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Why some individuals have stronger SARS-COV-2 defences

A new study has revealed important insights into the natural human antiviral defences against SARS-CoV-2, the virus that causes COVID-19.

The research has been published in the journal Science and led by a team of scientists at the Medical Research Council (MRC)-University of Glasgow Centre for Virus Research.

It sheds new light on why some people are naturally more resistant to serious SARS-CoV-2 infection, and how, in the future, the coronavirus might overcome this resistance.

COVID-19 is spread from person to person after the virus, shed by an infected person, infects the cells of a new host. Once infected, our cells try to fight off the invading virus and scientists already know that this works better is some people, making their experience of the disease less severe.

However, until now, that anti-viral response, and its effect on the virus SARS-CoV-2, hasn’t been well-understood. In the study, the scientists reveal that some people have a version of a gene, called OAS1, that potently inhibits SARS-CoV-2.

Inside cells, coronaviruses hide and replicate inside vesicles coated with lipid (fat). Prenylation is the addition of a single molecule of lipid (fat) to a protein: it’s this technical difference that allows prenylated OAS1 to ‘seek out’ the invading virus and ‘sound the alarm’.

The study found that, in hospitalised patients, expression of a prenylated version of this gene was associated with protection from severe COVID-19. This suggests that the antiviral defence is a major component of a protective antiviral response. It is likely to have offered protection to many people during the course of the pandemic.

Interestingly, the researchers also found that, approximately 55 million years ago, there was a removal of this protective gene in horseshoe bats, the presumed source of SARS-CoV-2. Therefore, SARS-CoV-2 never had to adapt to evade this defence.

As the protective prenylated OAS1 gene is widespread in animals, the billions of people that lack this protective gene could make humans particularly vulnerable to the spill over of coronaviruses from horseshoe bats.

Professor Sam Wilson, Centre for Virus Research, said: "We know viruses adapt, and even SARS-CoV-2 has likely adapted to replicate in the animal reservoir(s) in which it circulates. Cross-species transmission to humans exposed the virus SARS-CoV-2 to a new repertoire of antiviral defences, some of which SARS-CoV-2 may not know how to evade.

"What our study shows us is that the coronavirus that caused the SARS outbreak in 2003 learned to evade prenylated OAS1. If SARS-CoV-2 variants learn the same trick, they could be substantially more pathogenic and transmissible in unvaccinated populations. This reinforces the need to continually monitor the emergence of new SARS-CoV-2 variants."

The study was predominantly funded by MRC, part of UK Research and Innovation, and Wellcome.

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Upcoming Events

Future Surgery 2021

ExCel London
9th - 10th November 2021

Medica 2021

Dusseldorf Germany
15th - 18th November

Arab Health 2022

Dubai World Trade Centre
24th - 27th January

Central Sterilising Club 60th Anniversary Annual Scientific Meeting

Crowne Plaza, Bridge Foot, Stratford-upon-Avon, CV37 6YR
4th - 5th April

iM Med Decontamination Academy Spring Conference

Royal College of Physicians, London
11th May 2022

Access the latest issue of Clinical Services Journal on your mobile device together with an archive of back issues.

Download the FREE Clinical Services Journal app from your device's App store

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