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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">From SARS to MERS: evidence and speculation</title>
<author><name sortKey="Gao, Hainv" sort="Gao, Hainv" uniqKey="Gao H" first="Hainv" last="Gao">Hainv Gao</name>
<affiliation><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="ISNI">0000 0004 1759 700X</institution-id>
<institution-id institution-id-type="GRID">grid.13402.34</institution-id>
<institution>State Key Laboratory for Diagnosis and Treatment of Infectious Diseases, The First Affiliated Hospital, College of Medicine,</institution>
<institution>Zhejiang University,</institution>
</institution-wrap>
Hangzhou, 310003 China</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff2"><institution-wrap><institution-id institution-id-type="ISNI">0000 0004 1759 700X</institution-id>
<institution-id institution-id-type="GRID">grid.13402.34</institution-id>
<institution>Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases,</institution>
</institution-wrap>
Hangzhou, 310003 China</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Yao, Hangping" sort="Yao, Hangping" uniqKey="Yao H" first="Hangping" last="Yao">Hangping Yao</name>
<affiliation><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="ISNI">0000 0004 1759 700X</institution-id>
<institution-id institution-id-type="GRID">grid.13402.34</institution-id>
<institution>State Key Laboratory for Diagnosis and Treatment of Infectious Diseases, The First Affiliated Hospital, College of Medicine,</institution>
<institution>Zhejiang University,</institution>
</institution-wrap>
Hangzhou, 310003 China</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff2"><institution-wrap><institution-id institution-id-type="ISNI">0000 0004 1759 700X</institution-id>
<institution-id institution-id-type="GRID">grid.13402.34</institution-id>
<institution>Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases,</institution>
</institution-wrap>
Hangzhou, 310003 China</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Yang, Shigui" sort="Yang, Shigui" uniqKey="Yang S" first="Shigui" last="Yang">Shigui Yang</name>
<affiliation><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="ISNI">0000 0004 1759 700X</institution-id>
<institution-id institution-id-type="GRID">grid.13402.34</institution-id>
<institution>State Key Laboratory for Diagnosis and Treatment of Infectious Diseases, The First Affiliated Hospital, College of Medicine,</institution>
<institution>Zhejiang University,</institution>
</institution-wrap>
Hangzhou, 310003 China</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff2"><institution-wrap><institution-id institution-id-type="ISNI">0000 0004 1759 700X</institution-id>
<institution-id institution-id-type="GRID">grid.13402.34</institution-id>
<institution>Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases,</institution>
</institution-wrap>
Hangzhou, 310003 China</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Li, Lanjuan" sort="Li, Lanjuan" uniqKey="Li L" first="Lanjuan" last="Li">Lanjuan Li</name>
<affiliation><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="ISNI">0000 0004 1759 700X</institution-id>
<institution-id institution-id-type="GRID">grid.13402.34</institution-id>
<institution>State Key Laboratory for Diagnosis and Treatment of Infectious Diseases, The First Affiliated Hospital, College of Medicine,</institution>
<institution>Zhejiang University,</institution>
</institution-wrap>
Hangzhou, 310003 China</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff2"><institution-wrap><institution-id institution-id-type="ISNI">0000 0004 1759 700X</institution-id>
<institution-id institution-id-type="GRID">grid.13402.34</institution-id>
<institution>Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases,</institution>
</institution-wrap>
Hangzhou, 310003 China</nlm:aff>
</affiliation>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">PMC</idno>
<idno type="pmid">27726088</idno>
<idno type="pmc">7088694</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7088694</idno>
<idno type="RBID">PMC:7088694</idno>
<idno type="doi">10.1007/s11684-016-0466-7</idno>
<date when="2016">2016</date>
<idno type="wicri:Area/Pmc/Corpus">000514</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000514</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">From SARS to MERS: evidence and speculation</title>
<author><name sortKey="Gao, Hainv" sort="Gao, Hainv" uniqKey="Gao H" first="Hainv" last="Gao">Hainv Gao</name>
<affiliation><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="ISNI">0000 0004 1759 700X</institution-id>
<institution-id institution-id-type="GRID">grid.13402.34</institution-id>
<institution>State Key Laboratory for Diagnosis and Treatment of Infectious Diseases, The First Affiliated Hospital, College of Medicine,</institution>
