counterpunch | Our proposal is consistent with all the
principal undisputed facts concerning SARS-CoV-2 and its origin. The MMP
proposal has the additional benefit of reconciling many observations
concerning SARS-CoV-2 that have proven difficult to reconcile with any
natural zoonotic hypothesis.
For instance, using different approaches,
numerous researchers have concluded that the SARS-CoV-2 spike protein
has a very high affinity for the human ACE2 receptor (Walls et al., 2020; Piplani et al., 2020; Shang and Ye et al., 2020; Wrapp et al., 2020).
Such exceptional affinities, ten to twenty times as great as that of
the original SARS virus, do not arise at random, making it very hard to
explain in any other way than for the virus to have been strongly
selected in the presence of a human ACE2 receptor (Piplani et al., 2020).
In addition to this, a recent report found that the spike of RaTG13 binds the human ACE2 receptor (Shang and Ye et al., 2020).
We proposed above that the virus in the mine directly infected humans
lung cells. The main determinant of cell infection and species
specificity of coronaviruses is initial receptor binding (Perlman and Netland, 2009).
Thus RaTG13, unlike most bat coronaviruses, probably can enter and
infect human cells, providing biological plausibility to the idea that
the miners became infected with a coronavirus resembling RaTG13.
Moreover, the receptor binding domain
(RBD) of SARS-CoV-2, which is the region of the spike that physically
contacts the human ACE2 receptor, has recently been crystallised to
reveal its spatial structure (Shang and Ye et al., 2020).
These authors found close structural similarities between the spikes of
SARS-CoV-2 and RaTG13 in how they bound the human ACE2 receptor:
“Second, as with SARS-CoV-2, bat RaTG13
RBM [a region of the RBD] contains a similar four-residue motif in the
ACE2 binding ridge, supporting the notion that SARS-CoV-2 may have evolved from RaTG13 or a RaTG13-related bat coronavirus
(Extended Data Table 3 and Extended Data Fig. 7). Third, the L486F,
Y493Q and D501N residue changes from RaTG13 to SARS CoV-2 enhance ACE2
recognition and may have facilitated the bat-to-human transmission of
SARS-CoV-2 (Extended Data Table 3 and Extended Data Fig. 7). A
lysine-to-asparagine mutation at the 479 position in the SARS-CoV-2 RBD
(corresponding to the 493 position in the SARS-CoV-2 RBD) enabled
SARS-CoV to infect humans. Fourth, Leu455 contributes favourably to ACE2
recognition, and it is conserved between RaTG13 and SARS CoV-2; its
presence in the SARS CoV-2 RBM may be important for the bat-to-human
transmission of SARS-CoV-2″ (Shang and Ye et al., 2020). (italics added)
The significance of this molecular
similarity is very great. Coronaviruses have evolved a diverse set of
molecular solutions to solve the problem of binding ACE2 (Perlman and Netland, 2009; Forni et al., 2017). The fact that RaTG13 and SARS CoV-2 share the same solution makes RaTG13 a highly likely direct ancestor of Sars-CoV-2.
A further widely noted feature of SARS-CoV-2 is its furin site (Coutard et al., 2020).
This site is absent from RaTG13 and other closely related
coronaviruses. The most closely related virus with such a site is the
highly lethal MERS (which broke out in 2012). Possession of a furin site
enables SARS-CoV-2 (like MERS) to infect lungs and many other body
tissues (such as the gastrointestinal tract and neurons), explaining
much of its lethality (Hoffman et al., 2020; Lamers et al., 2020).
However, no convincing explanation for how SARS-CoV-2 acquired this
site has yet been offered. Our suggestion is that it arose due to the
high selection pressure which existed in the miner’s lungs and which in
general worked to ensure that the virus became highly adapted to the
lungs. This explanation, which encompasses how SARS-CoV-2 came to target
lung tissues in general, is an important aspect of our proposal.
The implication is therefore that the
furin site was not acquired by recombination with another coronavirus
and simply represents convergent evolution (as suggested by Andersen et al., 2020).
An intriguing alternative possibility is
that SARS-CoV-2 acquired its furin site directly from the miner’s lungs.
Humans possess an epithelial sodium channel protein called ENaC-a whose
furin cleavage site is identical over eight amino acids to SARS-CoV-2 (Anand et al., 2020).
