Edited and Rewriting
COVID-19
INTRODUCTION
Over the past 2 decades, coronaviruses (CoVs) have been associated with significant
disease outbreaks in East Asia and the Middle East. The severe acute respiratory syndrome
(SARS) and the Middle East respiratory syndrome (MERS) began to emerge in 2002 and
2012, respectively. Recently, a novel coronavirus, sever acute respiratory syndrome
coronavirus 2 (SARS-CoV-2), causing coronavirus disease 2019 (COVID-19), emerged in
late 2019, and it has posed a global health threat, causing an ongoing pandemic in many
countries and territories (1).
Health workers worldwide are currently making efforts to control further disease outbreaks
caused by the novel Covid ( originally named 2019-nCoV), which was first identified in
Wuhan City, Hubei Province, China, on 12 December 2019.
On 11 February 2020, the World Health Organization (WHO) announced the official
designation for the current Covid- associated disease to be COVID-19, caused by SARSCoV-2. The primary cluster of patients was found to be connected with the Hunan South
China Seafood Market in Wuhan (2). CoVs belong to the family, Coronaviridae (subfamily
Coronavirinae), the members of which infect a broatrimeric SI locates itself on top of the
trimeric S2 stalk (45). Recently, structural analysis of the S proteins of COVID-19 have
revealed 27 amino acid substitution within a 1,273-amino-acid stretch (16). Six
substitutions are located in the RBD
(amino acids 375 to 528), while four substitutions are in the RBM at the CTD of the SI
domain (16). Of note, no amino acid change is seen in the RBM, which binds directly to the
angiotensin-converting enzyme-2 (ACE2) receptor in SARS- CoV (16,
46). At present, the main emphasis in knowing how many differences would be required to
change the host tropism. Sequence comparison revealed 17 nonsynonymous changes
between the early sequence of SARS-CoV-2 and the later isolates of SARS-CoV. The
changes were found scattered over the genome of the virus, with nine substitutions in
ORF1ab, ORF8 (4 substitutions), the spike gene (3 substitutions), and ORF7a (single
substitutions) (4). Notably, the same nonsynonymous changes were found in a familial
cluster, indicating that the viral evolution happened during person-to-person transmission
(4, 47). Such adaptive evolution events are frequent and constitute a constantly ongoing
process once the virus spreads among new hosts (47). Even though no functional changes
occur in
The virus associated with this adaptive evolution, close monitoring of the viral
Absence of this protein is related to the altered virulence of coronaviruses due to changes
in morphology and tropism (54). The E protein consists of three domains, namely, a short
hydrophilic amino terminal, a large hydrophobic transmembrane domain, and an efficient
C-terminal domain (51). The SARS -CoV-2 E protein reveals a similar amino acid
constitution without any substitution (16).
N Protein
The N protein of coronavirus is multipurpose. Among several functions, it plays a role in
complex formation with the viral genome, facilities M protein interaction needed during
virion assembly, and enhances the transcription efficiency of the virus (55, 56) . It contains
three highly conserved and distinct domains, namely, an NTD, an RNA-binding domain or a
linker region (LKR), and a
CTD (57). The NTD binds with the 3’ end of the viral genome, perhaps via
Electrostatic interactions, and is highly diverged both in length and sequence (58).
The charged LKR is serine and arginine rich and is also known as the SR (serine and
arginine) domain (59). The LKR is capable of direct interaction with in vitro RNA interaction
and is responsible for cell signaling (60, 61). It also modulates the antiviral response of the
host by working as an antagonist for nsps and Accessory Proteins Besides the important
structural proteins, the SARS-CoV-2 genome contains 15 nsps, nsp1 to nsp10 and nsp12 to
nsp16, and 8 accessory proteins (3a, 3b, p6,
7a, 7b, 8b, 9b, and ORF14) (16). All these proteins play a specific role in viral replication
(27). Unlike the accessory proteins of SARS-CoV, SARS-CoV-2 does not contain 8a protein
and has a longer 8b and shorter 3b protein (16). The nsp7,
Nsp13, envelope, matrix, and p6 and 8b accessory proteins have not been detected with
any amino acid substitutions compared to the sequences of other coronaviruses (16).
