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Severe acute respiratory syndrome-related coronavirus: The species and its viruses – a statement of the Coronavirus Study Group

TLDR
The Coronavirus Study Group (CSG) of the International Committee on Taxonomy of Viruses assessed the novelty of the human pathogen tentatively named 2019-nCoV and formally recognizes this virus as a sister to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2).

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Consensus statement
https://doi.org/10.1038/s41564-020-0695-z
*A list of authors and their affiliations appears at the end of the paper.
U
pon a viral outbreak, it is important to rapidly establish
whether the outbreak is caused by a new or a previously
known virus (Box 1), as this helps decide which approaches
and actions are most appropriate to detect the causative agent, con
-
trol its transmission and limit potential consequences of the epi-
demic. The assessment of virus novelty also has implications for
virus naming and, on a different timescale, helps to define research
priorities in virology and public health.
For many human virus infections such as influenza virus
1
or
norovirus
2
infections, well-established and internationally approved
methods, standards and procedures are in place to identify and
name the causative agents of these infections and report this infor
-
mation promptly to public health authorities and the general public.
In outbreaks involving newly emerged viruses, the situation may
be different, and appropriate procedures to deal with these viruses
need to be established or refined with high priority.
Here, we present an assessment of the genetic relatedness of the
newly identified human coronavirus
3
, provisionally named 2019-
nCoV, to known coronaviruses, and detail the basis for (re)naming
this virus severe acute respiratory syndrome coronavirus 2 (SARS-
CoV-2), which will be used hereafter. Given the public interest in nam
-
ing newly emerging viruses and the diseases caused by these viruses
in humans, we will give a brief introduction to virus discovery and
classification — specifically the virus species concept — and the roles
of different bodies, such as the World Health Organization (WHO)
and the International Committee on Taxonomy of Viruses (ICTV), in
this process. We hope this will help readers to better understand the
scientific approach we have taken to arrive at this name, and we will
also discuss implications of this analysis and naming decision.
Classifying and naming viruses and virus species
Defining the novelty of viruses is one of the topics that virus
classification deals with. The classification of RNA viruses needs to
consider their inherent genetic variability, which often results in two
or more viruses with non-identical but similar genome sequences
being regarded as variants of the same virus. This immediately
poses the question of how much difference to an existing group is
large enough to recognize the candidate virus as a member of a new,
distinct group. This question is answered in best practice by evalu
-
ating the degree of relatedness of the candidate virus to previously
identified viruses infecting the same host or established monophy
-
letic groups of viruses, often known as genotypes or clades, which
may or may not include viruses of different hosts. This is formally
addressed in the framework of the official classification of virus tax
-
onomy and is overseen and coordinated by the ICTV
4
. Viruses are
clustered in taxa in a hierarchical scheme of ranks in which the spe
-
cies represents the lowest and most populous rank containing the
least diverged groups (taxa) of viruses (Box2). The ICTV maintains
a Study Group for each virus family. The Study Groups are respon
-
sible for assigning viruses to virus species and taxa of higher ranks,
such as subgenera, genera and subfamilies. In this context they play
an important role in advancing the virus species concept and high
-
lighting its significance
5
.
Virus nomenclature is a formal system of names used to label
viruses and taxa. The fact that there are names for nearly all viruses
within a species is due to the historical perception of viruses as
causative agents of specific diseases in specific hosts, and to the way
we usually catalogue and classify newly discovered viruses, which
increasingly includes viruses that have not been linked to any known
disease in their respective hosts (Box 1). The WHO, an agency of the
United Nations, coordinates international public health activities
aimed at combating, containing and mitigating the consequences
of communicable diseases—including major virus epidemics—and
is responsible for naming disease(s) caused by newly emerging
human viruses. In doing so, the WHO often takes the traditional
approach of linking names of specific diseases to viruses (Box 1) and
The species Severe acute respiratory syndrome-
related coronavirus: classifying 2019-nCoV and
naming it SARS-CoV-2
Coronaviridae Study Group of the International Committee on Taxonomy of Viruses*
The present outbreak of a coronavirus-associated acute respiratory disease called coronavirus disease 19 (COVID-19) is the
third documented spillover of an animal coronavirus to humans in only two decades that has resulted in a major epidemic.
The Coronaviridae Study Group (CSG) of the International Committee on Taxonomy of Viruses, which is responsible for develop-
ing the classification of viruses and taxon nomenclature of the family Coronaviridae, has assessed the placement of the human
pathogen, tentatively named 2019-nCoV, within the Coronaviridae. Based on phylogeny, taxonomy and established practice, the
CSG recognizes this virus as forming a sister clade to the prototype human and bat severe acute respiratory syndrome corona-
viruses (SARS-CoVs) of the species Severe acute respiratory syndrome-related coronavirus, and designates it as SARS-CoV-2.
In order to facilitate communication, the CSG proposes to use the following naming convention for individual isolates: SARS-
CoV-2/host/location/isolate/date. While the full spectrum of clinical manifestations associated with SARS-CoV-2 infections
in humans remains to be determined, the independent zoonotic transmission of SARS-CoV and SARS-CoV-2 highlights the
need for studying viruses at the species level to complement research focused on individual pathogenic viruses of immediate
significance. This will improve our understanding of virus–host interactions in an ever-changing environment and enhance our
preparedness for future outbreaks.
NATURE MICROBIOLOGY | VOL 5 | MARCH 2020 | 536–544 | www.nature.com/naturemicrobiology
536

