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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Cell. Infect. Microbiol.</journal-id>
<journal-title>Frontiers in Cellular and Infection Microbiology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Cell. Infect. Microbiol.</abbrev-journal-title>
<issn pub-type="epub">2235-2988</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fcimb.2023.1232772</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Cellular and Infection Microbiology</subject>
<subj-group>
<subject>Review</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Zoonosis and zooanthroponosis of emerging respiratory viruses</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Khalil</surname>
<given-names>Ahmed Magdy</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1792030"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Martinez-Sobrido</surname>
<given-names>Luis</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="author-notes" rid="fn001">
<sup>*</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/340837"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Mostafa</surname>
<given-names>Ahmed</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
<xref ref-type="author-notes" rid="fn001">
<sup>*</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/473991"/>
</contrib>
</contrib-group>
<aff id="aff1">
<sup>1</sup>
<institution>Disease Intervention &amp; Prevention and Host Pathogen Interactions Programs, Texas Biomedical Research Institute</institution>, <addr-line>San Antonio, TX</addr-line>, <country>United States</country>
</aff>
<aff id="aff2">
<sup>2</sup>
<institution>Department of Zoonotic Diseases, Faculty of Veterinary Medicine, Zagazig University</institution>, <addr-line>Zagazig</addr-line>, <country>Egypt</country>
</aff>
<aff id="aff3">
<sup>3</sup>
<institution>Center of Scientific Excellence for Influenza Viruses, Water Pollution Research Department, Environment and Climate Change Research Institute, National Research Centre</institution>, <addr-line>Giza</addr-line>, <country>Egypt</country>
</aff>
<author-notes>
<fn fn-type="edited-by">
<p>Edited by: Haibo Wu, Zhejiang University, China</p>
</fn>
<fn fn-type="edited-by">
<p>Reviewed by: Ruth H. Nissly, The Pennsylvania State University (PSU), United States</p>
<p>Manuel E. Cort&#xe9;s, Universidad Bernardo O&#x2019;Higgins, Chile</p>
</fn>
<fn fn-type="corresp" id="fn001">
<p>*Correspondence: Luis Martinez-Sobrido, <email xlink:href="mailto:lmartinez@txbiomed.org">lmartinez@txbiomed.org</email>; Ahmed Mostafa, <email xlink:href="mailto:aelsayed@txbiomed.org">aelsayed@txbiomed.org</email>
</p>
</fn>
</author-notes>
<pub-date pub-type="epub">
<day>05</day>
<month>01</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="collection">
<year>2023</year>
</pub-date>
<volume>13</volume>
<elocation-id>1232772</elocation-id>
<history>
<date date-type="received">
<day>01</day>
<month>06</month>
<year>2023</year>
</date>
<date date-type="accepted">
<day>11</day>
<month>12</month>
<year>2023</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2024 Khalil, Martinez-Sobrido and Mostafa</copyright-statement>
<copyright-year>2024</copyright-year>
<copyright-holder>Khalil, Martinez-Sobrido and Mostafa</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p>
</license>
</permissions>
<abstract>
<p>Lung infections in Influenza-Like Illness (ILI) are triggered by a variety of respiratory viruses. All human pandemics have been caused by the members of two major virus families, namely <italic>Orthomyxoviridae</italic> (influenza A viruses (IAVs); subtypes H1N1, H2N2, and H3N2) and <italic>Coronaviridae</italic> (severe acute respiratory syndrome coronavirus 2, SARS&#x2212;CoV&#x2212;2). These viruses acquired some adaptive changes in a known intermediate host including domestic birds (IAVs) or unknown intermediate host (SARS-CoV-2) following transmission from their natural reservoirs (e.g. migratory birds or bats, respectively). Verily, these acquired adaptive substitutions facilitated crossing species barriers by these viruses to infect humans in a phenomenon that is known as zoonosis. Besides, these adaptive substitutions aided the variant strain to transmit horizontally to other contact non-human animal species including pets and wild animals (zooanthroponosis). Herein we discuss the main zoonotic and reverse-zoonosis events that occurred during the last two pandemics of influenza A/H1N1 and SARS-CoV-2. We also highlight the impact of interspecies transmission of these pandemic viruses on virus evolution and possible prophylactic and therapeutic interventions. Based on information available and presented in this review article, it is important to close monitoring viral zoonosis and viral reverse zoonosis of pandemic strains within a One-Health and One-World approach to mitigate their unforeseen risks, such as virus evolution and resistance to limited prophylactic and therapeutic interventions.</p>
</abstract>
<kwd-group>
<kwd>zoonosis</kwd>
<kwd>zooanthroponosis</kwd>
<kwd>pandemic</kwd>
<kwd>swine influenza</kwd>
<kwd>COVID-19</kwd>
<kwd>respiratory viruses</kwd>
</kwd-group>
<counts>
<fig-count count="4"/>
<table-count count="1"/>
<equation-count count="0"/>
<ref-count count="185"/>
<page-count count="17"/>
<word-count count="8879"/>
</counts>
<custom-meta-wrap>
<custom-meta>
<meta-name>section-in-acceptance</meta-name>
<meta-value>Clinical Microbiology</meta-value>
</custom-meta>
</custom-meta-wrap>
</article-meta>
</front>
<body>
<sec id="s1" sec-type="intro">
<label>1</label>
<title>Introduction</title>
<p>Zoonotic viral pathogens are those pathogens that can escape species barriers to transmit or jump from their non-human natural reservoirs, including avian or mammalian species, to humans in a process that is known as zoonosis. Most human infectious diseases (60-75%) are derived from pathogens that originally circulated in non-human animal species (<xref ref-type="bibr" rid="B37">Ellwanger and Chies, 2021</xref>). The ability of the virus to escape species barriers and jump to infect humans is always associated with hazardous consequences on individual and public health due to the lack of pre-existing immunity to the invading zoonotic virus, representing unforeseeable health concern (<xref ref-type="bibr" rid="B143">Seal et&#xa0;al., 2021</xref>; <xref ref-type="bibr" rid="B155">Tomori and Oluwayelu, 2023</xref>). Zoonotic viruses may occasionally infect humans and can cause diseases in people ranging from mild to severe symptoms and even death (<xref ref-type="bibr" rid="B100">Mostafa et&#xa0;al., 2018</xref>; <xref ref-type="bibr" rid="B130">Rahman et&#xa0;al., 2020</xref>). During this century, the world has been confronted with the emergence of two respiratory pandemics that were originally transmitted from animals to human, specifically influenza A/H1N1 in 2009 and coronavirus disease 2019 (COVID-19), caused by the 2009 influenza H1N1 virus (A/H1N1pdm09) and severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), respectively. In this narrative review article, we review these human respiratory virus pandemics, their frequent host-jumping events between human and non-human animal species, and the molecular determinants that ease viral transmission or improve viral fitness in domestic pets and wildlife animals, including the potential of establishing new vessels for virus evolution and spreading. In addition, the ability of influenza A/H1N1pdm09 virus and SARS-CoV-2 to infect other hosts with diverse biological factors is usually associated with the emergence of immune escape or drug-resistant variant(s). Hereafter, we also discuss the impact of the interspecies circulation of the two pandemic viruses on the currently available medical interventions.</p>
</sec>
<sec id="s2">
<label>2</label>
<title>Origin and zoonotic potential of influenza and coronaviruses</title>
