Showing posts with label Clinical Pearl. Show all posts
Showing posts with label Clinical Pearl. Show all posts

Wednesday, 5 August 2020

ORIGIN OF SARS-CoV-2: NATURAL EVOLUTION ARGUMENT


 SARS-CoV-2There is ongoing debate among policymakers, scientists and the general public about where SARS-CoV-2, the virus that causes COVID-19, came from. While researchers consider bats the most likely natural hosts for SARS-CoV-2, the origins of the virus are still unclear. On May 10 in the journal Current Biology, researchers describe a recently identified bat coronavirus that is SARS-CoV-2’s closest relative in some regions of the genome and which contains insertions of amino acids at the junction of the S1 and S2 subunits of the virus’s spike protein in a manner similar to SAR-CoV-2.

RmYN02

While it’s not a direct evolutionary precursor of SARS-CoV-2, this new virus, RmYN02, suggests that these types of seemingly unusual insertion events can occur naturally in coronavirus evolution, the researchers say.

“Since the discovery of SARS-CoV-2 there have been a number of unfounded suggestions that the virus has a laboratory origin,” says senior author Weifeng Shi, director and professor at the Institute of Pathogen Biology at Shandong First Medical University in China. “In particular, it has been proposed the S1/S2 insertion is highly unusual and perhaps indicative of laboratory manipulation. Our paper shows very clearly that these events occur naturally in wildlife. This provides strong evidence against SARS-CoV-2 being a laboratory escape.”

The researchers identified RmYN02 from an analysis of 227 bat samples collected in Yunnan province, China, between May and October of 2019. “Since the discovery that bats were the reservoir of SARS coronavirus in 2005, there has been great interest in bats as reservoir species for infectious diseases, particularly as they carry a very high diversity of RNA viruses, including coronaviruses,” Shi says. RNA from the samples was sent for metagenomic next-generation sequencing in early January 2020, soon after the discovery of SARS-CoV-2.

Across the whole genome, the closest relative to SARS-CoV-2 is another virus, called RaTG13, which was previously identified from bats in Yunnan province. But RmYN02, the virus newly discovered here, is even more closely related to SARS-CoV-2 in some parts of the genome, including in the longest encoding section of the genome, where they share 97.2% of their RNA. The researchers note that RmYN02 does not closely resemble SAR-CoV-2 in the region of the genome that encodes the key receptor binding domain that binds to the human ACE2 receptor that SARS-CoV-2 uses to infect host cells. This means it’s not likely to infect human cells.

 amino acid

The key similarity between SARS-CoV-2 and RmYN02, is the finding that RmYN02 also contains amino acid insertions at the point where the two subunits of its spike protein meet. SARS-CoV-2 is characterized by a four-amino-acid insertion at the junction of S1 and S2; this insertion is unique to the virus and has been present in all SARS-CoV-2 sequenced so far. The insertions in RmYN02 are not the same as those in SARS-CoV-2, which indicates that they occurred through independent insertion events. But a similar insertion event happening in a virus identified in bats strongly suggests that these kinds of insertions are of natural origin. “Our findings suggest that these insertion events that initially appeared to be very unusual can, in fact, occur naturally in animal beta coronaviruses,” Prof. Shi says.

“Our work sheds more light on the evolutionary ancestry of SARS-CoV-2,” he adds. “Neither RaTG13 nor RmYN02 is the direct ancestor of SARS-CoV-2, because there is still an evolutionary gap between these viruses. But our study strongly suggests that sampling of more wildlife species will reveal viruses that are even more closely related to SARS-CoV-2 and perhaps even its direct ancestors, which will tell us a great deal about how this virus emerged in humans.”

This work was supported by the Academic Promotion Programme of Shandong First Medical University, the Strategic Priority Research Programme of the Chinese Academy of Sciences, the Chinese National Natural Science Foundation, the National Major Project for Control and Prevention of Infectious Disease in China, the High-End Foreign Experts Program of Yunnan Province, the Taishan Scholars Programme of Shandong Province, the NSFC Outstanding Young Scholars, Youth Innovation Promotion Association of CAS, and an ARC Australian Laureate Fellowship.

