COVID-19 – A Pandemic by SARS-CoV-2
Harsh R Darji (J18IMT601)
Biology Assignment
Institute of Chemical Technology, Mumbai
Marathwada Off-Campus, Jalna
Abstract – This abstract involves information regarding the previously made guidelines from World Organization of Animal
pandemic Coronavirus disease (COVID-19) which is caused by Health (OIE) and Food & Agriculture Organization of United
the virus named Severe Acute Respiratory Syndrome Nations (FAO) giving it an official name as COVID-19 or
Coronavirus 2 which is abbreviated to SARS-CoV-2. This Coronavirus disease as per International Classification of Disease
abstract also gives an overview on structure & nomenclature of (ICD) as ‘CO’ stands for corona, ‘VI’ for virus, and ‘D’ for
the virus followed by epidemiology of this disease. disease.1,10,11
Index Terms – SARS-CoV-2, Viruses, Pandemic, Proteins, RNA III. NOMENCLATURE & STRUCTURE OF VIRUS
Sequence, Coronaviruses. The name “coronavirus” is derived from Latin Corona, meaning
crown or wreath, itself borrowing from Greek κορώνη korṓnē,
I. INTRODUCTION “garland, wreath”. Severe Acute Respiratory Syndrome related
T he novel deadly Corona virus disease (COVID-19) is spread
via the virus named Severe Acute Respiratory Syndrome
Coronavirus 2 (SARS-CoV-2) which belongs to the family of
Coronavirus 2 (SARS-CoV-2) belongs to the category of
Coronaviruses where they belong to realm of Riboviria of the
order Nidovirales with suborder as Cornidovirineae of the family
Coronaviruses. These viruses seem to have a history of epidemic of Coronaviridae & subfamily as Orthocoronavirinae and their
named Severe Acute Respiratory Syndrome by SARS-CoV in genus as Betacoronavirus. The virus has subgenus as
early 2000s starting from southern parts of China and Middle Sarbecovirus and species as Severe Acute Respiratory Syndrome
East Respiratory Syndrome by MERS-CoV in 2012.1 related coronavirus.10,12–15
The virus which has caused current epidemic seems to have Structure of SARS-CoV-2 is Spike Protein S, Polyproteins E,
originated from Wuhan, Hubei Province of China during the first Nucleoproteins, Membrane protein M, which are 3-chymotrypsin
half of December,2019.2 like protease, papain like protease, helicase, glycoprotein which
makes up the envelope in which there is single piece
II. EPIDEMIOLOGY nonsegmented RNA genome which weighs between the range of
During the second half of December 2019, people from Wuhan, 6000 kilodaltons to 8000 kilodaltons and approximately diameter
Hubei province in China were diagnosed with pneumonia from size ranging from 50 nm to 200 nm.13,16–18
unknown origination which was further reported by many people
from that province over a course of a month. A common trend
observed between all these patients was linked to the wholesale
market of seafood and wet animals.3–5
Further by the end of January 2020, the number of cases for
pneumonia increased above 550 across 25 different cities and
districts of China.2,6,7
This new disease was found out to have from bat origin as it was
observed that approximately 94% of genome nucleotide
sequence was similar to that of Bat CoV RaTG13 and
approximately 90% identical to Bat CoV ZC45 viruses.8
Over the course of time, several cases were reported across
various countries such as UAE, Italy, Thailand, USA, India,
Canada, Sri Lanka, Nepal, Philippines, Germany, Vietnam.2,7,9
World Health Organization (WHO) declared on 30 th January,
2020 as a public health emergency and India reporting its first Figure 1- Schematic Diagram of Coronavirus with Spike protein,
case on the same day where the patient belonged to Thissur, Membrane protein, Envelope protein, Non-segmented RNA genome.
Kerala, India and had a travel history to Wuhan. The virus was Coronavirus virion structure.15
called as Novel Coronavirus (2019-nCoV) within the family of
Coronaviridae which was further changed globally to Severe IV. INFECTION & SYMPTOMS
Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) by
The Spike glycoprotein which are present on the surface of
Coronaviridae Study Group (CSG) of International Committee of
coronaviruses are responsible for entry of virus in to the host
Taxonomy of Viruses on 11th February 2020 where the WHO
environment. SARS-CoV and MERS-CoV show exception when
also announced it as a pandemic on the same day as per the
compared to the other viruses with respect to entry in to the host
1
environment as they recognize and bind to the exopeptidase. 2. Rothan, H. A. & Byrareddy, S. N. The epidemiology and
When the virus attaches to the host cells, the Human Airway pathogenesis of coronavirus disease (COVID-19)
Trypsin-like Protease (HAT), Cathepsins & Trans-membrane outbreak. Journal of Autoimmunity 102433 (2020).
