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Commentary

Curious Clade A Comments On MERS
Recombinomics Commentary 21:30
September 24, 2013

The EMC/2012 sequence was obtained after extensive cell culture passage to establish a virus isolate;26 there are 76 single nucleotide differences between EMC/2012 and the root of the clade B lineage. EMC/2012 and Jordan-N3 share 44 nucleotide changes not present in any other known MERS-CoV genome. Because of the lack of reported technical details for the Jordan sequence, the tissue culture adaptation of EMC/2012, and the shared polymorphisms despite large difference in geographical origins of clade A, we focused our analysis on sequences obtained directly from patient material, namely those in clade B. Importantly, genome Bisha_1_2012 (figure 2, in light green) was obtained with direct sequencing of nasopharyngeal swab material from the same patient reported as the source of the EMC/2012 virus (figure 2, in light green).26
 
The above comments from The Lancet paper on newly released MERS sequences are curious.  Clade A (EMC & JOR) are easily distinguished from clade B due to the 39 polymorphisms listed below (cited as 44 polymorphisms above).  Prior to the release of the new sequences in the above paper these 39 polymorphisms were limited to clade A.  However, two of the newly released sequences share six of these polymorphisms, which are clustered.  The Al Batin (BAT1) sequence shares 3 tightly cluster polymorphisms (A542G, T624C, T1514C), while three additional polymorphisms (T2456A, C3320T, T6632C) are shared with Riyadh_3 (RY3).

The sharing of these six polymorphisms, which were identified via direct sequencing, strongly indicates these polymorphisms are not due to tissue culture artifacts.  Moreover, these shared polymorphisms cluster within the sequences listed below, and 39 clade A polymorphisms are concentrated in ORF 1a.  This clustering strongly supports acquisition by recombination in areas across the Middle East.

Similarly, the Bisha sequence (BIS1) provides more evidence for widespread MERS.  In it’s a clade B sequence, but was isolated from the same patient as the clade A sequence, EMC, signaling heavy concentrations of coronavirus.  Moreover, BIS1 is virtually identical to Riyadh_1 (RY1) even though the samples were collected more than 4 months apart and in geographically distinct areas (and both sequences have the same 17 BP deletion).

Thus, the hard data supports a genetically distinct clade A. co-infection by clade A and B sequences, and clonal expansion over an extended time period and spread into geographically distinct area, curious comments notwithstanding.

A542G     BAT1
T624C     BAT1
T1514C   BAT1
A2040G
T2318C
T2456A                 RY3
T3134C
T3277C
C3320T                 RY3
T3442C
A4034G
T4388G
A4995G
A4996G
A5427C
G5516A
C6059T
C6293T
T6332C                 RY3
T6619C
T8207C
T8258C
T8333C
C8546T
T8617C
G9516A
T10505C
T10835G
C10982T
C11984T
T12684C
A12707G
T13022C
T17794C
C18415A
T25926T
T26716C
C26806T
C28772T

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