The virus structure of SARS-CoV-2 is depicted in Fig. 2.
FIG 2 SARS-CoV-2 virus structure.
Initially, the epicenter of the SARS-CoV-2 pandemic was China, which reported a
significant number of deaths associated with COVID-19, with 84,458 laboratory confirmed
cases and 4644 deaths as of 13 May 2020 (Fig. 4). As of 13 May 2020, SARS-CoV-2
confirmed cases have been reported in more than 210 countries apart from China (Fig. 3
and 4) (WHO Situation Report 114) (25, 64). COVID-19 has
Been reported on all continents except Antarctica. For many weeks, Italy was the focus of
concerns regarding the large number of cases, with 221,216 cases and 30,911 deaths, but
now, the United States is the country with the largest number of cases, 1,322,054, and
79,634 deaths. Now, the United Kingdom has even more cases (226, 4671) and deaths (32,
692) than Italy. A John Hopkins University web platform has provided daily updates on the
basic epidemiology of the COVID-19 outbreak.
COVID-19 has also been confirmed on a cruise ship, named Diamond Princess,
quarantined in Japanese waters (Port of Yokohama), as well as on other cruise ships around
the world (239) (Fig.3). The significant events of the SARS-CoV-2/COVID-19 virus outbreak
occurring since 8 December 2019 are presented as a
Timeline in Fig. 5.
FIG 5
Timeline depicting the significant events that occurred during the SARS-CoV-2/COVID-19
virus outbreak. The timeline describes the significant events during the current SARS-CoV2 outbreak, from 8 December 2019 to 13 May 2020.
At the beginning, China experienced the majority of the burden associated with COVID-19
in the form of disease morbidity and mortality (65), but over time the COVID-19 menace
moved to Europe, particularly Italy and Spain, and now the United States has the highest
number of confirmed cases,
Another study, the average
Reproductive number of COVID-19 was found to be 3.28, which is significantly
Higher than the initial WHO estimate of 1.4 to 2.5 (77). It is too early to obtain the exact R0
value, since there is a possibility of bias due to insufficient data . The higher R0 value is
indicative
Of the more significant potential of SARS-CoV-19 transmission in a susceptible population .
This is not the first time where the culinary practices
Of China have been blamed for the origin of novel coronorovirus infection in humans .
Previously, the animals
Present in the live animal market were identified to be the intermediate hosts of the SARS
outbreak in China (78) .
Several wildlife species were found to harbor potentially evolving coronavirus strains that
can overcome the species barrier (79) . One of the main principles of Chinese food culture
is that live-slaughtered animals are considered more nutritious (5) .
After 4 months of struggle that lasted from December 2019 to March 2020,
The COVID-19 situation now seems under control in China .The wet animal markets have
We reopened, and people have started buying bats, dogs, cats, birds, scorpions, badgers,
rabbits, pangolins (scalyanteaters), minks, soup from palm civet,ostriches, hamsters,
snapping turtles, ducks, fish Siamese crocodiles, and other nas an entry receptor while
exhibiting an RBD similar to that of SARS-CoV ( 17, 87,254, 255) . Several countries
Have provided recommendations
To their people travelling to China ( 88, 89) . Compared to the previous coronavirus
outbreaks caused by SARS-CoV and MERS-CoV, the efficiency of SARS-CoV-2 human to
human transmission was thought to be less . This assumption was based on the finding
that health workers were affected less than they were in previous outbreaks of fatal
Coronaviruses (2) . Super spreading events are considered the main culprit for the
extensive transmission
Of SARS and MERS ( 90,91) . Almost half of the MERS-CoV cases reported in Saudi Arabia
are of secondary origin
That occurred through contact with infected asymptomatic or symptomatic individuals
through human-to-human transmission (92) . The occurrence
Of super spreading events in the
COVID-19 outbreak cannot be ruled out until it’s possibility is evaluated . Like SARS and
MERS, COVID-19 can also infect the lower respiratory tract, with milder symptoms (27) .
