Id |
Subject |
Object |
Predicate |
Lexical cue |
T17 |
0-12 |
Sentence |
denotes |
Introduction |
T18 |
13-116 |
Sentence |
denotes |
Coronavirus is an RNA virus consisting of positive-sense single-stranded RNA of approximately 27–32 kb. |
T19 |
117-234 |
Sentence |
denotes |
Coronavirus belong to the family Coronaviridae, which comprises of alpha, beta, delta, and gamma coronaviruses [1,2]. |
T20 |
235-382 |
Sentence |
denotes |
As the name indicates, the spherical external spike protein displays a characteristic crown shape when observed under an electron microscope [3,4]. |
T21 |
383-477 |
Sentence |
denotes |
The virus is known to infect a wide range of hosts including humans, other mammals, and birds. |
T22 |
478-632 |
Sentence |
denotes |
Infected hosts exhibit different clinical courses, ranging from asymptomatic to severe symptoms in their respiratory, digestive, and genital organs [1,2]. |
T23 |
633-706 |
Sentence |
denotes |
There are 6 known coronaviruses that typically cause infection in humans. |
T24 |
707-1012 |
Sentence |
denotes |
Among these, coronavirus 229E, OC43, NL63, and HKU1 generally cause mild cold-like symptoms, whereas severe acute respiratory syndrome-coronavirus (SARS-CoV) in 2003, and Middle East respiratory syndrome-coronavirus (MERS-CoV) in 2012, caused severe respiratory diseases such as pneumonia and death [5,6]. |
T25 |
1013-1175 |
Sentence |
denotes |
Following the first outbreaks of unexplained pneumonia in Wuhan, China, in late 2019, a new coronavirus was identified as the causative agent in January 2020 [7]. |
T26 |
1176-1295 |
Sentence |
denotes |
As of February 11th, 2020, a total of 45,000 cases of pneumonia, have been reported from 26 countries, including China. |
T27 |
1296-1429 |
Sentence |
denotes |
Approximately 96.8% of all cases have been reported in China, and patients in the Hubei province account for 75% of all cases [8–10]. |
T28 |
1430-1570 |
Sentence |
denotes |
In Korea, the first case was reported on January 20, 2020, when SARS-CoV-2 was detected in a traveler entering Korea from Wuhan, China [11]. |
T29 |
1571-1735 |
Sentence |
denotes |
This study reports the full genome sequencing of SARS-CoV-2 isolated from putative the 2019 novel coronavirus disease (COVID-19) patients in Korea, by cell culture. |
T30 |
1736-1796 |
Sentence |
denotes |
The isolated SARS-CoV-2 was named BetaCoV/Korea/KCDC03/2020. |
T31 |
1798-1819 |
Sentence |
denotes |
Materials and Methods |
T32 |
1821-1823 |
Sentence |
denotes |
1. |
T33 |
1824-1861 |
Sentence |
denotes |
Clinical specimens and RNA extraction |
T34 |
1862-2025 |
Sentence |
denotes |
Nasopharyngeal and oropharyngeal swab and sputum samples were collected from symptomatic patients to detect SARS-CoV-2 by real-time reverse transcriptase (RT)-PCR. |
T35 |
2026-2167 |
Sentence |
denotes |
RNA was extracted from clinical samples with a QIAamp viral RNA mini kit (QIAGEN, Hilden, Germany) following the manufacturer’s instructions. |
T36 |
2168-2331 |
Sentence |
denotes |
All specimens were handled under a biosafety cabinet according to laboratory biosafety guidelines of Korea Centers for Disease Control and Prevention for COVID-19. |
T37 |
2333-2335 |
Sentence |
denotes |
2. |
T38 |
2336-2352 |
Sentence |
denotes |
Real-time RT-PCR |
T39 |
2353-2510 |
Sentence |
denotes |
The optimal concentration of primers and probes, which were synthesized using a published sequence [12], was determined with the RNA transcripts of SARS-CoV. |
T40 |
2511-2600 |
Sentence |
denotes |
The primer and probe sequences used for RNA-dependent RNA polymerase gene detection were: |
T41 |
2601-2817 |
Sentence |
denotes |
5′-GTGARATGGTCATGTGTGGCGG-3′ (Forward), 5′-CARATGTTAAASACACTATTAGCATA-3′ (Reverse) and 5′-CAGGTGGAACCTCATCAGGAGATGC-3′ (Probe in 5-FAM/3′-BHQ format) and the primer and probe sequences used for E gene detection were: |
