Serveur d'exploration MERS

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Hosts and Sources of Endemic Human Coronaviruses

Identifieur interne : 000908 ( Pmc/Corpus ); précédent : 000907; suivant : 000909

Hosts and Sources of Endemic Human Coronaviruses

Auteurs : Victor M. Corman ; Doreen Muth ; Daniela Niemeyer ; Christian Drosten

Source :

RBID : PMC:7112090

Abstract

The four endemic human coronaviruses HCoV-229E, -NL63, -OC43, and -HKU1 contribute a considerable share of upper and lower respiratory tract infections in adults and children. While their clinical representation resembles that of many other agents of the common cold, their evolutionary histories, and host associations could provide important insights into the natural history of past human pandemics. For two of these viruses, we have strong evidence suggesting an origin in major livestock species while primordial associations for all four viruses may have existed with bats and rodents. HCoV-NL63 and -229E may originate from bat reservoirs as assumed for many other coronaviruses, but HCoV-OC43 and -HKU1 seem more likely to have speciated from rodent-associated viruses. HCoV-OC43 is thought to have emerged from ancestors in domestic animals such as cattle or swine. The bovine coronavirus has been suggested to be a possible ancestor, from which HCoV-OC43 may have emerged in the context of a pandemic recorded historically at the end of the 19th century. New data suggest that HCoV-229E may actually be transferred from dromedary camels similar to Middle East respiratory syndrome (MERS) coronavirus. This scenario provides important ecological parallels to the present prepandemic pattern of host associations of the MERS coronavirus.


Url:
DOI: 10.1016/bs.aivir.2018.01.001
PubMed: 29551135
PubMed Central: 7112090

Links to Exploration step

PMC:7112090

Le document en format XML

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<p>The four endemic human coronaviruses HCoV-229E, -NL63, -OC43, and -HKU1 contribute a considerable share of upper and lower respiratory tract infections in adults and children. While their clinical representation resembles that of many other agents of the common cold, their evolutionary histories, and host associations could provide important insights into the natural history of past human pandemics. For two of these viruses, we have strong evidence suggesting an origin in major livestock species while primordial associations for all four viruses may have existed with bats and rodents. HCoV-NL63 and -229E may originate from bat reservoirs as assumed for many other coronaviruses, but HCoV-OC43 and -HKU1 seem more likely to have speciated from rodent-associated viruses. HCoV-OC43 is thought to have emerged from ancestors in domestic animals such as cattle or swine. The bovine coronavirus has been suggested to be a possible ancestor, from which HCoV-OC43 may have emerged in the context of a pandemic recorded historically at the end of the 19th century. New data suggest that HCoV-229E may actually be transferred from dromedary camels similar to Middle East respiratory syndrome (MERS) coronavirus. This scenario provides important ecological parallels to the present prepandemic pattern of host associations of the MERS coronavirus.</p>
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</TEI>
<pmc article-type="other">
<pmc-dir>properties open_access</pmc-dir>
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">Adv Virus Res</journal-id>
<journal-id journal-id-type="iso-abbrev">Adv. Virus Res</journal-id>
<journal-title-group>
<journal-title>Advances in Virus Research</journal-title>
</journal-title-group>
<issn pub-type="ppub">0065-3527</issn>
<issn pub-type="epub">1557-8399</issn>
<publisher>
<publisher-name>Elsevier Inc.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="pmid">29551135</article-id>
<article-id pub-id-type="pmc">7112090</article-id>
<article-id pub-id-type="publisher-id">S0065-3527(18)30001-0</article-id>
<article-id pub-id-type="doi">10.1016/bs.aivir.2018.01.001</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Article</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Hosts and Sources of Endemic Human Coronaviruses</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author" id="au0010">
<name>
<surname>Corman</surname>
<given-names>Victor M.</given-names>
</name>
<xref rid="af0010" ref-type="aff">*</xref>
<xref rid="af0015" ref-type="aff"></xref>
</contrib>
<contrib contrib-type="author" id="au0015">
<name>
<surname>Muth</surname>
<given-names>Doreen</given-names>
</name>
<xref rid="af0010" ref-type="aff">*</xref>
<xref rid="af0015" ref-type="aff"></xref>
</contrib>
<contrib contrib-type="author" id="au0020">
<name>
<surname>Niemeyer</surname>
<given-names>Daniela</given-names>
</name>
<xref rid="af0010" ref-type="aff">*</xref>
</contrib>
<contrib contrib-type="author" id="au0025">
<name>
<surname>Drosten</surname>
<given-names>Christian</given-names>
</name>
<email>christian.drosten@charite.de</email>
<xref rid="af0010" ref-type="aff">*</xref>
<xref rid="af0015" ref-type="aff"></xref>
<xref rid="cr0010" ref-type="corresp">1</xref>
</contrib>
</contrib-group>
<aff id="af0010">
<label>*</label>
Charité–Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Institute of Virology, Berlin, Germany</aff>
<aff id="af0015">
<label></label>
German Center for Infection Research (DZIF), Berlin, Germany</aff>
<author-notes>
<corresp id="cr0010">
<label>1</label>
Corresponding author:
<email>christian.drosten@charite.de</email>
</corresp>
</author-notes>
<pub-date pub-type="pmc-release">
<day>16</day>
<month>2</month>
<year>2018</year>
</pub-date>
<pmc-comment> PMC Release delay is 0 months and 0 days and was based on .</pmc-comment>
<pub-date pub-type="ppub">
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>16</day>
<month>2</month>
<year>2018</year>
</pub-date>
<volume>100</volume>
<fpage>163</fpage>
<lpage>188</lpage>
<permissions>
<copyright-statement>Copyright © 2018 Elsevier Inc. All rights reserved.</copyright-statement>
<copyright-year>2018</copyright-year>
<copyright-holder>Elsevier Inc.</copyright-holder>
<license>
<license-p>Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.</license-p>
</license>
</permissions>
<abstract id="ab0010">