The basic reproduction number of COVID-19 has
Been found to be in the range of 2.8 to 3.3 based on real-time reports and 3.2 to 3.9 based
on predicted infected cases (84) route warrants the introduction of negative fecal viral
Nucleic acid test results as one of the additional discharge criteria in laboratory confirmed
cases of COVID19(326) .
The COVID-19 pandemic does not have any novel factors, other than the
Genetically unique pathogen and a further possible reservoir . The cause and the likely
future outcome are just
Repetitions of our previous interactions with fatal Coro Naviruses . The only difference is
the time of occurrence and the genetic distinctness of the pathogen Involved . Mutations
on the
RBD of CoVs facilitated their capability of infecting newer hosts, thereby expanding their
reach to all corners of the world (85) . This is a potential threat to the health of both animals
and humans. Advanced studies using Bayesian phylogeographic reconstruction identified
the most probable origin of SARS-CoV-2 as the bat SARS-like coronavirus, circulating in the
Rhizomorph’s bat family (86) .
Phylogenetic analysis of 10 whole genome sequences of SARS-CoV-2 showed that they are
related to two CoVs of bat origin, namely, bat-SL-CoVZC45 and bat SL-CoVZXC21, which
were reported during 2018 in China (17) . It was reported that SARS-CoV-2 had been
confirmed to use ACE2 as an entry receptor while exhibiting an RBD similar fever, cough,
and sputum (83) . Hence, the clinicians must be on the look-out for the possible
occurrence of a typical clinical manifestations to avoid the possibility of missed diagnosis .
The early transmission ability of SARS-CoV-2 was found to be similar to or slightly higher
than that of SARS-CoV, reflecting that it could be
Controlled despite moderate to
High transmissibility (84) . Increasing reports of SARS- CoV-2 in sewage and wastewater
warrants the need for further investigation due to the
Possibility of fecal-oral transmission. SARS-CoV-2 present in environmental compartments
such as soil and water will finally end up in the wastewater and sewage sludge of treatment
plants (328) . Therefore, we have to reevaluate that current wastewater and sewage sludge
treatment procedures and introduce advanced techniques that are specific and effective
against SARS-CoV-2. Since there is active shedding of SARS-CoV-2 in the stool, the
prevalence of infections in a large population can be studied using
Wastewater-based epidemiology.
Recently, reverse transcription quantitative PCR(RT-PCR) was used to enumerate the
copies of SARS-CoV-2 RNA concentrated from wastewater collected from a wastewater
treatment plant (327) . The calculated viral RNA copy numbers determine the number of
infected individuals.
The whole world is suffering from novel SARS-CoV-2, with more than 4,170,424 cases and
287,399 deaths
Across the globe . There is an urgent need for a ration international campaign against the
unhealthy food
Practices of China to courage the sellers to increase hygienic food practices or close the
crude live-dead animal markets . There is a need to modify food policies at national and
international levels to avoid further life threats and economic consequences from any
emerging or reemerging
Pandemic due to close animal- human interaction (285) . Even though individuals of all
ages and sexes are susceptible to COVID-19,older people
With an underlying chronic disease are more likely to become severely infected (80) .
Recently, individuals with asymptomatic infection were also
Found to act as a source of infection to susceptible individuals (81) . Both the
asymptomatic and symptomatic
Patients secrete similar viral loads, which indicates that the transmission capacity of
asymptomatic or minimally symptomatic patients is very high .
Thus, SARS-CoV-2 transmission can happen early in the course of infection(82) . Atypical
clinical manifestations have also been reported in COVID-19 in which the only reporting
symptom was fatigue . Such patients
May lack respiratory signs, such as cough, fever, and sputum (83) .
