Friday, July 2, 2021

On Gain of Function Research

Corona viruses were first reported in 1965 in connection with research on viruses causing common cold.  Later  David Tyrrell pioneer in this field based on the then available data made a statement:  "Corona viruses cause acute, mild upper respiratory infection (common cold)"(1,2).    Ten plus years later  the   SARS  outbreak in 2003 with a case fatality ratio of 11% and   MERS, in 2017 with a case fatality ratio of  35%  forced scientists to reevaluate the coronaviridae family of viruses(3,4,). Because the causative agents, the  pathogens though  hitherto unknown to humankind,  were traced  to the corona family.   This  was also  like a wake up call,  to be alert and  prepared because there are lethal viruses lurking everywhere. A benign virus might have an hitherto unknown close cousin who might be pure evil.  Consequently  World Health Organisation's priority list of  diseases  that "pose the greatest public health risk due to their epidemic potential and/or whether there is no or insufficient countermeasures," included an X factor (5). 

The WHO document further stated that "Disease X represents the knowledge that a serious international epidemic could be caused by a pathogen currently unknown to cause human disease. The R&D Blueprint explicitly seeks to enable early cross-cutting R&D preparedness that is also relevant for an unknown “Disease X” (5).  (also see When Enemy is Unknown, this column Feb.2020).

So how do we enable early cross-cutting R&D preparedness to combat an unknown enemy?  That is where the tools of genetic engineering came in handy to the  scientific community.  Among other things  investigations began on  how a rather mild pathogen might  mutate to a dangerous  avatar  and  how a pathogen hitherto known only in  birds and animals might cross over  to humans (6).   Under the  innocuous label of  " Gain of Function Research",  scientists began  tinkering with the genes  of the existing viruses to make them  more lethal and/or contagious. Because this knowledge is essential to design effective countermeasures such as vaccines.   Naturally, GOF ( short for gain of function)  research triggered heated debates in scientific circles on the risks and benefits involved. Fear of possible laboratory leaks prompted many to shun and vehemently object to  GOF research.  True,  experiments are conducted in highly sophisticated labs adhering to stringent levels of biosafety. But still...   

Marc Lipsitch, professor of epidemiology at the Harvard  School of Public Health argued:  “Is this work so valuable for public health that it outshines the risk to public health in doing it?"(5) The debate reached  high pitch and high heat when scientists mutated the naturally occurring H1N1 bird flu virus  enabling it to be airborne and more infectious. There were other such scary  instances too. Of course all these  experiments were confined  in petridishes within four walls of  labs with very high biosafety level. Arturo Casadevall,  microbiologist at the Albert Einstein College of Medicine,  New York City, reassured everyone: “There is really no evidence that these experiments are in fact such high risk,” he said. “A lot of them are being done by very respectable labs, with lots of precautions in place.”  Nevertheless   the Obama government  clamped  morartorium  on GOF research in 2014 (6).   But it now appears that the research continued unhindered elsewhere.    The  moratorium was lifted  in 2017 and NIH, USA stated that  this line of research  helps us  to "identify, understand, and develop strategies and effective countermeasures against rapidly evolving pathogens that pose a threat to public health" (7

There are groups who insist that SARS-CoV-2,  the deadly virus responsible for COVID-19 pandemic is  a product of the GOF research, which somehow leaked out. The suspicion that  the SARS-CoV-2 is not a  natural pathogen but an engineered one , is due  to the detection of  an unusual   signature in its genetic makeup( 8).  A  natural predecessor from whom SARS-CoV-2 could have inherited this feature has not yet been identified either.  Then came the revelation of  the American links to the ongoing  GOF research projects at the Wuhan Institute of Virology, the epicentre of the COVID-19 pandemic (9).  This time, along with the dissenting scientists, public too  protested and demanded explanations. The  pitch rose so high that National Institute of Health, USA deemed it necessary to put out the following statement: "neither the agency nor its National Institute of Allergy and Infectious Diseases has “ever approved any grant that would have supported ‘gain-of-function’ research on coronaviruses that would have increased their transmissibility or lethality for humans."

Between 2014-2019, Wuhan Institute of Virology  has received  huge research funds from National Institutes of Health, USA.  Currently  this is being investigated. For the time being  NIH is  tightlipped  about the details, citing pending investigations (9).  Meanwhile speculations are flourishing.    But science is not built on speculations, we need concrete proofs.

TAILPIECE:

In brief:  The Road to hell is always paved with good intentions. 


REFERENCES:

1. Cold Wars: The Fight against the Common Cold: David Tyrrell and Michael Fielder,Oxford University Press 2002

2. Covid-19: First coronavirus was described in the BMJ in 1965 

3. Consensus document on the epidemiology of severe acute respiratory syndrome (SARS)

4. MERS situation Update May 2021

5. Why Scientists Tweak Lab Viruses to Make Them More Contagious

6. US suspends risky disease research 

7. NIH Lifts Funding Pause on Gain of Function Research

8. Natural and unnatural history of the coronavirus: The uncertain path to the pandemic  

9. Inside the risky bat-virus engineering that links America to Wuhan.