T42 |
2818-2969 |
Sentence |
denotes |
5′-ACAGGTACGTTAATAGTTAATAGCGT-3′ (Forward), 5′-ATATTGCAGCAGTACGCACACA-3′ (Reverse) and 5′-ACACTAGCCATCCTTACTGCGCTTCG-3′ (Probe in 5-FAM/3′-BHQ format). |
T43 |
2970-3258 |
Sentence |
denotes |
A 25-μL reaction was setup that contained 5 μL of RNA, 12.5 μL of 2 × reaction buffer provided with the Agpath IDTM 1 step RT-PCR system (Thermo Fisher Scientific, Waltham, USA), 1 μL of 25 × enzyme mixture, 1 μL of forward and reverse primers at 10 pM, and 0.5 μL of each probe at 10 pM. |
T44 |
3259-3396 |
Sentence |
denotes |
Reverse transcription was performed at 50°C for 30 minutes, followed by inactivation of the reverse transcriptase at 95°C for 10 minutes. |
T45 |
3397-3550 |
Sentence |
denotes |
PCR amplification was performed with 40 cycles at 95°C for 15 seconds and 60°C for 1 minute using an ABI 7500 Fast instrument (Thermo Fisher Scientific). |
T46 |
3552-3554 |
Sentence |
denotes |
3. |
T47 |
3555-3570 |
Sentence |
denotes |
Virus isolation |
T48 |
3571-3672 |
Sentence |
denotes |
The virus was isolated from nasopharyngeal and oropharyngeal samples from putative COVID-19 patients. |
T49 |
3673-3918 |
Sentence |
denotes |
Oropharyngeal samples were diluted with viral transfer medium containing nasopharyngeal swabs and antibiotics (Nystadin, penicillin-streptomycin 1:1 dilution) at 1:4 ratio and incubated for 1 hour at 4°C, before being inoculated onto Vero cells. |
T50 |
3919-4087 |
Sentence |
denotes |
Inoculated Vero cells were cultured at 37°C, 5% CO2 in 1× Dulbecco’s modified Eagle’s medium (DMEM) supplemented with 2% fetal bovine serum and penicillin-streptomycin. |
T51 |
4088-4203 |
Sentence |
denotes |
Virus replication and isolation were confirmed through cytopathic effects, gene detection, and electron microscopy. |
T52 |
4204-4375 |
Sentence |
denotes |
Viral culture of SARS-CoV-2 was conducted in a biosafety Level-3 facility according to laboratory biosafety guidelines of Korea Centers for Disease Control and Prevention. |
T53 |
4377-4379 |
Sentence |
denotes |
4. |
T54 |
4380-4434 |
Sentence |
denotes |
Next generation sequencing of viral full-length genome |
T55 |
4435-4568 |
Sentence |
denotes |
Using reverse transcriptase, cDNA was synthesized from RNA extracted from the cultured cell medium in which the virus was replicated. |
T56 |
4569-4774 |
Sentence |
denotes |
A next generation sequencing (NGS) library was constructed after amplifying the full-length genes of the isolates using the synthesized cDNA and primers designed based on published SARS-CoV-2 DNA sequence. |
T57 |
4775-4840 |
Sentence |
denotes |
The prepared library was purified and analyzed with Miseq 150 PE. |
T58 |
4841-4942 |
Sentence |
denotes |
De novo assembly was performed on the sequenced product using Megahit to secure a full-length genome. |
T59 |
4944-4946 |
Sentence |
denotes |
5. |
T60 |
4947-4966 |
Sentence |
denotes |
Sequencing analysis |
T61 |
4967-5028 |
Sentence |
denotes |
Gene sequencing was performed using CLC Main Workbench 7.9.1. |
T62 |
5029-5186 |
Sentence |
denotes |
Alignment was conducted using human and animal coronavirus sequences registered in Global Initiative on Sharing All Influenza Data (GISAID) and NCBI GenBank. |
T63 |
5187-5365 |
Sentence |
denotes |
The phylogenetic tree was analyzed using MEGA6 with the neighbor-joining method, maximum composite likelihood-parameter distance matrix, and bootstrap values of 1,000 replicates. |
T64 |
5367-5369 |
Sentence |
denotes |
6. |
T65 |
5370-5402 |
Sentence |
denotes |
Transmission electron microscopy |
T66 |
5403-5630 |
Sentence |
denotes |
For transmission electron microscopy, the inoculated cells were prefixed by incubating in 2% paraformaldehyde and 2.5% glutaraldehyde in 0.1 M phosphate buffer (pH 7.4) to prevent the autolysis of the cells infected with virus. |
