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      Middle East respiratory syndrome coronavirus: transmission and phylogenetic evolution

      review-article
      1 , 2 , 3 , 4
      Trends in Microbiology
      Elsevier Ltd.
      Middle East, MERS-CoV, coronavirus, pathogenesis

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          Highlights

          • MERS-CoV continues to cause sporadic cases with amplification of cases in the healthcare setting.

          • Camels have been linked as an intermediate host.

          • Proper infection control measures are needed to prevent nosocomial outbreaks.

          Abstract

          The Middle East respiratory syndrome coronavirus (MERS-CoV) was first described in 2012 and, subsequently, many cases were reported with a lower case fatality rate than initial cases. Humans can become infected within their communities and transmission can then be amplified in the healthcare setting. Contact investigation among cases shows a variable amount of spread among family members and healthcare workers. So far, circulating virus strains remain similar under continuous monitoring, with no genetic changes. Here, we discuss the transmission pattern, phylogenetic evolution, and pathogenesis of MERS-CoV infection.

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          Most cited references70

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          Isolation of a novel coronavirus from a man with pneumonia in Saudi Arabia.

          A previously unknown coronavirus was isolated from the sputum of a 60-year-old man who presented with acute pneumonia and subsequent renal failure with a fatal outcome in Saudi Arabia. The virus (called HCoV-EMC) replicated readily in cell culture, producing cytopathic effects of rounding, detachment, and syncytium formation. The virus represents a novel betacoronavirus species. The closest known relatives are bat coronaviruses HKU4 and HKU5. Here, the clinical data, virus isolation, and molecular identification are presented. The clinical picture was remarkably similar to that of the severe acute respiratory syndrome (SARS) outbreak in 2003 and reminds us that animal coronaviruses can cause severe disease in humans.
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            Identification of a Novel Coronavirus in Patients with Severe Acute Respiratory Syndrome

            The severe acute respiratory syndrome (SARS) has recently been identified as a new clinical entity. SARS is thought to be caused by an unknown infectious agent. Clinical specimens from patients with SARS were searched for unknown viruses with the use of cell cultures and molecular techniques. A novel coronavirus was identified in patients with SARS. The virus was isolated in cell culture, and a sequence 300 nucleotides in length was obtained by a polymerase-chain-reaction (PCR)-based random-amplification procedure. Genetic characterization indicated that the virus is only distantly related to known coronaviruses (identical in 50 to 60 percent of the nucleotide sequence). On the basis of the obtained sequence, conventional and real-time PCR assays for specific and sensitive detection of the novel virus were established. Virus was detected in a variety of clinical specimens from patients with SARS but not in controls. High concentrations of viral RNA of up to 100 million molecules per milliliter were found in sputum. Viral RNA was also detected at extremely low concentrations in plasma during the acute phase and in feces during the late convalescent phase. Infected patients showed seroconversion on the Vero cells in which the virus was isolated. The novel coronavirus might have a role in causing SARS. Copyright 2003 Massachusetts Medical Society
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              Isolation and characterization of viruses related to the SARS coronavirus from animals in southern China.

              Y Guan (2003)
              A novel coronavirus (SCoV) is the etiological agent of severe acute respiratory syndrome (SARS). SCoV-like viruses were isolated from Himalayan palm civets found in a live-animal market in Guangdong, China. Evidence of virus infection was also detected in other animals (including a raccoon dog, Nyctereutes procyonoides) and in humans working at the same market. All the animal isolates retain a 29-nucleotide sequence that is not found in most human isolates. The detection of SCoV-like viruses in small, live wild mammals in a retail market indicates a route of interspecies transmission, although the natural reservoir is not known.
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                Author and article information

                Contributors
                Journal
                Trends Microbiol
                Trends Microbiol
                Trends in Microbiology
                Elsevier Ltd.
                0966-842X
                1878-4380
                29 August 2014
                October 2014
                29 August 2014
                : 22
                : 10
                : 573-579
                Affiliations
                [1 ]Johns Hopkins Aramco Healthcare, Dhahran, Kingdom of Saudi Arabia
                [2 ]Indiana University School of Medicine, Indianapolis, IN, USA
                [3 ]Ministry of Health, Riyadh, Kingdom of Saudi Arabia
                [4 ]College of Medicine, Alfaisal University, Riyadh, Kingdom of Saudi Arabia
                Article
                S0966-842X(14)00157-7
                10.1016/j.tim.2014.08.001
                7133228
                25178651
                b942bfd9-d33b-4818-8ff9-ddc50fd140f4
                Copyright © 2014 Elsevier Ltd. All rights reserved.

                Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.

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                Categories
                Article

                Microbiology & Virology
                middle east,mers-cov,coronavirus,pathogenesis
                Microbiology & Virology
                middle east, mers-cov, coronavirus, pathogenesis

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