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Ongoing Evolution of Middle East Respiratory Syndrome Coronavirus, Saudi Arabia, 2023-2024
Journal article   Open access   Peer reviewed

Ongoing Evolution of Middle East Respiratory Syndrome Coronavirus, Saudi Arabia, 2023-2024

Ahmed M Hassan, Barbara Mühlemann, Tagreed L Al-Subhi, Jordi Rodon, Sherif A El-Kafrawy, Ziad Memish, Julia Melchert, Tobias Bleicker, Tiina Mauno, Stanley Perlman, …
Emerging infectious diseases, Vol.31(1), pp.57-65
01/2025
DOI: 10.3201/eid3101.241030
PMCID: PMC11682817
PMID: 39641462
url
https://wwwnc.cdc.gov/eid/article/31/1/24-1030_article#View
Published (Version of record) Open Access

Abstract

Middle East respiratory syndrome coronavirus (MERS-CoV) circulates in dromedary camels in the Arabian Peninsula and occasionally causes spillover infections in humans. MERS-CoV diversity is poorly understood because of the lack of sampling during the COVID-19 pandemic. We collected 558 swab samples from dromedary camels in Saudi Arabia during November 2023-January 2024. We found 39% were positive for MERS-CoV RNA by reverse transcription PCR. We sequenced 42 MERS-CoVs and 7 human 229E-related coronaviruses from camel swab samples by using high-throughput sequencing. Sequences from both viruses formed monophyletic clades apical to recently available genomes. MERS-CoV sequences were most similar to B5 lineage sequences and harbored unique genetic features, including novel amino acid polymorphisms in the spike protein. Further characterization will be required to understand their effects. MERS-CoV spillover into humans poses considerable public health concerns. Our findings indicate surveillance and phenotypic studies are needed to identify and monitor MERS-CoV pandemic potential.
Saudi Arabia Virology viruses emerging viruses Middle East respiratory syndrome coronavirus coronavirus zoonoses MERS-CoV coronavirus disease respiratory infections

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