T67 |
5631-5818 |
Sentence |
denotes |
To minimize the chemical reaction between pre- and post-fixation, the slides were washed 3 times using the same buffer as in the fixative solution and post-fixed with 1% osmium tetroxide. |
T68 |
5819-5920 |
Sentence |
denotes |
After washing 3 times with deionized water, en bloc staining was performed using 0.5% uranyl acetate. |
T69 |
5921-6085 |
Sentence |
denotes |
Thereafter, 30%, 50%, 70%, 80%, 90%, and 100% ethanol were used sequentially in ascending concentration for dehydration, which was substituted with propylene oxide. |
T70 |
6086-6179 |
Sentence |
denotes |
The slides were then embedded in Epon812 plastic resin, and polymerized at 70°C for 48 hours. |
T71 |
6180-6344 |
Sentence |
denotes |
The prepared plastic block was cut to 70-nm thick sections using an ultramicrotome and mounted on a 100-mesh nickel grid, and electrostained with 5% uranyl acetate. |
T72 |
6345-6489 |
Sentence |
denotes |
The sections were observed with a transmission electron microscope (Libra120, Carl Zeiss, Germany) at an acceleration voltage of 120 kV [13–15]. |
T73 |
6491-6498 |
Sentence |
denotes |
Results |
T74 |
6500-6502 |
Sentence |
denotes |
1. |
T75 |
6503-6534 |
Sentence |
denotes |
Virus isolation from Vero cells |
T76 |
6535-6745 |
Sentence |
denotes |
Following inoculation of Vero cells with the nasopharyngeal and oropharyngeal samples, they were observed at 24-hour intervals, and the cytopathic effects were observed from 3 days after inoculation (Figure 1). |
T77 |
6746-6858 |
Sentence |
denotes |
The inoculated cells were harvested on the 4th day when more than 80% of the cells exhibited cytopathic effects. |
T78 |
6859-6962 |
Sentence |
denotes |
Virus replication was confirmed using real-time RT-PCR with RNA extracted from the cell culture medium. |
T79 |
6963-7165 |
Sentence |
denotes |
The Ct values were 14.40 and 18.26 for the nasopharyngeal and oropharyngeal samples, respectively, which were lower than the cycle threshold (Ct) values of 20.85 and 21.85 in the pre-inoculated samples. |
T80 |
7166-7382 |
Sentence |
denotes |
The number of virus copies in the samples before inoculation was 7.6 × 108 and 3.9 × 108 copy/mL, respectively, and increased by 10–70-fold to 5.4 × 1010 and 4.2 × 109, respectively, in the cell culture supernatants. |
T81 |
7384-7386 |
Sentence |
denotes |
2. |
T82 |
7387-7449 |
Sentence |
denotes |
Analysis of the structure of the virus by electron micrographs |
T83 |
7450-7573 |
Sentence |
denotes |
The structure of the virus in the cytoplasm of 3-day post-inoculation cells was examined by electron microscopy (Figure 2). |
T84 |
7574-7619 |
Sentence |
denotes |
Coronavirus-specific morphology was observed. |
T85 |
7620-7756 |
Sentence |
denotes |
Virus particle size ranged from 70–90 nm and the virus was observed in a wide range of intracellular organelles, especially in vesicles. |
T86 |
7758-7760 |
Sentence |
denotes |
3. |
T87 |
7761-7805 |
Sentence |
denotes |
Full-length genome and phylogenetic analysis |
T88 |
7806-7945 |
Sentence |
denotes |
After inoculating cells with the nasopharyngeal and oropharyngeal samples, RNA was extracted from the virus-replicated cell culture medium. |
T89 |
7946-8046 |
Sentence |
denotes |
The RNA was amplified with primers for full-length gene analysis, and NGS was performed using Miseq. |
T90 |
8047-8126 |
Sentence |
denotes |
De novo assembly of the NGS sequence secured 28,818 bp of the full-length gene. |
T91 |
8127-8398 |
Sentence |
denotes |
The acquired gene was compared with 57 human and animal coronaviruses, including Wuhan/IVDC-HB-01/2019(GISAID accession ID: EPI_ISL_402119~121), which was first reported in Wuhan, 54 reported full-length SARS-CoV-2 genes, Bat-SARS-like CoV, and human SARS-CoV (Figure 3). |