<p>The four endemic human coronaviruses HCoV-229E, -NL63, -OC43, and -HKU1 contribute a considerable share of upper and lower respiratory tract infections in adults and children. While their clinical representation resembles that of many other agents of the common cold, their evolutionary histories, and host associations could provide important insights into the natural history of past human pandemics. For two of these viruses, we have strong evidence suggesting an origin in major livestock species while primordial associations for all four viruses may have existed with bats and rodents. HCoV-NL63 and -229E may originate from bat reservoirs as assumed for many other coronaviruses, but HCoV-OC43 and -HKU1 seem more likely to have speciated from rodent-associated viruses. HCoV-OC43 is thought to have emerged from ancestors in domestic animals such as cattle or swine. The bovine coronavirus has been suggested to be a possible ancestor, from which HCoV-OC43 may have emerged in the context of a pandemic recorded historically at the end of the 19th century. New data suggest that HCoV-229E may actually be transferred from dromedary camels similar to Middle East respiratory syndrome (MERS) coronavirus. This scenario provides important ecological parallels to the present prepandemic pattern of host associations of the MERS coronavirus.</p>
</abstract>
<kwd-group id="ks0010">
<title>Keywords</title>
<kwd>
<italic>Coronaviridae</italic>
</kwd>
<kwd>Alphacoronavirus</kwd>
<kwd>Betacoronavirus</kwd>
<kwd>
<italic>Chiroptera</italic>
</kwd>
<kwd>
<italic>Rodentia</italic>
</kwd>
<kwd>Livestock</kwd>
<kwd>Respiratory tract infections</kwd>
<kwd>Zoonotic diseases</kwd>
</kwd-group>
</article-meta>
</front>
<body>
<sec id="s0010">
<label>1</label>
<title>Introduction</title>
<p id="p0010">Coronaviruses (CoV) (order
<italic>Nidovirales</italic>
, family
<italic>Coronaviridae</italic>
, subfamily
<italic>Coronavirinae</italic>
) are enveloped, positive stranded RNA viruses. The subfamily
<italic>Coronavirinae</italic>
contains the four genera
<italic>Alpha-</italic>
,
<italic>Beta-</italic>
,
<italic>Gamma-</italic>
, and
<italic>Deltacoronavirus</italic>
. Coronaviruses infect birds (gamma- and deltacoronaviruses) and several mammalian species (mainly alpha- and betacoronaviruses), including humans. Animal CoVs, which include important livestock pathogens such as transmissible gastroenteritis virus (TGEV) of swine, bovine CoV (BCoV), and feline coronavirus (FCoV) have been known for more than 80 years (
<xref rid="bb0450" ref-type="bibr">Saif, 2004</xref>
). Six different CoVs have been identified in humans. The earliest reports of
<italic>endemic human CoV (HCoV)</italic>
date back to the 1960s, when HCoV-OC43 and -229E were described (
<xref rid="bb0240" ref-type="bibr">Hamre and Procknow, 1966</xref>
;
<xref rid="bb0360" ref-type="bibr">McIntosh et al., 1967</xref>
). HCoV-NL63 and -HKU1 were discovered only in 2004 and 2005, respectively (
<xref rid="bb0510" ref-type="bibr">van der Hoek et al., 2004</xref>
;
<xref rid="bb0560" ref-type="bibr">Woo et al., 2005</xref>
). In addition to these four endemic HCoVs, two epidemic CoVs have emerged in humans in the last 2 decades, severe acute respiratory syndrome (SARS)-CoV and the Middle East respiratory syndrome (MERS)-CoV discovered in 2003 and 2012, respectively (
<xref rid="bb0145" ref-type="bibr">Drosten et al., 2003</xref>
;
<xref rid="bb0610" ref-type="bibr">Zaki et al., 2012</xref>
). Both viruses belong to the genus
<italic>Betacoronavirus</italic>
and were responsible for outbreaks involving high case fatality rates. SARS-CoV was responsible for an outbreak of viral pneumonia in 2002/2003. This outbreak affected at least 8000 individuals and was characterized by a case fatality rate of approximately 10% (
<xref rid="bb0055" ref-type="bibr">Cheng et al., 2007</xref>
;
<xref rid="bb0145" ref-type="bibr">Drosten et al., 2003</xref>
). The epidemic lineage of SARS-CoV is believed to have been acquired by humans from carnivorous wild game such as civet cats, which in turn are thought to have acquired the virus from rhinolophid bats (
<xref rid="bb0130" ref-type="bibr">Drexler et al., 2010</xref>
;
<xref rid="bb0145" ref-type="bibr">Drosten et al., 2003</xref>
;
<xref rid="bb0200" ref-type="bibr">Ge et al., 2013</xref>
;
<xref rid="bb0410" ref-type="bibr">Peiris et al., 2003</xref>
;
<xref rid="bb0425" ref-type="bibr">Poon et al., 2005</xref>
;
<xref rid="bb0600" ref-type="bibr">Yang et al., 2015</xref>
). Since 2004, no human SARS-CoV cases have been reported, but SARS-CoV or closely related viruses carried by bats may still be able to cause human disease after spillover infection (
<xref rid="bb0195" ref-type="bibr">Ge et al., 2012</xref>
,
<xref rid="bb0200" ref-type="bibr">2013</xref>
).</p>
<p id="p0015">The other highly pathogenic CoV infecting humans—the MERS-CoV—was incidentally discovered in a fatal human case of pneumonia in Saudi Arabia in 2012 (
<xref rid="bb0610" ref-type="bibr">Zaki et al., 2012</xref>
). A large body of subsequent work suggests that humans regularly and frequently acquire MERS-CoV as a zoonotic infection from dromedary camels, a major livestock species in the Middle East. Dromedary camels across their habitats in Africa, the Middle East, and Asia are now known to be seropositive for MERS-CoV at very high proportions (
<xref rid="bb0060" ref-type="bibr">Chu et al., 2014</xref>
,
<xref rid="bb0065" ref-type="bibr">2015</xref>
;
<xref rid="bb0075" ref-type="bibr">Corman et al., 2014b</xref>
;
<xref rid="bb0375" ref-type="bibr">Muller et al., 2014</xref>
;
<xref rid="bb0435" ref-type="bibr">Reusken et al., 2013</xref>
;
<xref rid="bb0460" ref-type="bibr">Saqib et al., 2017</xref>
). Conspecific viruses in coancestral relationship to dromedary-associated viruses were found in bats. However, these bat-associated MERS-related CoVs are far more genetically distant from their human-infecting counterpart than bat-associated viruses related to SARS-CoV (
<xref rid="bb0015" ref-type="bibr">Annan et al., 2013</xref>
;
<xref rid="bb0070" ref-type="bibr">Corman et al., 2014a</xref>
;
<xref rid="bb0115" ref-type="bibr">de Groot et al., 2013</xref>
;
<xref rid="bb0270" ref-type="bibr">Ithete et al., 2013</xref>
;
<xref rid="bb0500" ref-type="bibr">van Boheemen et al., 2012</xref>
). Since the discovery of MERS-CoV, more than 2000 human cases were reported. The case fatality rate in hospital-associated clusters ranged around 35% (
<xref rid="bb0555" ref-type="bibr">WHO, 2017</xref>
). Hospital-based outbreaks are known to have involved up to four consecutive steps of human-to-human transmission before further spread could be halted by intensified measures of infection control (
<xref rid="bb0150" ref-type="bibr">Drosten et al., 2015</xref>
;
<xref rid="bb0290" ref-type="bibr">Kim et al., 2017</xref>
;
<xref rid="bb0385" ref-type="bibr">Oboho et al., 2015</xref>
). Owing to the role of dromedaries as a major livestock species in the Middle East, MERS-CoV represents a serious zoonotic threat involving an unknown epidemic and pandemic potential.</p>
<p id="p0020">In extension of our knowledge on origins of MERS- and SARS-CoV in bats, it has been proposed that all HCoVs may be of zoonotic origin, and may indeed originate from bats (
<xref rid="bb0140" ref-type="bibr">Drexler et al., 2014</xref>
;
<xref rid="bb0520" ref-type="bibr">Vijaykrishna et al., 2007</xref>