Consensus statement
NATuRe MICROBIOlOGy
assessing virus novelty by an apparent failure to detect the causative
agent using established diagnostic assays.
Apart from disease, geography and the organism from which a
given virus was isolated also dominate the nomenclature, occasion
-
ally engraving connections that may be accidental (rather than typi-
cal) or even stigmatizing, which should be avoided. Establishing a
universal nomenclature for viruses was one of the major tasks of
the ICTV when it was founded more than 50 years ago
4
. When the
species rank was established in the taxonomy of viruses
6
, ICTV’s
responsibility for naming viruses was shifted to naming and
establishing species. ICTV Study Groups may also be involved in
virus naming on a case-by-case basis as an extension of their offi
-
cial remit, as well as using the special expertise of their members.
As virus species names are often very similar to the name of the
founding member of the respective species, they are frequently con
-
fused in the literature with names of individual viruses in this species.
The species name is italicized, starts with a capital letter and should
not be spelled in an abbreviated form
7
; hence the species name Severe
acute respiratory syndrome-related coronavirus. In contrast, this
convention does not apply to virus names, hence severe acute respi-
ratory syndrome coronavirus, or SARS-CoV, as it is widely known.
Defining the place of SARS-CoV-2 within the Coronaviridae
Researchers studying coronaviruses—a family of enveloped pos-
itive-strand RNA viruses infecting vertebrates
8
—have been con-
fronted several times with the need to define whether a newly
emerged virus causing a severe or even life-threatening disease in
humans belongs to an existing or a new (yet-to-be-established) spe
-
cies. This happened with SARS
912
and with Middle East respiratory
syndrome (MERS)
13,14
a few years later. Each time, the virus was
placed in the taxonomy using information derived from a sequence-
based family classification
15,16
.
The current classification of coronaviruses recognizes 39 species
in 27 subgenera, five genera and two subfamilies that belong to the
family Coronaviridae, suborder Cornidovirineae, order Nidovirales
and realm Riboviria
1719
(Fig.1). The family classification and tax-
onomy are developed by the Coronaviridae Study Group (CSG), a
working group of the ICTV
20
. The CSG is responsible for assessing
Box 1 | Virus discovery and naming: from disease-based to phenotype-free
Understanding the cause of a specic disease that spreads among
individuals of the same host species (infectivity) was the major
driving force for the discovery of the rst virus in plants, and
subsequently many others in all forms of life, including humans.
Historically, the range of diseases and hosts that specic viruses
are associated with have been the two key characteristics used
to dene viruses, given that they are invisible to the naked eye
46
.
Viral phenotypic features include those that, like a disease, are pre-
dominantly shaped by virus–host interactions including transmis-
sion rate or immune correlates of protection, and others that are
largely virus-specic, such as the architecture of virus particles.
ese features are of critical importance to control, and respond
to medically and economically important viruses — especially
during outbreaks of severe disease — and dominate the general
perception of viruses.
However, the host of a given virus may be uncertain, and virus
pathogenicity remains unknown for a major (and fast-growing)
proportion of viruses, including many coronaviruses discovered
in metagenomics studies using next-generation sequencing
technology of environmental samples
47,48
. ese studies have
identied huge numbers of viruses that circulate in nature and
have never been characterized at the phenotypic level. us, the
genome sequence is the only characteristic that is known for
the vast majority of viruses, and needs to be used in dening
specic viruses. In this framework, a virus is dened by a genome
sequence that is capable of autonomous replication inside cells
and dissemination between cells or organisms under appropriate
conditions. It may or may not be harmful to its natural host.
Experimental studies may be performed for a fraction of known
viruses, while computational comparative genomics is used to
classify (and deduce characteristics of) all viruses. Accordingly,
virus naming is not necessarily connected to disease but rather
informed by other characteristics.
In view of the above advancements and when confronted with
the question of whether the virus name for the newly identied
human virus should be linked to the (incompletely dened) disease
that this virus causes, or rather be established independently from
the virus phenotype, the CSG decided to follow a phylogeny-based
line of reasoning to name this virus whose ontogeny can be traced
in the gure in Box 1.
Virus
Naming authority
Disease
Middle East
respiratory syndrome
(MERS)
Virus
species
Middle East respiratory
syndrome-related
coronavirus
Severe acute respiratory
syndrome-related
coronavirus
MERS-CoV
WHO
ICTV-
CSG
Coronavirus
disease 2019
(COVID-19)
SARS-CoV-
2
SARS-CoV
Severe acute
respiratory syndrome
(SARS)
Year
2012
First name
Name origin
2003 2019
History of coronavirus naming during the three zoonotic outbreaks in relation to virus taxonomy and diseases caused by these viruses. According to
the current international classification of diseases
49
, MERS and SARS are classified as 1D64 and 1D65, respectively.
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537