Hence, the clinicians turtles, ducks, fish, Siamese crocodiles, and other
Animals meats without any fear of COVID-19. The Chinese government is encaging people
to feel they
Can return to Normalcy. However, this could be a risk, as it has been mentioned in
advisories that people should avoid contact with live-dead
Animals as much as possible, as
SARS-CoV-2 has shown zoonotic
Spillover. Additionally, we cannot rule out the possibility of new mutations
In the same virus being closely related to contact with both animals and humans at the
market (284) .In January 2020, China imposed a temporary ban on the sale of live-dead
animals in wet markets . However, now
Hundreds of such wet markets have been reopened without optimizing standard food
safety and sanitation practices (286) . With China being the most populated country in the
world
And due to it’s domestic and international food exportation policies, the whole world is now
facing the menAce of COVID-19, including China itself. Wet markets of live – dead animals do not maintain
strict food hygienic practice. Fresh blood splashes are present everywhere, on the floor and
tabletops, and such food customs could encourage many pathogens to adapt, mutate, and
jump the species barrier . As a result, the
Whole world is suffering from Novel SARS-CoV-2.
SARS-CoV-2. With more than, From experience with several outbreaks
Associated with known emerging viruses, higher pathogenicity of a virus is often associated
with lower transmissibility . Compared to emerging viruses like Ebola virus, avian
H7N9,SARS-CoV, and MERS-CoV, SARS-CoV-2 has relatively lower pathogenicity go and
Moderate transmissibility (15) . The risk of death among individuals infected withCOVID-19
was calculated using the infection fatality risk (IFR) . The
IFR was found to be in the range of 0.3% to 0.6%, which is comparable to that of a previous
Asian influenza pandemic (1957 to 1958) (73, 277) . Notably, the reanalysis of the COVID19 pandemic curve from the initial cluster of cases pointed to considerable human-tohuman transmission . It is opined that the exposure history of SARS- CoV-2 at the Wuhan
sea food market originated from human-to-human transmission rather than animal-tohuman transmission (74); however in light of the zoonotic spil- lover in COVID-19, is too
early to fully endorse this idea (1) . Following the initial infection, human-to-human
transmission has been observed with a preliminary reproduction number (R0) estimate of
1.4 to 2.5(70, 75), and recently
It is estimated to be 2.24 to 3.58
(76)
In another study, the average
Reproductive number of possible
Origin of SARS-CoV-2 and the first mode of disease transmission are not
Yet identified (70) . Analysis
Of the initial cluster of infections suggests that the infected individuals had a common
exposure point, a
Seafood market in Wuhan, Hubei Province, China (Fig.6).
The restaurants of this market are well-known for providing different types of wild animals
for human consumption (71) . The Hunan South China SeaFood market also sells live animals, such as poultry, bats, snakes and marmots (72) . This
might be the point where zoonotic (animal-to-human) transmission occurred (71) .Although
SARS-CoV-2 is alleged to have originated from an animal host (zoonoticorigin) with further
human-to- human transmission (Fig 6), the likelihood of food borne transmission should be
ruled out with further investigations, since it is a latent possibility (1) . Additionally, other
potential and expected routes would be associated with transmission, as in other
respiratory viruses, by direct contact, such as shaking contaminated hands, or by direct
contact with contaminated surfaces (fig . 6) . Still, whether blood transfusion and organ
Transplantation (276),as well as trans-placental and perinatal routes, are possible routes
for SARS-CoV-2
Transmission needs to be determined (Fig.6)
The newly emerged SARS-CoV-2
Is a group 2B coronavirus (2) .The genome sequences of SARS-CoV-2 obtained from
patients share 79.5% sequence similarities to the sequence of SARS-CoV (63) . As of 13
May 2020, a total of 4,170,424 confirmed cases of COVID-19 (with287,399 deaths) have
been reported in more than 210 countries worldwide (WHO Situation Report 114) and
deaths . The COVID-19 outbreaks has also been associated with severe economic impacts
globally due to the sudden interruption of global trade and supply chains that forced
multinational companies to make decisions that led to significant economic losses (66).