;
<xref rid="bb0570" ref-type="bibr">Woo et al., 2009a</xref>
,
<xref rid="bb0575" ref-type="bibr">Woo et al., 2009b</xref>
). The common scenario of CoV evolution then involves past transitions into intermediate hosts such as livestock that have closer interaction with humans, and that may carry a diversity of viruses including variants directly related to ancestral strains. Discovering intermediary viruses may enable comparisons between original and current viral characteristics in humans, elucidating the process of human adaptation. However, there is still a gross lack of comprehensive data on the evolutionary history of most HCoVs. Only for HCoV-OC43, which belongs to the species
<italic>Betacoronavirus 1</italic>
(BetaCoV 1), a zoonotic acquisition from ungulate livestock is widely accepted (
<xref rid="bb0105" ref-type="bibr">de Groot et al., 2012a</xref>
,
<xref rid="bb0110" ref-type="bibr">de Groot et al., 2012b</xref>
;
<xref rid="bb0525" ref-type="bibr">Vijgen et al., 2005</xref>
,
<xref rid="bb0530" ref-type="bibr">2006</xref>
). Recently, a number of studies of CoV in wildlife and livestock have advanced our knowledge of origins of the other HCoVs. In this text, we will provide definitions that are important to correctly describe the process of host transition during emergence of HCoVs, and continue to summarize what is known and thought about the natural histories of emergence of HCoVs.</p>
<sec id="s0015">
<label>1.1</label>
<title>Endemic Human Coronavirus Disease</title>
<p id="p0025">The alphacoronaviruses HCoV-NL63 and -229E and the betacoronaviruses HCoV-OC43 and -HKU1 are established human pathogens. They are responsible for episodes of common cold in humans worldwide (
<xref rid="bb0020" ref-type="bibr">Annan et al., 2016</xref>
;
<xref rid="bb0215" ref-type="bibr">Graat et al., 2003</xref>
;
<xref rid="bb0340" ref-type="bibr">Mackay et al., 2012</xref>
;
<xref rid="bb0400" ref-type="bibr">Owusu et al., 2014</xref>
;
<xref rid="bb0515" ref-type="bibr">van Elden et al., 2004</xref>
). Depending on the study setting, up to 20% of tests in individuals with respiratory disease yielded evidence of acute infection with these viruses (
<xref rid="bb0020" ref-type="bibr">Annan et al., 2016</xref>
;
<xref rid="bb0035" ref-type="bibr">Arden et al., 2005</xref>
;
<xref rid="bb0040" ref-type="bibr">Bastien et al., 2005</xref>
;
<xref rid="bb0045" ref-type="bibr">Berkley et al., 2010</xref>
;
<xref rid="bb0120" ref-type="bibr">Dijkman et al., 2012</xref>
;
<xref rid="bb0180" ref-type="bibr">Fielding, 2011</xref>
;
<xref rid="bb0190" ref-type="bibr">Gaunt et al., 2010</xref>
;
<xref rid="bb0300" ref-type="bibr">Larson et al., 1980</xref>
;
<xref rid="bb0535" ref-type="bibr">Walsh et al., 2013</xref>
). HCoV-229E was first isolated in 1967 and shares only 65% nucleotide identity with the other human alphacoronavirus, HCoV-NL63. The latter was first isolated in 2003 from a 7-months-old child suffering from bronchiolitis and conjunctivitis (
<xref rid="bb0240" ref-type="bibr">Hamre and Procknow, 1966</xref>
;
<xref rid="bb0510" ref-type="bibr">van der Hoek et al., 2004</xref>
). HCoV-OC43 is already known since the 1960s, whereas HCoV-HKU1 was discovered only in 2005 in a 71-year-old man with pneumonia treated in Hong Kong (
<xref rid="bb0360" ref-type="bibr">McIntosh et al., 1967</xref>
;
<xref rid="bb0560" ref-type="bibr">Woo et al., 2005</xref>
).</p>
<p id="p0030">Although the majority of infections with HCoVs cause only mild respiratory tract illness, all HCoVs can also induce fulminant courses of disease, especially but not exclusively in immunosuppressed patients and infants (
<xref rid="bb0295" ref-type="bibr">Konca et al., 2017</xref>
;
<xref rid="bb0350" ref-type="bibr">Mayer et al., 2016</xref>
;
<xref rid="bb0390" ref-type="bibr">Oosterhof et al., 2010</xref>
;
<xref rid="bb0505" ref-type="bibr">van der Hoek, 2007</xref>
). Beside the occurrence in the respiratory tract, all endemic CoVs can also be detected in stool samples but they do not seem to be a major cause of gastroenteritis (
<xref rid="bb0175" ref-type="bibr">Esper et al., 2010</xref>
;
<xref rid="bb0405" ref-type="bibr">Paloniemi et al., 2015</xref>
;
<xref rid="bb0440" ref-type="bibr">Risku et al., 2010</xref>
). In particular, HCoV-OC43 has been suspected to play a role in neurological diseases such as chronic demyelinating disease and acute encephalomyelitis (
<xref rid="bb0370" ref-type="bibr">Morfopoulou et al., 2016</xref>
;
<xref rid="bb0380" ref-type="bibr">Murray et al., 1992</xref>
;
<xref rid="bb0605" ref-type="bibr">Yeh et al., 2004</xref>
).</p>
</sec>
<sec id="s0020">
<label>1.2</label>
<title>Definitions and Concepts</title>
<sec id="s0025">
<label>1.2.1</label>
<title>Virus Species</title>
<p id="p0035">The International Committee for the Taxonomy of Viruses (ICTV) endorsed the following definition for a virus species in 1991: “A virus species is a polythetic class of viruses that constitute a replicating lineage and occupy a particular ecological niche”. In spite of this comprehensive definition, the delineation of specific viral species is often not well defined. For CoVs, the ICTV coronavirus study group has suggested a species criterion based on rooted phylogenies and pair wise amino acid distances in seven concatenated domains of the nonstructural part of the CoV genome (
<xref rid="bb0115" ref-type="bibr">de Groot et al., 2013</xref>
). While the group is presently working on a comprehensive revision of the present CoV classification, we use the above-described classification and current taxonomic virus designations for this overview.</p>
<p id="p0040">ICTV classifies HCoV-NL63, -229E, and -HKU1 as independent viral species, whereas HCoV-OC43 is part of a virus species named
<italic>Betacoronavirus 1</italic>
(BetaCoV 1). Beside HCoV-OC43, BetaCoV1 comprises BCoV and several closely related viruses found in odd- and even-toed ungulates, carnivores, and lagomorphs (
<xref rid="bb0010" ref-type="bibr">Alekseev et al., 2008</xref>
;
<xref rid="bb0235" ref-type="bibr">Guy et al., 2000</xref>
;
<xref rid="bb0250" ref-type="bibr">Hasoksuz et al., 2007</xref>
;
<xref rid="bb0315" ref-type="bibr">Lau et al., 2012</xref>
;
<xref rid="bb0325" ref-type="bibr">Lim et al., 2013</xref>
;
<xref rid="bb0345" ref-type="bibr">Majhdi et al., 1997</xref>
).</p>
</sec>
<sec id="s0030">
<label>1.2.2</label>
<title>Application of Niche- vs Genetic Distance Criteria in Species Classification</title>