Consensus statement
NATuRe MICROBIOlOGy
the place of new viruses through their relation to known viruses in
established taxa, including placements relating to the species Severe
acute respiratorysyndrome-related coronavirus. In the classification
of nidoviruses, species are considered biological entities demar
-
cated by a genetics-based method
21
, while generally virus species are
perceived as man-made constructs
22
. To appreciate the difference
between a nidoviral species and the viruses grouped therein, it may
be instructive to look at their relationship in the context of the full
taxonomy structure of several coronaviruses. Although these viruses
were isolated at different times and locations from different human
and animal hosts (with and without causing clinical disease), they
all belong to the species Severe acute respiratorysyndrome-related
coronavirus, and their relationship parallels that between human
individuals and the species Homo sapiens (Fig.1).
Even without knowing anything about the species concept, every
human recognizes another human as a member of the same species.
However, for assigning individual living organisms to most other
species, specialized knowledge and tools for assessing inter-individ
-
ual differences are required. The CSG uses a computational frame-
work of comparative genomics
23
, which is shared by several ICTV
Study Groups responsible for the classification and nomenclature
of the order Nidovirales and coordinated by the ICTV Nidovirales
Study Group (NSG)
24
(Box 3). The Study Groups quantify and
partition the variation in the most conserved replicative proteins
encoded in open reading frames 1a and 1b (ORF1a/1b) of the coro
-
navirus genome (Fig.2a) to identify thresholds on pair-wise patris-
tic distances (PPDs) that demarcate virus clusters at different ranks.
Consistent with previous reports, SARS-CoV-2 clusters with
SARS-CoVs in trees of the species Severe acute respiratory syn
-
drome-related coronavirus (Fig.2b) and the genus Betacoronavirus
(Fig.2c)
2527
. Distance estimates between SARS-CoV-2 and the most
closely related coronaviruses vary among different studies depend
-
ing on the choice of measure (nucleotide or amino acid) and genome
region. Accordingly, there is no agreement yet on the exact taxo
-
nomic position of SARS-CoV-2 within the subgenus Sarbecovirus.
When we included SARS-CoV-2 in the dataset used for the most
recent update (May 2019) of the coronavirus taxonomy currently
being considered by ICTV
19
, which includes 2,505 coronaviruses,
Box 2 | Identifying viral species
e terms strain and isolate are commonly used to refer to virus
variants, although there are dierent opinions as to which term
should be used in a specic context. If a candidate virus clus
-
ters within a known group of isolates, it is a variant of this group
and may be considered as belonging to this known virus group.
In contrast, if the candidate virus is outside of known groups and
its distances to viruses in these groups are comparable to those ob
-
served between viruses of dierent groups (intergroup distances),
the candidate virus is distinct and can be considered novel.
is evaluation is usually conducted in silico using
phylogenetic analysis, which may be complicated by uneven
rates of evolution that vary across dierent virus lineages and
genomic sites due to mutation, including the exchange of
genome regions between closely related viruses (homologous
recombination). However, given that the current sampling of
viruses is small and highly biased toward viruses of signicant
medical and economic interest, group composition varies
tremendously among dierent viruses, making decisions on
virus novelty group-specic and dependent on the choice of the
criteria selected for this assessment.
ese challenges are addressed in the framework of virus
taxonomy, which partitions genomic variation above strain or
