ArticlePDF Available

Abstract and Figures

The present outbreak of a coronavirus-associated acute respiratory disease called coronavirus disease 19 (COVID-19) is the third documented spillover of an animal coronavirus to humans in only two decades that has resulted in a major epidemic. The Coronaviridae Study Group (CSG) of the International Committee on Taxonomy of Viruses, which is responsible for developing the classification of viruses and taxon nomenclature of the family Coronaviridae, has assessed the placement of the human pathogen, tentatively named 2019-nCoV, within the Coronaviridae. Based on phylogeny, taxonomy and established practice, the CSG recognizes this virus as forming a sister clade to the prototype human and bat severe acute respiratory syndrome coronaviruses (SARS-CoVs) of the species Severe acute respiratory syndrome-related coronavirus, and designates it as SARS-CoV-2. In order to facilitate communication, the CSG proposes to use the following naming convention for individual isolates: SARS-CoV-2/host/location/isolate/date. While the full spectrum of clinical manifestations associated with SARS-CoV-2 infections in humans remains to be determined, the independent zoonotic transmission of SARS-CoV and SARS-CoV-2 highlights the need for studying viruses at the species level to complement research focused on individual pathogenic viruses of immediate significance. This will improve our understanding of virus–host interactions in an ever-changing environment and enhance our preparedness for future outbreaks.
| Phylogeny of coronaviruses. a, Concatenated multiple sequence alignments (MSAs) of the protein domain combination 44 used for phylogenetic and DEmARC analyses of the family Coronaviridae. Shown are the locations of the replicative domains conserved in the ordert Nidovirales in relation to several other ORF1a/b-encoded domains and other major ORFs in the SARS-CoV genome. 5d, 5 domains: nsp5A-3CLpro, two beta-barrel domains of the 3C-like protease; nsp12-NiRAN, nidovirus RdRp-associated nucleotidyltransferase; nsp12-RdRp, RNA-dependent RNA polymerase; nsp13-HEL1 core, superfamily 1 helicase with upstream Zn-binding domain (nsp13-ZBD); nt, nucleotide. b, The maximum-likelihood tree of SARS-CoV was reconstructed by IQ-TREE v.1.6.1 (ref. 45 ) using 83 sequences with the best fitting evolutionary model. Subsequently, the tree was purged from the most similar sequences and midpoint-rooted. Branch support was estimated using the Shimodaira-Hasegawa (SH)-like approximate likelihood ratio test with 1,000 replicates. GenBank IDs for all viruses except four are shown; SARS-CoV, AY274119.3; SARS-CoV-2, MN908947.3; SARSr-CoV_BtKY72, KY352407.1; SARS-CoV_PC4-227, AY613950.1. c, Shown is an IQ-TREE maximum-likelihood tree of single virus representatives of thirteen species and five representatives of the species Severe acute respiratory syndrome-related coronavirus of the genus Betacoronavirus. The tree is rooted with HCoV-NL63 and HCoV-229E, representing two species of the genus Alphacoronavirus. Purple text highlights zoonotic viruses with varying pathogenicity in humans; orange text highlights common respiratory viruses that circulate in humans. Asterisks indicate two coronavirus species whose demarcations and names are pending approval from the ICTV and, thus, these names are not italicized.
… 
Content may be subject to copyright.
Consensus statement
https://doi.org/10.1038/s41564-020-0695-z
*A list of authors and their affiliations appears at the end of the paper.
Upon a viral outbreak, it is important to rapidly establish
whether the outbreak is caused by a new or a previously
known virus (Box 1), as this helps decide which approaches
and actions are most appropriate to detect the causative agent, con-
trol its transmission and limit potential consequences of the epi-
demic. The assessment of virus novelty also has implications for
virus naming and, on a different timescale, helps to define research
priorities in virology and public health.
For many human virus infections such as influenza virus1 or
norovirus2 infections, well-established and internationally approved
methods, standards and procedures are in place to identify and
name the causative agents of these infections and report this infor-
mation promptly to public health authorities and the general public.
In outbreaks involving newly emerged viruses, the situation may
be different, and appropriate procedures to deal with these viruses
need to be established or refined with high priority.
Here, we present an assessment of the genetic relatedness of the
newly identified human coronavirus3, provisionally named 2019-
nCoV, to known coronaviruses, and detail the basis for (re)naming
this virus severe acute respiratory syndrome coronavirus 2 (SARS-
CoV-2), which will be used hereafter. Given the public interest in nam-
ing newly emerging viruses and the diseases caused by these viruses
in humans, we will give a brief introduction to virus discovery and
classification — specifically the virus species concept — and the roles
of different bodies, such as the World Health Organization (WHO)
and the International Committee on Taxonomy of Viruses (ICTV), in
this process. We hope this will help readers to better understand the
scientific approach we have taken to arrive at this name, and we will
also discuss implications of this analysis and naming decision.
Classifying and naming viruses and virus species
Defining the novelty of viruses is one of the topics that virus
classification deals with. The classification of RNA viruses needs to
consider their inherent genetic variability, which often results in two
or more viruses with non-identical but similar genome sequences
being regarded as variants of the same virus. This immediately
poses the question of how much difference to an existing group is
large enough to recognize the candidate virus as a member of a new,
distinct group. This question is answered in best practice by evalu-
ating the degree of relatedness of the candidate virus to previously
identified viruses infecting the same host or established monophy-
letic groups of viruses, often known as genotypes or clades, which
may or may not include viruses of different hosts. This is formally
addressed in the framework of the official classification of virus tax-
onomy and is overseen and coordinated by the ICTV4. Viruses are
clustered in taxa in a hierarchical scheme of ranks in which the spe-
cies represents the lowest and most populous rank containing the
least diverged groups (taxa) of viruses (Box2). The ICTV maintains
a Study Group for each virus family. The Study Groups are respon-
sible for assigning viruses to virus species and taxa of higher ranks,
such as subgenera, genera and subfamilies. In this context they play
an important role in advancing the virus species concept and high-
lighting its significance5.
Virus nomenclature is a formal system of names used to label
viruses and taxa. The fact that there are names for nearly all viruses
within a species is due to the historical perception of viruses as
causative agents of specific diseases in specific hosts, and to the way
we usually catalogue and classify newly discovered viruses, which
increasingly includes viruses that have not been linked to any known
disease in their respective hosts (Box 1). The WHO, an agency of the
United Nations, coordinates international public health activities
aimed at combating, containing and mitigating the consequences
of communicable diseases—including major virus epidemics—and
is responsible for naming disease(s) caused by newly emerging
human viruses. In doing so, the WHO often takes the traditional
approach of linking names of specific diseases to viruses (Box 1) and
The species Severe acute respiratory syndrome-
related coronavirus: classifying 2019-nCoV and
naming it SARS-CoV-2
Coronaviridae Study Group of the International Committee on Taxonomy of Viruses*
The present outbreak of a coronavirus-associated acute respiratory disease called coronavirus disease 19 (COVID-19) is the
third documented spillover of an animal coronavirus to humans in only two decades that has resulted in a major epidemic.
The Coronaviridae Study Group (CSG) of the International Committee on Taxonomy of Viruses, which is responsible for develop-
ing the classification of viruses and taxon nomenclature of the family Coronaviridae, has assessed the placement of the human
pathogen, tentatively named 2019-nCoV, within the Coronaviridae. Based on phylogeny, taxonomy and established practice, the
CSG recognizes this virus as forming a sister clade to the prototype human and bat severe acute respiratory syndrome corona-
viruses (SARS-CoVs) of the species Severe acute respiratory syndrome-related coronavirus, and designates it as SARS-CoV-2.
In order to facilitate communication, the CSG proposes to use the following naming convention for individual isolates: SARS-
CoV-2/host/location/isolate/date. While the full spectrum of clinical manifestations associated with SARS-CoV-2 infections
in humans remains to be determined, the independent zoonotic transmission of SARS-CoV and SARS-CoV-2 highlights the
need for studying viruses at the species level to complement research focused on individual pathogenic viruses of immediate
significance. This will improve our understanding of virus–host interactions in an ever-changing environment and enhance our
preparedness for future outbreaks.
NATURE MICROBIOLOGY | www.nature.com/naturemicrobiology
Consensus statement NATuRe MICROBIOlOGy
assessing virus novelty by an apparent failure to detect the causative
agent using established diagnostic assays.
Apart from disease, geography and the organism from which a
given virus was isolated also dominate the nomenclature, occasion-
ally engraving connections that may be accidental (rather than typi-
cal) or even stigmatizing, which should be avoided. Establishing a
universal nomenclature for viruses was one of the major tasks of
the ICTV when it was founded more than 50 years ago4. When the
species rank was established in the taxonomy of viruses6, ICTV’s
responsibility for naming viruses was shifted to naming and
establishing species. ICTV Study Groups may also be involved in
virus naming on a case-by-case basis as an extension of their offi-
cial remit, as well as using the special expertise of their members.
As virus species names are often very similar to the name of the
founding member of the respective species, they are frequently con-
fused in the literature with names of individual viruses in this species.
The species name is italicized, starts with a capital letter and should
not be spelled in an abbreviated form7; hence the species name Severe
acute respiratory syndrome-related coronavirus. In contrast, this
convention does not apply to virus names, hence severe acute respi-
ratory syndrome coronavirus, or SARS-CoV, as it is widely known.
Defining the place of SARS-CoV-2 within the Coronaviridae
Researchers studying coronaviruses—a family of enveloped pos-
itive-strand RNA viruses infecting vertebrates8—have been con-
fronted several times with the need to define whether a newly
emerged virus causing a severe or even life-threatening disease in
humans belongs to an existing or a new (yet-to-be-established) spe-
cies. This happened with SARS912 and with Middle East respiratory
syndrome (MERS)13,14 a few years later. Each time, the virus was
placed in the taxonomy using information derived from a sequence-
based family classification15,16.