<p id="p0045">The ICTV species definition includes a general recognition of the role of habitat in the process of speciation. It also implicates genetic restrictions separating species by referring to a species as “a replicating lineage.” However, only for some virus groups have the genetic basis of speciation—limited fitness of recombinants—been used to systematically delimit species. Habitat or niche separation leads to physical, but not necessarily genetic reproductive isolation. In classical approaches to species definition in animals, populations living in disconnected habitats continue to belong to one same species as long as they can generate fit and fertile progeny. In some viral taxa including the CoVs, genetic distance criteria have been established, using data that at least partly consider the empirical capability of viral lineages to form viable recombinants (
<xref rid="bb0105" ref-type="bibr">de Groot et al., 2012a</xref>
,
<xref rid="bb0110" ref-type="bibr">de Groot et al., 2012b</xref>
). Genetic species delimitation criteria enable us to discover cases in which viral species exist over several host systems. We can then identify those host species that contain a higher genetic viral diversity, and thereupon derive source attributions in zoonotic or evolutionary scenarios. Adequate comparisons of genetic diversity can only be conducted as long as the compared viruses belong to one same species. This is because the biology of separated species—even if they belong to closely related phylogenetic clades—may be so different that genetic diversity could have developed at considerably different pace. Consequently, information on ecological niche—often a particular host species—should not be used as a leading criterion for the classification of viral species.</p>
</sec>
<sec id="s0035">
<label>1.2.3</label>
<title>Natural Hosts</title>
<p id="p0050">As ICTV's general view on species involves the concept of niche, we have to reflect on the implications for multihost species of viruses. For the purpose of the present text, we will define a
<italic>natural host</italic>
as the long-term ecological niche (resembling a habitat) of a viral population or metapopulation, whereas
<italic>dead-end host</italic>
is a niche in which the maintenance of populations is routinely unsuccessful (and success may lead to a pandemic). It should be noted that “host” in this context does not necessarily mean a species of animals but can extend over wider taxonomic groups (such as a genus). The host niche can also be restricted by nontaxonomic properties such as geographic range.</p>
<p id="p0055">Natural hosts are expected to show typical common characteristics related to infection patterns: First, they should contain a higher genetic virus diversity than other host species. Second, they should harbor the virus continuously, at least on the level of social groups. And third, they should be naturally infected beyond the geographic range of present social groups (
<xref rid="bb0135" ref-type="bibr">Drexler et al., 2012</xref>
;
<xref rid="bb0225" ref-type="bibr">Greger, 2007</xref>
;
<xref rid="bb0255" ref-type="bibr">Haydon et al., 2002</xref>
). For some viral species all of these criteria are met, and consensus regarding natural host associations can be reached. For instance, virologists agree on the association of rabies virus with dogs and related carnivores, as well as influenza A virus with several species of waterfowl.</p>
<p id="p0060">In many studies, the concept of natural host is used with an evolutionary connotation. To discriminate evolutionary concepts from epidemiological concepts, we will hereafter use the term
<italic>primordial host</italic>
when we imply animal taxa in (or from which) the virus of interest is thought to have speciated. Primordial hosts are crown group taxa, meaning that they can contain extinct species.</p>
</sec>
<sec id="s0040">
<label>1.2.4</label>
<title>Zoonotic Sources</title>
<p id="p0065">Several zoonotic spillover infections or epidemics in humans are explained by the involvement of
<italic>intermediate hosts</italic>
, creating additional complexity when analyzing multihost species of viruses. In cases in which the virus establishes long-term endemicity in intermediate hosts, intermediate hosts can become natural hosts according to the above definition. The viruses existing in the primordial host and the intermediate host can both belong to the same species, but the viral source population involved in zoonotic transmission may be disconnected from that in the primordial host. For clarity of source implications, we will therefore refer to source species in zoonotic transmission processes as
<italic>zoonotic sources</italic>
, irrespective of whether they also fulfill all criteria of natural hosts. A prominent example is rabies virus that has highly diversified conspecifics in bats but is enzootic in dogs to such a degree that dogs are considered zoonotic sources and natural hosts at the same time, but not primordial hosts. The transmission of Nipah and Hendra virus (belonging to the family
<italic>Paramyxoviridae</italic>
) from bats to humans involves swine or horses that act as zoonotic sources but are not considered natural hosts because they are only accidentally infected (
<xref rid="bb0155" ref-type="bibr">Eaton et al., 2006</xref>
). Intermediate hosts may act as zoonotic sources for dead-end hosts not only because they close gaps of contact between species, but also because they could make the virus transmissible by intermediary adaptation (
<xref rid="bb0050" ref-type="bibr">Caron et al., 2015</xref>
;
<xref rid="bb0420" ref-type="bibr">Plowright et al., 2015</xref>
). Intermediary adaptation was strongly suspected for the SARS-CoV whose zoonotic source is in carnivores, in which the virus would have evolved human-compatible receptor tropism (
<xref rid="bb0220" ref-type="bibr">Graham and Baric, 2010</xref>
;
<xref rid="bb0230" ref-type="bibr">Guan et al., 2003</xref>
;
<xref rid="bb0470" ref-type="bibr">Song et al., 2005</xref>
;
<xref rid="bb0540" ref-type="bibr">Wang et al., 2005</xref>
;
<xref rid="bb0595" ref-type="bibr">Xu et al., 2004</xref>
). However, viruses directly infecting human cells have later been found in rhinolophid bats, the primordial natural host of the species SARS-related CoV (
<xref rid="bb0140" ref-type="bibr">Drexler et al., 2014</xref>
;
<xref rid="bb0200" ref-type="bibr">Ge et al., 2013</xref>
;
<xref rid="bb0600" ref-type="bibr">Yang et al., 2015</xref>
). Of note, these viruses are conspecific with SARS-CoV but do not fall into the viral clade that was transferred from carnivores to humans and initiated the epidemic. The actual ancestors of the SARS-CoV may continue to exist in the natural reservoir, as new virus variants are continuously formed in the reservoir. If the natural host (e.g., a bat species) harbors different virus populations of the same species, recombination contributes new variants. The proofreading and repair mechanisms typical in CoVs may aid the survival and selection of recombinant viruses in populations (
<xref rid="bb0160" ref-type="bibr">Eckerle et al., 2010</xref>