REFERENCE

1. Cell Press. (2020, May 11). A close relative of SARS-CoV-2 found in bats offers more evidence it evolved naturally. ScienceDaily. Retrieved May 27, 2020 from https://www.sciencedaily.com/releases/2020/05/200511142202.htm

2. Global Biodefense Staff. (2020, May 11).A Close Relative of SARS-CoV-2 Found in Bats Offers More Evidence It Evolved Naturally. Global Biodefense. Retrieved May 27, 2020 from https://globalbiodefense.com/2020/05/11/a-close-relative-of-sars-cov-2-found-in-bats-offers-more-evidence-it-evolved-naturally/

IMAGE GLOSSARY

1. https://www.google.com/url?sa=i&url=https%3A%2F%2Fwww.discovermagazine.com%2Fhealth%2Fwhy-bats-are-breeding-grounds-for-deadly-diseases-like-ebola-and-sars&psig=AOvVaw3rDRhWWRsjxKQbv9q9rWc0&ust=1593872479307000&source=images&cd=vfe&v
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2. https://www.google.com/search?safe=active&sa=G&hl=en&tbs=simg:CAESogIJ_15BFLsomtLoalgILELCMpwgaYgpgCAMSKKMBgAaiAcYBmg-CBa0LtwuhAYQGtCeUI4IikyOGIuMrjDraK8QphSIaMLGSF-i1UPDuG1ZIErvB2ycezu1JSAqU_123B3tW_17
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Tuesday, 26 May 2020

Mind Controlled Arm Prostheses


mind-controlled arm prosthesis
For the First time, people with limb amputations can experience sensations of touch with a mind-controlled arm prosthesis. A study in the New England Journal of Medicine reports on three Swedish patients who have lived, for several years, with this new technology. This is one of the world’s most integrated interfaces between human and machine.
The research was led by Max Ortiz Catalan, Associate Professor at Chalmers University of Technology, in collaboration with Sahlgrenska University Hospital, University of Gothenburg, and Integrum AB, all in Gothenburg,
Sweden. Researchers at Medical University of Vienna in Austria and theMassachusetts Institute of Technology in the
USA were also involved.
“Our study shows that a prosthetic hand, attached to the bone and controlled by electrodes implanted in nerves and muscles, can operate much more precisely than conventional prosthetic hands. We further improved the use of the prosthesis by integrating tactile sensory feedback. This is used by the patients to mediate how hard to grab or squeeze an object. Over time, the ability of the patients to discern smaller changes in the intensity of  ensations has improved,” says Max Ortiz Catalan.   The patients have used a mind-controlled prosthesis in their everyday life for up to seven years. For the last few years, they Max Ortiz Catalan, Associate Professor at Chalmers University of Technology have also lived with a new function. The sensations of touch in the prosthetic hand. This is a new concept for artificial limbs, which are called neuromusculoskeletal prostheses. They are connected to the user’s nerves, muscles, and skeleton. “The most important contribution of this study was to demonstrate that this new type of prosthesis is a clinically viable replacement for a lost arm. No matter how sophisticated a neural interface becomes, it can only deliver sensations of touchreal benefit to patients if the connection between the patient and the prosthesis is safe and reliable in the long term. Our results are the product of many years of work, and now we can Finally present the first bionic arm prosthesis that can be reliably controlled using implanted electrodes, while also conveying sensations to the user in everyday life,” continues Prof. Catalan. Since receiving prostheses, the patients have used them daily in all their professional and personal activities.
The newest part of the technology, the sensation of touch, is possible through stimulation of the nerves that used to be connected to the biological hand before the amputation. Force sensors located in the thumb of the prosthesis measure contact and pressure applied to an object while grasping. This information is transmitted to the patients’ nerves leading to their brains. Patients can thus feel when they are touching an object, its characteristics, and how hard they are pressing it, which is crucial for imitating a biological hand.
The implantation of this new technology took place at Sahlgrenska University Hospital, led by Professor Rickard Brånemark and Dr. Paolo Sassu. Over a million people worldwide suffer from limb loss, and the end goal for the research team, in collaboration with Integrum AB, is to develop a widely available product suitable for as many of these people as possible.
The current study dealt with patients who had above-elbow amputations, and this technology is closer to becoming a finished product. The research team is working in parallel with a new system for amputations below the elbow. In those cases, instead of one large bone (humerus), there are two smaller bones (radius and ulna) to which the implant needs to be anchored. The group is also working on adapting the system for leg prostheses. In addition to  aplications within arosthetics, the permanent interface between human and machine provides entirely new opportunities for scientific research into how the human muscular and nervous systems work.

REFERENCES
1. Chalmers University of Technology. (2020, April 30). Mind-controlled arm prostheses that ‘feel’ are now a part of everyday life. ScienceDaily. Retrieved May 12, 2020 from  
2. Fan, S. (2019, July 31).”Moving Beyond Mind-controlled Limbs to Prosthetics That Can Actually ‘Feel’.”Retrieved May 12, 2020 from 

3. ”Mind-Controlled Prosthetic Arm Moves Individual ‘Fingers’.” (2016, February 15).Retrieved May 12, 2020 from
https://www.hopkinsmedicine.org/news/media/releases/mind_controlled_prosthetic_arm_moves_individual_fingers_

4. ”Neuroscience researchers receive $3.4 million NIH grant to develop brain-controlled prosthetic limbs.”(2018, October 5). Retrieved May 12, 2020 from