T92 |
8399-8594 |
Sentence |
denotes |
The analysis showed that the sequence was included in the same cluster as the previously reported SARS-CoV-2 sequence and showed high homology of > 99.5% with other isolated SARS-CoV-2 sequences. |
T93 |
8595-8743 |
Sentence |
denotes |
The virus was named BetaCoV/Korea/KCDC03/2020, and its full-length gene sequence was registered in WHO GISAID (GISAID accession ID: EPI_ISL_407193). |
T94 |
8745-8755 |
Sentence |
denotes |
Discussion |
T95 |
8756-8901 |
Sentence |
denotes |
As of February 12th, 2020, 28 cases of COVID-19 have been reported in Korea, with the first case observed in a traveler residing in Wuhan, China. |
T96 |
8902-9037 |
Sentence |
denotes |
The SARS-CoV-2 was isolated from a Korean patient who had self-administered antipyretics for initial symptoms such as chills and fever. |
T97 |
9038-9148 |
Sentence |
denotes |
The patient had experienced intermittent coughing with sputum 3 days after the administration of antipyretics. |
T98 |
9149-9267 |
Sentence |
denotes |
The SARS-CoV-2 could replicate in other cells (Vero E6 and Caco-II cells), in addition to Vero cells (data not shown). |
T99 |
9268-9437 |
Sentence |
denotes |
The first SARS-CoV-2 was successfully isolated by inoculating human airway epithelial cells with bronchoalveolar-lavage fluid samples from a patient with pneumonia [16]. |
T100 |
9438-9669 |
Sentence |
denotes |
Since human airway epithelial cells (because of their resemblance to pseudostratified mucociliary epithelium) require 4–6 weeks to differentiate in vivo, isolation of SARS-CoV-2 using Vero cells or Caco-II cells is more convenient. |
T101 |
9670-9790 |
Sentence |
denotes |
Further studies are needed to select more sensitive cell lines suitable for virus isolation from low viral load samples. |
T102 |
9791-10070 |
Sentence |
denotes |
The sequence of the suspected novel coronavirus (KCDC03) was analyzed using the sequences of 54 SARS-CoV-2 including 6 human coronaviruses, Bat-CoVs, and 51 SARS-CoV-2 that have been registered in GISAID by several countries including China, and a phylogenetic tree was produced. |
T103 |
10071-10197 |
Sentence |
denotes |
Results show that the isolate from Korea was clustered with the new coronavirus, SARS-CoV-2 and classified as betacoronavirus. |
T104 |
10198-10376 |
Sentence |
denotes |
High homology (99.94%–99.99%) was confirmed with the viral sequences reported from other countries, such as those from Wuhan/IVDC-HB-01/2019(GISAID accession ID: EPI_ISL_402119). |
T105 |
10377-10501 |
Sentence |
denotes |
Homology with bat CoV (bat-SL-CoVZC45), SARS-CoV (AY278741) and MERS-CoV (JX869059) was 89.1%, 77.5%, and 50%, respectively. |
T106 |
10502-10728 |
Sentence |
denotes |
However, the lowest homology of 99.5% was observed with BetaCoV/Wuwhan/IVDCHB-04/2020, which could be because of the inaccurate sequence of IVDCHB-04, Hence, it has been excluded from the comparative analysis in other studies. |
T107 |
10729-10892 |
Sentence |
denotes |
Prior to identification of SARS-CoV-2 as the causative agent of the unknown pneumonia in Wuhan, China, pan-CoV RT-PCR was being used to detect SARS-CoV-2 in Korea. |
T108 |
10893-11002 |
Sentence |
denotes |
The Pan-CoV RT-PCR detects all human coronaviruses and animal-derived coronaviruses (personal communication). |
T109 |
11003-11134 |
Sentence |
denotes |
Since the release of the SARS-CoV-2 sequence, a real-time RT-PCR method has been established in the diagnosis of COVID-19 patients. |
T110 |
11135-11220 |
Sentence |
denotes |
Currently, the diagnosis of COVID-19 is based on gene detection via real-time RT-PCR. |
T111 |
11221-11372 |
Sentence |
denotes |
With the isolation of the causative agent, development of serological tests and rapid diagnostic tests in addition to virus detection will be required. |