Proximal Origin
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The Proximal Origin is a reference to a scientific correspondence titled "The proximal origin of
SARS-CoV-2 Severe acute respiratory syndrome coronavirus 2 (SARS‑CoV‑2) is a strain of coronavirus that causes COVID-19, the respiratory illness responsible for the COVID-19 pandemic. The virus previously had the Novel coronavirus, provisional nam ...
" and the events of scientific and political controversies arising from it. The letter, published in the journal ''
Nature Medicine ''Nature Medicine'' is a monthly peer-reviewed medical journal published by Nature Portfolio covering all aspects of medicine. It was established in 1995. The journal seeks to publish research papers that "demonstrate novel insight into disease p ...
'' on 17 March 2020, was written by a group of virologists including Kristian G. Andersen, Andrew Rambaut, W. Ian Lipkin, Edward C. Holmes and Robert F. Garry. The authors examined possibilities of an accidental leak of a
natural Nature is an inherent character or constitution, particularly of the ecosphere or the universe as a whole. In this general sense nature refers to the laws, elements and phenomena of the physical world, including life. Although humans are part ...
or manipulated virus from a laboratory, and concluded that
genomic Genomics is an interdisciplinary field of molecular biology focusing on the structure, function, evolution, mapping, and editing of genomes. A genome is an organism's complete set of DNA, including all of its genes as well as its hierarchical, ...
analyses indicated that "SARS-CoV-2 is not a laboratory construct or a purposefully manipulated virus." The letter was highly influential in establishing the natural origin of COVID-19 in the early stages of the pandemic and generated controversy over the arguments it made against any lab-based origin scenario, and the link later drawn between its authors and public health officials alleged to have funded
gain-of-function research Gain-of-function research (GoF research or GoFR) is medical research that genetically alters an organism in a way that may enhance the biological functions of gene products. This may include an altered pathogenesis, transmissibility, or host ran ...
at the
Wuhan Institute of Virology The Wuhan Institute of Virology, Chinese Academy of Sciences (WIV; zh, s=中国科学院武汉病毒研究所) is a research institute on virology under the Wuhan Branch of the Chinese Academy of Sciences. Located in Jiangxia District, Wuh ...
prior to the pandemic. In 2023, three years after the publication,
Republicans Republican can refer to: Political ideology * An advocate of a republic, a type of government that is not a monarchy or dictatorship, and is usually associated with the rule of law. ** Republicanism, the ideology in support of republics or agains ...
in the United States raised an allegation that the scientific paper was a coverup to suppress the
COVID-19 lab leak theory The COVID-19 lab leak theory, or lab leak hypothesis, is the idea that SARS-CoV-2, the virus that caused the COVID-19 pandemic, came from a laboratory. This claim is highly controversial; there is a scientific consensus that the virus is not t ...
. The private deliberations of the authors (during the writing of the paper) accidentally became public, and also became a topic of discussion and debate.


Background

From the early outbreak of the
COVID-19 pandemic The COVID-19 pandemic (also known as the coronavirus pandemic and COVID pandemic), caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), began with an disease outbreak, outbreak of COVID-19 in Wuhan, China, in December ...
, rumors and speculation arose about the possible lab origins of
SARS-CoV-2 Severe acute respiratory syndrome coronavirus 2 (SARS‑CoV‑2) is a strain of coronavirus that causes COVID-19, the respiratory illness responsible for the COVID-19 pandemic. The virus previously had the Novel coronavirus, provisional nam ...
, the causative agent of the COVID-19 disease. Different versions of the lab origin hypothesis present different scenarios in which a bat-borne progenitor of SARS-CoV-2 may have spilled over to humans, including a laboratory-acquired infection of a natural or engineered virus. Some early rumors focused on the deliberate leak of a virus as a bioweapon or accidental leak of an engineered virus. In an earlier email obtained by public records request, Proximal Origins lead author Kristian G. Andersen said they were focused on dispelling these rumors, saying "the main crackpot theories going around at the moment relate to this virus being somehow engineered with intent."


Conference call with Anthony Fauci

According to emails obtained by ''BuzzFeed News'' and the ''Washington Post'' through FOIA, in the weeks before the publication of the paper, the authors held a teleconference with
Anthony Fauci Anthony Stephen Fauci ( ; born December 24, 1940) is an American physician-scientist and immunologist who served as the director of the National Institute of Allergy and Infectious Diseases (NIAID) from 1984 to 2022, and the chief medical ...
and
Francis Collins Francis Sellers Collins (born April 14, 1950) is an American physician-scientist who discovered the genes associated with a number of diseases and led the Human Genome Project. He served as director of the National Institutes of Health (NIH) ...
organized by
Jeremy Farrar Sir Jeremy James Farrar (born 1 September 1961) is a British medical researcher who has served as Chief Scientist at the World Health Organization since 2023. He was previously the director of The Wellcome Trust from 2013 to 2023 and a professor ...
, with 11 other scientists, including coronavirologists
Marion Koopmans Maria Petronella Gerarda Koopmans (born 21 September 1956) is a Dutch virologist who is Head of the Erasmus MC Department of Viroscience. Her research considers emerging infectious diseases, noroviruses and veterinary medicine. In 2018 she was aw ...
and Ron Fouchier.


