COVID-19

COVID-19

The COVID-19 pandemic mounted an unprecedented global effort to curb the impacts of its spread. Because of the impacts the pandemic has had on our society and culture, the underlying biological mechanisms of the novel coronavirus that causes COVID-19 (SARS-CoV-2) are currently under extensive study and can be applied to our existing understanding of the mechanisms and evolution of infectious diseases. A complete understanding of the pandemic involves looking at the evolutionary origins and molecular features of the virus, trends in transmission, behavioral and cultural responses, and the rapid development of novel vaccine technologies. This case examines the evolution, the biological mechanisms, and the societal impacts of the SARS-CoV-2 virus and the disease it causes, COVID-19.

Viral and Cell Biology

What is a virus?

A virus is a non-living, submicroscopic pathogen that infects living host cells in order to replicate. All types of living organisms can be infected by viruses, including plants, animals, fungi, bacteria, and archaea. Viruses attack living cells and insert genetic material (either DNA or RNA) into the cell. The living cells then create proteins based on the information in the genetic material. Those proteins produce more copies of the virus. Viruses have evolved to use the energy and existing mechanisms in host cells to reproduce at the expense of the host. There is a wide diversity of viruses. Generally, viruses are placed into one of seven classes according to how their genome is stored and transferred into the host cell. Most viruses that infect humans are positive-sense single-stranded RNA viruses, including coronaviruses such as SARS-CoV-2. The current leading hypothesis is viruses independently evolved more than once, whereas all living organisms are thought to have evolved from the same ancestor. This complicates any attempt to create a phylogeny including all viruses because not all viruses share a common ancestor. However, it is relatively easy to determine evolutionary relationships between viruses with very similar genomes. A detailed phylogeny of the SARS-CoV-2 is continuously being updated as the virus mutates and evolved.

Viral epidemiology

Generally, a the potential impact of a virus on a population is defined by two factors: virulence and transmissibility. Virulence refers to the overall severity of the disease caused by the virus and its associated symptoms. In the context of the COVID-19 pandemic, virulence can be assessed by looking at a variety of factors such as total mortality caused by the virus, the overall long term costs of infection (e.g. long-COVID and tissue damage), and the costs associated with decreased access to health care due to overwhelmed hospital systems. Transmissibility is defined by the various factors associated with the virus’ ability to infect new hosts via contagious individuals. This can be quantified by estimating the basic reproductive number (R0) of the virus, which is defined by the average number of individuals an infected individual will spread the virus to.

 

The anatomy of SARS-CoV-2

Like other coronaviruses, SARS-CoV-2

The life cycle of SARS-CoV-2

Step 1: Viral attachment
Step 2: Membrane fusion
Step 3:
Step : Viral Shedding
 

Viral Genetics

The SARS-CoV-2 genome

The spike (S) gene

SARS-CoV-2 mutation rate

 

Viral Origins & Phylogenetics

Zoonotic spillover

SARS-CoV-2 phylogeny

Omicron: Hidden evolution

 
 

 

Variant Evolution

The evolution of delta

The evolution of omicron

 

 

Treatment and Immune Responses

The innate immune system

The adaptive immune system

Vaccines

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