<p>Influenza viruses are single-stranded, negative-sense segmented enveloped RNA viruses that belong to the family <italic>Orthomyxoviridae</italic> in the order Mononegavirales (<xref ref-type="bibr" rid="B163">Webster et&#xa0;al., 1992</xref>), and are divided in four types: A, B, C, and D. While influenza A (IAV) and B (IBV) viruses infect humans and induce seasonal epidemics with occasional pandemics, influenza C viruses (ICV) can infrequently infect humans with mild cold-like symptoms especially in young children (<xref ref-type="bibr" rid="B13">Calvo et&#xa0;al., 2006</xref>), and influenza D viruses (IDV) mainly infect cattle, pigs (<xref ref-type="bibr" rid="B82">Liu et&#xa0;al., 2020</xref>), and occasionally poultry species (<xref ref-type="bibr" rid="B7">Bailey et&#xa0;al., 2020</xref>), with few recently reported human cases in dairy farm workers (<xref ref-type="bibr" rid="B80">Leibler et&#xa0;al., 2023</xref>).</p>
<p>Genetically, the IAV particle is composed of a host-derived lipid bilayer envelope with protruding surface glycoproteins, namely hemagglutinin (HA) and neuraminidase (NA), that are encoded by viral segments 4 and 6, respectively. The viral segment 7 encodes two viral proteins, the matrix protein 1 (M1, lining the inner surface of the viral particle) and the matrix protein 2 (M2, transmembrane channels). The core of the viral virion is made of the eight viral ribonucleoprotein complexes (vRNPs) consisting of each viral RNA segment encapsulated by the viral nucleoprotein (NP, encoded by viral segment 5), and containing the three polymerase subunits (polymerase basic 2 (PB2, encoded by viral segment 1), polymerase basic 1 (PB1, encoded by viral segment 2), and polymerase acidic (PA, encoded by viral segment 3)). The 8<sup>th</sup> viral segment encodes two viral proteins, namely the non-structural protein 1 (NS1) and the nuclear export protein (NEP), or non-structural protein (NS2) (<xref ref-type="bibr" rid="B100">Mostafa et&#xa0;al., 2018</xref>).</p>
<p>IAVs have a wide host range including humans, equine, canine, swine, and domestic and wild birds (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1A</bold>
</xref>). Wild aquatic birds are the major natural reservoirs of IAVs (<xref ref-type="bibr" rid="B100">Mostafa et&#xa0;al., 2018</xref>; <xref ref-type="bibr" rid="B130">Rahman et&#xa0;al., 2020</xref>). Based on the antigenicity of the two outer surface glycoproteins (HA and NA), avian IAVs (AIVs) are classified into 16 HA and 9 NA subtypes, in addition to two other subtypes H17N10 and H18N11 identified in bats (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1A</bold>
</xref>) (<xref ref-type="bibr" rid="B164">Webster et&#xa0;al., 1982</xref>; <xref ref-type="bibr" rid="B174">Yang et&#xa0;al., 2021</xref>). Due to the complexity in its ecology and genetic nature, IAVs continuously undergo viral evolution that includes both gradual minor (antigenic drift) and sudden major (antigenic shift) changes in the viral genome (<xref ref-type="bibr" rid="B70">Kim et&#xa0;al., 2018</xref>).</p>
<fig id="f1" position="float">
<label>Figure&#xa0;1</label>
<caption>
<p>Ecology of influenza A viruses (IAVs) and origin of the 2009 pandemic influenza virus (A/H1N1pdm09). <bold>(A)</bold> IAVs are categorized according to their intermediate or ancestor animal host species into avian influenza viruses (AIVs), equine influenza viruses (EIVs), canine influenza viruses (CIVs), swine influenza viruses (SIVs) or bat-origin influenza-like viruses (BIVs). Unlike all AIVs, EIVs, CIVs and SIVs that can bind sialic acid (SA) receptors on the surface of the host cell and lead to upper respiratory tract (URT) and severe lower respiratory tract (LRT) infections in humans, BIVs do not have the ability to bind SA receptors and rather utilize the major histocompatibility complex class II (MHC-II) human leukocyte antigen DR isotype (HLA-DR) as an entry determinant to the host cells (<xref ref-type="bibr" rid="B64">Karakus et&#xa0;al., 2019</xref>). <bold>(B)</bold> Schematic illustration of the reassortments events that lead to the origin of influenza A/H1N1pdm09 virus with unique genetic constellation. Question marks indicate the unknown intermediate host organism or the human organ system most impacted. This figure was created with <uri xlink:href="http://BioRender.com">BioRender.com</uri>.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-13-1232772-g001.tif"/>
</fig>
<p>To date, several zoonotic IAVs were able to cross the species barriers and result in human infections. For instance, IAVs circulating in birds, the so-called AIVs, of H5N1 (<xref ref-type="bibr" rid="B18">Chan, 2002</xref>), H5N6 (<xref ref-type="bibr" rid="B167">WHO, 2022</xref>), H5N8 (<xref ref-type="bibr" rid="B129">Pyankova et&#xa0;al., 2021</xref>), H6N1, H7N2 (<xref ref-type="bibr" rid="B126">Philippon et&#xa0;al., 2020</xref>), H7N3 (<xref ref-type="bibr" rid="B44">Freidl et&#xa0;al., 2014</xref>), H7N4 (<xref ref-type="bibr" rid="B167">WHO, 2022</xref>), H7N7 (<xref ref-type="bibr" rid="B44">Freidl et&#xa0;al., 2014</xref>), H7N9 (<xref ref-type="bibr" rid="B125">Petersen et&#xa0;al., 2018</xref>; <xref ref-type="bibr" rid="B167">WHO, 2022</xref>), H9N2 (<xref ref-type="bibr" rid="B122">Peacock et&#xa0;al., 2019</xref>), H10N3 (<xref ref-type="bibr" rid="B168">WHO, 2023a</xref>), H10N7, and H10N8 (<xref ref-type="bibr" rid="B126">Philippon et&#xa0;al., 2020</xref>) subtypes were reported to infect humans. Unlike AIVs, neither equine influenza virus (EIV), including H3N8 or H7N7 subtypes (<xref ref-type="bibr" rid="B178">Yondon et&#xa0;al., 2014</xref>; <xref ref-type="bibr" rid="B17">Chambers, 2022</xref>), nor canine influenza virus (CIV) H3N8 or H3N2 subtypes (<xref ref-type="bibr" rid="B89">Martinez-Sobrido et&#xa0;al., 2020</xref>) were isolated from humans. However, several serological evidence for equine-to-human transmissions have been reported in humans in different countries (<xref ref-type="bibr" rid="B68">Khurelbaatar et&#xa0;al., 2014</xref>; <xref ref-type="bibr" rid="B172">Xie et&#xa0;al., 2016</xref>). On the same hand, avian-origin reassortant influenza A/H3N8, expressing the internal proteins-encoding segments from Eurasian lineage A/H9N2 poultry viruses, has been recently detected in an infected boy from China (<xref ref-type="bibr" rid="B8">Bao et&#xa0;al., 2022</xref>; <xref ref-type="bibr" rid="B175">Yang et&#xa0;al., 2022</xref>). More recently, three human infections with avian influenza A/H3N8 were reported to the World Health Organization (WHO) from China (<xref ref-type="bibr" rid="B169">WHO, 2023b</xref>).</p>
<p>Another major host for zoonotic potential is swine which is considered as a mixing vessel for the generation of new genotypes/phenotypes of IAVs. Binding to the correct host cell receptor is the key of establishing virus infection (<xref ref-type="bibr" rid="B141">Schmier et&#xa0;al., 2015</xref>). While AIVs and human IAVs preferentially bind to sialic acid (SA) &#x3b1;-linked at C2 to a galactose of cellular glycoprotein at C3 (&#x3b1;2-3 SA) or C6 (&#x3b1;2-6 SA) receptors, respectively, swine has both avian and human receptors whereby it can be infected with both IAVs and generate new subtypes through genetic reassortment between IAVs from different origins (<xref ref-type="bibr" rid="B135">Rogers and D'Souza, 1989</xref>). The influenza virus pandemic in 2009 is a paradigm of the genetic reassortment where the genetic segments of IAVs from different sources (human, avian, and swine) mixed in swine to generate the swine-origin IAV (referred to as influenza A/H1N1pdm09 virus) to which humans had no pre-existing immunity (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1B</bold>
</xref>) (<xref ref-type="bibr" rid="B146">Smith et&#xa0;al., 2009</xref>). To this point, the molecular features and host adaptive substitutions of the influenza A/H1N1pdm09 virus are variable due to the complexity in the genotyping of the emerged virus that resulted from the intermixing of different genes from the North American triple reassortant swine influenza viruses (SIVs) and European avian-like SIVs. For instance, in influenza A/H1N1pdm09 virus, the PB2 and PA genes are from avian origin, the PB1 from human-origin, and the HA, NP, and NS from classical SIVs that altogether came from North American triple reassortant swine influenza; whereas the NA and M genes were acquired from the European avian-like SIV (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1B</bold>
