Department of Microbiology, The University of Hong Kong, Pokfulam, Hong Kong.
School of Biomedical Sciences, The University of Hong Kong, Pokfulam, Hong Kong.
Int J Biol Sci. 2020 Mar 15;16(10):1686-1697. doi: 10.7150/ijbs.45472. eCollection 2020.
Mutation and adaptation have driven the co-evolution of coronaviruses (CoVs) and their hosts, including human beings, for thousands of years. Before 2003, two human CoVs (HCoVs) were known to cause mild illness, such as common cold. The outbreaks of severe acute respiratory syndrome (SARS) and the Middle East respiratory syndrome (MERS) have flipped the coin to reveal how devastating and life-threatening an HCoV infection could be. The emergence of SARS-CoV-2 in central China at the end of 2019 has thrusted CoVs into the spotlight again and surprised us with its high transmissibility but reduced pathogenicity compared to its sister SARS-CoV. HCoV infection is a zoonosis and understanding the zoonotic origins of HCoVs would serve us well. Most HCoVs originated from bats where they are non-pathogenic. The intermediate reservoir hosts of some HCoVs are also known. Identifying the animal hosts has direct implications in the prevention of human diseases. Investigating CoV-host interactions in animals might also derive important insight on CoV pathogenesis in humans. In this review, we present an overview of the existing knowledge about the seven HCoVs, with a focus on the history of their discovery as well as their zoonotic origins and interspecies transmission. Importantly, we compare and contrast the different HCoVs from a perspective of virus evolution and genome recombination. The current CoV disease 2019 (COVID-19) epidemic is discussed in this context. In addition, the requirements for successful host switches and the implications of virus evolution on disease severity are also highlighted.
突变和适应促使冠状病毒(CoVs)与其宿主(包括人类)在数千年中共同进化。在 2003 年之前,两种人类冠状病毒(HCoVs)被认为会引起轻度疾病,如普通感冒。严重急性呼吸综合征(SARS)和中东呼吸综合征(MERS)的爆发揭示了人类 CoV 感染可能是多么具有破坏性和致命性。2019 年底中国中部 SARS-CoV-2 的出现再次将 CoVs 推向了聚光灯下,与 SARS-CoV 相比,其高传染性和较低的致病性令我们感到惊讶。HCoV 感染是一种人畜共患病,了解 HCoVs 的人畜共患病起源将对我们大有裨益。大多数 HCoVs 起源于蝙蝠,在蝙蝠中它们是非致病性的。一些 HCoVs 的中间储存宿主也已被确定。确定动物宿主对预防人类疾病具有直接意义。研究动物中的 CoV-宿主相互作用也可能为人类 CoV 发病机制提供重要的见解。在这篇综述中,我们介绍了对七种 HCoVs 的现有认识,重点介绍了它们的发现历史以及人畜共患病起源和种间传播。重要的是,我们从病毒进化和基因组重组的角度比较和对比了不同的 HCoVs。本文还讨论了当前的 CoV 疾病 2019(COVID-19)流行情况。此外,还强调了成功宿主转换的要求以及病毒进化对疾病严重程度的影响。