The current classification of coronaviruses recognizes 39 species
in 27 subgenera, five genera and two subfamilies that belong to the
family Coronaviridae, suborder Cornidovirineae, order Nidovirales
and realm Riboviria1719 (Fig.1). The family classification and tax-
onomy are developed by the Coronaviridae Study Group (CSG), a
working group of the ICTV20. The CSG is responsible for assessing
Box 1 | Virus discovery and naming: from disease-based to phenotype-free
Understanding the cause of a specic disease that spreads among
individuals of the same host species (infectivity) was the major
driving force for the discovery of the rst virus in plants, and
subsequently many others in all forms of life, including humans.
Historically, the range of diseases and hosts that specic viruses
are associated with have been the two key characteristics used
to dene viruses, given that they are invisible to the naked eye46.
Viral phenotypic features include those that, like a disease, are pre-
dominantly shaped by virus–host interactions including transmis-
sion rate or immune correlates of protection, and others that are
largely virus-specic, such as the architecture of virus particles.
ese features are of critical importance to control, and respond
to medically and economically important viruses — especially
during outbreaks of severe disease — and dominate the general
perception of viruses.
However, the host of a given virus may be uncertain, and virus
pathogenicity remains unknown for a major (and fast-growing)
proportion of viruses, including many coronaviruses discovered
in metagenomics studies using next-generation sequencing
technology of environmental samples47,48. ese studies have
identied huge numbers of viruses that circulate in nature and
have never been characterized at the phenotypic level. us, the
genome sequence is the only characteristic that is known for
the vast majority of viruses, and needs to be used in dening
specic viruses. In this framework, a virus is dened by a genome
sequence that is capable of autonomous replication inside cells
and dissemination between cells or organisms under appropriate
conditions. It may or may not be harmful to its natural host.
Experimental studies may be performed for a fraction of known
viruses, while computational comparative genomics is used to
classify (and deduce characteristics of) all viruses. Accordingly,
virus naming is not necessarily connected to disease but rather
informed by other characteristics.
In view of the above advancements and when confronted with
the question of whether the virus name for the newly identied
human virus should be linked to the (incompletely dened) disease
that this virus causes, or rather be established independently from
the virus phenotype, the CSG decided to follow a phylogeny-based
line of reasoning to name this virus whose ontogeny can be traced
in the gure in Box 1.
Virus
Naming authority
Disease
Middle East
respiratory syndrome
(MERS)
Virus
species
Middle East respiratory
syndrome-related
coronavirus
Severe acute respiratory
syndrome-related
coronavirus
MERS-CoV
WHO
ICTV-
CSG
Coronavirus
disease 2019
(COVID-19)
SARS-CoV-2SARS-CoV
Severe acute
respiratory syndrome
(SARS)
Year 2012
First name Name origin
2003 2019
History of coronavirus naming during the three zoonotic outbreaks in relation to virus taxonomy and diseases caused by these viruses. According to
the current international classification of diseases49, MERS and SARS are classified as 1D64 and 1D65, respectively.
NATURE MICROBIOLOGY | www.nature.com/naturemicrobiology
Consensus statement
NATuRe MICROBIOlOGy
the place of new viruses through their relation to known viruses in
established taxa, including placements relating to the species Severe
acute respiratorysyndrome-related coronavirus. In the classification
of nidoviruses, species are considered biological entities demar-
cated by a genetics-based method21, while generally virus species are
perceived as man-made constructs22. To appreciate the difference
between a nidoviral species and the viruses grouped therein, it may
be instructive to look at their relationship in the context of the full
taxonomy structure of several coronaviruses. Although these viruses
were isolated at different times and locations from different human
and animal hosts (with and without causing clinical disease), they
all belong to the species Severe acute respiratorysyndrome-related
coronavirus, and their relationship parallels that between human
individuals and the species Homo sapiens (Fig.1).
Even without knowing anything about the species concept, every
human recognizes another human as a member of the same species.
However, for assigning individual living organisms to most other
species, specialized knowledge and tools for assessing inter-individ-
ual differences are required. The CSG uses a computational frame-
work of comparative genomics23, which is shared by several ICTV
Study Groups responsible for the classification and nomenclature
of the order Nidovirales and coordinated by the ICTV Nidovirales
Study Group (NSG)24 (Box3). The Study Groups quantify and
partition the variation in the most conserved replicative proteins
encoded in open reading frames 1a and 1b (ORF1a/1b) of the coro-
navirus genome (Fig.2a) to identify thresholds on pair-wise patris-
tic distances (PPDs) that demarcate virus clusters at different ranks.
Consistent with previous reports, SARS-CoV-2 clusters with
SARS-CoVs in trees of the species Severe acute respiratory syn-
drome-related coronavirus (Fig.2b) and the genus Betacoronavirus
(Fig.2c)2527. Distance estimates between SARS-CoV-2 and the most
closely related coronaviruses vary among different studies depend-
ing on the choice of measure (nucleotide or amino acid) and genome
region. Accordingly, there is no agreement yet on the exact taxo-
nomic position of SARS-CoV-2 within the subgenus Sarbecovirus.
When we included SARS-CoV-2 in the dataset used for the most
recent update (May 2019) of the coronavirus taxonomy currently
being considered by ICTV19, which includes 2,505 coronaviruses,
Box 2 | Identifying viral species
e terms strain and isolate are commonly used to refer to virus
variants, although there are dierent opinions as to which term
should be used in a specic context. If a candidate virus clus-
ters within a known group of isolates, it is a variant of this group
and may be considered as belonging to this known virus group.
In contrast, if the candidate virus is outside of known groups and
its distances to viruses in these groups are comparable to those ob-
served between viruses of dierent groups (intergroup distances),
the candidate virus is distinct and can be considered novel.
is evaluation is usually conducted in silico using
phylogenetic analysis, which may be complicated by uneven
rates of evolution that vary across dierent virus lineages and
genomic sites due to mutation, including the exchange of
genome regions between closely related viruses (homologous
recombination). However, given that the current sampling of
viruses is small and highly biased toward viruses of signicant
medical and economic interest, group composition varies
tremendously among dierent viruses, making decisions on
virus novelty group-specic and dependent on the choice of the
criteria selected for this assessment.
ese challenges are addressed in the framework of virus
taxonomy, which partitions genomic variation above strain or
isolate level and develops a unique taxon nomenclature under
the supervision of the ICTV4,5. To decide on whether a virus
represents a new species—that is, the least diverged (and most
populated) group of viruses—taxonomists use the results of
dierent analyses. Taxonomical classication is hierarchical,
using nested groups (taxa) that populate dierent levels (ranks)
of classication. Taxa of dierent ranks dier in their intra-taxon
pairwise divergence, which increases from the smallest at the
species rank to the largest at the realm rank30. ey may also be
distinguished by taxon-specic markers that characterize natural
groupings. Only the species and genus ranks need to be specied
to classify a new virus; lling other ranks is optional. If a virus
prototypes a new species, it will be regarded as taxonomically
novel. If (within this framework) a virus crosses a host barrier
and acquires novel properties, its classication will not change
(that is, it remains part of the original species) even if the virus
establishes a permanent circulation in the new host, which likely
happened with coronaviruses of the four species that circulate
in humans and display seasonal peaks (reviewed in ref. 50).
Importantly, the criteria used to dene a viral species in one
virus family such as Coronaviridae may not be applicable to
another family such as Retroviridae, and vice versa, since Study
Groups are independent in their approach to virus classication.
Box 3 | Classifying coronaviruses
Initially, the classication of coronaviruses was largely based on
serological (cross-) reactivities to the viral spike protein, but is
now based on comparative sequence analyses of replicative pro-
teins. e choice of proteins and the methods used to analyse
them have gradually evolved since the start of this century20,28,29,51.
e CSG currently analyses 3CLpro, NiRAN, RdRp, ZBD and
HEL1 (ref. 52) (Fig.2a), two domains less than previously used
in the analyses conducted between 2009 and 2015 (refs. 16,18).
According to our current knowledge, these ve essential do-
mains are the only ones conserved in all viruses of the order Ni-
dovirales52. ey are thus used for the classication by all ICTV
nidovirus study groups (coordinated by the NSG).
Since 2011, the classication of coronaviruses and other
nidoviruses has been assisted by the DivErsity pArtitioning
by hieRarchical Clustering (DEmARC) soware, which
denes taxa and ranks23,24. Importantly, the involvement of all
coronavirus genome sequences available at the time of analysis
allows family-wide designations of demarcation criteria for all
ranks, including species, regardless of the taxa sampling size,
be it a single or hundreds of virus(es). DEmARC delineates
monophyletic clusters (taxa) of viruses using weighted linkage
clustering in the PPD space and according to the classication of
ranks dened through clustering cost (CC) minima presented as
PPD thresholds (PPD accounts for multiple substitutions at all
sequence positions and thus may exceed 1.0, which is the limit
for conventional pair-wise distances (PDs)). In the DEmARC
framework, the persistence of thresholds in the face of increasing
virus sampling is interpreted to reect biological forces and
environmental factors21. Homologous recombination, which
is common in coronaviruses5355, is believed to be restricted in
genome regions encoding the most essential proteins, such as
those used for classication, and to members of the same virus
species. is restriction promotes intra-species diversity and
contributes to inter-species separation. To facilitate the use
of rank thresholds outside of the DEmARC framework, they
are converted into PD and expressed as a percentage, which
researchers commonly use to arrive at a tentative assignment
of a given virus within the coronavirus taxonomy following
conventional phylogenetic analysis of selected viruses.
NATURE MICROBIOLOGY | www.nature.com/naturemicrobiology
Consensus statement NATuRe MICROBIOlOGy
the species composition was not affected and the virus was assigned
to the species Severe acute respiratory syndrome-related coronavirus,
as detailed in Box4.