The recent increase in the number of confirmed critically ill patients with COVID-1⁷9 has
already surpassed the
Intensive care supplies , limiting intensive care services to only a small portion of critically
ill patients (67) . This might also have contributed to the increased case fatality rate
observed in the COVID-19 outbreak . Viewpoint on SARS-CoV-2 Transmission, Spread, and
Emergence. The novel coronavirus was identified within 1 month (28 days) of the outbreak
.This is impressively fast compared to the time taken to identify SARS-CoV reported in
Foshan, Guangdong Province, China (125 days) (68) . Immediately after the confirmation of
viral etiology, the Chinese virologists rapidly Released the Genomic sequence of SARSCoV-2, which played a crucial role in controlling the coronavirus to other parts of the world
(69) . The possible origin of SARS-CoV-2 and the first mode of covi 19 We assessed the
nucleotide percent similarity using the
Malign software program, where the similarity between the novel SARS-CoV-2 isolates was
in the range of 99.4% to 100% . Among the other Serbecovirus CoV sequences, the novel
SARS-CoV-2 sequences revealed the highest similarity to bat -SL- CoV, with nucleotide
percent identity ranges between 88.12 and 89.65% . Meanwhile, earlier reported SARSCoVs showed 70.6 to 74.9% similarity to SARS- CoV-2 at the nucleotide level .
Further, the nucleotide percent similarity was 55.4%, 45.5% to 47.9%, 46.2% to 46.6%, and
45.0% to 46.3% to the other four subgenera, namely, Hibecovirus, Nobecovirus,
Embecovirus, and Embecovirus,
Respectively . The percent similarity index of current outbreak isolates indicates a close
relationship between SARS-CoV-2 isolates and bat-SL-CoV, indicating common origin .
However,
Particular pieces of evidence based on further complete genomic analysis of current
isolates are necessary to draw any conclusions, although it was
Ascertained that the current novel SARS-CoV-2 isolates belong to the subgenus
Sarbecovirus in the diverse range of beta-coronaviruses . Their
Possible ancestor was hypothesized to be from bat Constraints, wherein bats might have
played a crucial role in
Harboring this class of viruses.
N PROTEIN
The N protein of coronavirus is multi-purpose. Among several functions, it plays a role in
complex forMatron with the viral genome, facilitates M protein interaction needed during
Virion assembly, and enhances the transcription efficiency of the virus (55, 56) . It contains
three highly conserved
And distinct domains, namely, an NTD, an RNA-binding domain or a linker region (LKR), and
a CTD (57) . The NTDbinds with the 3’ end of the viral genome, perhaps via electrostatic
interactions, and is highly diverged
Both in length and sequence (58) . The charged LKR is serine and arginine rich and is also
known as the SR (serine and arginine) domain (59) . The LKR is capable of direct interaction
with in vitro RNA interaction and is responsible for cell signaling (60, 61) . It also modulates
the antiviral response of the host by working as an antagonist
For interferon (IFN) and (RNA) interference(62) . Compared to that of SARS CoV, the N
protein of SARS CoV-2 possess five amino acid
Mutations, where two are in the intrinsically dispersed region
(IDR; positions 25 and 26), one each
In the NTD ( position 103), LKR
(position 217), and CTD ( position 334) (16) .
Nsps and Accessory Proteins adaptive evolution, close monitoring of the viral mutations
that occur during subsequent human-to-human transmission is warranted.
