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Published on: November 10, 2023
Genomics and zoonotic infections: Middle East respiratory syndrome
Abstract:
The emergence of Middle East respiratory syndrome (MERS) and the discovery of MERS coronavirus (MERS-CoV) in 2012 suggests that another SARS-like epidemic is occurring. Unlike the severe acute respiratory syndrome (SARS) epidemic, which rapidly disappeared in less than one year, MERS has persisted for over three years. More than 1,600 cases of MERS have been reported worldwide, and the disease carries a worryingly high fatality rate of >30%. A total of 182 MERS-CoV genomes have been sequenced, including 94 from humans and 88 from dromedary camels. The 182 genomes all share >99% identity, indicating minimal variation among MERS-CoV genomes. MERS-CoV is a lineage C Betacoronavirus (ßCoV). MERS-CoV genomes can be roughly divided into two clades: clade A, which contains only a few strains, and clade B, to which most strains belong. In contrast to ORF1ab and structural proteins, the putative proteins encoded by ORF3, ORF4a, ORF4b, ORF5 and ORF8b in the MERS-CoV genome do not share homology with any known host or virus protein, other than those of its closely related lineage C ßCoVs. Human and dromedary viral genomes have intermingled, indicating that multiple camel-to-human transmission events have occurred. The multiple origins of MERS-CoV suggest that the virus has been resident in dromedaries for many years. This is consistent with the detection of anti-MERS-CoV antibodies in dromedary camels as early as the 1980s.
Insights
Middle East respiratory syndrome coronavirus (MERS-CoV) has persisted for years, with high fatality rates. Genomic analysis reveals minimal MERS-CoV variation and multiple camel-to-human transmissions, suggesting long-term dromedary reservoir.
Area of Science:
- Virology
- Epidemiology
- Genomics
Background:
- Middle East respiratory syndrome (MERS) emerged in 2012, caused by MERS-CoV, persisting longer than SARS.
- MERS has a high fatality rate (>30%) with over 1,600 global cases.
- MERS-CoV is a lineage C Betacoronavirus (ßCoV).
Purpose of the Study:
- To analyze the genomic diversity and origins of MERS-CoV.
- To understand the transmission dynamics between dromedary camels and humans.
Main Methods:
- Sequencing and comparative analysis of 182 MERS-CoV genomes (94 human, 88 dromedary).
- Phylogenetic analysis to determine viral clades and origins.
- Homology searches for MERS-CoV proteins.
Main Results:
- 182 MERS-CoV genomes showed >99% identity, indicating low variation.
- Genomes divided into two clades: A (few strains) and B (most strains).
- Human and dromedary viral genomes intermingled, signifying multiple camel-to-human transmissions.
Conclusions:
- Multiple MERS-CoV origins suggest a long-standing presence in dromedaries.
- Detection of anti-MERS-CoV antibodies in camels since the 1980s supports a persistent dromedary reservoir.
- Understanding MERS-CoV evolution and transmission is crucial for public health.
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