With respect to novelty, SARS-CoV-2 differs from the two other
zoonotic coronaviruses, SARS-CoV and MERS-CoV, introduced
to humans earlier in the twenty-first century. Previously, the CSG
established that each of these two viruses prototype a new species
in a new informal subgroup of the genus Betacoronavirus15,16. These
two informal subgroups were recently recognized as subgenera
Sarbecovirus and Merbecovirus18,28,29 when the subgenus rank was
established in the virus taxonomy30. Being the first identified repre-
sentatives of a new species, unique names were introduced for the
two viruses and their taxa in line with the common practice and state
of virus taxonomy at the respective times of isolation. The situation
with SARS-CoV-2 is fundamentally different because this virus is
assigned to an existing species that contains hundreds of known
viruses predominantly isolated from humans and diverse bats. All
these viruses have names derived from SARS-CoV, although only
the human isolates collected during the 2002–2003 outbreak have
been confirmed to cause SARS in infected individuals. Thus, the
reference to SARS in all these virus names (combined with the use
of specific prefixes, suffixes and/or genome sequence IDs in pub-
lic databases) acknowledges the phylogenetic (rather than clinical
disease-based) grouping of the respective virus with the prototypic
virus in that species (SARS-CoV). The CSG chose the name SARS-
CoV-2 based on the established practice for naming viruses in this
species and the relatively distant relationship of this virus to the pro-
totype SARS-CoV in a species tree and the distance space (Fig.2b
and the figure in Box4).
The available yet limited epidemiological and clinical data for
SARS-CoV-2 suggest that the disease spectrum and transmission
efficiency of this virus3135 differ from those reported for SARS-
CoV9. To accommodate the wide spectrum of clinical presentations
and outcomes of infections caused by SARS-CoV-2 (ranging from
asymptomatic to severe or even fatal in some cases)31, the WHO
recently introduced a rather unspecific name (coronavirus disease
19, also known as COVID-19 (ref. 36)) to denote this disease. Also,
the diagnostic methods used to confirm SARS-CoV-2 infections are
not identical to those of SARS-CoV. This is reflected by the specific
recommendations for public health practitioners, healthcare work-
ers and laboratory diagnostic staff for SARS-CoV-2 (for example,
the WHO guidelines for SARS-CoV-2 (ref. 37). By uncoupling the
naming conventions used for coronaviruses and the diseases that
some of them cause in humans and animals, we wish to support the
WHO in its efforts to establish disease names in the most appro-
priate way (for further information, see the WHO’s guidelines for
disease naming38). The further advancement of naming conventions
is also important because the ongoing discovery of new human and
animal viruses by next-generation sequencing technologies can be
expected to produce an increasing number of viruses that do not
(easily) fit the virus–disease model that was widely used in the pre-
genomic era (Box 1). Having now established different names for
the causative virus (SARS-CoV-2) and the disease (COVID-19), the
CSG hopes that this will raise awareness in both the general public
and public health authorities regarding the difference between these
two entities. The CSG promotes this clear distinction because it will
help improve the outbreak management and also reduces the risk of
confusing virus and disease, as has been the case over many years
with SARS-CoV (the virus) and SARS (the disease).
To facilitate good practice and scientific exchange, the CSG rec-
ommends that researchers describing new viruses (that is, isolates)
in this species adopt a standardized format for public databases and
publications that closely resembles the formats used for isolates of
avian coronaviruses39, filoviruses40 and influenza virus1. The pro-
posed naming convention includes a reference to the host organism
that the virus was isolated from, the place of isolation (geographic
location), an isolate or strain number, and the time of isolation (year
or more detailed) in the format virus/host/location/isolate/date; for
Sarbecovirus
Nidovirales Primates
Homo sapiens
CoronavirusesCategory Humans
Order
Family
Subfamily
Subgenus
Genus
Species
Individuum
Suborder
Realm
Coronaviridae
Orthocoronavirinae
Betacoronavirus
Riboviria
Cornidovirineae
Hominidae
Homininae
Homo
Divergence
Dmitri Ivanovsky, Martinus Beijerinck,
Friedrich Loeffler, Barbara McClintock,
Marie Curie, Albert Einstein,
Rosalind Franklin, Hideki Yukawa,
and so on.
SARS-CoVUrbani, SARS-CoVGZ-02,
Bat SARS CoVRf1/2004, Civet SARS
CoVSZ3/2003, SARS-CoVPC4-227,
SARSr-CoVBtKY72, SARS-CoV-2
Wuhan-Hu-1, SARSr-CoVRatG13,
and so on.
Severe acute respiratory
syndrome-related coronavirus
Fig. 1 | Taxonomy of selected coronaviruses. Shown is the full taxonomy of selected coronaviruses in comparison with the taxonomy of humans (the
founders of virology and other eminent scientists represent individual human beings for the sake of this comparison), which is given only for categories
(ranks) that are shared with the virus taxonomy. Note that these two taxonomies were independently developed using completely different criteria.
Although no equivalence is implied, the species of coronaviruses is interpreted sensu stricto as accepted for the species of humans.
NATURE MICROBIOLOGY | www.nature.com/naturemicrobiology
Consensus statement
NATuRe MICROBIOlOGy
0 1,000 nt
5d
nsp4B-TM
nsp5A-3CLpro
nsp5B-3CLpro
nsp6-TM
nsp7
nsp8
nsp9
nsp10-CysHis
nsp12-NiRAN
nsp12-RdRp
nsp13-ZBD
nsp13-1B
nsp13-HEL1core
nsp14A2-ExoN
nsp14B-NMT
nsp15-A1
nsp15B-NendoU
nsp16-OMT
+1
0
−1
SARS-CoV
a
b
SARSr-CoV BtKY72
GU190215.1
MG772933.1
MG772934.1
SARS-CoV-2
SARSr-CoV RaTG13
JX993988.1
DQ412043.1
GQ153547.1
KF294457.1
KY938558.1
DQ412042.1
KJ473813.1
SARS-CoV
AY351680.1
SARS-CoV PC4−227
FJ588686.1 90% SH
70% SH < 90%
SH < 70%
0.005
c
HCoV 229E
HCoV NL63
MrufCoV 2JL14
HCoV OC43
ChRCoV HKU24
HCoV HKU1
MHV
EriCoV
MERS-CoV
Ty-BatCoV HKU4
Pi-BatCoV HKU5
Ei-BatCoV C704
Ro-BatCoV HKU9
Ro-BatCoV GCCDC1
Bat Hp-BetaCoV
SARS-CoV
SARS-CoV PC4–227
SARSr-CoV RaTG13
SARS-CoV−2
SARSr-CoV BtKY72
Viruses
0.1
Species
90% SH
70% SH < 90%
SH < 70%
Severe acute respiratory
syndrome-related coronavirus
Bat Hp-betacoronavirus Zhejiang2013
Rousettus bat coronavirus GCCDC1
Rousettus bat coronavirus HKU9
Eidolon bat coronavirus C704*
Pipistrellus bat coronavirus HKU5
Tylonycteris bat coronavirus HKU4
Middle East respiratory syndrome-related coronavirus
Hedgehog coronavirus 1
Murine coronavirus
Human coronavirus HKU1
China Rattus coronavirus HKU24
Betacoronavirus 1
Myodes coronavirus 2JL14*
Human coronavirus NL63
Human coronavirus 229E
Fig. 2 | Phylogeny of coronaviruses. a, Concatenated multiple sequence alignments (MSAs) of the protein domain combination44 used for phylogenetic and
DEmARC analyses of the family Coronaviridae. Shown are the locations of the replicative domains conserved in the ordert Nidovirales in relation to several other
ORF1a/b-encoded domains and other major ORFs in the SARS-CoV genome. 5d, 5 domains: nsp5A-3CLpro, two beta-barrel domains of the 3C-like protease;
nsp12-NiRAN, nidovirus RdRp-associated nucleotidyltransferase; nsp12-RdRp, RNA-dependent RNA polymerase; nsp13-HEL1 core, superfamily 1 helicase with
upstream Zn-binding domain (nsp13-ZBD); nt, nucleotide. b, The maximum-likelihood tree of SARS-CoV was reconstructed by IQ-TREE v.1.6.1 (ref. 45) using 83
sequences with the best fitting evolutionary model. Subsequently, the tree was purged from the most similar sequences and midpoint-rooted. Branch support
was estimated using the Shimodaira–Hasegawa (SH)-like approximate likelihood ratio test with 1,000 replicates. GenBank IDs for all viruses except four are
shown; SARS-CoV, AY274119.3; SARS-CoV-2, MN908947.3; SARSr-CoV_BtKY72, KY352407.1; SARS-CoV_PC4-227, AY613950.1. c, Shown is an IQ-TREE
maximum-likelihood tree of single virus representatives of thirteen species and five representatives of the species Severe acute respiratory syndrome-related
coronavirus of the genus Betacoronavirus. The tree is rooted with HCoV-NL63 and HCoV-229E, representing two species of the genus Alphacoronavirus. Purple
text highlights zoonotic viruses with varying pathogenicity in humans; orange text highlights common respiratory viruses that circulate in humans. Asterisks
indicate two coronavirus species whose demarcations and names are pending approval from the ICTV and, thus, these names are not italicized.
NATURE MICROBIOLOGY | www.nature.com/naturemicrobiology
Consensus statement NATuRe MICROBIOlOGy
Box 4 | Classifying SARS-CoV-2
e species demarcation threshold (also known as demarcation
limit) in the family Coronaviridae is dened by viruses whose
PPD(s) may cross the inter-species demarcation PPD threshold
(threshold ‘violators’). Due to their minute share of ~10–4 of the to-
tal number of all intra- and inter-species PPDs, these violators may
not even be visually recognized in a conventional diagonal plot clus-
tering viruses on a species basis (panel a of the gure in Box 4).
Furthermore, they do not involve any virus of the species Severe
acute respiratory syndrome-related coronavirus, as is evident from
the analysis of maximal intraspecies PPDs of 2,505 viruses of all 49
coronavirus species (of which 39 are established and 10 are pending
or tentative) (panel b of the gure in Box 4) and PDs of 256 viruses
of this species (panel c of the gure in Box 4). us, the genomic
variation of the known viruses of the species Severe acute respiratory
syndrome-related coronavirus is smaller compared to that of other
comparably well-sampled species—for example, those prototyped
by MERS-CoV, human coronavirus OC43 (HCoV-OC43) and in-
fectious bronchitis virus (IBV) (panel b of the gure in Box 4)—and
this species is well separated from other known coronavirus species
in the sequence space. Both of these characteristics facilitate the un-
ambiguous assignment of SARS-CoV-2 to this species.