The original publication

On 17 March 2020, ''Nature Medicine'' published a correspondence article titled "The proximal origin of SARS-CoV-2" that discussed the origin of the
coronavirus Coronaviruses are a group of related RNA viruses that cause diseases in mammals and birds. In humans and birds, they cause respiratory tract infections that can range from mild to lethal. Mild illnesses in humans include some cases of the comm ...
that caused
COVID-19 pandemic The COVID-19 pandemic (also known as the coronavirus pandemic and COVID pandemic), caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), began with an disease outbreak, outbreak of COVID-19 in Wuhan, China, in December ...
from genetic perspective. The article focused on analysing
SARS-CoV-2 Severe acute respiratory syndrome coronavirus 2 (SARS‑CoV‑2) is a strain of coronavirus that causes COVID-19, the respiratory illness responsible for the COVID-19 pandemic. The virus previously had the Novel coronavirus, provisional nam ...
's
genome A genome is all the genetic information of an organism. It consists of nucleotide sequences of DNA (or RNA in RNA viruses). The nuclear genome includes protein-coding genes and non-coding genes, other functional regions of the genome such as ...
, and the sites that enable it to bind to human cells. It was reported by Kristian G. Andersen (
The Scripps Research Institute Scripps Research is a nonprofit American medical research facility that focuses on research and education in the biomedical sciences. Headquartered in San Diego, California, the institute has over 170 laboratories employing 2,100 scientists, tec ...
, La Jolla), Andrew Rambaut (
University of Edinburgh The University of Edinburgh (, ; abbreviated as ''Edin.'' in Post-nominal letters, post-nominals) is a Public university, public research university based in Edinburgh, Scotland. Founded by the City of Edinburgh Council, town council under th ...
), W. Ian Lipkin ( Mailman School of Public Health of Columbia University, New York), Edward C. Holmes (
The University of Sydney The University of Sydney (USYD) is a public university, public research university in Sydney, Australia. Founded in 1850, it is the oldest university in both Australia and Oceania. One of Australia's six sandstone universities, it was one of the ...
, Australia) and Robert F. Garry (
Tulane University The Tulane University of Louisiana (commonly referred to as Tulane University) is a private research university in New Orleans, Louisiana, United States. Founded as the Medical College of Louisiana in 1834 by a cohort of medical doctors, it b ...
, New Orleans). The scientists stated: "We offer a perspective on the notable features of the SARS-CoV-2 genome and discuss scenarios by which they could have arisen. Our analyses clearly show that SARS-CoV-2 is not a laboratory construct or a purposefully manipulated virus." It was the first scientific report to "firmly determine" that SARS-CoV-2 was not a human-made infection that came from a laboratory. The report concluded with a statement:
The genomic features described here may explain in part the infectiousness and transmissibility of SARS-CoV-2 in humans. Although the evidence shows that SARS-CoV-2 is not a purposefully manipulated virus, it is currently impossible to prove or disprove the other theories of its origin described here. However, since we observed all notable SARS-CoV-2 features, including the optimized RBD and polybasic cleavage site, in related coronaviruses in nature, we do not believe that any type of laboratory-based scenario is plausible.
The theories postulated in the report were that the coronavirus could only have come by
biological evolution Evolution is the change in the heritable characteristics of biological populations over successive generations. It occurs when evolutionary processes such as natural selection and genetic drift act on genetic variation, resulting in certai ...
in either of two ways: #
Natural selection Natural selection is the differential survival and reproduction of individuals due to differences in phenotype. It is a key mechanism of evolution, the change in the Heredity, heritable traits characteristic of a population over generation ...
occurred in an animal host before infection to humans ( zoonotic transmission), as indicated by the coronavirus in the Malayan pangolins (''Manis javanica'') that has similar spike proteins of SARS-CoV-2 essential for infecting human cells. Since bat coronavirus like RaTG13 from a ''
Rhinolophus affinis The intermediate horseshoe bat (''Rhinolophus affinis'') is a bat species of the family Rhinolophidae (“nose crest”) that is very widespread throughout much of the Indian subcontinent, southern and central China and Southeast Asia. It is lis ...
'' are genetically related with SARS-CoV-2 (having ~96% genome similarity), genome mixing ( recombination) in animals could have produced the human-infective viruses. # Natural selection produced the human coronavirus by
mutation In biology, a mutation is an alteration in the nucleic acid sequence of the genome of an organism, virus, or extrachromosomal DNA. Viral genomes contain either DNA or RNA. Mutations result from errors during DNA or viral replication, ...
in humans. The spike protein of SARS-CoV-2 interacts with furin, an enzyme found in human cells. Furin-like sites are present in other viruses such as
HIV The human immunodeficiency viruses (HIV) are two species of '' Lentivirus'' (a subgroup of retrovirus) that infect humans. Over time, they cause acquired immunodeficiency syndrome (AIDS), a condition in which progressive failure of the im ...
and
Ebola virus ''Orthoebolavirus zairense'' or Zaire ebolavirus, more commonly known as Ebola virus (; EBOV), is one of six known species within the genus ''Ebolavirus''. Four of the six known ebolaviruses, including EBOV, cause a severe and often fatal vira ...
, but not in bat or pangolin coronaviruses, suggesting that the specific furin interaction developed only in humans.


References

{{Reflist 2023 controversies COVID-19 Scientific and technical responses to the COVID-19 pandemic Biology controversies