</xref>) (<xref ref-type="bibr" rid="B146">Smith et&#xa0;al., 2009</xref>). To cross species barrier, several adaptive substitutions were acquired in influenza A/H1N1pdm09 virus to be transmitted from swine and induce infection in humans; then other adaptive substitutions were acquired while circulating in humans. Herein, we provide insights on the different adaptive substitutions in different genes of influenza A/H1N1pdm09 virus that render human infection and continuous circulation. During the first year of virus circulation, influenza A/H1N1pdm09 virus was responsible of 151,700 &#x2013; 575,400 deaths worldwide (<xref ref-type="bibr" rid="B63">Juvet et al., 2021</xref>). Currently, influenza A/H1N1pdm09 viruses circulate and induce epidemics in humans as one of the seasonal influenza virus strains.</p>
<p>Coronaviruses (CoVs) are single-stranded, positive-sense enveloped RNA viruses that belong to the family <italic>Coronaviridae</italic> in the order Nidovirales (<xref ref-type="bibr" rid="B165">Weiss and Navas-Martin, 2005</xref>). CoVs are classified based on differences in protein sequences into four genera: alphacoronavirus (alpha-CoV), betacoronavirus (beta-CoV), gammacoronavirus (gamma-CoV), and deltacoronavirus (delta-CoV). Beta-CoV are further subdivided into four subgroups (A, B, C, and D) (<xref ref-type="bibr" rid="B150">Su et&#xa0;al., 2016</xref>). Based on phylogenetic analysis, rodents are considered the reservoir for many alpha-CoV and beta-CoV, while birds are the main reservoir for gamma-CoV and delta-CoV (<xref ref-type="bibr" rid="B150">Su et&#xa0;al., 2016</xref>). To date, seven CoVs jumped the species barriers to induce human infections (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2</bold>
</xref>). Two of them belonged to the alpha-CoV genera (HCoV-229E and HCoV-NL63) while the other five CoVs [HCoV-OC43, HCoV-HKU1, severe acute respiratory syndrome (SARS-CoV), Middle East respiratory syndrome (MERS), and SARS-CoV-2] are beta-CoV (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2</bold>
</xref>) (<xref ref-type="bibr" rid="B25">Cui et&#xa0;al., 2019</xref>; <xref ref-type="bibr" rid="B101">Mostafa et&#xa0;al., 2020</xref>). The natural reservoirs of these seven CoVs are bats and rodents where the virus is replicating asymptomatically before spilling over to intermediate mammals to acquire adaptive substitutions that facilitate zoonotic transmission to humans (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2</bold>
</xref>).</p>
<fig id="f2" position="float">
<label>Figure&#xa0;2</label>
<caption>
<p>Ecology of human coronaviruses (CoVs). Seven CoVs that belong to alpha-CoVs (229E and NL63) and beta-CoVs (OC43, HKU1, SARS-CoV, MERS-CoV, and SARS-CoV-2) genera could escape species barriers to infect humans following non-hygienic contact with the intermediate host. These CoVs can establish upper respiratory tract (URT) mild infection via binding to different host cell receptors including the amino peptidase N (APN) receptor for 229E; the angiotensin converting enzyme 2 (ACE2) for NL63, SARS-CoV, and SARS-CoV-2; the 9-O-acetylated sialic acid (9-O-Ac-Sia) receptor for OC43 and HKU1; and the dipeptidyl peptidase-4 (DPP4) for MERS-CoV. In severe infections like severe acute respiratory syndrome CoV (SARS-CoV), Middle East respiratory syndrome CoV (MERS-CoV), or Coronavirus Disease 2019 (COVID-19), a lower respiratory tract (LRT) infection can also be developed leading to severe pneumonia and acute respiratory distress syndrome (ARDS). Question marks indicate the unknown intermediate host organisms. This figure was created with <uri xlink:href="https://BioRender.com">BioRender.com</uri>.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-13-1232772-g002.tif"/>
</fig>
<p>In late December 2019, SARS-CoV-2 emerged in Wuhan, China and induced clusters of pneumonia cases which promptly transmitted around the globe to cause the COVID-19 pandemic (<xref ref-type="bibr" rid="B4">Al-Karmalawy et&#xa0;al., 2021</xref>). Although the exact zoonotic transmission pathway of SARS-CoV-2 is still under investigation, most of the genetic and phylogenetic analysis indicated that bats might be the origin of SARS-CoV-2. In fact, SARS-CoV-2 and a bat CoV (RaTG13) share 96.2% nucleotide identity, however, the receptor binding domain (RBD), which is critical for virus-receptor binding, of these viruses are divergent (<xref ref-type="bibr" rid="B185">Zhou et&#xa0;al., 2020</xref>). These findings suggest that bats might not be the immediate origin of SARS-CoV-2, and there might be an intermediate host where the virus could replicate and adapt to easily infect humans.</p>
<p>Based on metagenomic analysis, several studies identified SARS-CoV-2-like viruses that shared 85-92% nucleotide identity with SARS-CoV-2 in small mammals known as pangolin (<italic>Manis javanica</italic>) (<xref ref-type="bibr" rid="B76">Lam et&#xa0;al., 2020</xref>). Albeit the low percentage of nucleotide identity between pangolin-SARS-CoV-2 and human-isolated SARS-CoV-2, their RBDs showed 97.4% homology. Thus, pangolin cannot be excluded as a potential intermediate host for SARS-CoV-2.</p>
<p>SARS-CoV-2 is composed of four structural proteins: spike (S), envelope (E), membrane (M), and nucleocapsid (N). These proteins share high sequence similarity to the sequence of the corresponding protein of SARS-CoV, and MERS-CoV. The virus entry is mediated by recognition and binding of the S protein to the cellular angiotensin-converting enzyme 2 (ACE2) receptor (<xref ref-type="bibr" rid="B182">Zhang et&#xa0;al., 2020</xref>). SARS-CoV-2 genome also encodes two polyproteins (pp1a and pp1ab) from the ORF1a and ORF1ab, respectively, that are further processed by the viral proteases papain-like protease (PLpro) and main protease (Mpro or CLpro) into 16 nonstructural proteins (Nsp1-16) that are essential determinants of innate immunity antagonism, replication efficiency and viral pathogenicity (<xref ref-type="bibr" rid="B60">Jahirul Islam et&#xa0;al., 2023</xref>). At the 3&#x2032; end of the SARS-CoV-2 genome, there are coding regions for several accessory open reading frame (ORF) proteins, including ORF3a, ORF3b, ORF6, ORF7a, ORF7b, ORF8b, ORF9b, and ORF10 (<xref ref-type="bibr" rid="B180">Zandi et&#xa0;al., 2022</xref>).</p>
</sec>
<sec id="s3">
<label>3</label>
<title>Reverse zoonosis of influenza A/H1N1pdm09 viruses and its molecular determinants</title>
<p>Since the emergence of influenza A/H1N1pdm09 virus in 2009 in North America, the first influenza pandemic in the twenty-first century in humans, influenza A/H1N1pdm09 virus has been circulating and established among humans as one of the seasonal influenza viruses (<xref ref-type="bibr" rid="B146">Smith et&#xa0;al., 2009</xref>). On the other hand, several transmissions of the same virus lineage from humans to other species have been determined (<xref ref-type="bibr" rid="B1">Abdelwhab and Mettenleiter, 2023</xref>). Such transmission from humans to other mammals are so-called reverse zoonoses. Since 2009, influenza A/H1N1pdm09 virus has been frequently isolated worldwide from pigs, the mixing vessel host for reassortment of influenza viruses, indicating the re-introduction to swine populations (<xref ref-type="bibr" rid="B57">Howden et&#xa0;al., 2009</xref>; <xref ref-type="bibr" rid="B98">Moreno et&#xa0;al., 2010</xref>; <xref ref-type="bibr" rid="B119">Pasma and Joseph, 2010</xref>; <xref ref-type="bibr" rid="B123">Pereda et&#xa0;al., 2010</xref>; <xref ref-type="bibr" rid="B147">Song et&#xa0;al., 2010</xref>; <xref ref-type="bibr" rid="B148">Sreta et&#xa0;al., 2010</xref>; <xref ref-type="bibr" rid="B166">Welsh et&#xa0;al., 2010</xref>; <xref ref-type="bibr" rid="B55">Holyoake et&#xa0;al., 2011</xref>; <xref ref-type="bibr" rid="B69">Kim et&#xa0;al., 2011</xref>). Intriguingly, the evolution pattern of the HA genes from A/H1N1pdm09 viruses circulating in humans and pigs are substantially different (<xref ref-type="bibr" rid="B67">Khalil et&#xa0;al., 2021</xref>), indicating the different impact of the ecology of both swine and human influenza A/H1N1pdm09 viruses. Also, this suggests the importance of continuous surveillance activities of SIVs in pigs to prevent the re-introduction of antigenically different variants from pigs to humans.</p>