Protease Serine 2 (TMPRSS 2) which help in splitting the spike doi:10.1016/j.jaut.2020.102433
glycoproteins further allowing the penetration of genetic 3. Huang, Y. et al. Clinical characteristics of laboratory
material. SARS-CoV-2 used Angiotensin – Converting Enzyme confirmed positive cases of SARS-CoV-2 infection in
2 (ACE2) as the employed key receptor. The conformational Wuhan, China: A retrospective single center analysis.
changes of the surface proteins enable fusion with the membrane Travel Medicine and Infectious Disease (2020).
by endosomal pathway which then leads to transfer of RNA into doi:10.1016/j.tmaid.2020.101606
the host environment. The viral RNA then gets translated into 4. Ren, L.-L. et al. Identification of a novel coronavirus
viral replicase polyproteins which are pp1a and 1ab. The causing severe pneumonia in human. Chinese Medical
polymerase then further produces a series of subgenomic Journal 1 (2020). doi:10.1097/cm9.0000000000000722
mRNAs via discontinuous transcription which is then translated 5. Lu, H., Stratton, C. W. & Tang, Y. W. Outbreak of
into the relevant viral proteins leading to formation of more pneumonia of unknown etiology in Wuhan, China: The
virions by RNAs assembling in endoplasmic reticulum and Golgi mystery and the miracle. Journal of Medical Virology 92,
apparatus. With the help of transport vesicles, these new copies 401–402 (2020).
formed are released out of the cell with go and attach to more 6. Du Toit, A. Outbreak of a novel coronavirus. Nature
receptor site.13,16–19 Reviews Microbiology (2020). doi:10.1038/s41579-020-
The symptoms shown by any person who is infected by SARS- 0332-0
CoV-2 virus shows symptoms over a period of 3 days to 14 days. 7. Chen, N. et al. Epidemiological and clinical
The symptoms which are usually seen are majorly divided in two characteristics of 99 cases of 2019 novel coronavirus
sub-categories which are Systemic Disorders and Respiratory pneumonia in Wuhan, China: a descriptive study. The
Disorders. The systemic disorders include symptoms like Fever, Lancet 395, 507–513 (2020).
Cough, Fatigue, Sputum production, Headache, Haemoptysis, 8. Zhou, P. et al. A pneumonia outbreak associated with a
Acute Cardiac Injury, Hypoxemia, Dyspnoea, Lymphopenia, new coronavirus of probable bat origin. Nature 579,
Diarrhoea whereas the respiratory disorders include symptoms 270–273 (2020).
like Rhinorrhoea, Sneezing, Sore throat, Pneumonia, Ground- 9. Hui, D. S. et al. The continuing 2019-nCoV epidemic
glass opacities, RNAemia, Acute Respiratory Distress Syndrome. threat of novel coronaviruses to global health — The
The main target organ of virus is Lungs where the image seen for latest 2019 novel coronavirus outbreak in Wuhan, China.
CT done of the patient infected by the virus is seen to possess International Journal of Infectious Diseases 91, 264–266
lesions on both the lungs and ground glass opacities. 2,3,4,27–29,7,20– (2020).
26
10. Coronaviridae Study Group of the International
Committee on Taxonomy of Viruses. The species Severe
V. TRANSMISSION & CONTROL acute respiratory syndrome-related coronavirus:
The transmission occurs as soon as a person is infected with the classifying 2019-nCoV and naming it SARS-CoV-2.
virus as the virus creates multiple copies inside the host Nature microbiology 5, 536–544 (2020).
environment. The primary mode of transport is via respiratory 11. Naming the coronavirus disease (COVID-19) and the
droplets formed when a person sneezes or coughs. It can spread virus that causes it. Available at:
via direct contact with the infected person or indirect contact via https://www.who.int/emergencies/diseases/novel-
contaminated surfaces. It can transmit over a range of 2 to 3 coronavirus-2019/technical-guidance/naming-the-
metres and can stay back on surfaces for maximum of 10 to 12 coronavirus-disease-(covid-2019)-and-the-virus-that-
days.13,22–24,30–33 causes-it. (Accessed: 26th March 2020)
There is no vaccine developed for COVID-19 till date but it can 12. González, J. M., Gomez-Puertas, P., Cavanagh, D.,
be best prevented by maintaining distance from other. Here, Gorbalenya, A. E. & Enjuanes, L. A comparative
personal hygiene plays a very important role where a person sequence analysis to revise the current taxonomy of the
should wash their hands, face and leg using soap and water as family Coronaviridae. Archives of Virology 148, 2207–
soap can disrupt the lipid bilayer membrane of the virus by 2235 (2003).
which it cannot attach to the host environment. By the use of 13. Adnan Shereen, M., Khan, S., Kazmi, A., Bashir, N. &
disinfectant to clean surfaces can be effective means to stop the Siddique, R. COVID-19 infection: origin, transmission,
transfer via indirect means.34–37 and characteristics of human coronaviruses. Journal of
Advanced Research (2020).
doi:10.1016/j.jare.2020.03.005
REFERENCES
14. Luk, H. K. H., Li, X., Fung, J., Lau, S. K. P. & Woo, P.
C. Y. Molecular epidemiology, evolution and phylogeny
1. The species Severe acute respiratory syndrome-related of SARS coronavirus. Infection, Genetics and Evolution
coronavirus : classifying 2019-nCoV and naming it 71, 21–30 (2019).