isolate level and develops a unique taxon nomenclature under
the supervision of the ICTV
4,5
. To decide on whether a virus
represents a new species—that is, the least diverged (and most
populated) group of viruses—taxonomists use the results of
dierent analyses. Taxonomical classication is hierarchical,
using nested groups (taxa) that populate dierent levels (ranks)
of classication. Taxa of dierent ranks dier in their intra-taxon
pairwise divergence, which increases from the smallest at the
species rank to the largest at the realm rank
30
. ey may also be
distinguished by taxon-specic markers that characterize natural
groupings. Only the species and genus ranks need to be specied
to classify a new virus; lling other ranks is optional. If a virus
prototypes a new species, it will be regarded as taxonomically
novel. If (within this framework) a virus crosses a host barrier
and acquires novel properties, its classication will not change
(that is, it remains part of the original species) even if the virus
establishes a permanent circulation in the new host, which likely
happened with coronaviruses of the four species that circulate
in humans and display seasonal peaks (reviewed in ref.
50
).
Importantly, the criteria used to dene a viral species in one
virus family such as Coronaviridae may not be applicable to
another family such as Retroviridae, and vice versa, since Study
Groups are independent in their approach to virus classication.
Box 3 | Classifying coronaviruses
Initially, the classication of coronaviruses was largely based on
serological (cross-) reactivities to the viral spike protein, but is
now based on comparative sequence analyses of replicative pro
-
teins. e choice of proteins and the methods used to analyse
them have gradually evolved since the start of this century
20,28,29,51
.
e CSG currently analyses 3CLpro, NiRAN, RdRp, ZBD and
HEL1 (ref.
52
) (Fig.2a), two domains less than previously used
in the analyses conducted between 2009 and 2015 (refs.
16,18
).
According to our current knowledge, these ve essential do-
mains are the only ones conserved in all viruses of the order Ni-
dovirales
52
. ey are thus used for the classication by all ICTV
nidovirus study groups (coordinated by the NSG).
Since 2011, the classication of coronaviruses and other
nidoviruses has been assisted by the DivErsity pArtitioning
by hieRarchical Clustering (DEmARC) soware, which
denes taxa and ranks
23,24
. Importantly, the involvement of all
coronavirus genome sequences available at the time of analysis
allows family-wide designations of demarcation criteria for all
ranks, including species, regardless of the taxa sampling size,
be it a single or hundreds of virus(es). DEmARC delineates
monophyletic clusters (taxa) of viruses using weighted linkage
clustering in the PPD space and according to the classication of
ranks dened through clustering cost (CC) minima presented as
PPD thresholds (PPD accounts for multiple substitutions at all
sequence positions and thus may exceed 1.0, which is the limit
for conventional pair-wise distances (PDs)). In the DEmARC
framework, the persistence of thresholds in the face of increasing
virus sampling is interpreted to reect biological forces and
environmental factors
21
. Homologous recombination, which
is common in coronaviruses
5355
, is believed to be restricted in
genome regions encoding the most essential proteins, such as
those used for classication, and to members of the same virus
species. is restriction promotes intra-species diversity and
contributes to inter-species separation. To facilitate the use
of rank thresholds outside of the DEmARC framework, they
are converted into PD and expressed as a percentage, which
researchers commonly use to arrive at a tentative assignment
of a given virus within the coronavirus taxonomy following
conventional phylogenetic analysis of selected viruses.
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538