<p>In addition to swine, reverse zoonotic events of the influenza A/H1N1pdm09 virus were detected in other mammalian species (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3</bold>
</xref>). In brief, reverse zoonoses of influenza A/H1N1pdm09 virus were detected in captive giant panda in Hong Kong in 2019 (<xref ref-type="bibr" rid="B88">Martelli et&#xa0;al., 2019</xref>); and striped skunk in 2009/2010, 2013/2014, and 2015/2016 winter seasons (<xref ref-type="bibr" rid="B12">Britton et&#xa0;al., 2019</xref>) in Canada (<xref ref-type="bibr" rid="B158">Usui et&#xa0;al., 2021</xref>). Clinical and subclinical infections in cats and dogs with influenza A/H1N1pdm09 were also documented in different studies (<xref ref-type="bibr" rid="B40">Fiorentini et&#xa0;al., 2011</xref>; <xref ref-type="bibr" rid="B149">Su et&#xa0;al., 2014</xref>). Furthermore, serum antibodies against influenza A/H1N1pdm09 viruses were detected in pets (dogs and cats) in 2021 in Kyiv, Ukraine (<xref ref-type="bibr" rid="B73">Kovalenko et al., 2021</xref>). Beside its detection in domestic ferrets and giant anteaters (<xref ref-type="bibr" rid="B108">Nofs et&#xa0;al., 2009</xref>), the influenza A/H1N1pdm09 virus has been also detected in several wildlife species including Bornean binturong, American badger, and black-footed ferret (<xref ref-type="bibr" rid="B142">Schrenzel et&#xa0;al., 2011</xref>). The influenza A/H1N1pdm09 virus was also detected in mink in Europe, North America, and China (<xref ref-type="bibr" rid="B3">&#xc5;kerstedt et&#xa0;al., 2012</xref>; <xref ref-type="bibr" rid="B23">Clayton et&#xa0;al., 2022</xref>). In 2019, influenza A/H1N1pdm09 virus was detected via RT-PCR in captive cheetah showing respiratory signs of infection in a zoo in Japan (<xref ref-type="bibr" rid="B158">Usui et&#xa0;al., 2021</xref>). Serological and molecular detections of influenza A/H1N1pdm09 virus in domestic Asian elephants and non-human primates were reported in different countries (<xref ref-type="bibr" rid="B65">Karlsson et&#xa0;al., 2012</xref>; <xref ref-type="bibr" rid="B120">Paungpin et&#xa0;al., 2017</xref>). Interestingly, influenza A/H1N1pdm09 virus infections were also detected in domestic avian species (e.g. turkeys) in two breeder premises in the United Kingdom (UK) in late 2010 and early 2011 (<xref ref-type="bibr" rid="B133">Reid et&#xa0;al., 2012</xref>). This emphasizes the perspective that influenza A/H1N1pdm09 virus shifting towards mammalian hosts via improving its ability to bind or replicate in mammalian cells does not affect its ability to bind or replicate in avian cells.</p>
<fig id="f3" position="float">
<label>Figure&#xa0;3</label>
<caption>
<p>Origin of influenza A/H1N1pdm09 virus and reverse zoonosis in domestic and wildlife animals. Except for the BIVs, all IAVs are circulating in migratory birds as their natural reservoir that transmit the virus (green color virus) to the terrestrial and domestic birds at their stopover sites (dotted oval shape). Furthermore, the virus acquires essential adaptive mutations (red color virus) to cross species barriers and infect contact animals and humans (green arrows). In the case of influenza A/H1N1pdm09, the virus has been generated in swine following a multiple reassortment events between avian, human and swine influenza viruses (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1</bold>
</xref>) with distinct genetic constellation that enabled the virus to infect human causing a devastating pandemic and further transmit to contact domestic and wildlife animals. Red solid arrows refer to active virus detection. The dotted red arrow refers to serological evidence to virus exposure. This figure was created with <uri xlink:href="http://BioRender.com">BioRender.com</uri>.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-13-1232772-g003.tif"/>
</fig>
<p>Overall, these reverse zoonotic events imply the wide susceptible host range of infuenza A/H1N1pdm09 virus transmissions and diversity of virus evolution in different domestic and free-living wildlife host species. To enable influenza virus transmission from their ancestral natural reservoir or intermediate hosts to infect humans and further disseminate the human-to-human transmissible virus to other non-human animal species, the virus demands the acquisition of distinct and specific genetic markers. These adaptive changes improve the viral fitness in variable mammalian biological systems and their corresponding natural variations including body temperatures. Herein we highlight documented adaptive amino acid (aa) substitutions in the different viral proteins of influenza A/H1N1pdm09 virus responsible for adaptation to mammalian host(s).</p>
<sec id="s3_1">
<label>3.1</label>
<title>Adaptive substitutions in polymerase basic 2 subunit</title>
<p>PB2 is one of the main components of the influenza vRNP complex made of PB2, PB1, PA, and NP that are essential for virus genome replication and gene transcription processes (<xref ref-type="bibr" rid="B163">Webster et&#xa0;al., 1992</xref>). The PB2 is the cap-binding subunit polymerase that enables the methylation and thus transcription of virus mRNA through acquiring the host messenger (m)RNA cap in a process called &#x201c;Cap Snatching&#x201d; (<xref ref-type="bibr" rid="B48">Guilligay et&#xa0;al., 2008</xref>). Additionally, PB2 has been known as a fundamental gene for influenza virus host adaptation. PB2 E627K is a main determinant host adaptive substitution that regulates virus polymerase activity, virus replication, and temperature sensitivity in a species-specific fashion. Glutamic acid (E) at position 627 in PB2 is an avian influenza virus signature that enables efficient virus polymerase activity, virus replication, and dynamics in avian species, whereas lysine (K) correlates with enhanced virus activities in mammalian species (<xref ref-type="bibr" rid="B151">Subbarao et&#xa0;al., 1993</xref>). Strikingly, the influenza A/H1N1pdm09 virus, even after continuous circulation in humans, still contains the avian signature E627 in PB2 which normally correlates with impaired virus replication in human cells (<xref ref-type="bibr" rid="B42">Fraser et&#xa0;al., 2009</xref>). Nevertheless, other adaptive substitutions have been acquired for compensating the absence of PB2 E627K aa substitution in influenza A/H1N1pdm09 virus (<xref ref-type="bibr" rid="B93">Mehle and Doudna, 2009</xref>). For instance, two aa substitutions in the PB2 of influenza A/H1N1pdm09 virus; serine (S) at position 590 and arginine (R) at position 591, called the SR polymorphism, were identified to be responsible for efficient polymerase activity and virus replication of influenza A/H1N1pdm09 virus in human cells (<xref ref-type="bibr" rid="B93">Mehle and Doudna, 2009</xref>). This SR polymorphism was identified in &gt;20% of the sequences of SIV isolates in pigs but only after the emergence of a triple reassortant SIV in 1998-1999 (<xref ref-type="bibr" rid="B162">Webby et&#xa0;al., 2000</xref>; <xref ref-type="bibr" rid="B112">Olsen et&#xa0;al., 2006</xref>). Additionally, the SR polymorphism was determined to be only occurring when there is a E at position 627, which correlated with the PB2 E627 present in the influenza A/H1N1pdm09 virus (<xref ref-type="bibr" rid="B93">Mehle and Doudna, 2009</xref>).</p>
</sec>
<sec id="s3_2">
<label>3.2</label>
<title>Adaptive substitutions in polymerase basic 1 subunit</title>