;
<xref rid="bb0245" ref-type="bibr">Hanada et al., 2004</xref>
;
<xref rid="bb0365" ref-type="bibr">Minskaia et al., 2006</xref>
). Indeed, recombination between the S1 and S2 subunits of the spike gene has been discussed as one of the major mechanism involved in the emergence of human SARS-CoV strains from bat and civet ancestors (
<xref rid="bb0160" ref-type="bibr">Eckerle et al., 2010</xref>
). On the other hand, ongoing recombination maintains stability of the gene pool of a defined virus species by shuffling sequences and thus limiting divergence processes (
<xref rid="bb0335" ref-type="bibr">Lukashev, 2010</xref>
).</p>
<p id="p0070">The ubiquitous occurrence and the vast diversity of bat-associated CoVs have led to the assumption that bats are the primordial hosts of CoVs (
<xref rid="bb0520" ref-type="bibr">Vijaykrishna et al., 2007</xref>
). Whereas it seems possible that all mammalian CoVs may have originated in bats (
<xref rid="bb0140" ref-type="bibr">Drexler et al., 2014</xref>
;
<xref rid="bb0570" ref-type="bibr">Woo et al., 2009a</xref>
,
<xref rid="bb0575" ref-type="bibr">Woo et al., 2009b</xref>
), this hypothesis should be reevaluated after more complete data on the diversity in other, similarly complex groups of mammalian hosts are available.</p>
</sec>
<sec id="s0045">
<label>1.2.5</label>
<title>Tropism Changes During Emergence</title>
<p id="p0075">After host transition, fidelity-associated mutation and selection in the novel host environment may gradually optimize virus–host interactions maintained from the former host environment, for instance regarding interactions between spike protein and receptor (
<xref rid="bb0160" ref-type="bibr">Eckerle et al., 2010</xref>
). Provided that receptor distribution is similar in donor and recipient host, these gradual changes are not expected to cause general changes of disease pattern. Nevertheless, the emergence of coronaviral diseases has also involved drastic changes including switches in tissue tropism by combinations of gene deletion and recombination. For instance, in TEGV of swine, deletions in the spike protein have been associated with changed tropism. TEGV with a full-length spike gene has tropism for both the respiratory and the enteric tracts, whereas strains with deletions (termed PRCV for porcine respiratory coronavirus) mainly replicate in and are transmitted via the respiratory tract (
<xref rid="bb0285" ref-type="bibr">Kim et al., 2000</xref>
;
<xref rid="bb0455" ref-type="bibr">Sanchez et al., 1992</xref>
). PRCV outcompeted TGEV in pig populations in spite of its virtual identical antigen composition (
<xref rid="bb0395" ref-type="bibr">Openshaw, 2009</xref>
). As respiratory viruses do not require direct contact for transmission, they are naturally more contagious irrespective of antigen variation and escape of population immunity. Because of increased prevalence in zoonotic sources, such viruses may then undergo onward host transition.</p>
<p id="p0080">In humans, infections with CoVs are thought to cause mainly respiratory tract infections, while many (but not all) livestock CoVs cause infections of the gastrointestinal tract. Although many studies examining human intestinal specimens reported that coronaviral RNA can be detected in stool samples (
<xref rid="bb0440" ref-type="bibr">Risku et al., 2010</xref>
;
<xref rid="bb0615" ref-type="bibr">Zhang et al., 1994</xref>
), it seems that this detection is most likely explained by the presence of ingested virus particles from the respiratory tract, than resulting from productive replication in intestinal tissue (
<xref rid="bb0280" ref-type="bibr">Jevsnik et al., 2013</xref>
). It is worth mentioning that viruses in coancestral relationship to human CoVs are well known in bats. As these viruses are almost universally detected in feces, this suggests a primordial tropism for the intestinal tract before emergence as human respiratory pathogens (
<xref rid="bb0465" ref-type="bibr">Smith et al., 2016</xref>
).</p>
</sec>
</sec>
<sec id="s0050">
<label>1.3</label>
<title>Natural Hosts and Zoonotic Sources of Human Coronaviruses</title>
<p id="p0085">To elucidate natural hosts and potential zoonotic sources of HCoVs, it is helpful to review the virus diversity and genome characteristics of related viruses.
<xref rid="f0010" ref-type="fig">Fig. 1</xref>
provides a schematic overview of animal groups that may have played a role in the evolution and emergence of HCoVs.
<fig id="f0010">
<label>Fig. 1</label>
<caption>
<p>Summary diagram of the animal groups representing natural hosts and the putative intermediate hosts for the six CoVs found in humans.</p>
</caption>
<alt-text id="al0010">Fig. 1</alt-text>
<graphic xlink:href="f08-01-9780128152010_lrg"></graphic>
</fig>
</p>
</sec>
</sec>
<sec id="s0055">
<label>2</label>
<title>HCoV-NL63</title>
<p id="p0090">HCoV-NL63 was discovered by Dutch researchers in the supernatant of tertiary monkey kidney cells used to screen patients with respiratory disease (
<xref rid="bb0510" ref-type="bibr">van der Hoek et al., 2004</xref>
). An independent study, also from the Netherlands, found the same virus in blind cell culture isolate that had been stored for many years before final characterization (
<xref rid="bb0185" ref-type="bibr">Fouchier et al., 2004</xref>
). American researchers identified the same virus, then termed HCoV-NH (for New Haven), by RT-PCR (
<xref rid="bb0170" ref-type="bibr">Esper et al., 2005</xref>
). The first bat CoVs related to HCoV-NL63 were found in feces of European and African bats belonging to the family
<italic>Vespertilionidae</italic>
(
<xref rid="bb0130" ref-type="bibr">Drexler et al., 2010</xref>
;
<xref rid="bb0210" ref-type="bibr">Gloza-Rausch et al., 2008</xref>
;
<xref rid="bb0415" ref-type="bibr">Pfefferle et al., 2009</xref>
). While these viruses are related to HCoV-NL63, they are not conspecific. The same applies to another virus found in the American tricolored bat (
<italic>Perimyotis subflavus</italic>
, also a vespertilionid species), termed ARCoV.2, which is also not conspecific with HCoV-NL63 by definition (
<xref rid="bb0125" ref-type="bibr">Donaldson et al., 2010</xref>
). Nevertheless, this study provides functional data that bat cells can support HCoV-NL63 replication by conducting infection experiments in an immortalized lung cell line from the American tricolored bat (
<xref rid="bb0125" ref-type="bibr">Donaldson et al., 2010</xref>
;
<xref rid="bb0265" ref-type="bibr">Huynh et al., 2012</xref>
). The cell line was infected with HCoV-NL63 and virus replication was confirmed by the detection of subgenomic RNA and the production of nucleocapsid protein. Foci of infected cells appeared to increase when observed under a fluorescence microscope. Interestingly, the number of infectious particles as determined by plaque assay remained low, which was explained by a potential block in viral egress (