ENaC-a protein is present in the same airway epithelial and lung
tissues infected by SARS-CoV-2. It is known from plants that
positive-stranded RNA viruses recombine readily with host mRNAs (Greene and Allison, 1994; Greene and Allison, 1996; Lommel and Xiong, 1991; Borja et al., 2007).
The same evidence base is not available for positive-stranded animal
RNA viruses, (though see Gorbalenya, 1992) but if plant viruses are a
guide then acquisition of its furin site via recombination with the mRNA
which encodes ENaC-a by SARS-CoV-2 is a strong possibility.
A further feature of SARS-CoV-2 has been the very limited adaptive evolution of its genome since the pandemic began (Zhan et al., 2020; van Dorp et al., 2020; Starr et al., 2020).
It is a well-established principle that viruses that jump species
undergo accelerated evolutionary change in their new host (e.g. Baric et al., 1997). Thus, SARS and MERS (both coronaviruses) underwent rapid and readily detectable adaptation to their new human hosts (Forni et al., 2017; Dudas and Rambaut, 2016).
Such an adaptation period has not been observed for SARS-CoV-2 even
though it has now infected many more individuals than SARS or MERS did.
This has even led to suggestions that the SARS-CoV-2 virus had a period
of cryptic circulation in humans infections that predated the pandemic (Chaw et al., 2020).
The sole mutation consistently observed to accumulate across multiple
studies is a D614G substitution in the spike protein (e.g. Korber et al., 2020).
The numerically largest analysis of SARS-CoV-2 genomes, however, found
no evidence at all for adaptive evolution, even for D614G (van Dorp et al., 2020).
The general observation is therefore that
Sars-CoV-2 has remained functionally unchanged or virtually so (except
for inconsequential genetic changes) since the pandemic began. This is a
very important observation. It implies that SARS-CoV-2 is highly
adapted across its whole set of component proteins and not just at the
spike (Zhan et al., 2020). That is to say, its evolutionary leap to humans was completed before the 2019 pandemic began.
It is hard to imagine an explanation for this high adaptiveness other than some kind of passaging in a human body (Zhan et al., 2020). Not even passaging in human cells could have achieved such an outcome.
Two examples illustrate this point. In a follow up to Shang and Ye et al., (2020),
a similar group of Minnesota researchers identified a distinct strategy
by which the spike (S) protein (which contains the receptor bind
domain; RBD) of SARS-CoV-2 evades the human immune system (Shang and Wan et al., 2020).
This strategy involves more effective hiding of its RBD, but it implies
again that the spike and the RBD evolved in tandem and in the presence
of the human immune system (i.e. in a human body and not in tissue
culture).
The Andersen authors, in their critique of
a possible engineered origin for SARS-CoV-2, also stress the need for
passaging in whole humans:
“Finally, the generation of the predicted
O-linked glycans is also unlikely to have occurred during cell-culture
passage, as such features suggest the involvement of an immune system” (Andersen et al., 2020).
The final point that we would like to make
is that the principal zoonotic origin thesis is the one proposed by
Andersen et al. Apart from being poorly supported this thesis is very
complex. It requires two species jumps, at least two recombination
events between quite distantly related coronaviruses and the physical
transfer of a pangolin (having a coronavirus infection) from outside
China (Andersen et al., 2020).
Even then it provides no logical explanation of the adaptedness of
SARS-CoV-2 across its whole genome or why the virus emerged in Wuhan.
By contrast, our MMP proposal requires
only the one species jump, which is documented in the Master’s thesis.
Although we do not rule out a possible role for mixed infections in the
lungs of the miners, nor the possibility of recombination between
closely related variants in those lungs, nor the potential acquisition
of the furin site from a host mRNA, only mutation was needed to derive
SARS-CoV-2 from RaTG13. Hence our attention earlier to the figure from P. Zhou et al., 2020showing that RaTG13 is the most closely related virus to SARS-CoV-2 over its entire length. This extended similarity is perfectly consistent with a mutational origin of SARS-CoV-2 from RaTG13.
In short, the MMP theory is a plausible
and parsimonious explanation of all the key features of the COVID-19
pandemic and its origin. It accounts for the propensity of SARS-CoV-2
infections to target the lungs; the apparent preadapted nature of the
virus; and its transmission from bats in Yunnan to humans in Wuhan.
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