<p>PB1 is the second component of the vRNP complex and is mainly responsible for polymerase extension during influenza virus replication (<xref ref-type="bibr" rid="B124">Perez and Donis, 2001</xref>). Several aa substitutions have been determined to enhance AIV adaptation in human and mammalian cells including, among others 336I, 361R, 486K, and 584Q into PB1; and 27I in PB1-F2 (<xref ref-type="bibr" rid="B47">Giria and Rebelo de Andrade, 2014</xref>). Also, aa substitutions 618D and 638D in PB1 have been described to promote PB1 activity after the genetic reassortment in the North American triple reassortant and influenza A/H1N1pdm09 viruses, respectively. Additionally, L298I, R386K, and I/A517V substitutions in PB1 have been described to putatively ameliorate the adaptation of influenza A/H1N1pdm09 virus in humans (<xref ref-type="bibr" rid="B140">Santos et&#xa0;al., 2023</xref>).</p>
</sec>
<sec id="s3_3">
<label>3.3</label>
<title>Adaptive substitutions in polymerase acidic subunit</title>
<p>PA is the third element of the influenza vRNP complex which has an imperative role in virus endonuclease activity that is essential in the Cap-snatching process and virus replication/transcription (<xref ref-type="bibr" rid="B124">Perez and Donis, 2001</xref>). Several aa substitutions, including A36T, T85I, G186S, L336M, E349G, and T552S, have been shown to enhance virus polymerase activity and replication in mammalian cells (<xref ref-type="bibr" rid="B84">Lutz et&#xa0;al., 2022</xref>). Also, aa substitutions T85I, G186S, and L336M have been described to increase virus adaptation in mammals through enhancing the PA binding to host RNA-binding protein (GRSF-1) that regulates viral mRNA cytosolic accumulation and translation efficiency (<xref ref-type="bibr" rid="B84">Lutz et&#xa0;al., 2022</xref>). Additionally, PA N321K substitution has been shown to enhance viral polymerase activity in human cells (<xref ref-type="bibr" rid="B36">Elderfield et&#xa0;al., 2014</xref>). In addition, the PA-X protein, produced from a ribosomal frameshift (+1) in the PA of IAV, contributes to improved viral replication and suppression of the host immune responses via enhancing virus-induced host shutoff activity (<xref ref-type="bibr" rid="B46">Gaucherand et&#xa0;al., 2019</xref>). Briefly, PA-X modulates the host immune response through the endonucleolytic domain that degrades the host mRNAs and thus suppresses the host gene expression (<xref ref-type="bibr" rid="B21">Clark et&#xa0;al., 2017</xref>; <xref ref-type="bibr" rid="B111">Nogales et&#xa0;al., 2017</xref>; <xref ref-type="bibr" rid="B110">Nogales et&#xa0;al., 2018b</xref>; <xref ref-type="bibr" rid="B109">Nogales et&#xa0;al., 2018a</xref>). Molecular studies showed that PA-X of early circulating influenza A/H1N1pdm09 viruses induced shut off to host gene expression, while this feature waned in the PA-X of recent circulating influenza A/H1N1pdm09 viruses (<xref ref-type="bibr" rid="B109">Nogales et&#xa0;al., 2018a</xref>). Genomic analysis of the PA-X from both early and recent influenza A/H1N1pdm09 viruses revealed four aa substitutions (V100I, N204S, R221Q, and L229S) in the PA-X of recent influenza A/H1N1pdm09 viruses that were responsible for affecting the shutoff activity induced by PA-X (<xref ref-type="bibr" rid="B109">Nogales et&#xa0;al., 2018a</xref>). Nevertheless, other compensatory substitutions in the NS1 of recent influenza A/H1N1pdm09 strains were described to allow the NS1 of influenza A/H1N1pdm09 virus to shutoff host gene expression, an function not present in viruses at the beginning of the pandemic, and therefore, compensate the lack of this function in the PA-X of recent influenza A/H1N1pdm09 viral isolates (see section 3.7) (<xref ref-type="bibr" rid="B21">Clark et&#xa0;al., 2017</xref>; <xref ref-type="bibr" rid="B111">Nogales et&#xa0;al., 2017</xref>; <xref ref-type="bibr" rid="B110">Nogales et&#xa0;al., 2018b</xref>; <xref ref-type="bibr" rid="B109">Nogales et&#xa0;al., 2018a</xref>).</p>
</sec>
<sec id="s3_4">
<label>3.4</label>
<title>Adaptive substitutions in hemagglutinin protein</title>
<p>HA glycoprotein is the main antigenic component of IAV that elicits the induction of host immune response and is responsible for binding to the host receptor and mediating virus entry to susceptible cells (<xref ref-type="bibr" rid="B106">Nerome et&#xa0;al., 1983</xref>). HA0 (neutral pH structure) is known as a typical class I fusion protein in which acid-induced refolding is irreversible (<xref ref-type="bibr" rid="B116">Parker et&#xa0;al., 2019</xref>), and is made of the HA1 subunit that contains the receptor binding domain (RBD), and the HA2 subunit that contains the fusion peptide. Following viral particle binding to host cell, the viral particle is internalized via endocytosis into the host cell cytoplasm. To initiate uncoating process and release the vRNP complexes into the cytosol, and then to the nucleus, the interior of the endosomes have a mildly acidic pH (pH 5&#x2013;6) (<xref ref-type="bibr" rid="B2">Aganovic, 2023</xref>), causing protonation and resulting in a major conformational change in the viral HA, allowing the fusion of the HA2 subunit to fuse the membrane of the endosome with the membrane of the virus, resulting in the release of the viral genome into the cytoplasm of the infected cells (<xref ref-type="bibr" rid="B30">Di Lella et&#xa0;al., 2016</xref>). To this point, pH stabilization of HA is crucial for assessing viral host adaptation parameters including viral replication, pathogenesis, and transmissibility (<xref ref-type="bibr" rid="B138">Russell et&#xa0;al., 2018</xref>; <xref ref-type="bibr" rid="B144">Singanayagam et&#xa0;al., 2019</xref>; <xref ref-type="bibr" rid="B2">Aganovic, 2023</xref>; <xref ref-type="bibr" rid="B156">Tosheva et&#xa0;al., 2023</xref>). Moreover, HA stability has been recently investigated as a novel trait associated with the ability of IAVs to cross species barriers (<xref ref-type="bibr" rid="B138">Russell et&#xa0;al., 2018</xref>).</p>
<p>Species-specific aa substitutions are required to facilitate the entry of IAV to host cells and mediate low endosomal pH to allow membrane fusion (<xref ref-type="bibr" rid="B160">Vanderlinden and Naesens, 2014</xref>). The aa substitutions I32L, D97N, S185T, E374K, and S451N have been shown to enhance the affinity of influenza A/H1N1pdm09 HA glycoprotein to human &#x3b1;2-6 sialic acid receptors (<xref ref-type="bibr" rid="B36">Elderfield et&#xa0;al., 2014</xref>). Also, the E374K substitution enhances pH stabilization of influenza A/H1N1pdm09 virus HA in human cells (<xref ref-type="bibr" rid="B173">Yang et&#xa0;al., 2014</xref>). Overall, the evolution pattern of influenza A/H1N1pdm09 HA has been shown to render virus stability rather than antigenicity in human populations (<xref ref-type="bibr" rid="B16">Castel&#xe1;n-Vega et&#xa0;al., 2014</xref>).</p>
</sec>
<sec id="s3_5">
<label>3.5</label>
<title>Adaptive substitutions in the viral nucleoprotein</title>
<p>NP is one of the major structural proteins of IAVs and one of the main components of the vRNP complexes, in addition to its critical role in switching virus replication/transcription (<xref ref-type="bibr" rid="B100">Mostafa et&#xa0;al., 2018</xref>). Although NP is a relatively highly conserved protein among IAVs, several adaptive substitutions in NP have been shown to have a critical role in overcoming virus species barriers and rendering resistance to the host immune response (<xref ref-type="bibr" rid="B86">M&#xe4;nz et&#xa0;al., 2013</xref>).</p>
<p>The myxovirus resistance protein 1 (Mx1/MxA), an interferon-induced GTPase that belongs to the dynamin superfamily of large GTPases, is one of the host-cell innate immune response mediators that has antiviral activity against several RNA viruses, including influenza (<xref ref-type="bibr" rid="B51">Haller and Kochs, 2011</xref>). During influenza virus infection, MxA forms tetramers and oligomers that assemble as barrier rings in the cytoplasm and hinder the translocation and function of vRNP complexes (<xref ref-type="bibr" rid="B107">Nigg and Pavlovic, 2015</xref>). The NP of influenza A/H1N1pdm09 virus has been shown to harbor aa substitutions, including E53D, R100V, P283L, Y289H, R305K, F313V, I316M, T350K, R351K, V353I, and Q357K; that confer virus resistance to MxA and, therefore, allow influenza A/H1N1pdm09 virus to evade host innate immune antiviral responses (<xref ref-type="bibr" rid="B86">M&#xe4;nz et&#xa0;al., 2013</xref>).</p>
</sec>
<sec id="s3_6">
<label>3.6</label>
<title>Adaptive substitutions in neuraminidase protein</title>
