
Before heading off to China as leader of a World Health Organization (WHO) fact-finding mission into the origins of SARS-CoV-2, Peter Ben Embarek recorded an outlining the state of knowledge at the time, January 2021.
“We know that the first human cases that were detected were detected in Wuhan in December 2019,” he said. “We also know that this virus belongs to a group of viruses that have their original niche in bat populations. In between these two points, we don’t know much.”
Almost six months on, we still don’t know much. Arguably, we actually know less, with the two “knowns” now being called into question. Even though Embarek’s investigation concluded that one of the possible origins of SARS-CoV-2 – accidental release from a laboratory – was “extremely unlikely”, that dreadful possibility still hasn’t been ruled out. If anything, the case for a lab leak has grown stronger.
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Last week, The Wall Street Journal ran an claiming that US intelligence has evidence of several employees of the Wuhan Institute of Virology, which has long carried out research on potentially dangerous bat coronaviruses, being hospitalised with a respiratory illness very similar to covid-19 in November 2019. US President Joe Biden subsequently ordered the US intelligence community to pursue a definitive conclusion on whether the virus spilled naturally from a wildlife reservoir, or unnaturally from a lab.
The origin of the virus remains one of the biggest, most important and most contentious unknowns of the pandemic. “Absolutely we need to know where it came from,” says , an evolutionary virologist at the University of Glasgow, UK. “We have to be worried that that could happen again.”
So what is the evidence for and against a laboratory leak? And what pieces of additional scientific evidence are required to adjudicate on the matter?
Consensus on a natural origin
For now, there is a near-consensus that SARS-CoV-2 had a natural origin in a wild animal, says microbiologist Rossana Segreto at the University of Innsbruck in Austria.
That consensus is the one strongly favoured by Embarek’s WHO investigation. At a press conference at the end of the mission in Wuhan on 9 February, he said that the virus seems to have originated in bats as originally thought. The WHO’s , published on 28 February, reiterated the bat origin hypothesis.
However, on 4 March, a group of scientists published an in The New York Times calling for an independent investigation on the grounds that the WHO “did not have the mandate, the independence, or the necessary accesses to carry out a full and unrestricted investigation into all the relevant SARS-CoV-2 origin hypotheses” – including the lab leak. A few weeks later, the governments of 14 countries including the US, UK and Australia that the WHO investigation “lacked access to complete, original data and samples”.
Earlier this month, the journal Science from a group of 18 distinguished scientists entitled “Investigate the origins of COVID-19”. It argued that theories of accidental release from a lab and so-called zoonotic spillover (where an infectious disease jumps from an animal to a human) “both remain viable”.
One of the signatories is David Relman at Stanford University in California, who has if only to debunk it. “There’s still a lot of scientists, in my view, who are a bit locked into the assumption that this has and can only have a natural origin,” he says. “I’m not quite sure why.”
Fuel for doubts
A lot of the doubts are fuelled by dissatisfaction with the WHO investigation and suspicion of ulterior Chinese motives. The WHO team had a “really difficult job”, says Robertson, because “the Communist party of China want to project it out of China”.
But there are also scientific reasons to question the consensus. “Several characteristics of SARS-CoV-2 taken together are not easily explained by a natural zoonotic origin hypothesis,” writes Segreto in .
The lab-leak hypothesis usually points the finger at the Wuhan Institute of Virology, which is close to the Huanan Seafood Market,where the first major cluster of infections occurred. The institute has a long history of collecting and analysing bat coronaviruses. The leak scenario usually involves researchers tinkering around with a virus to investigate its properties, perhaps in “gain of function” experiments in which pathogens are modified to be more harmful in a bid to understand them better. This modified virus then somehow slipped through the lab’s biosafety net, which has been for being full of holes.
Robertson points out that there is no documented evidence of such experiments taking place. The WHO team granted access to the institute found none. The Wuhan Institute of Virology has reported working with a , which is the closest-known relative of SARS-CoV-2 with a genome sequence similarity of 96.2 per cent. But even this is genetically quite distant from SARS-CoV-2 and RaTG13 clearly isn’t its immediate progenitor, says Robertson. “They weren’t working on the right viruses,” he says.
That, of course, doesn’t rule out undocumented experiments. There are good reasons to believe that the institute hasn’t always been entirely transparent, says Relman. For example, in November last year, it published a to a on RaTG13 revealing that sampling missions to a copper mine in Yunnan Province where that virus was discovered also yielded eight other previously unknown SARS-like coronaviruses. The addendum didn’t give any further details of these viruses.
