PMC:7243778 / 17978-21850 JSONTXT

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{"target":"https://pubannotation.org/docs/sourcedb/PMC/sourceid/7243778","sourcedb":"PMC","sourceid":"7243778","source_url":"https://www.ncbi.nlm.nih.gov/pmc/7243778","text":"5 MERS-CoV: from 2012 to present\nMERS-CoV, a zoonotic virus, belonging to lineage C in the genre betacoronavirus of the family Coronaviridae, caused the Middle East respiratory syndrome, in 2012. As of August 11, 2016, the virus had infected 1791 patients, with a mortality rate of 35.6% [53]. The natural reservoir of MERS-CoV is assumedly bats whereas intermediate host is possibly dromedary camels [[54], [55], [56], [57]]. BtCoV-HKU4 and BtCoV-HKU5 bat viruses have been shown to be the closest phylogenetically even if these viruses are not direct ancestors [15]. The first transmission of a bat virus to camels for an adaptation before its emergence into human was suggested. nAbs anti-MERS-CoV could accordingly be found in camels. Moreover, the viruses circulating in dromedaries and in humans are very close suggesting that the dromedary is a reservoir of the virus [58,59]. The genomic structures of bat, human and camel MERS-CoVs are similar but their genomic sequences are different [16].\nStructurally, MERS-CoV is a spherical, enveloped, single-stranded, positive sense RNA beta-coronavirus [60]. MERS-CoV utilizes its S protein to mediates cell internalization via binding with the receptor dipeptidyl peptidase 4 (DPP4) on the surface of cells instead of the receptor ACE2 of SARS-CoV and SARS-CoV-2. S protein is therefore the most exposed and immunogenic viral protein [61]. The association of MERS-CoV S protein is similar to that of SARS-CoVs including: the distal subunit S1 containing the RBD and the membrane-anchored subunit S2 containing a putative fusion peptide, transmembrane domain and two heptad repeat regions HR1 and HR2. This S protein is also the target to develop nAbs, particularly the RBD [62].\nUsing the fragment containing residues 358–588 of S protein, the neutralization against MERS-CoV of induced Abs were observed [63]. Other studies, also approaching RBD, reported the generated Abs with the epitopes aa 377–662 or aa 377–588 of MERS-CoV RBD. The latter elicited the strongest effect which effectively neutralized MERS-CoV infection [64,65]. The epitope aa 736–761 also induced nAbs [66].\nUsing a novel panning strategy, seven anti-S1 scFvs Abs, named 1E9, 1F8, 3A1, 3B12, 3C12, 3B11, and M14D3, which bind one or several of these three different epitopes (aa 21–358, 349–751 and 349–590) were identified. They neutralized MERS-CoV infection at nanomolar of concentration [67].\nOther Abs, such as MERS-4 and its variant MERS-4 V2, were intriguingly discovered to bind RBD and compete with DPP4 but from outside. MERS-4 Fab and MERS-4V2 scFv interact with β5-β6, β6-β7, and β7-β8 loops of RBD resulting in the inhibition of MERS-CoV infection [68,69].\nThree human monoclonal Abs, m336, m337, and m338 bind RBD of MERS-CoV at extremely low concentration, 4.2, 9.3, and 15 nM, respectively. m336, that neutralized 50% of both pseudotyped and live MERS-CoV at 0.005 and 0.07 μg/mL, respectively, suggested the prophylaxis and therapy of MERS-CoV infection [70].\nIn another study, using MERS-RBD to immunize mice, two monoclonal nAbs 4C2 and 2E6 recognizing an epitope that partially overlaps the receptor-binding footprint in MERS-CoV RBD were identified. The 4C2 could further reduce the number of viral particles in MERS-CoV infected mice [71].\nRecently, other nAbs, such as human mAbs or Fabs (MERS-27, MERS-GD27, or MCA1), humanized mAbs (hMS-1, 4C2 h), mouse mAbs (Mersmab1, 4C2, or D12), single-domain antibodies (nanobodies Nbs) HCAb-83 or NbMS10-Fc and transchromosomic cattle antibody SAB-301 recognizing epitopes on the RBD have been demonstrated to neutralize pseudotyped and/or live MERS-CoVs [31]. Only SAB-301 is under phase I clinical trial [72].\nDespite the efforts of scientists to find anti-MERS-CoV antibodies, no vaccine has been found yet and the virus continues to circulate in human beings and other 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