<xref rid="bb0265" ref-type="bibr">Huynh et al., 2012</xref>
). It was proposed that the functional and genetic findings for American tricolored bats and ARCoV.2 have implications on origins of HCoV-NL63 (
<xref rid="bb0265" ref-type="bibr">Huynh et al., 2012</xref>
).</p>
<p id="p0095">More recently, other researchers presented three different sequences of CoVs in
<italic>Triaenops affer</italic>
(family
<italic>Hipposideridae</italic>
) from Kenya that are more closely related to HCoV-NL63 (
<xref rid="bb0480" ref-type="bibr">Tao et al., 2017</xref>
). These bats are not closely related to vespertilionids. The report by Tao et al. included one strain (BtKYNL63-9a, GenBank ACC no. KY073744) that exceeded the 90% amino acid sequence identity threshold applicable for species typing in three of the seven conserved gene domains (
<xref rid="bb0480" ref-type="bibr">Tao et al., 2017</xref>
). The genome organization of the NL63-related bat CoV was similar to that of HCoV-NL63 (ORF1ab-S-ORF3-
<italic>E</italic>
-M-N) with the exception that the bat CoV genomes coded for an additional open reading frame (ORF
<italic>X</italic>
) downstream of the N gene. Even if distance-based typing did not allow to formally classify the virus as conspecific with HCoV-NL63, there was evidence for recombination between ancestral lineages of BtKYNL63-9a and bat-associated HCoV-229E-related viruses (
<xref rid="bb0480" ref-type="bibr">Tao et al., 2017</xref>
). This is important as HCoV-NL63 and -229E form sister species. The recombination processes involved the spike gene via two breakpoints, one located near the gene's 5′-end and the second around 200 nucleotides upstream of the 3′-end (
<xref rid="bb0480" ref-type="bibr">Tao et al., 2017</xref>
). Similar recombination breakpoints were also reported for SARS- and SARS-like CoV and HCoV-OC43 (
<xref rid="bb0260" ref-type="bibr">Hon et al., 2008</xref>
;
<xref rid="bb0305" ref-type="bibr">Lau et al., 2010</xref>
,
<xref rid="bb0310" ref-type="bibr">2011</xref>
). Because the existence of viable recombinants could indicate incomplete speciation, the existence of BtKYNL63-9a should be regarded as a hint toward the primordial host of HCoV-NL63. Its ancestors may well have existed in hipposiderid or rhinolophid bats.</p>
<p id="p0100">We have no knowledge about zoonotic sources of HCoV-NL63.</p>
</sec>
<sec id="s0060">
<label>3</label>
<title>HCoV-229E</title>
<p id="p0105">The human respiratory agent HCoV-229E was first described in 1966 (
<xref rid="bb0240" ref-type="bibr">Hamre and Procknow, 1966</xref>
). It was isolated in cell cultures inoculated with samples from diseased student volunteers. In 2007, sequences related to HCoV-229E were detected in captive Alpacas (
<italic>Vicugna pacos</italic>
) during a trade fair in California. The single virus strain, termed Alpaca coronavirus (ACoV), was fully sequenced and found to be highly related to known HCoV-229E strains. Epidemiological records suggested that the virus had caused a small outbreak of respiratory disease in exposed alpacas (
<xref rid="bb0095" ref-type="bibr">Crossley et al., 2010</xref>
,
<xref rid="bb0100" ref-type="bibr">2012</xref>
), but it was never observed in feral animals. As no knowledge existed on related viruses other than HCoV-229E at that time, the finding was difficult to interpret as the strain could simply have been acquired from humans.</p>
<p id="p0110">Around the same time, studies of CoV diversity in bats revealed viruses in close and conspecific relationship to HCoV-229E in hipposiderid bats in Africa (
<xref rid="bb0085" ref-type="bibr">Corman et al., 2015</xref>
;
<xref rid="bb0415" ref-type="bibr">Pfefferle et al., 2009</xref>
). Phylogenetic analysis identified lineages closely related to HCoV-229E and Alpaca-CoV, as well as novel sister and cousin groups that altogether showed a much larger viral diversity in hipposiderid bats, than in humans and alpaca together. Epidemiological findings and physiological data suggested long-term endemicity and absence of disease in infected bats, which provides further support for a natural host relationship (
<xref rid="bb0085" ref-type="bibr">Corman et al., 2015</xref>
;
<xref rid="bb0415" ref-type="bibr">Pfefferle et al., 2009</xref>
). While humans can come in contact with hipposiderid bats in their natural habitats, the existence of the alpaca virus remained difficult to explain except by human-derived infection; hipposiderid bats and alpaca do not share habitats (Old World vs New World species) (
<xref rid="bb0085" ref-type="bibr">Corman et al., 2015</xref>
).</p>
<p id="p0115">In studies on MERS-CoV in dromedary camels, we and others found 229E-related CoVs in dromedary camels in the Arabian Peninsula and Africa (
<xref rid="bb0090" ref-type="bibr">Corman et al., 2016</xref>
;
<xref rid="bb0445" ref-type="bibr">Sabir et al., 2016</xref>
). Phylogenetic analyses of complete genomes placed the dromedary-associated viruses in sister relationship to HCoV-229E, while the Alpaca-CoV clustered with dromedary camel viruses. Alpaca is a species in the genus
<italic>Vicugna</italic>
of the family
<italic>Camelidae</italic>
. The monophyletic clade formed by human and camelid viruses has an immediate sister lineage within bat-associated viruses (
<xref rid="f0015" ref-type="fig">Fig. 2</xref>
A). Whereas the novel finding does not challenge the assumption of bats acting as natural hosts of HCoV-229E, the virus could have been acquired by humans or camels in either direction of transmission, and could also have been acquired by both from an unknown source including bats. However, more detailed analyses suggest HCoV-229E to have evolved toward the human genotype in camelids, thereby identifying the latter as a zoonotic source of human infection, and creating a scenario of emergence that is congruent with the present prepandemic pattern of MERS-CoV infection (
<xref rid="bb0085" ref-type="bibr">Corman et al., 2015</xref>
,
<xref rid="bb0090" ref-type="bibr">2016</xref>
).
<fig id="f0015">
<label>Fig. 2</label>
<caption>
<p>Genome characteristics and mutation patterns of HCoV-229E and related viruses from animals. (A) Maximum-likelihood phylogeny of complete genomes of representative HCoV-229E-related coronaviruses from humans, camelids, and bats.
<italic>Filled circles</italic>
at nodes indicate bootstrap supports of 100% (200 replicates). HCoV-NL63 GenBank (accession no. NC_005831) was used as an outgroup (
<italic>branch truncated</italic>
). (B) Genomic organization of 229E-related coronaviruses. Regions with deletions are given in
<italic>red</italic>
. (C and D) Deletion patterns in ORF 8 homologs of 229E-related coronaviruses regions with deletions are given in
<italic>red</italic>
(numbered I–IV).