M PROTEIN
The M protein is the most abundant viral protein present in the virion particle, giving a
definite shape to the viral envelope G and acts as acentral organizer of coronavirus
assembly (49). Coronavirus M proteins are highly diverse in amino acid contents but
maintain overall structural similarity within different genera (50) . The M protein has
threetrans- membrane
Domains, flanked by a short amino terminus outside the virion and a long carboxyl
terminus inside the virion
(50) . overall, the viral scaffold is maintained by M-M interaction. Of note, the M protein of
SARS-CoV-2 does not have an amino acid substitution compared to that of SARS- CoV (16).
E PROTEIN
The coronavirus E protein is the most enigmatic and smallest of the major
Structural proteins (51). It plays a multifunctional role in the pathogenesis, assembly, and
release of the virus (52) . It is a small integral membrane polypeptide that acts as a
Viroporin (ion channel) (53) . The in-activation or coronavirus S protein is a large,
multifunctional class 1 viral
Trans-membrane protein. The size of this abundant S protein varies from 1,160 amino acids
(IBV, infectious
Bronchitis virus, in poultry) to 1,400 amino acids(FCoV, feline coronavirus) (43) . It lies in a
trimer on the virion
Surface, giving the virion a corona or crown like appearance . Functionally it is required for
the entry of the infectious virion particles into the cell through interaction with various host
cellular receptors
(44) . Furthermore, it acts
As a critical factor for tissues tropism and the determination of host range (45) . Notably, S
protein is one of the vital immune dominant proteins of
CoVs capable of inducing host
Immune responses (45) . The edomino’s in all CoVs S protein
Have similar domain organizations, divided into two subunits, S1 and S2 (43) . The first one,
S1, helps in host
Receptor binding, while the second one, S2, accounts for fusion . The former (S1) is further
divided into two
Subdomains, namely, the N-terminal domain (NTD) and C-terminal domain (CTD) . Both of
these subdomains act as receptor-binding domains, interacting efficiently with various
host receptors (45) .
The S1 CTD contains the receptor binding motif (RBM) . Inmeach coronavirus spike protein,
the turmeric S1 Locates itself on
The top of the turmeric S2 Cat and camels, respectively, act as amplifier hosts (40, 41) .
Coronavirus genomes
And sub-genomes encode six ORFs (31) . The majority of the 5’ end is occupied by ORF
1a/b, which produces 16 nsps . The two polyproteins, pp 1a
And pp 1ab, are initially produced from ORF1a/b by a -1 frameshift between
ORF1a and ORF1b (32) . The virus encoded proteases cleave polyproteins into individuals
nsps (main protease) [Mpro], chymotrypsin-like protease [3CLpro], and papain-like
proteases [PLPs]) (42) . SARSCoV-2 also encodes these nsps, and their functions have
been elucidated recently (31) . Remarkable, a difference between SARS-CoV-2 and other
CoVs is the identification of a novel short putative protein within the ORF3 band, a secreted
protein with an alpha helix and beta-sheet with six strands encoded by ORF8 (31) .
Coronaviruses encode four major structural proteins, namely, spike (S), membrane (M),
envelope €, and nucleocapsid (N), which are described in detail below.
