Evidence map›Paper›PMID 42372164›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2026

Evaluation of a proposed link between the SARS-CoV-2 furin cleavage site and mouse-adapted MERS-coronavirus MA30.

Sarah M Metzger, Terry C Jones, Jenny I J Meier, Anja Richter, Mark-Christian Klassen, Ruth Olmer, Nicolai Diegmüller, Kim C Heimsch, Christian Drosten

Abstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Evaluation of a proposed link between the SARS-CoV-2 furin cleavage site and mouse-adapted MERS-coronavirus MA30.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Sarah M MetzgerInstitute of Virology, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität and Humboldt-Universität Berlin, Berlin 10117, Germany.ORCID 0000-0001-7730-9733
Terry C JonesInstitute of Virology, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität and Humboldt-Universität Berlin, Berlin 10117, Germany.ORCID 0000-0003-1120-9531
Jenny I J MeierInstitute of Virology, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität and Humboldt-Universität Berlin, Berlin 10117, Germany.
Anja RichterInstitute of Virology, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität and Humboldt-Universität Berlin, Berlin 10117, Germany.
Mark-Christian KlassenLeibniz Research Laboratories for Biotechnology and Artificial Organs and National Center for Lung Research, Hannover Medical School, Hannover 30625, Germany.ORCID 0000-0002-1528-2755
Ruth OlmerLeibniz Research Laboratories for Biotechnology and Artificial Organs and National Center for Lung Research, Hannover Medical School, Hannover 30625, Germany.
Nicolai DiegmüllerInstitute of Virology, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität and Humboldt-Universität Berlin, Berlin 10117, Germany.
Kim C HeimschInstitute of Virology, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität and Humboldt-Universität Berlin, Berlin 10117, Germany.
Christian DrostenInstitute of Virology, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität and Humboldt-Universität Berlin, Berlin 10117, Germany.ORCID 0000-0001-7923-0519

Funding

Bundesministerium für Forschung, Technologie und Raumfahrt (BMBF) 8040701710Bundesministerium für Forschung, Technologie und Raumfahrt (BMBF) 8064701703EC | European Health and Digital Executive Agency (HaDEA) 101102733
6 · The paper itself

Abstract

The origin of the polybasic furin cleavage site (FCS) of SARS-CoV-2 remains a central question in debates on the emergence of COVID-19. One hypothesis proposes a genetic relationship between the SARS-CoV-2 S1/S2 motif RRAR and the RRVR sequence found in the mouse-adapted MERS-CoV strain MERS-MA30. Here, we combined large-scale bioinformatic analysis with experimental virology to evaluate this scenario. Analysis of over 17 million SARS-CoV-2 genomes revealed that the S:684V substitution corresponding to RRVR occurred repeatedly but only sporadically, never became phylogenetically basal, and showed limited geographic and temporal spread. Using reverse genetics, we generated SARS-CoV-2 variants encoding RRVR and demonstrated that S:684V consistently reduced viral entry efficiency and competitive fitness in multiple cell systems, including human respiratory epithelial cultures. RRVR variants did not evolve toward RRAR but instead accumulated alternative substitutions. These findings do not support an evolutionary relationship between MERS-MA30 and the SARS-CoV-2 FCS.

Indexed as

FurinMiddle East Respiratory Syndrome CoronavirusSARS-CoV-2Spike Glycoprotein, CoronavirusAnimalsCOVID-19Genome, ViralHumansMicePhylogenyVirus InternalizationFurinSpike Glycoprotein, Coronavirusspike protein, SARS-CoV-2MERS-CoVpandemic originsSARS-CoV-2

Identifiers

PMID42372164
PMCPMC13342859

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.