Intra-species PDs of SARS-CoV-2 belong to the top 25% of this
species and also include the largest PD between SARS-CoV-2 and
an African bat virus isolate (SARSr-CoV_BtKY72)56 (panel c of
the gure in Box 4), representing two basal lineages within the
species Severe acute respiratory syndrome-related coronavirus that
constitute very few known viruses (Fig.2b,c). ese relationships
stand in contrast to the shallow branching of the most populous
lineage of this species, which includes all the human SARS-CoV
isolates collected during the 2002–2003 outbreak and the closely
related bat viruses of Asian origin identied in the search for the
potential zoonotic source of that epidemic57. is clade structure
is susceptible to homologous recombination, which is common in
this species44,58,59; to formalize clade denition, it must be revisited
aer the sampling of viruses representing the deep branches has
improved suciently. e current sampling denes a very small
median PD for human SARS-CoVs, which is approximately 15
times smaller than the median PD determined for SARS-CoV-2
(0.16% versus 2.6%; panel c of the gure in Box 4). is small
median PD of human SARS-CoVs also dominates the species-
wide PD distribution (0.25%; panel c of the gure in Box 4).
Pairwise distance demarcation of species in the family Coronaviridae. a,
Diagonal matrix of PPDs of 2,505 viruses clustered according to 49 coronavirus
species, 39 established and 10 pending or tentative, and ordered from the
most to least populous species, from left to right; green and white, PPDs
smaller and larger than the inter-species threshold, respectively. Areas of the
green squares along the diagonal are proportional to the virus sampling of
the respective species, and virus prototypes of the five most sampled species
are specified to the left; asterisks indicate species that include viruses whose
intra-species PPDs crossed the inter-species threshold (threshold ‘violators’). b,
Maximal intra-species PPDs (x axis, linear scale) plotted against virus sampling
(y axis, log scale) for 49 species (green dots) of the Coronaviridae. Indicated
are the acronyms of virus prototypes of the seven most sampled species.
Green and blue plot sections represent intra-species and intra-subgenera PPD
ranges. The vertical black line indicates the inter-species threshold. c, Shown
are the PDs of non-identical residues (y axis) for four viruses representing
three major phylogenetic lineages (clades) of the species Severe acute
respiratorysyndrome-related coronavirus (panel b) and all pairs of the 256
viruses of this species (‘all pairs’). The PD values were derived from
pairwise distances in the MSA that were calculated using an identity matrix.
Panels a and b were adopted from the DEmARC v.1.4 output.
a
PEDV
MERS-CoV*
IBV*
SARS-CoV
HCoV-OC43*
2,505 coronaviruses
2,505 coronaviruses
0 0.02 0.04 0.06 0.08 0.10
0
0.5
1.0
1.5
2.0
2.5
Maximum intra-species PPD
PEDV MERS-CoV
IBV
SARS-CoV HCoV-OC43
TGEV
PoCoV_HKU15
log10 [sampling size]
b
0
1
2
3
4
5
6
7
Non-identical residues (%)
Inter-species threshold
SARS-CoV-2
SARS-CoV
All pairs
c
SARSr-CoV
BtKY72
SARS-CoV
PC4−227
SARS-CoV-2 versus
SARS-CoV distances
Intra-SARS-CoV
distances
NATURE MICROBIOLOGY | www.nature.com/naturemicrobiology
Consensus statement
NATuRe MICROBIOlOGy
example, SARS-CoV-2/human/Wuhan/X1/2019. This complete
designation along with additional and important characteristics,
such as pathogenic potential in humans or other hosts, should be
included in the submission of each isolate genome sequence to pub-
lic databases such as GenBank. In publications, this name could
be further extended with a sequence database ID—for example,
SARS-CoV-2/human/Wuhan/X1/2019_XYZ12345 (fictional exam-
ple)—when first mentioned in the text. We believe that this format
will provide critical metadata on the major characteristics of each
particular virus isolate (genome sequence) required for subsequent
epidemiological and other studies, as well as for control measures.
Expanding the focus from pathogens to virus species
Historically, public health and fundamental research have been
focused on the detection, containment, treatment and analysis of
viruses that are pathogenic to humans following their discovery
(a reactive approach). Exploring and defining their biological char-
acteristics in the context of the entire natural diversity as a spe-
cies has never been apriority. The emergence of SARS-CoV-2 as a
human pathogen in December 2019 may thus be perceived as com-
pletely independent from the SARS-CoV outbreak in 2002–2003.
Although SARS-CoV-2 is indeed not a descendent of SARS-CoV
(Fig.2b), and the introduction of each of these viruses into humans
was likely facilitated by independent unknown external factors, the
two viruses are genetically so close to each other (Fig.2c, panel c of
the figure in Box 4) that their evolutionary histories and character-
istics are mutually informative.
The currently known viruses of the species Severe acute respi-
ratory syndrome-related coronavirus may be as (poorly) repre-
sentative for this particular species as the few individuals that we
selected to represent H. sapiens in Fig.1. It is thus reasonable to
assume that this biased knowledge of the natural diversity of the
species Severe acute respiratory syndrome-related coronavirus limits
our current understanding of fundamental aspects of the biology
of this species and, as a consequence, our abilities to control zoo-
notic spillovers to humans. Future studies aimed at understanding
the ecology of these viruses and advancing the accuracy and reso-
lution of evolutionary analyses41 would benefit greatly from adjust-
ing our research and sampling strategies. This needs to include an
expansion of our current research focus on human pathogens and
their adaptation to specific hosts to other viruses in this species.
To illustrate the great potential of species-wide studies, it may
again be instructive to draw a parallel to H. sapiens, and specifi-
cally to the impressive advancements in personalized medicine in
recent years. Results of extensive genetic analyses of large num-
bers of individuals representing diverse populations from all con-
tinents have been translated into clinical applications and greatly
contribute to optimizing patient-specific diagnostics and therapy.
They were instrumental in identifying reliable predictive markers
for specific diseases as well as genomic sites that are under selec-
tion. It thus seems reasonable to expect that genome-based analy-
ses with a comparable species coverage will be similarly insightful
for coronaviruses. Also, additional diagnostic tools that target the
entire species should be developed to complement existing tools
optimized to detect individual pathogenic variants (a proactive
approach). Technical solutions to this problem are already avail-
able; for example, in the context of multiplex PCR-based assays42.
The costs for developing and applying (combined or separate) spe-
cies- and virus-specific diagnostic tests in specific clinical and/or
epidemiological settings may help to better appreciate the biologi-
cal diversity and zoonotic potential of specific virus species and
their members. Also, the further reduction of time required to
identify the causative agents of novel virus infections will contrib-
ute to limiting the enormous social and economic consequences of
large outbreaks. To advance such studies, innovative fundraising
approaches may be required.
Although this Consensus Statement focuses on a single virus
species, the issues raised apply to other species in the family and
possibly beyond. A first step towards appreciation of this species
and others would be for researchers, journals, databases and other
relevant bodies to adopt proper referencing to the full taxonomy
of coronaviruses under study, including explicit mentioning of the
relevant virus species and the specific virus(es) within the species
using the ICTV naming rules explained above. This naming con-
vention is, regretfully, rarely observed in common practice, with
mixing of virus and species names being frequently found in the
literature (including by the authors of this Consensus Statement
on several past occasions). The adoption of accurate virus-naming
practices should be facilitated by the major revision of the virus spe-
cies nomenclature that is currently being discussed by the ICTV
and is being planned for implementation in the near future43. With
this change in place, the CSG is resolved to address the existing sig-
nificant overlap between virus and species names that complicates
the appreciation and use of the species concept in its application to
coronaviruses.
Received: 5 February 2020; Accepted: 19 February 2020;
Published: xx xx xxxx
References
1. Krammer, F. etal. Inuenza. Nat. Rev. Dis. Primers 4, 3 (2018).
2. Zheng, D. P. etal. Norovirus classication and proposed strain nomenclature.
Virology 346, 312–323 (2006).
3. Wu, A. etal. Genome composition and divergence of the novel
coronavirus (2019-nCoV) originating in China. Cell Host Microbe
https://doi.org/10.1016/j.chom.2020.02.001 (2020).
4. Adams, M. J. etal. 50 years of the International Committee on Taxonomy of
Viruses: progress and prospects. Arch. Virol. 162, 1441–1446 (2017).
5. Gorbalenya, A. E., Lauber, C. & Siddell, S. Taxonomy of Viruses, in Reference
Module in Biomedical Sciences (Elsevier, 2019) https://doi.org/10.1016/
B978-0-12-801238-3.99237-7.
6. Van Regenmortel, M. H., Manilo, J. & Calisher, C. e concept of virus
species. Arch. Virol. 120, 313–314 (1991).
7. ICTV Code. e International Code of Virus Classication and Nomenclature
https://talk.ictvonline.org/information/w/ictv-information/383/ictv-code
(2018).
8. Masters, P. S. e molecular biology of coronaviruses. Adv. Virus Res. 66,
193–292 (2006).
9. Perlman, S. & Netland, J. Coronaviruses post-SARS: update on replication
and pathogenesis. Nat. Rev. Microbiol. 7, 439–450 (2009).
10. Drosten, C. etal. Identication of a novel coronavirus in patients with severe
acute respiratory syndrome. N. Engl. J. Med. 348, 1967–1976 (2003).
11. Ksiazek, T. G. etal. A novel coronavirus associated with severe acute
respiratory syndrome. N. Engl. J. Med. 348, 1953–1966 (2003).
12. Peiris, J. S. M. etal. Coronavirus as a possible cause of severe acute
respiratory syndrome. Lancet 361, 1319–1325 (2003).
13. Zumla, A., Hui, D. S. & Perlman, S. Middle East respiratory syndrome. Lancet
386, 995–1007 (2015).
14. Zaki, A. M., van Boheemen, S., Bestebroer, T. M., Osterhaus, A. D. M. E. &
Fouchier, R. A. M. Isolation of a novel coronavirus from a man with
pneumonia in Saudi Arabia. N. Engl. J. Med. 367, 1814–1820 (2012).