S Glyco-protein Coronavirus S protein is a large, multifunctional class 1 viral trans
membrane protein . The size of
This based on molecular characterization, SARSCoV-2 is considered a new Betacoronavirus
Belonging to the subgenus Sar becovirus (3) . A few other critical zoonotic viruses (MERSrelated CoV and SARS related CoV) belongs to the same genus . However, SARS-CoV-2 was
identified as a distinct virus based on the percent identity with other Beta-coronavirus;
conserved open reading frame 1a/b (oRF1a/b) is
Below 90% identity (3) . An overall 80% nucleotide identity was observed between SARSCoV-2 and the original SARS CoV, along with 89% identity with ZC TFT 545 and ZXC21 SARSrelated
CoVs of bats (2,31, 36) . In addition, 82% identity has been observed between SARS-CoV-2
and human SARS-CoV Tor2 and human SARS-CoV BJ-) . A sequence identity of
only 51.8% was observed between MERS-related CoV and the recently emerged SARS-CoV2 (37) . Phylogenetic analysis of the structural genes also revealed that SARS-CoV-2 is
closer to bat SARS-related CoV. Therefore, SARS-CoV-2 might have originated from bats,
while other amplifier
Hosts might have played a role in disease transmission to humans (31) . of note, the other
two zoonotic CoVs(MERS- related CoV and SARS- related CoV) also originated from bats
(38, 39) .Nevertheless, for SARS and MERS, civet encircled with an envelope containing
viral nucleocapsid. The nucleocapsid in CoV sar arranged in helical symmetry, which
reflects and a typical attribute in Positive Sense
RNA viruses (30) . The electron micrographs of SARS-CoV-2 revealed a diverging spherical
outline with some degree of pleomorphic, virion diameter varying from 60 to 140nm, and
distinct spikes of 9 to 12 nm, giving
The virus the appearance of a solar corona (3) . The CoV genome is arranged linearly as 5’
leader UTR replicate structural genes ( S-E-M-N) -3’ UTR-poly (A) (32) . Accessory genes,
such as 3a/b , 4a/b , and the hem agglutinin-esterase gene
(HE), are also seen intermingled with the structural genes (30) .
SARS-CoV-2 has also been found to be arranged similarly and encodes several accessory
proteins, although it lacks the HE, which is characteristics of some Beta coronaviruses (31)
. The Positive sense genome of CoVs serves as the RNA and is translated to poly-protein
1a/1ab(pp 1a/1ab) (33) . A replication transcription complex (RTC)
Is formed in double membrane vesicles (DMVs) by non structural proteins (nsps), encoded
by the polyproteins gene (34) . Subsequently, the RTC synthesizes a nested set of sub
genomic RNAs (RNAs) via discontinuous transcription (35).
A pandemic situation In the worldwide population, leading to disease outbreaks that have
not been controlled to date, although extensive efforts are being put in place to counter this
virus (25) . This virus has been proposed to be designated/named severe acute respiratory
syndrome coronavirus 2 (SARS-CoV-2)
By the International Committee on Taxonomy of Viruses (ICTV), which determined the virus
belongs to the Severe acute respiratory syndrome-related coronavirus category and found
this virus is related to
SARS-CoVs (26) . SARS-CoV-2 is a member of the order Noroviruses, family
Coronaviridae, subfamily Ortho irons Irina’s, which is subdivided into four genera, viz . ,
Alpha- coronavirus, Beta-coronavirus, Gamma-coronavirus, and Delta-coronavirus have
evolved from bird and swine gene pools (24, 28, 29, 275) .
Coronaviruses possess an unsegment, single stranded, positive-sense RNA genome of
around 30 kb, enclosed by a 5’-cap and 3’-poly (A) tail (30) . The Genome of SARS-
CoV-2 is 29,891 long, with a G+C content of 38% (31) . These viruses are encircled with an
envelope containing viral. Some therapeutic options for treating COVID-19 showed efficacy
in , in vitro studies; however, to date, these treatments have not undergone any randomized
animal or
Human clinical trials, which limit their practical applicability in the current pandemic (7,
9,19-21) . The present comprehensive review describes the
Various features of SARS- CoV-2/ COVID-19 causing the current disease outbreaks and
advance in diagnosis and developing vaccines and therapeutics. It also provides a brief
comparison with the earlier SARS and
MERS CoVs, the veterinary perspective of CoVs and this merging novel pathogen, and an
evaluation of the zoonotic potential of similar ovar CoVs to provide feasible One Health
strategies for the management of this fatal virus (22 -367) .
THE VIRUS (SARS-COV-2)
Coronaviruses are Positive-sense RNA viruses having an extensive range of natural hosts
and affect multiple systems (23, 24). Coronaviruses can cause clinical
Disease in humans that may extend from the common cold to more severe respiratory
diseases like SARS and MERS (17 , 279) .The recently emerging SARS-CoV-2 has wrought
Havoc in China and caused a pandemic situation in the worldwide population.