<institution>Zhejiang University,</institution>
</institution-wrap>
Hangzhou, 310003 China</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff2"><institution-wrap><institution-id institution-id-type="ISNI">0000 0004 1759 700X</institution-id>
<institution-id institution-id-type="GRID">grid.13402.34</institution-id>
<institution>Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases,</institution>
</institution-wrap>
Hangzhou, 310003 China</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Yao, Hangping" sort="Yao, Hangping" uniqKey="Yao H" first="Hangping" last="Yao">Hangping Yao</name>
<affiliation><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="ISNI">0000 0004 1759 700X</institution-id>
<institution-id institution-id-type="GRID">grid.13402.34</institution-id>
<institution>State Key Laboratory for Diagnosis and Treatment of Infectious Diseases, The First Affiliated Hospital, College of Medicine,</institution>
<institution>Zhejiang University,</institution>
</institution-wrap>
Hangzhou, 310003 China</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff2"><institution-wrap><institution-id institution-id-type="ISNI">0000 0004 1759 700X</institution-id>
<institution-id institution-id-type="GRID">grid.13402.34</institution-id>
<institution>Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases,</institution>
</institution-wrap>
Hangzhou, 310003 China</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Yang, Shigui" sort="Yang, Shigui" uniqKey="Yang S" first="Shigui" last="Yang">Shigui Yang</name>
<affiliation><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="ISNI">0000 0004 1759 700X</institution-id>
<institution-id institution-id-type="GRID">grid.13402.34</institution-id>
<institution>State Key Laboratory for Diagnosis and Treatment of Infectious Diseases, The First Affiliated Hospital, College of Medicine,</institution>
<institution>Zhejiang University,</institution>
</institution-wrap>
Hangzhou, 310003 China</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff2"><institution-wrap><institution-id institution-id-type="ISNI">0000 0004 1759 700X</institution-id>
<institution-id institution-id-type="GRID">grid.13402.34</institution-id>
<institution>Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases,</institution>
</institution-wrap>
Hangzhou, 310003 China</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Li, Lanjuan" sort="Li, Lanjuan" uniqKey="Li L" first="Lanjuan" last="Li">Lanjuan Li</name>
<affiliation><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="ISNI">0000 0004 1759 700X</institution-id>
<institution-id institution-id-type="GRID">grid.13402.34</institution-id>
<institution>State Key Laboratory for Diagnosis and Treatment of Infectious Diseases, The First Affiliated Hospital, College of Medicine,</institution>
<institution>Zhejiang University,</institution>
</institution-wrap>
Hangzhou, 310003 China</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff2"><institution-wrap><institution-id institution-id-type="ISNI">0000 0004 1759 700X</institution-id>
<institution-id institution-id-type="GRID">grid.13402.34</institution-id>
<institution>Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases,</institution>
</institution-wrap>
Hangzhou, 310003 China</nlm:aff>
</affiliation>
</author>
</analytic>
<series><title level="j">Frontiers of Medicine</title>
<idno type="ISSN">2095-0217</idno>
<idno type="eISSN">2095-0225</idno>
<imprint><date when="2016">2016</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
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<profileDesc><textClass></textClass>
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</teiHeader>
<front><div type="abstract" xml:lang="en"><p>The Middle East respiratory syndrome coronavirus (MERS-CoV) is a novel zoonotic pathogen. In 2012, the infectious outbreak caused by MERS-CoV in Saudi Arabia has spread to more than 1600 patients in 26 countries, resulting in over 600 deaths.Without a travel history, few clinical and radiological features can reliably differentiate MERS from SARS. But in real world, comparing with SARS, MERS presents more vaguely defined epidemiology, more severe symptoms, and higher case fatality rate. In this review, we summarize the recent findings in the field of MERS-CoV, especially its molecular virology, interspecies mechanisms, clinical features, antiviral therapies, and the further investigation into this disease. As a newly emerging virus, many questions are not fully answered, including the exact mode of transmission chain, geographical distribution, and animal origins. Furthermore, a new protocol needs to be launched to rapidly evaluate the effects of unproven antiviral drugs and vaccine to fasten the clinical application of new drugs.</p>
