Compartmentalization analysis of serum and CSF samples from each patient was performed using HyPhy software (V2.5).15 As different methods to define genetic compartmentalization (such as genetic heterogeneity and distinct lineages between two viral subpopulations) might occasionally yield discordant results in compartmentalization tests,16 we applied genetic distance-based tests and tree-based tests for the genetic compartmentalization analysis. The distance-based tests included Fst and Snn (nearest-neighbor statistic), and Fst has several different types: 1) Hudson, Slatkin and Madison (HSM), 2) Slatkin (S), and 3) Hudson, Boos and Kaplan (HBK). We employed the HBK nonparametric test for the distance-based test and computed the KST statistic, whose values range from 0 (denoting no compartmentalization) to 1 (denoting complete compartmentalization). In addition, the Slatkin-Maddison (SM) method was used for the tree-based test. A p lower than 0.05 indicates that the elements can be judged to be compartmentalized. Compartmentalization was finally confirmed by two algorithms (KST and SM tests) when both p values were less than 0.05.
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