15. Snijder, E. J. etal. Unique and conserved features of genome and proteome of
SARS-coronavirus, an early split-o from the coronavirus group 2 lineage.
J. Mol. Biol. 331, 991–1004 (2003).
16. van Boheemen, S. etal. Genomic characterization of a newly discovered
coronavirus associated with acute respiratory distress syndrome in humans.
mBio 3, e00473-12 (2012).
17. Siddell, S. G. etal. Additional changes to taxonomy ratied in a special vote
by the International Committee on Taxonomy of Viruses (October 2018).
Arch. Virol. 164, 943–946 (2019).
18. Ziebuhr, J. etal. Proposal 2017.013S. A.v1. Reorganization of the family
Coronaviridae into two families, Coronaviridae (including the current subfamily
Coronavirinae and the new subfamily Letovirinae) and the new family
Tobaniviridae (accommodating the current subfamily Torovirinae and three
other subfamilies), revision of the genus rank structure and introduction of a
new subgenus rank. (ICTV, 2017); https://ictv.global/proposal/2017.
Nidovirales/.
19. Ziebuhr, J. etal. Proposal 2019.021S.Ac.v1. Create ten new species and a new
genus in the subfamily Orthocoronavirinae of the family Coronaviridae and ve
new species and a new genus in the subfamily Serpentovirinae of the family
Tobaniviridae. (ICTV, 2019); https://ictv.global/proposal/2019.Nidovirales/.
NATURE MICROBIOLOGY | www.nature.com/naturemicrobiology
Consensus statement NATuRe MICROBIOlOGy
20. de Groot, R. J. etal. in Virus Taxonomy, Ninth Report of the International
Committee on Taxonomy of Viruses (eds King, A. M. Q. etal.) 806–828
(Elsevier Academic Press, 2012).
21. Lauber, C. & Gorbalenya, A. E. Toward genetics-based virus taxonomy:
comparative analysis of a genetics-based classication and the taxonomy of
picornaviruses. J. Virol. 86, 3905–3915 (2012).
22. Van Regenmortel, M. H. V. e species problem in virology. Adv. Virus Res.
100, 1–18 (2018).
23. Lauber, C. & Gorbalenya, A. E. Partitioning the genetic diversity of a virus
family: approach and evaluation through a case study of picornaviruses.
J. Virol. 86, 3890–3904 (2012).
24. Lauber, C. etal. Mesoniviridae: a new family in the order Nidovirales
formed by a single species of mosquito-borne viruses. Arch. Virol. 157,
1623–1628 (2012).
25. Lu, R. etal. Genomic characterisation and epidemiology of 2019 novel
coronavirus: implications for virus origins and receptor binding. Lancet 395,
565–574 (2020).
26. Zhou, P. etal. Discovery of a novel coronavirus associated with the
recent pneumonia outbreak in humans and its potential bat origin. Nature
https://doi.org/10.1038/s41586-020-2012-7 (2020).
27. Zhu, N. etal. A novel coronavirus from patients with pneumonia in China,
2019. N. Engl. J. Med. 382, 727–733 (2020).
28. de Groot, R. J. etal. Middle East respiratory syndrome coronavirus
(MERS-CoV): announcement of the Coronavirus Study Group. J. Virol. 87,
7790–7792 (2013).
29. Gorbalenya, A. E., Snijder, E. J. & Spaan, W. J. Severe acute respiratory
syndrome coronavirus phylogeny: toward consensus. J. Virol. 78,
7863–7866 (2004).
30. Gorbalenya, A. E. etal. e new scope of virus taxonomy: partitioning the
virosphere into 15 hierarchical ranks. Nat. Microbiol. (in the press).
31. Huang, C. etal. Clinical features of patients infected with 2019 novel
coronavirus in Wuhan, China. Lancet 395, 497–506 (2020).
32. Kui, L. etal. Clinical characteristics of novel coronavirus cases in tertiary
hospitals in Hubei Province. Chin. Med. J. https://doi.org/10.1097/
CM9.0000000000000744 (2020).
33. Li, Q. etal. Early transmission dynamics in Wuhan, China, of novel
coronavirus-infected pneumonia. N. Engl. J. Med. https://doi.org/10.1056/
nejmoa2001316 (2020).
34. Liu, Y., Gayle, A. A., Wilder-Smith, A. & Rocklov, J. e reproductive number
of COVID-19 is higher compared to SARS coronavirus. J. Travel Med.
https://doi.org/10.1093/jtm/taaa021 (2020).
35. Tang, B. etal. Estimation of the transmission risk of the 2019-nCoV and its
implication for public health interventions. J. Clin. Med. 9, 462 (2020).
36. Novel Coronavirus (2019-nCoV) Situation Report – 22 (World Health
Organization, 2020); https://www.who.int/docs/default-source/coronaviruse/
situation-reports/20200211-sitrep-22-ncov.pdf
37. Coronavirus disease (COVID-19) outbreak (World Health Organization, 2020);
https://www.who.int/emergencies/diseases/novel-coronavirus-2019
38. World Health Organization best practices for the naming of new human
infectious diseases (World Health Organization, 2015); https://apps.who.int/
iris/handle/10665/163636
39. Cavanagh, D. A nomenclature for avian coronavirus isolates and the question
of species status. Avian Pathol. 30, 109–115 (2001).
40. Kuhn, J. H. etal. Virus nomenclature below the species level: a standardized
nomenclature for natural variants of viruses assigned to the family
Filoviridae. Arch. Virol. 158, 301–311 (2013).
41. Forni, D., Cagliani, R., Clerici, M. & Sironi, M. Molecular evolution of
human coronavirus genomes. Trends Microbiol. 25, 35–48 (2017).
42. Nijhuis, R. H. T. etal. PCR assays for detection of human astroviruses: In
silico evaluation and design, and invitro application to samples collected
from patients in the Netherlands. J. Clin. Virol. 108, 83–89 (2018).
43. Siddell, S. G. etal. Binomial nomenclature for virus species: a consultation.
Arch. Virol. 165, 519–525 (2020).
44. Gorbalenya, A. E. etal. Practical application of bioinformatics by the
multidisciplinary VIZIER consortium. Antiviral Res. 87, 95–110 (2010).
45. Nguyen, L. T., Schmidt, H. A., von Haeseler, A. & Minh, B. Q. IQ-TREE: a
fast and eective stochastic algorithm for estimating maximum-likelihood
phylogenies. Mol. Biol. Evol. 32, 268–274 (2015).
46. Rivers, T. M. Filterable viruses: a critical review. J. Bacteriol.
14, 217–258 (1927).
47. Carroll, D. etal. e global virome project. Science 359, 872–874 (2018).
48. Zhang, Y.-Z., Chen, Y.-M., Wang, W., Qin, X.-C. & Holmes, E. C.
Expanding the RNA virosphere by unbiased metagenomics. Annu. Rev. Virol.
6, 119–139 (2019).
49. ICD-11 (World Health Organization, 2018).
50. Corman, V. M., Muth, D., Niemeyer, D. & Drosten, C. Hosts and sources of
endemic human coronaviruses. Adv. Virus Res. 100, 163–188 (2018).
51. González, J. M., Gomez-Puertas, P., Cavanagh, D., Gorbalenya, A. E. &
Enjuanes, L. A comparative sequence analysis to revise the current taxonomy
of the family Coronaviridae. Arch. Virol. 148, 2207–2235 (2003).
52. Saberi, A., Gulyaeva, A. A., Brubacher, J. L., Newmark, P. A. &
Gorbalenya, A. E. A planarian nidovirus expands the limits of RNA genome
size. PLoS Pathog. 14, e1007314 (2018).
53. Lai, M. M. C. Recombination in large RNA viruses: Coronaviruses. Semin.
Virol. 7, 381–388 (1996).
54. Luk, H. K. H., Li, X., Fung, J., Lau, S. K. P. & Woo, P. C. Y. Molecular
epidemiology, evolution and phylogeny of SARS coronavirus. Infect. Genet.
Evol. 71, 21–30 (2019).
55. Tao, Y. etal. Surveillance of bat coronaviruses in Kenya identies relatives of
human coronaviruses NL63 and 229E and their recombination history.
J. Virol. 91, e01953–16 (2017).
56. Tao, Y. & Tong, S. X. Complete genome sequence of a severe acute respiratory
syndrome-related coronavirus from Kenyan bats. Microbiol. Resour. Ann. 8,
e00548–19 (2019).
57. Hu, B. etal. Discovery of a rich gene pool of bat SARS-related coronaviruses
provides new insights into the origin of SARS coronavirus. PLoS Pathog. 13,
e1006698 (2017).
58. Holmes, E. C. & Rambaut, A. Viral evolution and the emergence of SARS
coronavirus. Philos. T. R. Soc. B 359, 1059–1065 (2004).
59. Hon, C. C. etal. Evidence of the recombinant origin of a bat severe acute
respiratory syndrome (SARS)-like coronavirus and its implications on the
direct ancestor of SARS coronavirus. J. Virol. 82, 1819–1826 (2008).
Acknowledgements
Work on DEmARC advancement and coronavirus and nidovirus taxonomies was
supported by the EU Horizon 2020 EVAg 653316 project and the LUMC MoBiLe
program (to A.E.G.), and on coronavirus and nidovirus taxonomies by a Mercator
Fellowship by the Deutsche Forschungsgemeinschaft (to A.E.G.) in the context of the
SFB1021 (A01 to J.Z.).
We thank all researchers who released SARS-CoV-2 genome sequences through
the GISAID initiative and particularly the authors of the GenBank MN908947 genome
sequence: F. Wu, S. Zhao, B. Yu, Y. M. Chen, W. Wang, Z. G. Song, Y. Hu, Z. W. Tao,
J. H. Tian, Y. Y. Pei, M. L. Yuan, Y. L. Zhang, F. H. Dai, Y. Liu, Q. M. Wang, J. J. Zheng,
L. Xu, E. C. Holmes and Y. Z. Zhang. We thank S. G. Siddell, R. A. M. Fouchier, and
J. H. Kuhn for their comments on a manuscript version posted on 11 February 2020
to bioRxiv. A.E.G. and J.Z. thank W. J. M. Spaan, A. J. Davison and E. J. Lefkowitz for
support. A.E.G. thanks members of the ICTV ExecutiveCommittee for discussions of
classification and nomenclature issues relevant to this paper.