<italic>Asterisks</italic>
represent triplets that would act as in-frame stop codons;
<italic>arrows</italic>
represent possible start codons.</p>
</caption>
<alt-text id="al0015">Fig. 2</alt-text>
<graphic xlink:href="f08-02-9780128152010_lrg"></graphic>
<attrib>Figure was adapted from Corman, V.M., Eckerle, I., Memish, Z.A., Liljander, A.M., Dijkman, R., Jonsdottir, H., Juma Ngeiywa, K.J., Kamau, E., Younan, M., Al Masri, M., Assiri, A., Gluecks, I., Musa, B.E., Meyer, B., Muller, M.A., Hilali, M., Bornstein, S., Wernery, U., Thiel, V., Jores, J., Drexler, J.F., Drosten, C. 2016. Link of a ubiquitous human coronavirus to dromedary camels, Proc. Natl. Acad. Sci. U. S. A., 113, 9864–9869.</attrib>
</fig>
</p>
<p id="p0120">In particular, the spike genes of all HCoV-229E and camelid-associated 229E viruses contain deletions as compared to bat-associated viruses (
<xref rid="f0015" ref-type="fig">Fig. 2</xref>
B). Moreover, all 229E viruses from camels and all strains from bats showed an additional gene (termed ORF 8) downstream of the nucleocapsid gene (
<xref rid="f0015" ref-type="fig">Fig. 2</xref>
C). HCoV-229E has retained the transcription regulatory sequence upstream of a remnant ORF 8 (
<xref rid="bb0090" ref-type="bibr">Corman et al., 2016</xref>
). Interestingly, a process of gradual deletion of ORF 8 sequence can be traced from the camelid-associated viruses via early human isolates to contemporary human strains, defining hallmarks in genome evolution that provide additional topological information to the phylogenetic tree (
<xref rid="f0015" ref-type="fig">Fig. 2</xref>
D).</p>
<p id="p0125">The deletions in the spike gene of bat-associated 229E viruses could have played a role in host switching by enabling an altered organ tropism in recipient hosts (
<xref rid="bb0085" ref-type="bibr">Corman et al., 2015</xref>
). This is because camelid- and human strains, in contrast to bat-associated viruses, replicate primarily in the respiratory tract (
<xref rid="bb0090" ref-type="bibr">Corman et al., 2016</xref>
;
<xref rid="bb0095" ref-type="bibr">Crossley et al., 2010</xref>
). Loss of spike gene content could have occurred by recombination, as recombination breakpoints were identified in bat-associated viruses within the ORF1ab gene upstream of the spike gene, as well as at the border of the S1 and S2 domains. This is consistent with previous evidence of major recombination events which in part lead to changes in tropism or host association in other CoVs (
<xref rid="bb0070" ref-type="bibr">Corman et al., 2014a</xref>
;
<xref rid="bb0160" ref-type="bibr">Eckerle et al., 2010</xref>
;
<xref rid="bb0445" ref-type="bibr">Sabir et al., 2016</xref>
;
<xref rid="bb0480" ref-type="bibr">Tao et al., 2017</xref>
).</p>
<p id="p0130">It should be mentioned that the identification of a wide diversity of 229E-related viruses in dromedary camels provides an interesting possibility to explain the occurrence of Alpaca-CoV; dromedaries are often displayed in alpaca trade fairs and are sometimes kept along with alpacas in husbandries and zoological gardens. Routine testing of dromedaries for 229E-related viruses may be an option to prevent similar outbreaks.</p>
</sec>
<sec id="s0065">
<label>4</label>
<title>HCoV-OC43</title>
<p id="p0135">The human endemic pathogen HCoV-OC43 is part of the virus species BetaCoV1. It was first isolated in the 1960s based on human tracheal explants kept in organ culture, hence the “OC” in the virus name. Other bona fide human CoVs were isolated the same way but were not followed up upon and forgotten (
<xref rid="bb0355" ref-type="bibr">McIntosh, 2005</xref>
;
<xref rid="bb0360" ref-type="bibr">McIntosh et al., 1967</xref>
;
<xref rid="bb0495" ref-type="bibr">Tyrrell and Bynoe, 1965</xref>
).</p>
<p id="p0140">BetaCoV 1 differs from many other CoV species in that it comprises strains detected in highly divergent host species. The bovine CoV (BCoV) is the best-studied representative, whereas essentially the same virus is present in other ungulates whose common names are often identified in virus designations (e.g., Giraffe-CoV;
<xref rid="bb0250" ref-type="bibr">Hasoksuz et al., 2007</xref>
). The recently described camel CoV HKU23 is a BCoV variant previously known to exist in camels (
<xref rid="bb0090" ref-type="bibr">Corman et al., 2016</xref>
;
<xref rid="bb0435" ref-type="bibr">Reusken et al., 2013</xref>
;
<xref rid="bb0445" ref-type="bibr">Sabir et al., 2016</xref>
;
<xref rid="bb0585" ref-type="bibr">Woo et al., 2016</xref>
;
<xref rid="bb0590" ref-type="bibr">Wunschmann et al., 2002</xref>
). All of these viruses belong to BetaCoV1, whose hosts comprise primates, lagomorphs, artiodactyls, and perissodactyls, as well as carnivores (
<xref rid="bb0010" ref-type="bibr">Alekseev et al., 2008</xref>
;
<xref rid="bb0140" ref-type="bibr">Drexler et al., 2014</xref>
;
<xref rid="bb0165" ref-type="bibr">Erles et al., 2003</xref>
;
<xref rid="bb0235" ref-type="bibr">Guy et al., 2000</xref>
;
<xref rid="bb0250" ref-type="bibr">Hasoksuz et al., 2007</xref>
;
<xref rid="bb0315" ref-type="bibr">Lau et al., 2012</xref>
;
<xref rid="bb0325" ref-type="bibr">Lim et al., 2013</xref>
;
<xref rid="bb0345" ref-type="bibr">Majhdi et al., 1997</xref>
;
<xref rid="bb0490" ref-type="bibr">Tsunemitsu et al., 1995</xref>
;
<xref rid="bb0580" ref-type="bibr">Woo et al., 2014</xref>
) (
<xref rid="f0020" ref-type="fig">Fig. 3</xref>
).
<fig id="f0020">
<label>Fig. 3</label>
<caption>
<p>Maximum-likelihood phylogeny of complete genomes of representatives of
<italic>Betacoronavirus 1</italic>
,
<italic>Mouse Hepatitis virus</italic>
(MHV), and
<italic>HCoV-HKU1</italic>
strains from humans and animals. Virus designations include GenBank accession numbers and host information. ICTV species are given to the right of clade designations.
<italic>Filled circles</italic>
at nodes indicate bootstrap supports of 100% (200 replicates). SARS-CoV (accession no. NC_004718) was used as an outgroup (
<italic>branch truncated</italic>
). PHEV; porcine hemagglutinating encephalomyelitis virus.</p>
</caption>
<alt-text id="al0020">Fig. 3</alt-text>
<graphic xlink:href="f08-03-9780128152010_lrg"></graphic>
</fig>
</p>
<p id="p0145">The emergence of HCoV-OC43 in humans was proposed to be linked to a host-switching event around the year 1890, a time that coincides with a pandemic of respiratory disease recorded in humans (
<xref rid="bb0525" ref-type="bibr">Vijgen et al., 2005</xref>
,
<xref rid="bb0530" ref-type="bibr">2006</xref>
). Whether the zoonotic sources for this host transition were cattle, pigs, or other animals are not definitely resolved. However, the high diversity of related BetaCoV1 strains recently described in livestock species support their role as zoonotic sources in the emergence of HCoV-OC43 in humans. Why BetaCoV1 strains are found in many host species is not understood, but like for other CoVs recombination and deletion events likely played a role in these host-transition or adaptation processes. A deletion downstream of the spike gene of HCoV-OC43 was proposed to reflect adaptation to humans (
<xref rid="bb0525" ref-type="bibr">Vijgen et al., 2005</xref>
,
<xref rid="bb0530" ref-type="bibr">2006</xref>
). Recombination within the species seems to promote the emergence of variants. For instance, Lu et al. recently described a novel canine respiratory coronavirus strain, which likely resulted from recombination between a Chinese canine respiratory coronavirus and BCoV (
<xref rid="bb0330" ref-type="bibr">Lu et al., 2017</xref>
).</p>
