Nature Sets Barriers to Risky Viruses, While China’s Gain-of-Function Study Is Breaking Them

While scientists strive to improve human health and well-being, gain-of-function research could cause more harm than good.

We’re not afraid of the tigers in the zoo because we trust they cannot attack. But what if someone opens the cage?

Many viruses are highly lethal in nature but cannot infect humans. Fear arises when these viruses break the species barrier.

This can happen naturally or through risky research practices, particularly gain-of-function (GOF) research.

What Is GOF?

Just as all substances have functions, specific genes enable viruses to spread rapidly or cause severe diseases. GOF research involves introducing new functioning genes into a virus, enhancing its ability to infect hosts or increasing its virulence.

There are at least three main types of new functions a virus can gain:

  • Expanded Host Range GOF research can enable viruses to infect new species that they previously could not. This includes crossing the species barrier to infect humans, which poses significant risks for zoonotic outbreaks and potential pandemics. A 2015 Nature Medicine article provides a pertinent example. A bat-derived SARS-like coronavirus, initially noninfectious to humans, became capable of human infection after GOF studies at China’s Wuhan Institute of Virology (WIV).
  • Enhanced Transmission GOF research can result in viruses gaining the ability to spread more efficiently between hosts. This includes changes that allow a virus to be transmitted through new routes or, more effectively, through existing ones. In 2012, GOF research at the University of Wisconsin-Madison significantly transformed the H5N1 bird flu virus. Initially non-airborne, the virus acquired the ability to transmit through the air, demonstrating the profound impact of GOF studies on viral capabilities.
  • Increased Virulence Viruses can gain mutations that make them more virulent, meaning they can cause more severe diseases in infected hosts. This can involve an enhanced ability to evade the host’s immune system or increased replication rates within the host. A 2022 preprint paper shows researchers at Boston University created a lethal version of the Omicron variant.

GOF can also be used to generate positive traits in germs. For example, by adding a human insulin gene, a germ gains the new function of producing insulin.

By Yuhong Dong M.D., Ph.D.

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