Consensus statement
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the species composition was not affected and the virus was assigned
to the species Severe acute respiratory syndrome-related coronavirus,
as detailed in Box4.
With respect to novelty, SARS-CoV-2 differs from the two other
zoonotic coronaviruses, SARS-CoV and MERS-CoV, introduced
to humans earlier in the twenty-first century. Previously, the CSG
established that each of these two viruses prototype a new species
in a new informal subgroup of the genus Betacoronavirus
15,16
. These
two informal subgroups were recently recognized as subgenera
Sarbecovirus and Merbecovirus
18,28,29
when the subgenus rank was
established in the virus taxonomy
30
. Being the first identified repre-
sentatives of a new species, unique names were introduced for the
two viruses and their taxa in line with the common practice and state
of virus taxonomy at the respective times of isolation. The situation
with SARS-CoV-2 is fundamentally different because this virus is
assigned to an existing species that contains hundreds of known
viruses predominantly isolated from humans and diverse bats. All
these viruses have names derived from SARS-CoV, although only
the human isolates collected during the 2002–2003 outbreak have
been confirmed to cause SARS in infected individuals. Thus, the
reference to SARS in all these virus names (combined with the use
of specific prefixes, suffixes and/or genome sequence IDs in pub
-
lic databases) acknowledges the phylogenetic (rather than clinical
disease-based) grouping of the respective virus with the prototypic
virus in that species (SARS-CoV). The CSG chose the name SARS-
CoV-2 based on the established practice for naming viruses in this
species and the relatively distant relationship of this virus to the pro
-
totype SARS-CoV in a species tree and the distance space (Fig.2b
and the figure in Box4).
The available yet limited epidemiological and clinical data for
SARS-CoV-2 suggest that the disease spectrum and transmission
efficiency of this virus
3135
differ from those reported for SARS-
CoV
9
. To accommodate the wide spectrum of clinical presentations
and outcomes of infections caused by SARS-CoV-2 (ranging from
asymptomatic to severe or even fatal in some cases)
31
, the WHO
recently introduced a rather unspecific name (coronavirus disease
19, also known as COVID-19 (ref.
36
)) to denote this disease. Also,
the diagnostic methods used to confirm SARS-CoV-2 infections are
not identical to those of SARS-CoV. This is reflected by the specific
recommendations for public health practitioners, healthcare work
-
ers and laboratory diagnostic staff for SARS-CoV-2 (for example,
the WHO guidelines for SARS-CoV-2 (ref.
37
). By uncoupling the
naming conventions used for coronaviruses and the diseases that
some of them cause in humans and animals, we wish to support the
WHO in its efforts to establish disease names in the most appro
-
priate way (for further information, see the WHOs guidelines for
disease naming
38
). The further advancement of naming conventions
is also important because the ongoing discovery of new human and
animal viruses by next-generation sequencing technologies can be
expected to produce an increasing number of viruses that do not
(easily) fit the virus–disease model that was widely used in the pre-
genomic era (Box 1). Having now established different names for
the causative virus (SARS-CoV-2) and the disease (COVID-19), the
CSG hopes that this will raise awareness in both the general public
and public health authorities regarding the difference between these
two entities. The CSG promotes this clear distinction because it will
help improve the outbreak management and also reduces the risk of
confusing virus and disease, as has been the case over many years
with SARS-CoV (the virus) and SARS (the disease).
To facilitate good practice and scientific exchange, the CSG rec
-
ommends that researchers describing new viruses (that is, isolates)
in this species adopt a standardized format for public databases and
publications that closely resembles the formats used for isolates of
avian coronaviruses
39
, filoviruses
40
and influenza virus
1
. The pro-
posed naming convention includes a reference to the host organism
that the virus was isolated from, the place of isolation (geographic
location), an isolate or strain number, and the time of isolation (year
or more detailed) in the format virus/host/location/isolate/date; for
Sarbecovirus
Nidovirales Primates
Homo sapiens
CoronavirusesCategory Humans
Order
Family
Subfamily
Subgenus
Genus
Species
Individuum
Suborder
Realm
Coronaviridae
Orthocoronavirinae
Betacoronavirus
Riboviria
Cornidovirineae
Hominidae
Homininae
Homo
Divergence
Dmitri Ivanovsky, Martinus Beijerinck,
Friedrich Loeffler, Barbara McClintock,
Marie Curie, Albert Einstein,
Rosalind Franklin, Hideki Yukawa,
and so on.
SARS-CoVUrbani, SARS-CoVGZ-02,
Bat SARS CoVRf1/2004, Civet SARS
CoVSZ3/2003, SARS-CoVPC4-227,
SARSr-CoVBtKY72, SARS-CoV-2
Wuhan-Hu-1, SARSr-CoVRatG13,
and so on.
Severe acute respiratory
syndrome-related coronavirus
Fig. 1 | Taxonomy of selected coronaviruses. Shown is the full taxonomy of selected coronaviruses in comparison with the taxonomy of humans (the
founders of virology and other eminent scientists represent individual human beings for the sake of this comparison), which is given only for categories
(ranks) that are shared with the virus taxonomy. Note that these two taxonomies were independently developed using completely different criteria.
Although no equivalence is implied, the species of coronaviruses is interpreted sensu stricto as accepted for the species of humans.
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539

