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Introduction
The paper A Novel Coronavirus Associated with
Severe Acute Respiratory Syndrome by Ksiazek et
al. is a very interesting paper that could provide
a new direction in understanding the causative
organisms of SARS and similar diseases. It is
also a good starting point for researchers who
are working on viral recombinant behavior and
cell mutations seen in different viruses. The
authors claim that they could have isolated a
Coronavirus, whose name they propose as Urbani
SARS-associated Coronavirus that could be involved
in the outbreak of SARS.
Analysis
The paper presents a well developed approach that
has been used to isolate and study the virus under
question. The techniques used by the researchers
are commendable and the troubles to which they
have put themselves to, in order to study a virus
that had created havoc among the medical fraternity
for its severely infectious nature, is highly
commendable. In addition, the paper is a very
thought provoking one although it is not conclusive.
Some of the comparative points of the research
paper are:
Strong points
1. Good preparatory procedures
The researchers have taken good preparatory procedures
to study the virus. The clinical safety standards
and the research etiquettes that they have meticulously
followed in their research process can be considered
as a very good example of responsible handling
of dangerous pathogens.
2. Comparisons were conducted with a wide variety
of viral RNAs (Ksiazek et al., pp2)
Another highlight of the research is that the
authors have conducted the comparison of the virus
in question with a wide variety of viral RNAs
to conclusively rule out any similarity. This
has gone a long way in providing the rather surprising
finding that Coronaviruses found in humans could
be involved in the SARS epidemic
3. A phylogenetic tree was constructed to isolate
the strain of the virus
Care was taken to create a phylogenetic tree to
ensure that the similarities of the viral genes
could be used for further study. This will also
help in future research when the strains of the
virus have to be studied for its genetic similarity
with other strains.
4. The isolation of a human-derived Coronavirus
in Vero E6 cells was unexpected.
As mentioned before, the isolation of a human-derived
Coronavirus in Vero cells is a new finding that
can go a long way in understanding viral mutations
and virus interactions. It could be possible that
the virus plays a secondary role in aggravating
the conditions caused by the SARS virus
Weak Points
Even though the paper presents exciting material,
it also has its fair share of weak points
1. Only a possible link between Coronavirus and
the SARS virus have been indicated in the paper.
The link between SARS and the isolated virus
is not proved beyond doubt in the paper. It may
take many more years of research to prove or disprove
the link, if any.
Similarly, the authors were also not able to prove
the incidence of SARS-related Coronavirus infection
in all patients who had SARS.
2. The exact reasons for the virus not being
associated with all SARS patients are not made
clear by the authors.
The authors have not been able to explain why
the virus is not seen in all SARS patients. This
raises doubts about the role of the virus in SARS
because Coronaviruses are associated with the
thoracic parts of the normal human body. In addition,
the authors themselves agree that the cause of
SARS could be due to many other pathogens. Since
Coronaviruses have been associated with respiratory
diseases like cold, it is quite possible that
they might have been found at the site of SARS
infection as a matter of chance, and so the observation
does not point to the fact that they could have
caused SARS in the first place.
3. The fact that the antigens of the virus could
not be detected in the body parts of the patients,
puts to doubt the assumption that these viruses
indeed cause SARS [Ksiazek et al., pp11]
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