Proximal Origin
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The Proximal Origin is a reference to a scientific correspondence titled "The proximal origin of SARS-CoV-2" and the events of scientific and political controversies arising from it. The letter, published in the journal '' Nature Medicine'' on 17 March 2020, was written by a group of virologists including
Kristian G. Andersen Kristian Andersen is an evolutionary biologist and professor in the Department of Immunology and Microbiology at Scripps Research in La Jolla, California. Andersen obtained a BSc in molecular biology from Aarhus University in 2004, and a PhD ...
,
Andrew Rambaut Andrew Rambaut is a British evolutionary biologist, Professor of molecular evolution at the University of Edinburgh. Education Rambaut earned a Bachelor of Science degree in Zoology from the University of Edinburgh in 1993 followed by a DPhil ...
,
W. Ian Lipkin Walter Ian Lipkin (born November 18, 1952) is the John Snow Professor of Epidemiology at the Columbia University#Organization, Mailman School of Public Health at Columbia University and a professor of Neurology and Pathology at the Columbia Univ ...
,
Edward C. Holmes Edward Charles Holmes (born 26 February 1965) is a British evolutionary biologist and virologist, and since 2012 a National Health and Medical Research Council (NHMRC) Australia Fellow and professor at the University of Sydney. He is also an ...
and Robert F. Garry. The authors examined possibilities of an accidental leak of a natural or manipulated virus from a laboratory, and concluded that genomic analyses indicated that "SARS-CoV-2 is not a laboratory construct or a purposefully manipulated virus." The letter was highly influential in establishing the natural origin of COVID-19 in the early stages of the pandemic and generated controversy over the arguments it made against any lab-based origin scenario, and the link later drawn between its authors and public health officials alleged to have funded gain-of-function research at the Wuhan Institute of Virology prior to the pandemic. Three years after the publication, in 2023, the US Republicans raised an allegation that the scientific paper was a coverup to suppress the COVID-19 lab leak theory. The private deliberations of the authors (during the writing of the paper) accidentally became public and became a topic of discussion and debate.


Background

From the early outbreak of the COVID-19 pandemic, rumors and speculation arose about the possible lab origins of SARS-CoV-2, the causative agent of the COVID-19 disease. Different versions of the lab origin hypothesis present different scenarios in which a bat-borne progenitor of SARS-CoV-2 may have spilled over to humans, including a laboratory-acquired infection of a natural or engineered virus. Some early rumors focused on the deliberate leak of a virus as a bioweapon or accidental leak of an engineered virus. In an earlier email obtained by public records request, Proximal Origins lead author
Kristian Andersen Kristian Mamush Andersen (born 1 September 1994) is a Danish professional footballer who plays for Hillerød Fodbold. Career Brøndby IF Kristian Andersen made his debut (in jersey number 36) on 10 March 2013 in the 3-0 away win against AGF. K ...
said they were focused on dispelling these rumors, saying "the main crackpot theories going around at the moment relate to this virus being somehow engineered with intent."


Conference call with Anthony Fauci

According to emails obtained by BuzzFeed News and the Washington Post through FOIA, in the weeks before the publication of the paper, the authors held a teleconference with
Anthony Fauci Anthony Stephen Fauci (; born December 24, 1940) is an American physician-scientist and immunologist serving as the director of the National Institute of Allergy and Infectious Diseases (NIAID) and the chief medical advisor to the president. ...
and Francis Collins organized by Jeremy Farrar, with 11 other scientists, including coronavirologists Marion Koopmans and Ron Fouchier.


The original publication

On 17 March 2020, ''Nature Medicine'' published a correspondence article titled "The proximal origin of SARS-CoV-2" that discussed the origin of the
coronavirus Coronaviruses are a group of related RNA viruses that cause diseases in mammals and birds. In humans and birds, they cause respiratory tract infections that can range from mild to lethal. Mild illnesses in humans include some cases of the com ...
that caused COVID-19 pandemic from genetic perspective. The article focused on analysing SARS-CoV-2's genome, and the sites that enable it to bind to human cells. It was reported by Kristian G. Andersen (
The Scripps Research Institute Scripps Research, previously known as The Scripps Research Institute (TSRI), is a nonprofit American medical research facility that focuses on research and education in the biomedical sciences. Headquartered in San Diego, California, the institu ...
, La Jolla, USA), Andrew Rambaut ( University of Edinburgh, UK), W. Ian Lipkin ( Mailman School of Public Health of Columbia University, New York, USA), Edward C. Holmes ( The University of Sydney, Australia) and Robert F. Garry ( Tulane University, New Orleans, USA). The scientists stated: "We offer a perspective on the notable features of the SARS-CoV-2 genome and discuss scenarios by which they could have arisen. Our analyses clearly show that SARS-CoV-2 is not a laboratory construct or a purposefully manipulated virus." It was the first scientific report to "firmly determine" that SARS-CoV-2 was not a human-made infection that came from a laboratory. The report concluded with a statement:
The genomic features described here may explain in part the infectiousness and transmissibility of SARS-CoV-2 in humans. Although the evidence shows that SARS-CoV-2 is not a purposefully manipulated virus, it is currently impossible to prove or disprove the other theories of its origin described here. However, since we observed all notable SARS-CoV-2 features, including the optimized RBD and polybasic cleavage site, in related coronaviruses in nature, we do not believe that any type of laboratory-based scenario is plausible.
The theories postulated in the report were that the coronavirus could only had come by biological evolution in either of two ways: # Natural selection occurred in an animal host before infection to humans ( zoonotic transmission), as indicated by the coronavirus in the Malayan pangolins (''Manis javanica'') that has similar spike proteins of SARS-CoV-2 essential for infecting human cells. Since bat coronavirus like RaTG13 from a ''
Rhinolophus affinis The intermediate horseshoe bat (''Rhinolophus affinis'') is a bat species of the family Rhinolophidae (“nose crest”) that is very widespread throughout much of the Indian subcontinent, southern and central China and Southeast Asia. It is lis ...
'' are genetically related with SARS-CoV-2 (having ~96% genome similarity), genome mixing ( recombination) in animals could have produced the human-infective viruses. # Natural selection produced the human coronavirus by mutation in humans. The spike protein of SARS-CoV-2 interacts with furin, an enzyme found in human cells. Furin-like sites are present in other viruses such as HIV and Ebola virus, but not in bat or pangolin coronaviruses, suggesting that the specific furin interaction developed only in humans.


References

{{Reflist 2023 controversies COVID-19 Scientific and technical responses to the COVID-19 pandemic Biology controversies