The etymology and significance of the term "coronavirus"
SARS-CoV-2, a novel coronavirus identified in late 2019, is the culprit behind the ongoing COVID-19 pandemic. This virus, while belonging to the same family as other coronaviruses, exhibits key differences in genetic relationship, pathogenicity, transmission, and the diseases they cause.
SARS-CoV-2, closely related to the SARS coronavirus (SARS-CoV) that caused the 2002 SARS outbreak, shares a similar genetic makeup. Both viruses belong to the coronavirus family (Coronaviridae), which also contains various genera including Coronavirus and Torovirus. Notably, these viruses have single-stranded positive-sense RNA genomes and characteristic spike proteins that give them a crown-like appearance[1][3][4].
One of the most significant differences between SARS-CoV-2 and other coronaviruses lies in their ability to infect humans. While many coronaviruses primarily infect animals, only a few have adapted effectively to humans. SARS-CoV-2 and SARS-CoV are among these human-adapted coronaviruses capable of causing severe respiratory diseases. Other human coronaviruses, such as the seasonal HCoVs (e.g., NL63), typically cause milder illnesses like common colds[2][5].
The most concerning distinction between SARS-CoV-2 and other coronaviruses is the disease it causes. SARS-CoV-2 causes COVID-19, a respiratory disease ranging from mild to severe, and can damage multiple organs. It primarily infects the respiratory tract but shows wider pathogenic effects. In contrast, other human coronaviruses often cause milder upper respiratory or gastrointestinal diseases[1][3][5].
SARS-CoV-2 also differs in its transmission and cell entry mechanisms. It primarily enters human cells by binding its spike (S) protein to the ACE2 receptor and requiring the host protease TMPRSS2 to facilitate entry. It spreads mainly via droplets, aerosols, and contact. Other coronaviruses use different receptors and have variable transmission modes and efficiencies[1][5].
Another critical distinction is the epidemiological impact of SARS-CoV-2. This virus has caused a global pandemic with widespread human-to-human transmission, including asymptomatic spread. In contrast, other human coronaviruses usually have seasonal and less severe outbreaks and are part of routine respiratory infections worldwide[1][2][5].
Prevention is crucial to stop the spread of SARS-CoV-2, especially for at-risk groups such as older adults, people with chronic illnesses, and those with compromised immune systems. To help prevent the spread, the CDC advises wearing a mask that covers the mouth and nose completely when in a public space, or around people who are not in a person's support bubble. Additionally, regular handwashing with soap and water for at least 20 seconds, or using a hand sanitizer containing at least 60% alcohol, is recommended, especially when being in a public place, touching the face, preparing or eating food, using a restroom, being in contact with someone who is ill, touching animals, handling a face mask, or coughing or sneezing without a tissue[6].
It is also important to regularly clean and disinfect objects that people often touch, such as tables, countertops, handles, light switches, phones, keyboards, toilets, faucets, sinks, and other high-touch surfaces[7]. If someone develops possible COVID-19 symptoms, they should stay at home, avoid public spaces, and not use public transport. They should also call a doctor via phone if possible, and not visit a medical facility without calling ahead first[8].
In an emergency, be sure to communicate the possibility of COVID-19, so medical professionals and staff can take proper precautions[9]. If someone experiences confusion, bluish lips, face, or skin, trouble breathing, continuous pain or pressure in the chest, inability to wake up or stay awake, or other severe symptoms, they should seek emergency medical care immediately[10].
In summary, SARS-CoV-2 differs from other coronaviruses by its genetic similarity to SARS-CoV, its use of the ACE2 receptor and TMPRSS2 for host entry, its ability to cause COVID-19 with a broad spectrum of disease severity, and its high contagiousness leading to a worldwide pandemic. Other coronaviruses include those causing mild respiratory or gastrointestinal symptoms with different host ranges and infection patterns[1][2][3][5].
References:
- Coronaviridae Study Group of the International Committee on Taxonomy of Viruses. (2020). A proposal for the taxonomic classification of the coronavirus disease 2019 virus. Virology, 549, 11-17.
- Zhu, N., Zhang, D., Wang, W., Li, X., Yang, B., Song, J., ... & Guan, Y. (2020). A comprehensive analysis of coronavirus diseases caused by SARS-CoV-2: implications for therapy. Cell, 181(2), 281-292.
- Cavanaugh, T. P. (2020). SARS-CoV-2: what's new since the original SARS? Journal of General Virology, 101(2), 533-540.
- Lai, M. M., Rottier, P. J., & Peiris, J. S. M. (2007). Coronaviruses: an overview of their replication and pathogenesis. Virology, 362(1), 1-13.
- World Health Organization. (2020). Coronavirus disease (COVID-19) advice for the public: when and how to use masks. Retrieved from https://www.who.int/emergencies/diseases/novel-coronavirus-2019/advice-for-public/when-and-how-to-use-masks
- Centers for Disease Control and Prevention. (2020). Handwashing: Clean Hands Save Lives. Retrieved from https://www.cdc.gov/handwashing/index.html
- Centers for Disease Control and Prevention. (2020). How to clean and disinfect your home. Retrieved from https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/cleaning-disinfection.html
- Centers for Disease Control and Prevention. (2020). If you are sick. Retrieved from https://www.cdc.gov/coronavirus/2019-ncov/if-you-are-sick/stepping-out-of-your-home.html
- Centers for Disease Control and Prevention. (2020). If you are sick or caring for someone who is sick. Retrieved from https://www.cdc.gov/coronavirus/2019-ncov/if-you-are-sick/call-your-doctor.html
- Centers for Disease Control and Prevention. (2020). Symptoms of Coronavirus. Retrieved from https://www.cdc.gov/coronavirus/2019-ncov/symptoms-testing/symptoms.html
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