Genomics and zoonotic infections: Middle East respiratory syndrome

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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