Author contributions
S.C.B., R.S.B., C.D., R.J.D.G., A.E.G., B.L.H., B.W.N., S.P., L.L.M.P., I.S. and J.Z. are
members of the CSG, chaired by J.Z.; R. J.D.G., A.E.G., C.L., B.W.N. and J.Z. are
members of the NSG, chaired by A.E.G.; A.E.G. and J.Z. are members of the ICTV.
A.E.G., A.A.G., C.L., A.M.L., D.P., D.V.S. and I.A.S. are members of the DEmARC team
led by A.E.G. D.V.S. generated the classification of SARS-CoV-2 using a computational
pipeline developed by A.A.G. and using software developed by the DEmARC team; the
CSG considered and approved this classification, and subsequently debated and
decided on the virus name. A.E.G. and J.Z. wrote the manuscript. A.E.G. and D.V.S.
generated the figures. All authors reviewed the manuscript and approved its
submission for publication.
Competing interests
The authors declare no competing interests.
Additional information
Correspondence and requests for materials should be addressed to A.E.G. or J.Z.
Reprints and permissions information is available at www.nature.com/reprints.
Publisher’s note Springer Nature remains neutral with regard to jurisdictional claims in
published maps and institutional affiliations.
Open Access This article is licensed under a Creative Commons
Attribution 4.0 International License, which permits use, sharing, adap-
tation, distribution and reproduction in any medium or format, as long
as you give appropriate credit to the original author(s) and the source, provide a link to
the Creative Commons license, and indicate if changes were made. The images or other
third party material in this article are included in the article’s Creative Commons license,
unless indicated otherwise in a credit line to the material. If material is not included in
the article’s Creative Commons license and your intended use is not permitted by statu-
tory regulation or exceeds the permitted use, you will need to obtain permission directly
from the copyright holder. To view a copy of this license, visit http://creativecommons.
org/licenses/by/4.0/.
© The Author(s), under exclusive licence to Springer Nature Limited 2020
NATURE MICROBIOLOGY | www.nature.com/naturemicrobiology
Consensus statement
NATuRe MICROBIOlOGy Consensus statement
NATuRe MICROBIOlOGy
Coronaviridae Study Group of the International Committee on Taxonomy of Viruses
Alexander E. Gorbalenya1,2,3 ✉ , Susan C. Baker4, Ralph S. Baric5, Raoul J. de Groot6, Christian Drosten7,
Anastasia A. Gulyaeva2, Bart L. Haagmans8, Chris Lauber2, Andrey M. Leontovich3,
Benjamin W. Neuman9, Dmitry Penzar3, Stanley Perlman10, Leo L. M. Poon11, Dmitry V. Samborskiy3,
Igor A. Sidorov2, Isabel Sola12 and John Ziebuhr13 ✉
1Department of Biomedical Data Sciences, Leiden University Medical Center, Leiden, the Netherlands. 2Department of Medical Microbiology, Leiden
University Medical Center, Leiden, the Netherlands. 3Faculty of Bioengineering and Bioinformatics and Belozersky Institute of Physico-Chemical Biology,
Lomonosov Moscow State University, Moscow, Russia. 4Department of Microbiology and Immunology, Loyola University of Chicago, Stritch School
of Medicine, Maywood, IL, USA. 5Department of Epidemiology, University of North Carolina, Chapel Hill, NC, USA. 6Division of Virology, Department
of Biomolecular Health Sciences, Faculty of Veterinary Medicine, Utrecht University, Utrecht, the Netherlands. 7Institute of Virology, Charité –
Universitätsmedizin Berlin, Berlin, Germany. 8Viroscience Lab, Erasmus MC, Rotterdam, the Netherlands. 9Texas A&M University-Texarkana, Texarkana,
TX, USA. 10Department of Microbiology and Immunology, University of Iowa, Iowa City, IA, USA. 11Centre of Influenza Research & School of Public Health,
The University of Hong Kong, Hong Kong, People’s Republic of China. 12Department of Molecular and Cell Biology, National Center of Biotechnology (CNB-
CSIC), Campus de Cantoblanco, Madrid, Spain. 13Institute of Medical Virology, Justus Liebig University Giessen, Giessen, Germany.
e-mail: A.E.Gorbalenya@lumc.nl; John.Ziebuhr@viro.med.uni-giessen.de
NATURE MICROBIOLOGY | www.nature.com/naturemicrobiology
... This disease is caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), which belongs to the Coronaviridae family, subfamily Coronavirinae, genus Betacoronavirus. This enveloped RNA virus contains a single-stranded, positive-sense RNA genome (Gorbalenya et al. 2020), of ~30 Kb. The primary structural proteins of the virus are spike (S), envelope (E), membrane (M), and nucleocapsid (N) (Almehdi et al. 2021). ...
... Infections in dogs and cats are mainly asymptomatic or show mild respiratory signs. However, a few animals could develop a disease course similar to COVID-19, with worse disease outcomes when comorbidities are present (Gaudreault et al. 2020;Sit et al. 2020;Ferasin et al. 2021). ...
Article
Full-text available
SARS-CoV-2 infection susceptibility in dogs and cats has been documented, with identified risk factors contributing to transmission dynamics. Understanding viral prevalence and the evolution of emerging variants across pandemic waves can clarify the potential role of pets as reservoirs. This study evaluated 3298 serum samples (1921 dogs, 1377 cats) collected from 2020 to 2024. Samples were analyzed using ELISA and viral neutralization assays, revealing a positivity rate of 2.7%. We assessed neutralizing antibody titers (nAbs) against the Wuhan-Hu-1 and Omicron BA.1 strains, finding higher titers in felines compared to canines. A marked reduction in samples exceeding the detection limit was observed after November 2022. Longitudinal data from up to 30 months in a dog and 15 months in two cats demonstrated sustained antibody responses, with increased nAb titers in 7 of 14 monitored animals. Multivariable logistic regression of 275 samples indicated that a pet’s vaccination status was associated with an increased risk of infection, while spring season, the owner’s number of COVID-19 vaccinations, and the owner’s vaccination status were protective factors. These results emphasize the significance of vaccination strategies for both human and animal health, supporting the One Health approach.
... (Ferdous, et al, 2020) Penyakit virus corona merupakan penyakit menular dari coronavirus jenis baru yang disebabkan oleh virus Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2). (Gorbalenya, et al, 2020) Coronavirus merupakan virus RNA berantai tunggal positif yang termasuk dalam subfamili Orthocoronavirinae dengan karakteristik paku "seperti mahkota" pada permukaannya. SARS-CoV-2 adalah patogen zoonosis yang dapat ditularkan melalui interaksi hewan-ke-manusia dan manusia-ke-manusia. ...
Article
Objective: To compare the behavior of Andalas University medical and law students towards COVID-19. Methods: This is an observational analytic study with a cross-sectional design. The sampling technique used proportional stratified random sampling with a sample size of 204 students of medical and law at Andalas University. The Data obtained are primary data collected using a questionnaire via google form which were then analyzed by bivariate analysis with the Mann-Whitney. Results: The results showed a statistically significant difference (p<0,05) between knowledge (p=0,00), attitude (p=0,045), and practices towards COVID-19 (p=0,038). Conclusion: This study shows that there are differences in the knowledge, attitudes, and practices towards COVID-19 between medical and law students.
... Severe acute respiratory syndrome (SARS)-coronavirus (CoV)-2, the causal agent of coronavirus disease 2019 (COVID- 19), is a member of the coronavirus family, which consists of enveloped RNA viruses characterized by proteinaceous projections that give them a crown-like appearance, hence the name "coronavirus" [1]. Three different viruses from this family-SARS-CoV-1, Middle East respiratory syndrome (MERS)-CoV, and SARS-CoV-2-have caused severe respiratory disorders in humans in 2002, 2012, and 2019, respectively [2]. While SARS-CoV-1 and SARS-CoV-2 infections led to pandemics, MERS infections remained confined to the Middle East. ...
Article
Full-text available
Despite various methods for detecting and treating SARS-CoV-2, affordable and easily applicable solutions are still needed. Aptamers can potentially fill this gap. Here, we establish a workflow to identify aptamers that bind to the spike proteins of SARS-CoV-2, a process applicable to other targets as well. The spike protein is crucial for the virus’s entry into host cells. The aptamer development process for the spike protein’s receptor binding domain (RBD) begins with splitting the SARS-CoV-2’s genome into 40 nucleotide-long sequences, predicting their two-dimensional structure, and sorting based on the free energy. Selected oligomers undergo three-dimensional structure prediction and docking onto the viral spike protein’s RBD. Six RNA oligomers were identified as top candidates based on the RNA docking with the SARS-CoV-2 wild-type (WT) (Wuhan-Hu-1 strain) and Omicron variant BA.1 RBD and molecular dynamics simulations. Three oligomers also demonstrated strong predicted binding affinity with other SARS-CoV-2 variants, including BA.2, XBB.1.5, and EG.5, based on the protein–aptamer docking followed by stability evaluation using the MD simulations. The aptamer with the best fit for the spike protein RBD was later validated using biolayer interferometry. The process has resulted in identifying a single aptamer from a library of 29,000 RNA oligomers, which exhibited affinity in the submicromolar range and the potential to develop into a viral screen or therapeutic.
... If the mutation strain has more transmissibility, the number of infected cases will increase. Certain viruses are accountable for several harmful outbreaks, such as the seasonal influenza mutation H1N1 [ 3] and the SARS-CoV-1 mutation resulting into the severe respiratory illness that gave rise to the COVID-19 strain [ 4]. Mutations have been implicated in a multitude of diseases, including HIV, dengue fever, and tuberculosis [5][6][7]. ...
