Enhanced replication fitness of MERS-CoV clade B over clade A strains in camelids explains the dominance of clade B strains in the Arabian Peninsula

Emerg Microbes Infect. 2022 Dec;11(1):260-274. doi: 10.1080/22221751.2021.2019559.

Abstract

ABSTRACTMiddle East respiratory syndrome coronavirus (MERS-CoV) continues infecting humans and dromedary camels. While MERS-CoV strains from the Middle East region are subdivided into two clades (A and B), all the contemporary epidemic viruses belong to clade B. Thus, MERS-CoV clade B strains may display adaptive advantages over clade A in humans and/or reservoir hosts. To test this hypothesis in vivo, we compared an early epidemic clade A strain (EMC/2012) with a clade B strain (Jordan-1/2015) in an alpaca model monitoring virological and immunological parameters. Further, the Jordan-1/2015 strain has a partial amino acid (aa) deletion in the double-stranded (ds) RNA binding motif of the open reading frame ORF4a protein. Animals inoculated with the Jordan-1/2015 variant had higher MERS-CoV replicative capabilities in the respiratory tract and larger nasal viral shedding. In the nasal mucosa, the Jordan-1/2015 strain caused an early IFN response, suggesting a role for ORF4a as a moderate IFN antagonist in vivo. However, both strains elicited maximal transcription of antiviral interferon-stimulated genes (ISGs) at the peak of infection on 2 days post inoculation, correlating with subsequent decreases in tissular viral loads. Genome alignment analysis revealed several clade B-specific amino acid substitutions occurring in the replicase and the S proteins, which could explain a better adaptation of clade B strains in camelid hosts. Differences in replication and shedding reported herein indicate a better fitness and transmission capability of MERS-CoV clade B strains than their clade A counterparts.

Keywords: Alpaca; IFN; MERS-CoV; Middle East respiratory syndrome coronavirus; orf4a; strain.

MeSH terms

  • Adaptation, Physiological / genetics*
  • Amino Acid Substitution / genetics
  • Animals
  • Camelids, New World
  • Camelus
  • Cell Line
  • Chlorocebus aethiops
  • Coronavirus Infections / epidemiology*
  • Coronavirus Infections / veterinary*
  • Cytokines / blood
  • Genome, Viral / genetics
  • Immunity, Innate / immunology
  • Jordan / epidemiology
  • Middle East Respiratory Syndrome Coronavirus / classification*
  • Middle East Respiratory Syndrome Coronavirus / genetics
  • Open Reading Frames / genetics
  • Qatar / epidemiology
  • RNA, Viral / genetics
  • Respiratory Mucosa / virology
  • Spike Glycoprotein, Coronavirus / genetics
  • Vero Cells
  • Viral Load

Substances

  • Cytokines
  • RNA, Viral
  • Spike Glycoprotein, Coronavirus

Grants and funding

This work was supported by European Commission: [Grant Number INFRA-2016-1 N°731014, Innovative Medicines initiative (IMI) grant 115760]. Jordi Rodon was partially funded by VetBioNet (EU Grant Agreement INFRA-2016-1 N°731014) and the crowdfunding initiative #Yomecorono.