Furthermore, SARS-CoV-2
Is genetically distinct from SARS-CoV (79% similarity) and MERS-CoV (nearly 50%) (17) .
COVID-19 is associated with afflictions of the lungs in all cases and generated
characteristics chest computer tomography findings, such as the presence of multiple
lesions in lung
Lobes that appear as dense, ground-glass opaque structures that occasionally coexist with
consolidation shadows (18)
New targeted drugs, and prevention of further epidemics (13). The most common
symptoms associated with COVID-19 are fever, cough, dyspnea,
Expectoration, headache, and myalgia or fatigue . In contrast, less common signs at the
time of hospital admission include diarrhea, Hemoptysis, and shortness of breath (14) .
Recently, individuals with a symptomatic infections were also suspected of transmitting
infections, which further adds to the complexity of disease transmission dynamics in
COVID-19 infections(1) . Such efficient responses require in-depth knowledge regarding
the virus, which currently is a novel
Agent; consequently, further studies are required . Comparing the genome of SARS/SARSlike CoV revealed that the sequence coding for the spike protein, with a total length of
1,273
Amino acids, showed 27amino acid substitutions . Six of these substitutions are in the
region of the receptor-binding domain (RBD), and another six substitutions are in the
underpinning subdomain (SD) (16) . Phylogenetic analysis have revealed thatSARS-CoV-2 is
closely related (88% similarity) to two SARS-like CoVs derived from bat SARS-like CoVs
(bat-SL-CoVZC45 and bat-SL-CoVZXC21) (Fig . 1). Range of hosts, producing symptoms
and
Diseases ranging from the common cold to severe and ultimately
Fatal illnesses, such as SARS, MERS, and presently, COVID-19 . SARS-CoV-2 is considered
one of the
Seven members of the CoV family that infect humans (3), and it belongs to the same
lineage of CoVs that causes SARS; however, this novel virus is genetically distinct . Until
2020, six CoV were known to infect humans, including human CoV 229E (HCoV-229E),
HCoV-NL63, HCoV-OC43, HCoV-HKUI, SARS-CoV, and MERS-CoV have resulted in
outbreaks with high mortality, others remain associated with mild upper respiratory-tract
illnesses (4) . Newly evolved CoVs pose a high threat to global public health . The current
emergence of COVID-19 is the third CoV outbreaks in humans over the past 2 decades (5) .
It is no coincidence that Fanetal . Predicted potential SARs- or MERS-like
CoV outbreaks in China following pathogen transmission from bats (6). COVID-19 emerged
in China and
Spread rapidly throughout the country and, subsequently, to other countries.
Due to the severity of this outbreak and the potential of spreading on an international scale,
the WHO declared a global health emergency on 31 January 2020; subsequently, on 11
March 2020 , they declared it a pandemic situation . At present, we are not in a position to
effectively treat
COVID-19, since neither approved vaccines nor specific antiviral drugs for treating human
CoV infections are available (7 – 9) . Most nations are currently making efforts to prevent
the further spreading of this potentially
Deadly virus by implementing preventive and control strategies. In domestic animals,
infections with CoVs are associated with a broad-spectrum of pathological conditions .
Apart from infectious bronchitis virus, canine respiratory CoV, and mouse hepatitis virus,
CoVs are predominantly associated with gastrointestinal disease (10) . The emergence of
novel CoVs may have become possible because of multiple CoVs being maintained in their
natural host, which could have favored the probability of genetic recombination (10) . High
Genetic diversity and the ability to infect
Multiple host species are a result of high frequency mutations in CoVs, which occur due to
the instability of RNA-dependent RNA polymerases along with higher rates of homologous
RNA recombination (10,11) . Identifying
The origin of SARS- CoV-2 and the pathogen’s evolution will be helpful for disease
surveillance (12) .