RT Journal Article SR Electronic T1 Complete genome characterisation of a novel coronavirus associated with severe human respiratory disease in Wuhan, China JF bioRxiv FD Cold Spring Harbor Laboratory SP 2020.01.24.919183 DO 10.1101/2020.01.24.919183 A1 Fan Wu A1 Su Zhao A1 Bin Yu A1 Yan-Mei Chen A1 Wen Wang A1 Yi Hu A1 Zhi-Gang Song A1 Zhao-Wu Tao A1 Jun-Hua Tian A1 Yuan-Yuan Pei A1 Ming-Li Yuan A1 Yu-Ling Zhang A1 Fa-Hui Dai A1 Yi Liu A1 Qi-Min Wang A1 Jiao-Jiao Zheng A1 Lin Xu A1 Edward C. Holmes A1 Yong-Zhen Zhang YR 2020 UL http://biorxiv.org/content/early/2020/02/02/2020.01.24.919183.abstract AB Emerging and re-emerging infectious diseases, such as SARS, MERS, Zika and highly pathogenic influenza present a major threat to public health1–3. Despite intense research effort, how, when and where novel diseases appear are still the source of considerable uncertainly. A severe respiratory disease was recently reported in the city of Wuhan, Hubei province, China. At the time of writing, at least 62 suspected cases have been reported since the first patient was hospitalized on December 12nd 2019. Epidemiological investigation by the local Center for Disease Control and Prevention (CDC) suggested that the outbreak was associated with a sea food market in Wuhan. We studied seven patients who were workers at the market, and collected bronchoalveolar lavage fluid (BALF) from one patient who exhibited a severe respiratory syndrome including fever, dizziness and cough, and who was admitted to Wuhan Central Hospital on December 26th 2019. Next generation metagenomic RNA sequencing4 identified a novel RNA virus from the family Coronaviridae designed WH-Human-1 coronavirus (WHCV).Phylogenetic analysis of the complete viral genome (29,903 nucleotides) revealed that WHCV was most closely related (89.1% nucleotide similarity similarity) to a group of Severe Acute Respiratory Syndrome (SARS)-like coronaviruses (genus Betacoronavirus, subgenus Sarbecovirus) previously sampled from bats in China and that have a history of genomic recombination. This outbreak highlights the ongoing capacity of viral spill-over from animals to cause severe disease in humans.