Unknown virus
Intriguingly, the Wuhan Institute of Virology was alerted to the Yunnan site in 2012 when four miners fell ill with a mysterious respiratory illness after going into the mine to clean up bat guano. One of the men died of his illness. The institute subsequently tested samples from the men and confirmed that they weren’t infected with SARS-CoV-2, but hasn’t determined what caused the illness beyond suggesting that it was “an unknown virus”.
The original omission, and subsequent admission, of this information hasn’t been adequately explained, says Relman. èƵ emailed Zheng-Li Shi, head of bat coronavirus research at the Wuhan Institute of Virology and lead author of the addendum, for comment but she didn’t reply.
But to go from there to positing secretive experiments that ended horribly is to enter the realms of speculation, says Robertson. “It loses all meaning at that point because it’s not about facts any more. Unless you have some solid evidence that they were working on viruses very closely related to the one that “escaped”, then that’s where it becomes a conspiracy theory.”
However, proponents of the lab-leak hypothesis can point to some arcane details of the virus’s molecular biology. None of these is a smoking gun on its own, but taken together, they challenge the natural origin hypothesis, argues Segreto.
For example, the virus has a “furin cleavage site”, a part of the spike protein that helps it to break into host cells. Many coronaviruses have this tool, but SARS-CoV-2 is the only member of the sub-genus Sarbecovirus to have one.
Another region of the spike protein, the “receptor binding motif”, appears to be oddly adapted to latch on to human cells. This adaptation was also observed in the original SARS virus, SARS-CoV-1, which caused outbreaks in 2003, but only long after it had jumped to humans. The Wuhan strain of SARS-CoV-2 had it from the get-go, as if it were “pre-adapted” to humans.
Common adaptations
These and are theoretically consistent with a virus that has been manipulated in the laboratory, says Segreto, possible by a process called “serial passage”, whereby the virus is adapted to humans by making it infect cultured cells, selecting variants that succeed, and repeating the process.
Not so fast, says Robertson. “The ‘it doesn’t look like it’s natural’ claim is preposterous, because all of those features, the furin cleavage site and the receptor binding motif, they’re all very typical, you can find them in natural viruses”. An almost-identical section of the furin cleavage site, for example, was recently discovered in a bat Sarbecovirus from Thailand, says Robertson.
Another recent by researchers at ShanghaiTech University in China reports that furin cleavage sites are common across the coronavirus family and appear to have evolved independently multiple times in different lineages. This supports the natural origin hypothesis, say the authors.
The superficial appearance of unnaturalness arises, says Robertson, because of a phenomenon called recombination. The enzyme that copies the viral genome is highly promiscuous, and in a mammal cell co-infected with two coronaviruses, it can stitch together bits of both viral genomes in novel combinations. This can cause incongruous molecular features to suddenly appear in a virus lineage as if by magic, or design.
Factor in recombination and it is possible to construct a perfectly natural evolutionary tree of sarbecoviruses including SARS-CoV-2. “What’s very clear to anybody that’s worked in this field is that SARS-CoV-2 is really just another sister lineage to that first SARS virus that first emerged in 2002,” Robertson says.
As for “pre-adaptation”, there is nothing to see, says Robertson. The virus merely evolved to be a generalist, enabling it to extend its natural range beyond bats and into other mammals, which just so happens to include humans. The virus readily infects many other species including mink, pangolins and cats.
No smoking gun
Robertson admits that the smoking gun of the natural origin hypothesis is also absent. That would be a naturally occurring virus that is genetically close enough to SARS-CoV-2 to plausibly be its direct ancestor. “It remains most likely that the immediate ancestor to SARS-CoV-2 exists in the wild and is still to be found,” says Jonathan Stoye at the Francis Crick Institute in London.
But Robertson points out that searching for such a progenitor is like looking for a needle in a bat cave. Bats carrying SARS-like coronaviruses live right across China and into South-East Asia, and current levels of sampling aren’t adequate.
He is also at pains to point out that he and his colleagues will follow the science where it leads. “If there was a piece of good evidence [for the lab leak hypothesis] that came out tomorrow, we would pivot on that very quickly.”
All things considered, both hypotheses have to be left on the table for now. Work is ongoing to reject one or the other, not least by Embarek’s WHO team, which is far from finished with its investigations. Biden has given his intelligence agencies 90 days to report back. But bear in mind that it took a decade to discover the origins of SARS-CoV-1, which was unimpeded by geopolitical intrigue. Don’t hold your breath.
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