SARS-CoV-2 | Nature Microbiology. Available at: 15. Coronavirus disease 2019 - Wikipedia. Available at:
https://www.nature.com/articles/s41564-020-0695-z. https://en.wikipedia.org/wiki/Coronavirus_disease_2019.
(Accessed: 26th March 2020) (Accessed: 27th March 2020)
2
16. Walls, A. C. et al. Structure, Function, and Antigenicity doi:10.1101/2020.02.07.937862
of the SARS-CoV-2 Spike Glycoprotein. Cell (2020). 27. Li, X. Q. et al. Comparison of epidemic characteristics
doi:10.1016/j.cell.2020.02.058 between SARS in2003 and COVID-19 in 2020 in
17. Lai, M. M. C. Corona Virus: Organization, Replication Guangzhou. Zhonghua Liu Xing Bing Xue Za Zhi 41,
and Expression of Genome. Annual Review of 634–637 (2020).
Microbiology 44, 303–303 (1990). 28. Ksiazek, T. G. et al. A novel coronavirus associated with
18. Li, F. Structure, Function, and Evolution of Coronavirus severe acute respiratory syndrome. New England Journal
Spike Proteins. Annual Review of Virology 3, 237–261 of Medicine 348, 1953–1966 (2003).
(2016). 29. Drosten, C. et al. Identification of a novel coronavirus in
19. Hoffmann, M. et al. The novel coronavirus 2019 (2019- patients with severe acute respiratory syndrome. New
nCoV) uses the SARS-coronavirus receptor ACE2 and England Journal of Medicine 348, 1967–1976 (2003).
the cellular protease TMPRSS2 for entry into target cells. 30. Chen, H. et al. Clinical characteristics and intrauterine
bioRxiv 2020.01.31.929042 (2020). vertical transmission potential of COVID-19 infection in
doi:10.1101/2020.01.31.929042 nine pregnant women: a retrospective review of medical
20. Jung, S.-M. et al. Real-Time Estimation of the Risk of records. The Lancet 395, 809–815 (2020).
Death from Novel Coronavirus (COVID-19) Infection: 31. Kucharski, A. J. et al. Early dynamics of transmission
Inference Using Exported Cases. Journal of clinical and control of COVID-19: a mathematical modelling
medicine 9, 523 (2020). study. The Lancet Infectious Diseases (2020).
21. Huang, C. et al. Clinical features of patients infected doi:10.1016/s1473-3099(20)30144-4
with 2019 novel coronavirus in Wuhan, China. The 32. Wu, J. T. et al. Estimating clinical severity of COVID-19
Lancet 395, 497–506 (2020). from the transmission dynamics in Wuhan, China.
22. Guo, Y.-R. et al. The origin, transmission and clinical Nature Medicine 1–5 (2020). doi:10.1038/s41591-020-
therapies on coronavirus disease 2019 (COVID-19) 0822-7
outbreak – an update on the status. Military Medical 33. Tang et al. Estimation of the Transmission Risk of the
Research 7, 11 (2020). 2019-nCoV and Its Implication for Public Health
23. Cui, P. et al. Clinical features and sexual transmission Interventions. Journal of Clinical Medicine 9, 462
potential of SARS-CoV-2 infected female patients: a (2020).
descriptive study in Wuhan, China. medRxiv 34. Liu, C. et al. Research and Development on Therapeutic
2020.02.26.20028225 (2020). Agents and Vaccines for COVID-19 and Related Human
doi:10.1101/2020.02.26.20028225 Coronavirus Diseases. ACS Central Science (2020).
24. Gu, J., Han, B. & Wang, J. COVID-19: Gastrointestinal doi:10.1021/acscentsci.0c00272
manifestations and potential fecal-oral transmission. 35. Chen, W.-H., Strych, U., Hotez, P. J. & Bottazzi, M. E.
Gastroenterology (2020). The SARS-CoV-2 Vaccine Pipeline: an Overview.
doi:10.1053/j.gastro.2020.02.054 Current Tropical Medicine Reports 1–4 (2020).
25. Lai, C. C., Shih, T. P., Ko, W. C., Tang, H. J. & Hsueh, doi:10.1007/s40475-020-00201-6
P. R. Severe acute respiratory syndrome coronavirus 2 36. Pang, J. et al. Potential Rapid Diagnostics, Vaccine and
(SARS-CoV-2) and coronavirus disease-2019 (COVID- Therapeutics for 2019 Novel Coronavirus (2019-nCoV):
19): The epidemic and the challenges. International A Systematic Review. Journal of clinical medicine 9,
Journal of Antimicrobial Agents 55, 105924 (2020). 623 (2020).
26. Gorbalenya, A. E. Severe acute respiratory syndrome- 37. Lu, H. Drug treatment options for the 2019-new
related coronavirus – The species and its viruses, a coronavirus (2019-nCoV). BioScience Trends 14, 69–71
statement of the Coronavirus Study Group. bioRxiv (2020).
2020.02.07.937862 (2020).