Krishnamoorthy Sarayu, Swain Basudev, Verma R S, Gunthe Sachin S
EWRE Division, Department of Civil Engineering, Indian Institute of Technology Madras, Chennai, 600 036 India.
Bhupat and Jyoti Mehta School of Biosciences, Department of Biotechnology, Indian Institute of Technology Madras, Chennai, 600 036 India.
Virusdisease. 2020 Dec;31(4):411-423. doi: 10.1007/s13337-020-00632-9. Epub 2020 Oct 16.
Coronaviruses are single stranded RNA viruses usually present in bats (reservoir hosts), and are generally lethal, highly transmissible, and pathogenic viruses causing sever morbidity and mortality rates in human. Several animals including civets, camels, etc. have been identified as intermediate hosts enabling effective recombination of these viruses to emerge as new virulent and pathogenic strains. Among the seven known human coronaviruses SARS-CoV, MERS-CoV, and SARS-CoV-2 (2019-nCoV) have evolved as severe pathogenic forms infecting the human respiratory tract. About 8096 cases and 774 deaths were reported worldwide with the SARS-CoV infection during year 2002; 2229 cases and 791 deaths were reported for the MERS-CoV that emerged during 2012. Recently ~ 33,849,737 cases and 1,012,742 deaths (data as on 30 Sep 2020) were reported from the recent evolver SARS-CoV-2 infection. Studies on epidemiology and pathogenicity have shown that the viral spread was potentially caused by the contact route especially through the droplets, aerosols, and contaminated fomites. Genomic studies have confirmed the role of the viral spike protein in virulence and pathogenicity. They target the respiratory tract of the human causing severe progressive pneumonia affecting other organs like central nervous system in case of SARS-CoV, severe renal failure in MERS-CoV, and multi-organ failure in SARS-CoV-2. Herein, with respect to current awareness and role of coronaviruses in global public health, we review the various factors involving the origin, evolution, and transmission including the genetic variations observed, epidemiology, and pathogenicity of the three potential coronaviruses variants SARS-CoV, MERS-CoV, and 2019-nCoV.
冠状病毒是单链RNA病毒,通常存在于蝙蝠(储存宿主)中,一般具有致死性、高传染性和致病性,可导致人类出现高发病率和死亡率。包括果子狸、骆驼等在内的几种动物已被确定为中间宿主,这些病毒可通过它们进行有效重组,从而产生新的毒性和致病性毒株。在七种已知的人类冠状病毒中,严重急性呼吸综合征冠状病毒(SARS-CoV)、中东呼吸综合征冠状病毒(MERS-CoV)和严重急性呼吸综合征冠状病毒2(SARS-CoV-2,即2019新型冠状病毒)已演变成感染人类呼吸道的严重致病形式。2002年,全球报告了约8096例SARS-CoV感染病例,774人死亡;2012年出现的MERS-CoV报告了2229例病例,791人死亡。最近,新型冠状病毒SARS-CoV-2感染报告了约33849737例病例和1012742人死亡(截至2020年9月30日的数据)。流行病学和致病性研究表明,病毒传播可能是通过接触途径,特别是通过飞沫、气溶胶和受污染的污染物。基因组研究已证实病毒刺突蛋白在毒力和致病性方面的作用。它们靶向人类呼吸道,导致严重的进行性肺炎,在SARS-CoV感染时会影响中枢神经系统等其他器官,在MERS-CoV感染时会导致严重肾衰竭,在SARS-CoV-2感染时会导致多器官衰竭。在此,关于冠状病毒在全球公共卫生中的当前认知和作用,我们综述了涉及三种潜在冠状病毒变种SARS-CoV、MERS-CoV和2019新型冠状病毒的起源、进化和传播的各种因素,包括观察到的基因变异、流行病学和致病性。