<p>NA glycoprotein is the second major dominant antigenic component of IAVs influenza virus that is responsible for the release of progeny virions from infected cells through its NA activity. The aa substitutions V106I and N248D in the NA glycoprotein of influenza A/H1N1pdm09 virus have been shown to enhance viral stability through modifications in the pH tolerance (<xref ref-type="bibr" rid="B36">Elderfield et&#xa0;al., 2014</xref>).</p>
</sec>
<sec id="s3_7">
<label>3.7</label>
<title>Adaptive substitutions in viral non-structural protein 1</title>
<p>NS1 is the non-structural protein of IAVs, and it has two main functional domains: the N-terminal RNA binding domain, involved in binding to RNA; and the C-terminal effector domain that regulates multiple functions including antagonizing the host antiviral immune IFN responses through many pathways (<xref ref-type="bibr" rid="B72">Kochs et&#xa0;al., 2007</xref>; <xref ref-type="bibr" rid="B104">Nacken et&#xa0;al., 2014</xref>; <xref ref-type="bibr" rid="B125">Petersen et&#xa0;al., 2018</xref>). Binding to the cleavage and polyadenylation specificity factor 30 (CPSF30) is the one of the main pathways used by IAV NS1 to block host mRNA transcription, including IFN-induced genes encoding for different proteins with antiviral activity (<xref ref-type="bibr" rid="B132">Ramos et&#xa0;al., 2013</xref>). Notably, the NS1 of influenza A/H1N1pdm09 virus lacks the ability of binding to the CSPF30 (<xref ref-type="bibr" rid="B50">Hale et&#xa0;al., 2010</xref>). However, certain aa substitutions (R108K and G189D) have been shown to allow NS1 binding to CSPF30 and thus inhibit host mRNA nuclear export. Intriguingly, although the majority of influenza A/H1N1pdm09 viruses encode R and G residues at positions 108 and 189, respectively, 108K and 189D were also encoded to a lesser extent in the influenza A/H1N1pdm09 viruses (<xref ref-type="bibr" rid="B58">Huang et&#xa0;al., 2021</xref>). Notably, influenza A/H1N1pdm09 viruses found later during the pandemic were shown to contain aa substitutions, including E55K, L90I, I123V, E125D, K131E, and N205S; that allow NS1-mediated inhibition of host gene expression (<xref ref-type="bibr" rid="B21">Clark et&#xa0;al., 2017</xref>). These aa changes allow later influenza A/H1N1pdm09 viruses in the pandemic to induce cellular shutoff to compensate those affecting the ability of PA-X of later pandemic influenza A/H1N1pdm09 strains (see section 3.3) (<xref ref-type="bibr" rid="B21">Clark et&#xa0;al., 2017</xref>; <xref ref-type="bibr" rid="B111">Nogales et&#xa0;al., 2017</xref>; <xref ref-type="bibr" rid="B110">Nogales et&#xa0;al., 2018b</xref>; <xref ref-type="bibr" rid="B109">Nogales et&#xa0;al., 2018a</xref>). These findings suggest that inhibition of host gene expression by influenza A/H1N1pdm09 virus, and most likely other IAVs, is most likely subject to a balance between NS1 and PA-X which can determine virus pathogenesis and fitness. Notably, manipulating the ability of influenza NS1 and PA-X to induce cellular shutoff could be explored to generate attenuated forms of the virus for their potential use as live-attenuated vaccines (<xref ref-type="bibr" rid="B111">Nogales et&#xa0;al., 2017</xref>).</p>
</sec>
</sec>
<sec id="s4">
<label>4</label>
<title>Reverse zoonosis events of pandemic SARS-CoV-2 and molecular determinants of its zooanthroponotic potential</title>
<p>Since its emergence in late 2019, SARS-CoV-2 was subjected to multiple evolutionary events resulting in the emergence of several variants of concern (VOC) with remarkable positively selected aa substitutions in the surface S protein (<xref ref-type="table" rid="T1">
<bold>Table&#xa0;1</bold>
</xref>). In March 2023, the devastating scale of VOC was narrowed by the European Centre for Disease Prevention and Control (ECDC) after de-escalating the rarely circulating variants (BA.2-BA.5) (<xref ref-type="table" rid="T1">
<bold>Table&#xa0;1</bold>
</xref>) (<xref ref-type="bibr" rid="B24">Cocherie et&#xa0;al., 2022</xref>; <xref ref-type="bibr" rid="B34">ECDC, 2023</xref>). Currently, a few variants that are either variants of interest (VOI) or variants under monitoring (VUM) are circulating with comparable impact on transmissibility, immunity, and virulence to the ancestor omicron variants (<xref ref-type="table" rid="T1">
<bold>Table&#xa0;1</bold>
</xref>). Meanwhile, SARS-CoV-2 could transmit from infected humans to a variety of pets and wildlife animal species, including cats, dogs, mink, lions, tigers, and others (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4</bold>
</xref>). This wide host range tropism of SARS-CoV-2 suggests that the virus is already well-adapted to infect different mammalian species and it can further acquire distinct species-specific substitutions following its human-to-animal transmission to fulfill new host adaptation requirements and improve viral fitness (<xref ref-type="bibr" rid="B26">Damas et&#xa0;al., 2020</xref>; <xref ref-type="bibr" rid="B153">Tan et&#xa0;al., 2022</xref>). SARS-CoV-2 binds primarily to the ACE2 receptor on the surface of the host cell via its S protein (<xref ref-type="bibr" rid="B26">Damas et&#xa0;al., 2020</xref>). Remarkably, the ACE2 receptor is highly conserved among different mammalian species (<xref ref-type="bibr" rid="B26">Damas et&#xa0;al., 2020</xref>; <xref ref-type="bibr" rid="B78">Lan et&#xa0;al., 2020</xref>). Consequently, the aa substitutions that enhance receptor binding affinity in human might reflect comparable effects in other mammalian species (<xref ref-type="table" rid="T1">
<bold>Table&#xa0;1</bold>
</xref>).</p>
<table-wrap id="T1" position="float">
<label>Table&#xa0;1</label>
<caption>
<p>SARS-CoV-2 variants and their distinct aa substitutions in the S protein from 2020 until May 2023.</p>
</caption>
<table frame="hsides">
<thead>
<tr>
<th valign="middle" colspan="2" align="center">Strain/Variant</th>
<th valign="middle" rowspan="2" align="center">Country of origin</th>
<th valign="middle" rowspan="2" align="center">Year of detection</th>
<th valign="middle" rowspan="2" align="center">Maker S aa substitutions</th>
<th valign="middle" rowspan="2" align="center">Impact on transmission</th>
<th valign="middle" rowspan="2" align="center">Current Status</th>
<th valign="middle" rowspan="2" align="center">Reference</th>
</tr>
<tr>
<th valign="top" align="center">WHO</th>
<th valign="top" align="center">Lineage</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="center">Alpha</td>
<td valign="top" align="center">B.1.1.7</td>
<td valign="top" align="center">UK</td>
<td valign="top" align="center">2020</td>
<td valign="top" align="center">N501Y; D614G; P681H; E484K</td>
<td valign="top" align="center">Increased</td>
<td valign="middle" rowspan="24" align="center">De-escalated variant</td>
<td valign="top" align="center">(<xref ref-type="bibr" rid="B27">Davies et&#xa0;al., 2021</xref>)</td>
</tr>
<tr>
<td valign="top" align="center">Beta</td>
<td valign="top" align="center">B.1.351</td>
<td valign="top" align="center">South Africa</td>
<td valign="top" align="center">2020</td>
<td valign="top" align="center">K417N; E484K; N501Y; P384L; E516Q; D614G; A701V</td>
<td valign="top" align="center">Increased</td>
<td valign="top" align="center">(<xref ref-type="bibr" rid="B154">Tegally et&#xa0;al., 2021</xref>)</td>
</tr>
<tr>
<td valign="top" align="center">Gamma</td>
<td valign="top" align="center">P.1</td>
<td valign="top" align="center">Brazil</td>
<td valign="top" align="center">2020</td>
<td valign="top" align="center">K417N; E484K; N501Y; D614G; H655Y</td>
<td valign="top" align="center">Increased</td>
<td valign="top" align="center">(<xref ref-type="bibr" rid="B38">Faria et&#xa0;al., 2021</xref>)</td>
</tr>
<tr>
<td valign="top" align="center">Epsilon</td>
<td valign="top" align="center">B.1.427</td>
<td valign="top" align="center">USA</td>
<td valign="top" align="center">2020</td>
<td valign="top" align="center">L452R; D614G</td>
<td valign="top" align="center">ND</td>
<td valign="top" align="center">(<xref ref-type="bibr" rid="B28">Deng et&#xa0;al., 2021</xref>)</td>
</tr>
<tr>