Consensus statement
NATuRe MICROBIOlOGy
01,000 nt
5d
nsp4B-TM
nsp5A-3CLpro
nsp5B-3CLpro
nsp6-TM
nsp7
nsp8
nsp9
nsp10-CysHis
nsp12-NiRAN
nsp12-RdRp
nsp13-ZBD
nsp13-1B
nsp13-HEL1core
nsp14A2-ExoN
nsp14B-NMT
nsp15-A1
nsp15B-NendoU
nsp16-OMT
+1
0
−1
SARS-CoV
a
b
SARSr-CoV BtKY72
GU190215.1
MG772933.1
MG772934.1
SARS-CoV-2
SARSr-CoV RaTG13
JX993988.1
DQ412043.1
GQ153547.1
KF294457.1
KY938558.1
DQ412042.1
KJ473813.1
SARS-CoV
AY351680.1
SARS-CoV PC4−227
FJ588686.1
90% SH
70% SH < 90%
SH < 70%
0.005
c
HCoV 229E
HCoV NL63
MrufCoV 2JL14
HCoV OC43
ChRCoV HKU24
HCoV HKU1
MHV
EriCoV
MERS-CoV
Ty-BatCoV HKU4
Pi-BatCoV HKU5
Ei-BatCoV C704
Ro-BatCoV HKU9
Ro-BatCoV GCCDC1
Bat Hp-BetaCoV
SARS-CoV
SARS-CoV PC4–227
SARSr-CoV RaTG13
SARS-CoV−2
SARSr-CoV BtKY72
Viruses
0.1
Species
90% SH
70% SH < 90%
SH < 70%
Severe acute respiratory
syndrome-related coronavirus
Bat Hp-betacoronavirus Zhejiang2013
Rousettus bat coronavirus GCCDC1
Rousettus bat coronavirus HKU9
Eidolon bat coronavirus C704*
Pipistrellus bat coronavirus HKU5
Tylonycteris bat coronavirus HKU4
Middle East respiratory syndrome-related coronavirus
Hedgehog coronavirus 1
Murine coronavirus
Human coronavirus HKU1
China Rattus coronavirus HKU24
Betacoronavirus 1
Myodes coronavirus 2JL14*
Human coronavirus NL63
Human coronavirus 229E
Fig. 2 | Phylogeny of coronaviruses. a, Concatenated multiple sequence alignments (MSAs) of the protein domain combination
44
used for phylogenetic and
DEmARC analyses of the family Coronaviridae. Shown are the locations of the replicative domains conserved in the ordert Nidovirales in relation to several other
ORF1a/b-encoded domains and other major ORFs in the SARS-CoV genome. 5d, 5 domains: nsp5A-3CLpro, two beta-barrel domains of the 3C-like protease;
nsp12-NiRAN, nidovirus RdRp-associated nucleotidyltransferase; nsp12-RdRp, RNA-dependent RNA polymerase; nsp13-HEL1 core, superfamily 1 helicase with
upstream Zn-binding domain (nsp13-ZBD); nt, nucleotide. b, The maximum-likelihood tree of SARS-CoV was reconstructed by IQ-TREE v.1.6.1 (ref.
45
) using 83
sequences with the best fitting evolutionary model. Subsequently, the tree was purged from the most similar sequences and midpoint-rooted. Branch support
was estimated using the Shimodaira–Hasegawa (SH)-like approximate likelihood ratio test with 1,000 replicates. GenBank IDs for all viruses except four are
shown; SARS-CoV, AY274119.3; SARS-CoV-2, MN908947.3; SARSr-CoV_BtKY72, KY352407.1; SARS-CoV_PC4-227, AY613950.1. c, Shown is an IQ-TREE
maximum-likelihood tree of single virus representatives of thirteen species and five representatives of the species Severe acute respiratory syndrome-related
coronavirus of the genus Betacoronavirus. The tree is rooted with HCoV-NL63 and HCoV-229E, representing two species of the genus Alphacoronavirus. Purple
text highlights zoonotic viruses with varying pathogenicity in humans; orange text highlights common respiratory viruses that circulate in humans. Asterisks
indicate two coronavirus species whose demarcations and names are pending approval from the ICTV and, thus, these names are not italicized.
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TL;DR: Wang et al. as discussed by the authors used univariable and multivariable logistic regression methods to explore the risk factors associated with in-hospital death, including older age, high SOFA score and d-dimer greater than 1 μg/mL.
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Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and coronavirus disease-2019 (COVID-19): The epidemic and the challenges.