Chapter
In this chapter, we investigate a class of multi-strain SEIR epidemic models with random perturbations. Here, we establish the unique global positive solution, analyze system extinction, and demonstrate the existence and uniqueness of a stationary distribution with ergodic features. The probability density function surrounding the quasi-endemic equilibrium, which is required for persistence, can be obtained by solving the Fokker-Planck equation. Eventually, we present numerical simulations and examples to verify our theoretical results.
Article
Full-text available
In December 2019, Wuhan, China, reported the first cases of pneumonia caused by a previously unknown coronavirus, subsequently designated SARS-CoV-2. This pathogen precipitated a global pandemic of coronavirus disease 2019 (COVID-19). The virus primarily transmits via aerosols, direct contact, and contaminated surfaces. Its high infectivity and rapid transmission have posed severe public health challenges on a global scale, emphasizing the essential need for precise and swift diagnostic techniques to effectively track and curb its transmission. To address this need, we designed a highly efficient approach, namely a colloidal gold immunochromatographic strip (CGICS) based on an IgG-mediated immunoassay, for the specific capture of the SARS-CoV-2 nucleocapsid (N) antigen. Evaluation of the assay’s specificity with a panel of common respiratory viral pathogens revealed that the CGICS specifically recognized SARS-CoV-2, with no cross-reactivity observed against non-target viruses. In addition, limit-of-detection (LOD) assessments indicated that the minimum detectable concentration was 2 ng/mL, and agreement analysis experiments showed a concordance rate of 98%, demonstrating high specificity and sensitivity. The resulting CGICS was capable of detecting SARS-CoV-2 antigen within 5–15 min. This study provides a rapid diagnostic approach for early SARS-CoV-2 infection, offering significant implications for effective disease prevention, control, and clinical diagnosis. Graphical Abstract
Article
Background/Objectives: Patients suffering from inflammatory bowel diseases (IBDs) undergoing treatment with anti-TNF antibodies mount a diminished humoral immune response to vaccination against SARS-CoV-2 compared to healthy controls. The characterization of variant-specific immune responses is particularly warranted among immunosuppressed patients, where reduced responses may necessitate further medical interventions. Methods: This pilot study investigated the humoral immune response of vaccinated IBD patients on anti-TNF medication and a comparable group of healthy individuals against the viral variants Alpha, Beta, Gamma, Delta, and Omicron BA.1 and BA.5. While total IgG antibodies targeting the receptor binding site of the spike protein of SARS-CoV-2 were quantified using a chemiluminescence microparticle immunoassay (CMIA), their potential neutralizing capacity was determined using commercial and variant-specific in-house surrogate virus neutralization tests (sVNTs) against a variant-specific in-house VSV-pseudotyped virus neutralization test (pVNT) as the gold standard. Results: Employing variant-specific assays recapitulated the immune escape functions of virus variants. Conspicuously, antibody reactivity against Alpha and Omicron BA.1 and BA.5 was strikingly poor in IBD patient sera post-initial vaccination compared to healthy individuals. A comparison of the diagnostic performance of assays with the pVNT revealed that identification of patients with inadequate humoral responses by CMIA and sVNT may require adjustments to cut-off values and end-point titration of sera. Following adaptation of cut-off values, patient sera exhibited reduced reactivity against all tested variants. The assay panel used substantiated the impact of anti-TNF therapy in IBD patients as to reduced strength, function, and breadth of the immune response to several SARS-CoV-2 variants. The immune response measured following the second vaccination was comparable to the antibody response observed in healthy individuals following the first vaccination. Conclusion: Variant-specific sVNTs and pVNTs have the potential to serve as valuable tools for evaluating the efficacy of adapted vaccines and to inform clinical interventions in the care of immunosuppressed patients. Anti-TNF-treated individuals with antibody levels below the optimized CMIA threshold should be considered for early booster vaccination and/or close immunological monitoring.
Chapter
Viruses are a major global health concern, particularly in impoverished countries. Human communities are exposed to numerous viral infections due to various anthropological activities; many diseases manifest as outbreaks. Finding new viruses in these circumstances is crucial for choosing preventative and therapeutic measures. Over the past 15 years, high-throughput DNA sequencing methodology (NGS) has quickly changed, and new techniques are constantly being made available for purchase. The expansion and commercialization of next-generation sequencers have significantly altered the discovery of the virus. A variety of genetic material, from a very diverse mixture with excellent sensitivity, may be produced by these highly parallel sequencing devices. Furthermore, because these phases are sequence-independent, they are advantageous instruments for viral discovery. To detect SARS-CoV-2, the sequencing of the next generation is used to analyze the upcoming infection and related diseases. We examine the development of sequencing, NGS technologies accessible today, and commonly utilized viral enrichment approaches in this study.
Article
Background/Objectives: Identification and characterization of broadly neutralizing monoclonal antibodies from individuals exposed to SARS-CoV-2, either by infection or vaccination, can inform the development of next-generation vaccines and antibody therapeutics with pan-SARS-CoV-2 protection. Methods: Through single B cell sorting and RT-PCR, monoclonal antibodies (mAbs) were isolated from a donor who experienced a BA.5 or BF.7 breakthrough infection after three doses of inactivated vaccines. Their binding and neutralizing capacities were measured with ELISA and a pseudovirus-based neutralization assay, respectively. Their epitopes were mapped by competition ELISA and site-directed mutation. Results: Among a total of 67 spike-specific mAbs cloned from the donor, four mAbs (KXD643, KXD652, KXD681, and KXD686) can neutralize all tested SARS-CoV-2 variants from wild-type to KP.3. Moreover, KXD643, KXD652, and KXD681 belong to a clonotype encoded by IGHV5-51 and IGKV1-13 and recognize the cryptic and conserved RBD-8 epitope on the receptor-binding domain (RBD). In contrast, KXD686 is encoded by IGHV1-69 and IGKV3-20 and targets a conserved epitope (NTD Site iv) outside the antigenic supersite (NTD Site i) of the N-terminal domain (NTD). Notably, antibody cocktails containing these two groups of mAbs can neutralize SARS-CoV-2 more potently due to synergistic effects. In addition, bispecific antibodies derived from KXD643 and KXD686 demonstrate further improved neutralizing potency compared to antibody cocktails. Conclusions: These four mAbs can be developed as candidates of pan-SARS-CoV-2 antibody therapeutics through further antibody engineering. On the other hand, vaccines designed to simultaneously elicit neutralizing antibodies towards RBD-8 and NTD Site iv have the potential to provide pan-SARS-CoV-2 protection.
Chapter
Viral fitness presents a complex challenge that requires a deep understanding of evolution and selection pressures. The swift emergence of mutations in viruses makes them ideal models for studying evolutionary dynamics. Recent advancements in biophysical methods and structural biology have facilitated insights into how these mutations influence evolutionary trajectories at the structural level. Computationally guided structural techniques are particularly valuable for analyzing the mutational landscape across all possible mutations in viral proteins under selection pressure. The virus often interacts via the receptor binding domain (RBD) of its surface protein with the receptor protein of the host cell. This binding is a key step for the viral entry in host cell and infection. In response, the host immune response or vaccines generate antibodies to neutralize the virus particles. This creates a competitive scenario where the viral surface protein competes for binding between host cell receptor and antibodies. The viral mutations supposedly evolve to effectively bind to host receptors while evading the antibody recognition. The differential binding affinity of the viral surface protein, preferably via RBD, between host receptor and antibodies may aid in defining the molecular level viral fitness function. The present chapter explores these dynamics through the lens of severe acute respiratory syndrome coronavirus 2 spike protein, binding to human angiotensin-converting enzyme 2 and circulating antibodies. Interestingly, this strategy utilized the wealth of protein structural data from cryo-electron microscopy and biochemical data on mutations.
Article
Post-COVID syndrome is poorly defined complex of different symptoms predominantly functional disorders, which are diagnosed in 30–70 % of patients after COVID-19 infection. To determine the pathogenic basis of neurological symptoms of post-COVID syndrome 105 patients (48 men, 40 women, mean age 47 [40; 54.5]) with post-COVID syndrome in the period from 3 months after COVID-infection and 10 people of the control group (4 men, 6 women, mean age 40 [28; 50]) were examined using structural magnetic resonance imaging (MRI) and magnetic resonance spectroscopy. After dividing of post-COVID patients group into three subgroups according to the severity of complaints no significant morphological differences in brain structures were determined according to MRI data. However was revealed interhemispheric asymmetry as the cerebral cortex thinning in left frontal lobe ( p = 0.006) and higher left temporal horn of the side ventricle ( p = 0.007) in subgroup post COVID patients with severity symptoms. Was revealed decrease of the N-acetylaspartate/creatinine (NAA/Cr) ratio in the anterior part of the cingulate gyrus on both sides ( p = 0.025 on the right, p = 0.025 on the left) and in the center semiovale on the right sides ( p = 0.001), an increase of choline/creatinine (Cho/Cr) ratio in the anterior cingulate gyrus on both sides ( p < 0.01 on the right) and ( p = 0.04 on the left), right next to areas of decreased NAA/Cr ratio. It was also revealed decrease of the myoinositol/creatinine ratio in the center semiovale area on the right ( p = 0.038) and the middle cingulate gyrus on the left ( p = 0.027). According to the functional topography of the brain neuromediation changes in the anterior cingulate gyrus and center semiovale may have clinical correlates as impaired executive functions, memory and mood disturbance what is related to post-COVID syndrome. Thus we found that neurological symptoms of post-COVID syndrome are based on multidirectional changes in the secretion of NAA and Cho in the cingulate gyrus of the brain without accompanying morphological pathology.
Article
Full-text available
Virus taxonomy emerged as a discipline in the middle of the twentieth century. Traditionally, classification by virus taxonomists has been focussed on the grouping of relatively closely related viruses. However, during the past few years, the International Committee on Taxonomy of Viruses (ICTV) has recognized that the taxonomy it develops can be usefully extended to include the basal evolutionary relationships among distantly related viruses. Consequently, the ICTV has changed its Code to allow a 15-rank classification hierarchy that closely aligns with the Linnaean taxonomic system and may accommodate the entire spectrum of genetic divergence in the virosphere. The current taxonomies of three human pathogens, Ebola virus, severe acute respiratory syndrome coronavirus and herpes simplex virus 1 are used to illustrate the impact of the expanded rank structure. This new rank hierarchy of virus taxonomy will stimulate further research on virus origins and evolution, and vice versa, and could promote crosstalk with the taxonomies of cellular organisms.
