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M. Stankovich, MD, MSW's avatar

A truly excellent overview. I was, however, a bit surprised at your emphasis on the "secret" elements, when I specifically recall being struck by the conclusions of KG Anderson, et al. in the Nature Medicine study, "The Proximal Origin of SARS-CoV-2" in 2020, that you have cited in your references. That study examined the genomic structure of the virus - as you mentioned, focusing specifically on the RBD and cleavage site - and seemed to definitively conclude a "natural zoonotic origin," rather than a laboratory engineered virus. Why the lack of emphasis?

Richard Haigh's avatar

Nice overview of the technical problems of the lab leak theory but I still think you are being far too generous with the methods section as many of the proposed explanations were (and some still are) technically infeasible.

We already know what happens when you repeatedly passage SARS-CoV-2 in tissue culture cell lines (https://pmc.ncbi.nlm.nih.gov/articles/PMC8071843/) and the answer is it accumulates mutations which enable it to grow better in cell lines; and these mutations are often the sort that make the virus worse at infecting a real host. Making a new virus by recombination is a nice idea but even now after a massive amount of SARS-CoV-2 work we still don't really understand coronavirus recombination (https://pmc.ncbi.nlm.nih.gov/articles/PMC10265781/) so the possibility that they were secretly doing it back in 2019 seems a bit unlikely. And even if you have a method for making trillions of new recombinant viruses how do you screen for the very very few which will be successful in humans?

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