TL;DR: Among patients with pneumonia caused by SARS-CoV-2 (novel coronavirus pneumonia or Wuhan pneumonia), fever was the most common symptom, followed by cough, and bilateral lung involvement with ground-glass opacity was themost common finding from computed tomography images of the chest.
Journal ArticleDOI

The proximal origin of SARS-CoV-2.

TL;DR: It is shown that SARS-CoV-2 is not a laboratory construct or a purposefully manipulated virus, and scenarios by which they could have arisen are discussed.
Journal ArticleDOI

Crystal structure of SARS-CoV-2 main protease provides a basis for design of improved α-ketoamide inhibitors

TL;DR: The pharmacokinetic characterization of the optimized inhibitor reveals a pronounced lung tropism and suitability for administration by the inhalative route and work that may provide a basis for development of anticoronaviral drugs.
Journal ArticleDOI

Effective treatment of severe COVID-19 patients with tocilizumab.

TL;DR: Preliminary data show that tocilizumab, which improved the clinical outcome immediately in severe and critical COVID-19 patients, is an effective treatment to reduce mortality.
References
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A Novel Coronavirus from Patients with Pneumonia in China, 2019.

TL;DR: Human airway epithelial cells were used to isolate a novel coronavirus, named 2019-nCoV, which formed a clade within the subgenus sarbecovirus, Orthocoronavirinae subfamily, which is the seventh member of the family of coronaviruses that infect humans.
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A pneumonia outbreak associated with a new coronavirus of probable bat origin

TL;DR: Identification and characterization of a new coronavirus (2019-nCoV), which caused an epidemic of acute respiratory syndrome in humans in Wuhan, China, and it is shown that this virus belongs to the species of SARSr-CoV, indicates that the virus is related to a bat coronav virus.
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Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: a descriptive study

TL;DR: Characteristics of patients who died were in line with the MuLBSTA score, an early warning model for predicting mortality in viral pneumonia, and further investigation is needed to explore the applicability of the Mu LBSTA scores in predicting the risk of mortality in 2019-nCoV infection.
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Q1. What are the contributions in "The species severe acute respiratory syndrome-related coronavirus: classifying 2019-ncov and naming it sars-cov-2" ?

* A list of authors and their affiliations appears at the end of the paper. For many human virus infections such as influenza virus1 or norovirus2 infections, well-established and internationally approved methods, standards and procedures are in place to identify and name the causative agents of these infections and report this information promptly to public health authorities and the general public. Here, the authors present an assessment of the genetic relatedness of the newly identified human coronavirus3, provisionally named 2019nCoV, to known coronaviruses, and detail the basis for ( re ) naming this virus severe acute respiratory syndrome coronavirus 2 ( SARSCoV-2 ), which will be used hereafter. The authors hope this will help readers to better understand the scientific approach they have taken to arrive at this name, and they will also discuss implications of this analysis and naming decision. Upon a viral outbreak, it is important to rapidly establish whether the outbreak is caused by a new or a previously known virus ( Box 1 ), as this helps decide which approaches and actions are most appropriate to detect the causative agent, control its transmission and limit potential consequences of the epidemic. 

Apart from disease, geography and the organism from which a given virus was isolated also dominate the nomenclature, occasionally engraving connections that may be accidental (rather than typical) or even stigmatizing, which should be avoided. 

The species demarcation threshold (also known as demarcation limit) in the family Coronaviridae is defined by viruses whose PPD(s) may cross the inter-species demarcation PPD threshold (threshold ‘violators’). 

This clade structure is susceptible to homologous recombination, which is common in this species44,58,59; to formalize clade definition, it must be revisited after the sampling of viruses representing the deep branches has improved sufficiently. 

While the full spectrum of clinical manifestations associated with SARS-CoV-2 infections in humans remains to be determined, the independent zoonotic transmission of SARS-CoV and SARS-CoV-2 highlights the need for studying viruses at the species level to complement research focused on individual pathogenic viruses of immediate significance. 

Due to their minute share of ~10–4 of the total number of all intra- and inter-species PPDs, these violators may not even be visually recognized in a conventional diagonal plot clustering viruses on a species basis (panel a of the figure in Box 4). 

When the authors included SARS-CoV-2 in the dataset used for the most recent update (May 2019) of the coronavirus taxonomy currently being considered by ICTV19, which includes 2,505 coronaviruses,Box 2 | Identifying viral species 

The current classification of coronaviruses recognizes 39 species in 27 subgenera, five genera and two subfamilies that belong to the family Coronaviridae, suborder Cornidovirineae, order Nidovirales and realm Riboviria17–19 (Fig. 1). 

The CSG currently analyses 3CLpro, NiRAN, RdRp, ZBD and HEL1 (ref. 52) (Fig. 2a), two domains less than previously used in the analyses conducted between 2009 and 2015 (refs. 16,18). 

Defining the place of SARS-CoV-2 within the Coronaviridae Researchers studying coronaviruses—a family of enveloped positive-strand RNA viruses infecting vertebrates8—have been confronted several times with the need to define whether a newly emerged virus causing a severe or even life-threatening disease in humans belongs to an existing or a new (yet-to-be-established) species. 

The current sampling defines a very small median PD for human SARS-CoVs, which is approximately 15 times smaller than the median PD determined for SARS-CoV-2 (0.16% versus 2.6%; panel c of the figure in Box 4). 

Taxa of different ranks differ in their intra-taxon pairwise divergence, which increases from the smallest at the species rank to the largest at the realm rank30.