<p id="p0150">Unlike other alpha- and betacoronavirus species, BetaCoV1 and the related mouse hepatitis virus (MHV) and HCoV-HKU1 do not seem to have ancestral links to bats. Several recent descriptions of novel BetaCoV1 members or relatives in rodents suggest them as primordial hosts (
<xref rid="bb9260" ref-type="bibr">Hu et al., 2017</xref>
;
<xref rid="bb0320" ref-type="bibr">Lau et al., 2015</xref>
;
<xref rid="bb0545" ref-type="bibr">Wang et al., 2015</xref>
). HCoV-OC43 was found to have tropism for neural cells in vitro and in experimentally infected mice, resembling MHV (
<xref rid="bb0030" ref-type="bibr">Arbour et al., 1999</xref>
;
<xref rid="bb0275" ref-type="bibr">Jacomy et al., 2006</xref>
). Presence of virus in the central nervous system was reported in patients with chronic demyelinating disease and acute encephalomyelitis (
<xref rid="bb0370" ref-type="bibr">Morfopoulou et al., 2016</xref>
;
<xref rid="bb0380" ref-type="bibr">Murray et al., 1992</xref>
;
<xref rid="bb0605" ref-type="bibr">Yeh et al., 2004</xref>
). The mechanisms that enable neurotropism are not fully understood, but once again mutations within the spike gene may play a role (
<xref rid="bb0475" ref-type="bibr">St-Jean et al., 2004</xref>
).</p>
<p id="p0155">There is a single study reporting the isolation of BCoV from a 6-year-old child with watery diarrhea (
<xref rid="bb0615" ref-type="bibr">Zhang et al., 1994</xref>
). Although the report does not provide information on the patient's disease and immune status, it reminds us of the potential of BetaCoV1 members to cause spillover infections upon contact with zoonotic sources.</p>
</sec>
<sec id="s0070">
<label>5</label>
<title>HCoV-HKU1</title>
<p id="p0160">Human coronavirus HKU1 (for Hong Kong University) was detected in 2004 in a patient with viral pneumonia (
<xref rid="bb0560" ref-type="bibr">Woo et al., 2005</xref>
). The virus has subsequently been isolated in tissue cultures and is now recognized as a human respiratory agent (
<xref rid="bb0430" ref-type="bibr">Pyrc et al., 2010</xref>
;
<xref rid="bb0565" ref-type="bibr">Woo et al., 2006</xref>
,
<xref rid="bb0575" ref-type="bibr">2009b</xref>
). There are no conspecific virus sequences from any other animal species. However, as HCoV-HKU1 is a sister taxon to MHV and rat sialodacryoadenitis virus, and together with these stands in sister relationship to BetaCoV1 with its basal rodent-associated viruses, a primordial association with rodent hosts may be considered (
<xref rid="bb9260" ref-type="bibr">Hu et al., 2017</xref>
;
<xref rid="bb0320" ref-type="bibr">Lau et al., 2015</xref>
;
<xref rid="bb0545" ref-type="bibr">Wang et al., 2015</xref>
;
<xref rid="bb0560" ref-type="bibr">Woo et al., 2005</xref>
).</p>
<sec id="s0075">
<label>5.1</label>
<title>Perspectives</title>
<p id="p0165">There is a growing trend in the field of molecular epidemiology to conduct studies of host associations guided by taxonomy. Comprehensive studies suggest that the large lineages in the mammalian CoV phylogeny have primordial links to small mammals, focused but not limited to bats (
<xref rid="bb0140" ref-type="bibr">Drexler et al., 2014</xref>
;
<xref rid="bb0520" ref-type="bibr">Vijaykrishna et al., 2007</xref>
;
<xref rid="bb0570" ref-type="bibr">Woo et al., 2009a</xref>
,
<xref rid="bb0575" ref-type="bibr">Woo et al., 2009b</xref>
). The enormous effort behind field studies can cause biases in the spectrum of potential host associations studied. The increased attention toward bats triggered by the discovery of natural host relationships for the SARS-CoV will continue to influence the current interpretations of CoV host associations (
<xref rid="bb0230" ref-type="bibr">Guan et al., 2003</xref>
). Already we sense that rodents, the largest group of mammals, seem to be underrepresented in studies of CoV hosts. The important role of rodents is highlighted by the recent findings of rodent CoVs that hint at primordial host relationships for the BetaCoV1 species. Data bias is further exemplified by the very few studies on CoVs in shrews and hedgehogs, belonging to the order
<italic>Eulipotyphla</italic>
. The 450 species in the order suggest a smaller genetic diversity as compared to the orders
<italic>Rodentia</italic>
and
<italic>Chiroptera</italic>
with 2269 and 1241 species, respectively. Nevertheless, surprisingly diverse alpha- and betacoronaviruses were detected in
<italic>Eulipotyphla</italic>
, including viruses clustering with important CoV clades such as MERS-CoV (
<xref rid="bb0080" ref-type="bibr">Corman et al., 2014c</xref>
;
<xref rid="bb0485" ref-type="bibr">Tsoleridis et al., 2016</xref>
;
<xref rid="bb0550" ref-type="bibr">Wang et al., 2017</xref>
). Other CoVs in shrews and hedgehogs are genetically equidistant and represent relatively deep lineages in the phylogenetic tree. It seems possible that Eulipotyphla may provide missing links in the evolutionary history of some major CoV groups.</p>
<p id="p0170">Despite a clear role for intermediate hosts in the transmission of viruses from their natural hosts to humans, we have little information on adaptive processes that contributed by passage through these intermediate hosts. For instance, while it has long been assumed that adaptive changes happened in the SARS-CoV spike protein during passage in civets, there are now reports suggesting direct infectivity, for humans, of some but not all virus variants existing in the natural host (
<xref rid="bb0160" ref-type="bibr">Eckerle et al., 2010</xref>
;
<xref rid="bb0230" ref-type="bibr">Guan et al., 2003</xref>
;
<xref rid="bb0540" ref-type="bibr">Wang et al., 2005</xref>
). Has the virus evolved in civets to become more compatible to humans? Or was it selected from a wider spectrum of variants that have different fitness upon host switching? Understanding (and eventually predicting) the process of host switching will have to be based on functional comparison of natural host-associated viruses with their epidemic counterparts.</p>
<p id="p0175">Similarly, the ubiquitous presence of MERS-CoV and the high diversity of HCoV-229E-related strains in camels suggests that these animals may be an important zoonotic source for pandemic CoVs in humans—including the prepandemic MERS-CoV (
<xref rid="bb0025" ref-type="bibr">Anthony et al., 2017</xref>
;
<xref rid="bb0070" ref-type="bibr">Corman et al., 2014a</xref>
,
<xref rid="bb0085" ref-type="bibr">2015</xref>
,
<xref rid="bb0090" ref-type="bibr">2016</xref>
). Understanding the past natural history of endemic HCoVs may help to recognize early signs of emergence from highly exposed hosts such as livestock species. We have ideas regarding the emergence of HCoV-OC43 that can potentially be refined (
<xref rid="bb0530" ref-type="bibr">Vijgen et al., 2006</xref>
). It seems peculiar that there is a complete absence of host-specific CoVs in great apes and other primates. This absence provides further support to the suspicion that contact with domestic animals may have been essential in human acquisition of most or all endemic CoV. For HCoV-HKU1 and HCoV-NL63, we therefore should study more of the virus diversity in livestock including closely related wildlife species to find footprints of their evolution and emergence. Finally, humans and domestic animals may have carried evolutionary intermediates that explain the emergence of major viral taxa, but that are extinct today.</p>
</sec>
</sec>
</body>
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</record>

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