<td valign="top" align="center">Eta</td>
<td valign="top" align="center">B.1.525</td>
<td valign="top" align="center">Nigeria</td>
<td valign="top" align="center">2020</td>
<td valign="top" align="center">E484K; D614G; Q677H</td>
<td valign="top" align="center">ND</td>
<td valign="top" align="center">(<xref ref-type="bibr" rid="B61">Jangra et&#xa0;al., 2021</xref>; <xref ref-type="bibr" rid="B183">Zhao et&#xa0;al., 2021</xref>)</td>
</tr>
<tr>
<td valign="top" align="center">ND</td>
<td valign="top" align="center">C16</td>
<td valign="top" align="center">Unknown</td>
<td valign="top" align="center">2020</td>
<td valign="top" align="center">L452R; D614G</td>
<td valign="top" align="center">ND</td>
<td valign="top" align="center">(<xref ref-type="bibr" rid="B61">Jangra et&#xa0;al., 2021</xref>)</td>
</tr>
<tr>
<td valign="top" align="center">Iota</td>
<td valign="top" align="center">B.1.526</td>
<td valign="top" align="center">USA</td>
<td valign="top" align="center">2020</td>
<td valign="top" align="center">L452R; D614G, S477N; E484K; A701V</td>
<td valign="top" align="center">ND</td>
<td valign="top" align="center">(<xref ref-type="bibr" rid="B61">Jangra et&#xa0;al., 2021</xref>)</td>
</tr>
<tr>
<td valign="top" align="center">Delta</td>
<td valign="top" align="center">B.1.617.2</td>
<td valign="top" align="center">India and UK</td>
<td valign="top" align="center">2020</td>
<td valign="top" align="center">L452R; T478K; K417N; D614G; P681R; E484X; Q613H; Q677H</td>
<td valign="top" align="center">Increased</td>
<td valign="top" align="center">(<xref ref-type="bibr" rid="B66">Kemp et&#xa0;al., 2022</xref>)</td>
</tr>
<tr>
<td valign="top" align="center">Lambda</td>
<td valign="top" align="center">C.37</td>
<td valign="top" align="center">Peru</td>
<td valign="top" align="center">2020</td>
<td valign="top" align="center">L452Q; F490S; D614G</td>
<td valign="top" align="center">ND</td>
<td valign="top" align="center">(<xref ref-type="bibr" rid="B136">Romero Pedro et&#xa0;al., 2021</xref>)</td>
</tr>
<tr>
<td valign="top" align="center">ND</td>
<td valign="top" align="center">C.36</td>
<td valign="top" align="center">Egypt</td>
<td valign="top" align="center">2020</td>
<td valign="top" align="center">L452R; D614G; Q677H</td>
<td valign="top" align="center">ND</td>
<td valign="top" align="center">(<xref ref-type="bibr" rid="B28">Deng et&#xa0;al., 2021</xref>)</td>
</tr>
<tr>
<td valign="top" align="center">ND</td>
<td valign="top" align="center">A.23.1</td>
<td valign="top" align="center">UK</td>
<td valign="top" align="center">2020</td>
<td valign="top" align="center">V367F; E484K; Q613H</td>
<td valign="top" align="center">ND</td>
<td valign="top" align="center">(<xref ref-type="bibr" rid="B61">Jangra et&#xa0;al., 2021</xref>)</td>
</tr>
<tr>
<td valign="top" align="center">ND</td>
<td valign="top" align="center">A.27</td>
<td valign="top" align="center">Unknown</td>
<td valign="top" align="center">2020</td>
<td valign="top" align="center">L452R; N501Y, A653V; H655Y</td>
<td valign="top" align="center">Increased</td>
<td valign="top" align="center">(<xref ref-type="bibr" rid="B27">Davies et&#xa0;al., 2021</xref>)</td>
</tr>
<tr>
<td valign="top" align="center">ND</td>
<td valign="top" align="center">A.28</td>
<td valign="top" align="center">Unknown</td>
<td valign="top" align="center">2020</td>
<td valign="top" align="center">E484K; N501T; H655Y</td>
<td valign="top" align="center">ND</td>
<td valign="top" align="center">(<xref ref-type="bibr" rid="B61">Jangra et&#xa0;al., 2021</xref>)</td>
</tr>
<tr>
<td valign="top" align="center">ND</td>
<td valign="top" align="center">B.1.1.519</td>
<td valign="top" align="center">Mexico</td>
<td valign="top" align="center">2020</td>
<td valign="top" align="center">T478K; D614G</td>
<td valign="top" align="center">ND</td>
<td valign="top" align="center">(<xref ref-type="bibr" rid="B28">Deng et&#xa0;al., 2021</xref>)</td>
</tr>
<tr>
<td valign="top" align="center">Zeta</td>
<td valign="top" align="center">P.2</td>
<td valign="top" align="center">Brazil</td>
<td valign="top" align="center">2021</td>
<td valign="top" align="center">E484K; D614G</td>
<td valign="top" align="center">ND</td>
<td valign="top" align="center">(<xref ref-type="bibr" rid="B61">Jangra et&#xa0;al., 2021</xref>)</td>
</tr>
<tr>
<td valign="top" align="center">Theta</td>
<td valign="top" align="center">P.3</td>
<td valign="top" align="center">The Philippines</td>
<td valign="top" align="center">2021</td>
<td valign="top" align="center">E484K; N501Y; D614G; P681H</td>
<td valign="top" align="center">Increased</td>
<td valign="top" align="center">(<xref ref-type="bibr" rid="B27">Davies et&#xa0;al., 2021</xref>)</td>
</tr>
<tr>
<td valign="top" align="center">ND</td>
<td valign="top" align="center">B.1.616</td>
<td valign="top" align="center">France</td>
<td valign="top" align="center">2021</td>
<td valign="top" align="center">V483A; D614G; H655Y; G669S</td>
<td valign="top" align="center">ND</td>
<td valign="top" align="center">(<xref ref-type="bibr" rid="B39">Fill&#xe2;tre et&#xa0;al., 2022</xref>)</td>
</tr>
<tr>
<td valign="top" align="center">Kappa</td>
<td valign="top" align="center">B.1.617.1</td>
<td valign="top" align="center">India</td>
<td valign="top" align="center">2020</td>
<td valign="top" align="center">L452R; E484K; D614G; P681R</td>
<td valign="top" align="center">Increased</td>
<td valign="top" align="center">(<xref ref-type="bibr" rid="B118">Pascarella et&#xa0;al., 2021</xref>)</td>
</tr>
<tr>
<td valign="top" align="center">ND</td>
<td valign="top" align="center">B.1.617.3</td>
<td valign="top" align="center">India</td>
<td valign="top" align="center">2021</td>
<td valign="top" align="center">L452R; E484Q; D614G; P681R</td>
<td valign="top" align="center">Increased</td>
<td valign="top" align="center">(<xref ref-type="bibr" rid="B27">Davies et&#xa0;al., 2021</xref>)</td>
</tr>
<tr>
<td valign="top" align="center">ND</td>
<td valign="top" align="center">B.1.620</td>
<td valign="top" align="center">Unknown</td>
<td valign="top" align="center">2021</td>
<td valign="top" align="center">S477N; E484K; D614G; P681R</td>
<td valign="top" align="center">ND</td>
<td valign="top" align="center">(<xref ref-type="bibr" rid="B61">Jangra et&#xa0;al., 2021</xref>)</td>
</tr>
<tr>
<td valign="top" align="center">Mu</td>
<td valign="top" align="center">B.1.621</td>
<td valign="top" align="center">Colombia</td>
<td valign="top" align="center">2021</td>
<td valign="top" align="center">R346K; E484K; N501Y; D614G; P681H</td>
<td valign="top" align="center">ND</td>
<td valign="top" align="center">(<xref ref-type="bibr" rid="B61">Jangra et&#xa0;al., 2021</xref>)</td>
</tr>
<tr>
<td valign="top" align="center">ND</td>
<td valign="top" align="center">B.1.1.7</td>
<td valign="top" align="center">UK</td>
<td valign="top" align="center">2021</td>
<td valign="top" align="center">L452R; S494P; N501Y; D614G; P681H</td>
<td valign="top" align="center">Increased</td>
<td valign="top" align="center">(<xref ref-type="bibr" rid="B27">Davies et&#xa0;al., 2021</xref>)</td>
</tr>
<tr>
<td valign="top" align="center">ND</td>
<td valign="top" align="center">B.1.1.318</td>
<td valign="top" align="center">Unknown</td>
<td valign="top" align="center">2021</td>
<td valign="top" align="center">E484K; D614G; P681H</td>
<td valign="top" align="center">ND</td>
<td valign="top" align="center">(<xref ref-type="bibr" rid="B61">Jangra et&#xa0;al., 2021</xref>)</td>
</tr>
<tr>
<td valign="top" align="center">ND</td>
<td valign="top" align="center">AT.1</td>
<td valign="top" align="center">Russia</td>
<td valign="top" align="center">2021</td>
<td valign="top" align="center">E484K; D614G; N679K; Ins679GIAL</td>
<td valign="top" align="center">ND</td>
<td valign="top" align="center">(<xref ref-type="bibr" rid="B61">Jangra et&#xa0;al., 2021</xref>)</td>
</tr>
<tr>
<td valign="top" align="center">ND</td>
<td valign="top" align="center">AV.1</td>
<td valign="top" align="center">UK</td>
<td valign="top" align="center">2021</td>
<td valign="top" align="center">N439K; E484K; D614G; P681H</td>
<td valign="top" align="center">ND</td>