Article
Full-text available
Teaser: Our review found the average R0 for 2019-nCoV to be 3.28, which exceeds WHO estimates of 1.4 to 2.5.
Article
Full-text available
Background: A novel coronavirus (2019-nCoV) causing an outbreak of pneumonia in Wuhan, Hubei province of China was isolated in January 2020. This study aims to investigate its epidemiologic history, and analyzed the clinical characteristics, treatment regimens, and prognosis of patients infected with 2019-nCoV during this outbreak. Methods: Clinical data from 137 2019-nCoV-infected patients admitted to the respiratory departments of nine tertiary hospitals in Hubei province from December 30, 2019 to January 24, 2020 were collected, including general status, clinical manifestations, laboratory test results, imaging characteristics, and treatment regimens. Results: None of the 137 patients (61 males, 76 females, aged 20-83 years, mean age 55 ± 16 years) had a definite history of exposure to Huanan Seafood Wholesale Market. Major initial symptoms included fever (112/137, 81.8%), coughing (66/137, 48.2%), and muscle pain or fatigue (44/137, 32.1%), with other, less typical initial symptoms observed at low frequency, including heart palpitations, diarrhea, and headache. Nearly 80% of the patients had normal or decreased white blood cell counts, and 72.3% (99/137) had lymphocytopenia. Lung involvement was present in all cases, with most chest computed tomography scans showing lesions in multiple lung lobes, some of which were dense; ground-glass opacity co-existed with consolidation shadows or cord-like shadows. Given the lack of effective drugs, treatment focused on symptomatic and respiratory support. Immunoglobulin G was delivered to some critically ill patients according to their condition. Systemic corticosteroid treatment did not show significant benefits. Notably, early respiratory support facilitated disease recovery and improved prognosis. The risk of death was primarily associated with age, underlying chronic diseases, and median interval from the appearance of initial symptoms to dyspnea. Conclusions: The majority of patients with 2019-nCoV coronavirus pneumonia present with fever as the first symptom, and most of them still showed typical manifestations of viral pneumonia on chest imaging. Middle-aged and elderly patients with underlying comorbidities are susceptible to respiratory failure and may have a poorer prognosis.
Article
Full-text available
Since the emergence of the first cases in Wuhan, China, the novel coronavirus (2019-nCoV) infection has been quickly spreading out to other provinces and neighboring countries. Estimation of the basic reproduction number by means of mathematical modeling can be helpful for determining the potential and severity of an outbreak and providing critical information for identifying the type of disease interventions and intensity. A deterministic compartmental model was devised based on the clinical progression of the disease, epidemiological status of the individuals, and intervention measures. The estimations based on likelihood and model analysis show that the control reproduction number may be as high as 6.47 (95% CI 5.71–7.23). Sensitivity analyses show that interventions, such as intensive contact tracing followed by quarantine and isolation, can effectively reduce the control reproduction number and transmission risk, with the effect of travel restriction adopted by Wuhan on 2019-nCoV infection in Beijing being almost equivalent to increasing quarantine by a 100 thousand baseline value. It is essential to assess how the expensive, resource-intensive measures implemented by the Chinese authorities can contribute to the prevention and control of the 2019-nCoV infection, and how long they should be maintained. Under the most restrictive measures, the outbreak is expected to peak within two weeks (since 23 January 2020) with a significant low peak value. With travel restriction (no imported exposed individuals to Beijing), the number of infected individuals in seven days will decrease by 91.14% in Beijing, compared with the scenario of no travel restriction.
Article
Full-text available
An in-depth annotation of the newly discovered coronavirus (2019-nCoV) genome has revealed differences between 2019-nCoV and severe acute respiratory syndrome (SARS) or SARS-like coronaviruses. A systematic comparison identified 380 amino acid substitutions between these coronaviruses, which may have caused functional and pathogenic divergence of 2019-nCoV.
Article
Full-text available
Since the SARS outbreak 18 years ago, a large number of severe acute respiratory syndrome-related coronaviruses (SARSr-CoV) have been discovered in their natural reservoir host, bats1–4. Previous studies indicated that some of those bat SARSr-CoVs have the potential to infect humans5–7. Here we report the identification and characterization of a novel coronavirus (2019-nCoV) which caused an epidemic of acute respiratory syndrome in humans in Wuhan, China. The epidemic, which started from 12 December 2019, has caused 2,050 laboratory-confirmed infections with 56 fatal cases by 26 January 2020. Full-length genome sequences were obtained from five patients at the early stage of the outbreak. They are almost identical to each other and share 79.5% sequence identify to SARS-CoV. Furthermore, it was found that 2019-nCoV is 96% identical at the whole-genome level to a bat coronavirus. The pairwise protein sequence analysis of seven conserved non-structural proteins show that this virus belongs to the species of SARSr-CoV. The 2019-nCoV virus was then isolated from the bronchoalveolar lavage fluid of a critically ill patient, which can be neutralized by sera from several patients. Importantly, we have confirmed that this novel CoV uses the same cell entry receptor, ACE2, as SARS-CoV.
Article
Full-text available
Background: The initial cases of novel coronavirus (2019-nCoV)-infected pneumonia (NCIP) occurred in Wuhan, Hubei Province, China, in December 2019 and January 2020. We analyzed data on the first 425 confirmed cases in Wuhan to determine the epidemiologic characteristics of NCIP. Methods: We collected information on demographic characteristics, exposure history, and illness timelines of laboratory-confirmed cases of NCIP that had been reported by January 22, 2020. We described characteristics of the cases and estimated the key epidemiologic time-delay distributions. In the early period of exponential growth, we estimated the epidemic doubling time and the basic reproductive number. Results: Among the first 425 patients with confirmed NCIP, the median age was 59 years and 56% were male. The majority of cases (55%) with onset before January 1, 2020, were linked to the Huanan Seafood Wholesale Market, as compared with 8.6% of the subsequent cases. The mean incubation period was 5.2 days (95% confidence interval [CI], 4.1 to 7.0), with the 95th percentile of the distribution at 12.5 days. In its early stages, the epidemic doubled in size every 7.4 days. With a mean serial interval of 7.5 days (95% CI, 5.3 to 19), the basic reproductive number was estimated to be 2.2 (95% CI, 1.4 to 3.9). Conclusions: On the basis of this information, there is evidence that human-to-human transmission has occurred among close contacts since the middle of December 2019. Considerable efforts to reduce transmission will be required to control outbreaks if similar dynamics apply elsewhere. Measures to prevent or reduce transmission should be implemented in populations at risk. (Funded by the Ministry of Science and Technology of China and others.).
Article
Full-text available
In December 2019, a cluster of patients with pneumonia of unknown cause was linked to a seafood wholesale market in Wuhan, China. A previously unknown betacoronavirus was discovered through the use of unbiased sequencing in samples from patients with pneumonia. Human airway epithelial cells were used to isolate a novel coronavirus, named 2019-nCoV, which formed another clade within the subgenus sarbecovirus, Orthocoronavirinae subfamily. Different from both MERS-CoV and SARS-CoV, 2019-nCoV is the seventh member of the family of coronaviruses that infect humans. Enhanced surveillance and further investigation are ongoing. (Funded by the National Key Research and Development Program of China and the National Major Project for Control and Prevention of Infectious Disease in China.).
Article
Background: In late December, 2019, patients presenting with viral pneumonia due to an unidentified microbial agent were reported in Wuhan, China. A novel coronavirus was subsequently identified as the causative pathogen, provisionally named 2019 novel coronavirus (2019-nCoV). As of Jan 26, 2020, more than 2000 cases of 2019-nCoV infection have been confirmed, most of which involved people living in or visiting Wuhan, and human-to-human transmission has been confirmed. Methods: We did next-generation sequencing of samples from bronchoalveolar lavage fluid and cultured isolates from nine inpatients, eight of whom had visited the Huanan seafood market in Wuhan. Complete and partial 2019-nCoV genome sequences were obtained from these individuals. Viral contigs were connected using Sanger sequencing to obtain the full-length genomes, with the terminal regions determined by rapid amplification of cDNA ends. Phylogenetic analysis of these 2019-nCoV genomes and those of other coronaviruses was used to determine the evolutionary history of the virus and help infer its likely origin. Homology modelling was done to explore the likely receptor-binding properties of the virus. Findings: The ten genome sequences of 2019-nCoV obtained from the nine patients were extremely similar, exhibiting more than 99·98% sequence identity. Notably, 2019-nCoV was closely related (with 88% identity) to two bat-derived severe acute respiratory syndrome (SARS)-like coronaviruses, bat-SL-CoVZC45 and bat-SL-CoVZXC21, collected in 2018 in Zhoushan, eastern China, but were more distant from SARS-CoV (about 79%) and MERS-CoV (about 50%). Phylogenetic analysis revealed that 2019-nCoV fell within the subgenus Sarbecovirus of the genus Betacoronavirus, with a relatively long branch length to its closest relatives bat-SL-CoVZC45 and bat-SL-CoVZXC21, and was genetically distinct from SARS-CoV. Notably, homology modelling revealed that 2019-nCoV had a similar receptor-binding domain structure to that of SARS-CoV, despite amino acid variation at some key residues. Interpretation: 2019-nCoV is sufficiently divergent from SARS-CoV to be considered a new human-infecting betacoronavirus. Although our phylogenetic analysis suggests that bats might be the original host of this virus, an animal sold at the seafood market in Wuhan might represent an intermediate host facilitating the emergence of the virus in humans. Importantly, structural analysis suggests that 2019-nCoV might be able to bind to the angiotensin-converting enzyme 2 receptor in humans. The future evolution, adaptation, and spread of this virus warrant urgent investigation. Funding: National Key Research and Development Program of China, National Major Project for Control and Prevention of Infectious Disease in China, Chinese Academy of Sciences, Shandong First Medical University.