2009

Immunological serotype interactions and their effect on the epidemiological pattern of dengue.

Authors:

Mario Recker Konstantin B Blyuss Cameron P Simmons Tran Tinh Hien Bridget Wills Jeremy Farrar Sunetra Gupta

Proc Biol Sci 2009 Jul 15;276(1667):2541-8. Epub 2009 Apr 15.

Department of Zoology, University of Oxford, Oxford OX1 3PS, UK.

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July 2009

Inferring malaria parasite population structure from serological networks.

Authors:

Caroline O Buckee Peter C Bull Sunetra Gupta

Proc Biol Sci 2009 Feb;276(1656):477-85

Department of Zoology, University of Oxford, Tinbergen Building, South Parks Road, Oxford OX1 3PS, UK.

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February 2009

Role of selection in the emergence of lineages and the evolution of virulence in Neisseria meningitidis.

Authors:

Caroline O Buckee Keith A Jolley Mario Recker Bridget Penman Paula Kriz Sunetra Gupta Martin C J Maiden

Proc Natl Acad Sci U S A 2008 Sep 24;105(39):15082-7. Epub 2008 Sep 24.

Department of Zoology, University of Oxford, South Parks Road, Oxford OX1 3PS, United Kingdom.

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September 2008

Evolution of virulence in malaria.

Authors:

Bridget Penman Sunetra Gupta

J Biol 2008 Aug 28;7(6):22. Epub 2008 Aug 28.

Department of Zoology, University of Oxford, Oxford, OX1 3PS, UK.

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August 2008

Stability and bifurcations in a model of antigenic variation in malaria.

Authors:

Konstantin B Blyuss Sunetra Gupta

J Math Biol 2009 Jun 31;58(6):923-37. Epub 2008 Jul 31.

School of Computing and Mathematics, Keele University, MacKay Building, Keele, Staffordshire, UK.

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June 2009

The effect of immune selection on the structure of the meningococcal opa protein repertoire.

Authors:

Martin J Callaghan Caroline O Buckee Keith A Jolley Paula Kriz Martin C J Maiden Sunetra Gupta

PLoS Pathog 2008 Mar 14;4(3):e1000020. Epub 2008 Mar 14.

Department of Paediatrics, University of Oxford, Centre for Clinical Vaccinology and Tropical Medicine (CCVTM), Churchill Hospital, Oxford, United Kingdom.

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March 2008

Host community structure and the maintenance of pathogen diversity.

Authors:

Caroline Buckee Leon Danon Sunetra Gupta

Proc Biol Sci 2007 Jul;274(1619):1715-21

Department of Zoology, University of Oxford, South Parks Road, Oxford OX1 3PS, UK.

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July 2007

The generation of influenza outbreaks by a network of host immune responses against a limited set of antigenic types.

Authors:

Mario Recker Oliver G Pybus Sean Nee Sunetra Gupta

Proc Natl Acad Sci U S A 2007 May 25;104(18):7711-6. Epub 2007 Apr 25.

Department of Zoology, University of Oxford, South Parks Road, Oxford OX1 3PS, United Kingdom.

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May 2007

Capsular serotype-specific attack rates and duration of carriage of Streptococcus pneumoniae in a population of children.

Authors:

Karen L Sleeman David Griffiths Fiona Shackley Linda Diggle Sunetra Gupta Martin C Maiden E Richard Moxon Derrick W Crook Timothy E A Peto

J Infect Dis 2006 Sep 25;194(5):682-8. Epub 2006 Jul 25.

University Department of Paediatrics, Oxford Vaccine Group, John Radcliffe Hospital, University of Oxford, Headington, Oxford, OX3 9DU, United Kingdom.

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September 2006

Negative epistasis between the malaria-protective effects of alpha+-thalassemia and the sickle cell trait.

Authors:

Thomas N Williams Tabitha W Mwangi Sammy Wambua Timothy E A Peto David J Weatherall Sunetra Gupta Mario Recker Bridget S Penman Sophie Uyoga Alex Macharia Jedidah K Mwacharo Robert W Snow Kevin Marsh

Nat Genet 2005 Nov 16;37(11):1253-7. Epub 2005 Oct 16.

Kenya Medical Research Institute/Wellcome Trust Programme, Centre for Geographic Medicine Research, Coast, PO Box 230, Kilifi District Hospital, Kilifi, Kenya.

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November 2005