</div>
</front>
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<pmc article-type="review-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Front Med</journal-id>
<journal-id journal-id-type="iso-abbrev">Front Med</journal-id>
<journal-title-group><journal-title>Frontiers of Medicine</journal-title>
</journal-title-group>
<issn pub-type="ppub">2095-0217</issn>
<issn pub-type="epub">2095-0225</issn>
<publisher><publisher-name>Higher Education Press</publisher-name>
<publisher-loc>Beijing</publisher-loc>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">27726088</article-id>
<article-id pub-id-type="pmc">7088694</article-id>
<article-id pub-id-type="publisher-id">466</article-id>
<article-id pub-id-type="doi">10.1007/s11684-016-0466-7</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Review</subject>
</subj-group>
</article-categories>
<title-group><article-title>From SARS to MERS: evidence and speculation</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Gao</surname>
<given-names>Hainv</given-names>
</name>
<xref ref-type="aff" rid="Aff1">1</xref>
<xref ref-type="aff" rid="Aff2">2</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Yao</surname>
<given-names>Hangping</given-names>
</name>
<xref ref-type="aff" rid="Aff1">1</xref>
<xref ref-type="aff" rid="Aff2">2</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Yang</surname>
<given-names>Shigui</given-names>
</name>
<xref ref-type="aff" rid="Aff1">1</xref>
<xref ref-type="aff" rid="Aff2">2</xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Li</surname>
<given-names>Lanjuan</given-names>
</name>
<address><email>ljli@zju.edu.cn</email>
</address>
<xref ref-type="aff" rid="Aff1">1</xref>
<xref ref-type="aff" rid="Aff2">2</xref>
</contrib>
<aff id="Aff1"><label>1</label>
<institution-wrap><institution-id institution-id-type="ISNI">0000 0004 1759 700X</institution-id>
<institution-id institution-id-type="GRID">grid.13402.34</institution-id>
<institution>State Key Laboratory for Diagnosis and Treatment of Infectious Diseases, The First Affiliated Hospital, College of Medicine,</institution>
<institution>Zhejiang University,</institution>
</institution-wrap>
Hangzhou, 310003 China</aff>
<aff id="Aff2"><label>2</label>
<institution-wrap><institution-id institution-id-type="ISNI">0000 0004 1759 700X</institution-id>
<institution-id institution-id-type="GRID">grid.13402.34</institution-id>
<institution>Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases,</institution>
</institution-wrap>
Hangzhou, 310003 China</aff>
</contrib-group>
<pub-date pub-type="epub"><day>23</day>
<month>12</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="ppub"><year>2016</year>
</pub-date>
<volume>10</volume>
<issue>4</issue>
<fpage>377</fpage>
<lpage>382</lpage>
<history><date date-type="received"><day>9</day>
<month>8</month>
<year>2015</year>
</date>
<date date-type="accepted"><day>12</day>
<month>6</month>
<year>2016</year>
</date>
</history>
<permissions><copyright-statement>© Higher Education Press and Springer-Verlag Berlin Heidelberg 2016</copyright-statement>
<license><license-p>This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.</license-p>
</license>
</permissions>
<abstract id="Abs1"><p>The Middle East respiratory syndrome coronavirus (MERS-CoV) is a novel zoonotic pathogen. In 2012, the infectious outbreak caused by MERS-CoV in Saudi Arabia has spread to more than 1600 patients in 26 countries, resulting in over 600 deaths.Without a travel history, few clinical and radiological features can reliably differentiate MERS from SARS. But in real world, comparing with SARS, MERS presents more vaguely defined epidemiology, more severe symptoms, and higher case fatality rate. In this review, we summarize the recent findings in the field of MERS-CoV, especially its molecular virology, interspecies mechanisms, clinical features, antiviral therapies, and the further investigation into this disease. As a newly emerging virus, many questions are not fully answered, including the exact mode of transmission chain, geographical distribution, and animal origins. Furthermore, a new protocol needs to be launched to rapidly evaluate the effects of unproven antiviral drugs and vaccine to fasten the clinical application of new drugs.</p>
</abstract>
<kwd-group xml:lang="en"><title>Keywords</title>
<kwd>middle east respiratory syndrome</kwd>
<kwd>animal origin</kwd>
<kwd>cross-species transmission</kwd>
<kwd>monoclonal antibody</kwd>
</kwd-group>
<custom-meta-group><custom-meta><meta-name>issue-copyright-statement</meta-name>
<meta-value>© Higher Education Press and Springer-Verlag Berlin Heidelberg 2016</meta-value>
</custom-meta>
</custom-meta-group>
</article-meta>
</front>
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