The Emergence and Evolution of SARS-CoV-2

Annu Rev Virol. 2024 Sep;11(1):21-42. doi: 10.1146/annurev-virology-093022-013037. Epub 2024 Aug 30.

Abstract

The origin of SARS-CoV-2 has evoked heated debate and strong accusations, yet seemingly little resolution. I review the scientific evidence on the origin of SARS-CoV-2 and its subsequent spread through the human population. The available data clearly point to a natural zoonotic emergence within, or closely linked to, the Huanan Seafood Wholesale Market in Wuhan. There is no direct evidence linking the emergence of SARS-CoV-2 to laboratory work conducted at the Wuhan Institute of Virology. The subsequent global spread of SARS-CoV-2 was characterized by a gradual adaptation to humans, with dual increases in transmissibility and virulence until the emergence of the Omicron variant. Of note has been the frequent transmission of SARS-CoV-2 from humans to other animals, marking it as a strongly host generalist virus. Unless lessons from the origin of SARS-CoV-2 are learned, it is inevitable that more zoonotic events leading to more epidemics and pandemics will plague human populations.

Keywords: COVID-19; Omicron; SARS-CoV-2; Wuhan; evolution; phylogeny; zoonosis.

Publication types

  • Review

MeSH terms

  • Animals
  • COVID-19* / epidemiology
  • COVID-19* / transmission
  • COVID-19* / virology
  • Evolution, Molecular
  • Humans
  • Pandemics
  • SARS-CoV-2* / genetics
  • SARS-CoV-2* / pathogenicity
  • Viral Zoonoses / epidemiology
  • Viral Zoonoses / transmission
  • Viral Zoonoses / virology
  • Zoonoses / epidemiology
  • Zoonoses / transmission
  • Zoonoses / virology

Supplementary concepts

  • SARS-CoV-2 variants