<td valign="middle" rowspan="9" align="center">De-escalated variant</td>
<td valign="top" align="center">(<xref ref-type="bibr" rid="B61">Jangra et&#xa0;al., 2021</xref>)</td>
</tr>
<tr>
<td valign="top" align="center">ND</td>
<td valign="top" align="center">AY.4.2</td>
<td valign="top" align="center">UK</td>
<td valign="top" align="center">2021</td>
<td valign="top" align="center">L452R; T478K; D614G; P681R; A222V; Y145H</td>
<td valign="top" align="center">Increased</td>
<td valign="top" align="center">(<xref ref-type="bibr" rid="B5">Angeletti et&#xa0;al., 2022</xref>)</td>
</tr>
<tr>
<td valign="top" align="center">ND</td>
<td valign="top" align="center">C.1.2</td>
<td valign="top" align="center">South Africa</td>
<td valign="top" align="center">2021</td>
<td valign="top" align="center">D614G; E484K; H655Y; N501Y; N679K; Y449H</td>
<td valign="top" align="center">Increased</td>
<td valign="top" align="center">(<xref ref-type="bibr" rid="B27">Davies et&#xa0;al., 2021</xref>)</td>
</tr>
<tr>
<td valign="top" align="center">ND</td>
<td valign="top" align="center">B.1.640</td>
<td valign="top" align="center">Congo</td>
<td valign="top" align="center">2021</td>
<td valign="top" align="center">D614G; F490R; N394S; N501Y; P681H; R346S; Y449N; &#x394;137-145</td>
<td valign="top" align="center">ND</td>
<td valign="top" align="center">(<xref ref-type="bibr" rid="B45">Galmiche et&#xa0;al., 2023</xref>)</td>
</tr>
<tr>
<td valign="top" rowspan="11" align="center">Omicron</td>
<td valign="top" align="center">BA.1</td>
<td valign="top" align="center">South Africa</td>
<td valign="top" align="center">2021</td>
<td valign="top" align="center">Pan-omicron substitutions (POS) including G143D; G339D; S373P; S375F; K417N; N440K; S477N; T478K; E484A; Q493R; Q498R; N501Y; Y505H; D614G; H655Y; N679K; P681H; N764K; D796Y; Q954K; N969K<break/>
<bold>(+)</bold> BA.1 specific S substitutions including A67V; &#x394;69-70; T95I; &#x394;143-145; &#x394;211/L212I/ins214EPE; S371L; G446S; G496S; T547K; N856K; L981F</td>
<td valign="top" align="center">Increased</td>
<td valign="top" align="center">(<xref ref-type="bibr" rid="B59">Hui et&#xa0;al., 2022</xref>; <xref ref-type="bibr" rid="B85">Lyngse et&#xa0;al., 2022</xref>)</td>
</tr>
<tr>
<td valign="top" align="center">BA.2</td>
<td valign="top" align="center">South Africa</td>
<td valign="top" align="center">2021</td>
<td valign="top" align="center">POS <bold>(+)</bold> BA.2 specific S substitutions including T19I; L24S; &#x394;25-27; V213G; S371F; T376A; D405N; L452X; R408S</td>
<td valign="top" align="center">Increased</td>
<td valign="top" align="center">(<xref ref-type="bibr" rid="B85">Lyngse et&#xa0;al., 2022</xref>)</td>
</tr>
<tr>
<td valign="top" align="center">BA.3</td>
<td valign="top" align="center">South Africa</td>
<td valign="top" align="center">2022</td>
<td valign="top" align="center">NSM</td>
<td valign="top" align="center">ND</td>
<td valign="top" align="center">(<xref ref-type="bibr" rid="B29">Desingu et&#xa0;al., 2022</xref>)</td>
</tr>
<tr>
<td valign="top" align="center">BA.4</td>
<td valign="top" align="center">South Africa</td>
<td valign="top" align="center">2022</td>
<td valign="top" align="center">BA.2 <bold>(+)</bold> &#x394;69-70; L452R; F486V; R493Q</td>
<td valign="top" align="center">Increased</td>
<td valign="top" align="center">(<xref ref-type="bibr" rid="B97">Mohapatra et&#xa0;al., 2022</xref>; <xref ref-type="bibr" rid="B152">Tallei et&#xa0;al., 2023</xref>)</td>
</tr>
<tr>
<td valign="top" align="center">BA.5</td>
<td valign="top" align="center">South Africa</td>
<td valign="top" align="center">2022</td>
<td valign="top" align="center">BA.2 <bold>(+)</bold> &#x394;69-70; L452R; F486V; R493Q</td>
<td valign="top" align="center">Increased</td>
<td valign="top" align="center">(<xref ref-type="bibr" rid="B97">Mohapatra et&#xa0;al., 2022</xref>; <xref ref-type="bibr" rid="B152">Tallei et&#xa0;al., 2023</xref>)</td>
</tr>
<tr>
<td valign="top" align="center">BA.2.75</td>
<td valign="top" align="center">India</td>
<td valign="top" align="center">2022</td>
<td valign="top" align="center">BA.2 <bold>(+)</bold> W152R; F157L; I210V; G257S; D339H, G446S; N460K; Q493</td>
<td valign="top" align="center">ND</td>
<td valign="top" align="left">VOI</td>
<td valign="top" align="center">(<xref ref-type="bibr" rid="B14">Cao et&#xa0;al., 2022</xref>)</td>
</tr>
<tr>
<td valign="top" align="center">CH.1.1</td>
<td valign="top" align="center">ND</td>
<td valign="top" align="center">2022</td>
<td valign="top" align="center">BA.2.75 <bold>(+)</bold> R346T; K444T; L452R; F486S</td>
<td valign="top" align="center">ND</td>
<td valign="top" align="left">VUM</td>
<td valign="top" align="center">(<xref ref-type="bibr" rid="B157">Uraki et&#xa0;al., 2023</xref>)</td>
</tr>
<tr>
<td valign="top" align="center">XBB.1.5</td>
<td valign="top" align="center">USA</td>
<td valign="top" align="center">2022</td>
<td valign="top" align="center">BA.2 <bold>(+)</bold> Q183E; N460K; S486P; F490S</td>
<td valign="top" align="center">Increased</td>
<td valign="top" align="left">VUM</td>
<td valign="top" align="center">(<xref ref-type="bibr" rid="B179">Yue et&#xa0;al., 2023</xref>; <xref ref-type="bibr" rid="B170">WHO, 2023c</xref>)</td>
</tr>
<tr>
<td valign="top" align="center">XBB.1.16</td>
<td valign="top" align="center">ND</td>
<td valign="top" align="center">2022</td>
<td valign="top" align="center">BA.2 <bold>(+)</bold> E180V; T478R; F486P</td>
<td valign="top" align="center">Increased</td>
<td valign="top" align="left">VOI</td>
<td valign="top" align="center">(<xref ref-type="bibr" rid="B52">Harris, 2023</xref>; <xref ref-type="bibr" rid="B170">WHO, 2023c</xref>)</td>
</tr>
<tr>
<td valign="top" align="center">EG.5</td>
<td valign="top" align="center">ND</td>
<td valign="top" align="center">2023</td>
<td valign="top" align="center">XBB.1.5 (<bold>+</bold>) F456L and Q52H</td>
<td valign="top" align="center">Increased</td>
<td valign="top" align="left">VOI</td>
<td valign="top" align="center">(<xref ref-type="bibr" rid="B117">Parums, 2023</xref>; <xref ref-type="bibr" rid="B170">WHO, 2023c</xref>)</td>
</tr>
<tr>
<td valign="top" align="center">BA.2.86</td>
<td valign="top" align="center">ND</td>
<td valign="top" align="center">2023</td>
<td valign="top" align="center">XBB.1.5 (<bold>+</bold>) I332V, K356T, V445H, N450D, N481K, A484K, and &#x394;483</td>
<td valign="top" align="center">Increased</td>
<td valign="top" align="left">VOI</td>
<td valign="top" align="center">(<xref ref-type="bibr" rid="B176">Yang et&#xa0;al., 2023</xref>; <xref ref-type="bibr" rid="B170">WHO, 2023c</xref>)</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn>
<p>ND, Not determined; WHO, World health organization; Ins, Insertion; POS, Pan-omicron substitutions; NSM, No unique spike substitutions; substitutions were documented in structural and nonstructural viral proteins; (+): plus or in addition to.</p>
</fn>
</table-wrap-foot>
</table-wrap>
<fig id="f4" position="float">
<label>Figure&#xa0;4</label>
<caption>
<p>Origin of SARS-CoV-2 and documented reverse-zoonotic events. Following the transmission of SARS-CoV-2 into humans via uncertain intermediate host (?), most likely pangolins, the virus circulated in the human population acquiring adaptive substitutions to improve human-to-human transmission (a main criterion for a pandemic, dotted oval shape) and further transmitted to various contact domestic mammals, and free-living wildlife animals. Red arrows indicate SARS-CoV-2 reverse zoonotic/zooanthroponosis events. This figure was created with <uri xlink:href="https://BioRender.com">BioRender.com</uri>.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-13-1232772-g004.tif"/>
</fig>
<p>Unlike mammalian ACE2 that demonstrate high similarity to human, avian species ACE2 has remarkable number of variations in the functional sites to bind SARS-CoV-2 S protein (<xref ref-type="bibr" rid="B181">Zhai et&#xa0;al., 2020</xref>). This finding is consistent with the experimental data showing that poultry are not susceptible to SARS-CoV-2 infection (<xref ref-type="bibr" rid="B43">Frazzini et&#xa0;al., 2022</xref>). In the same line, limited or rare surveillance programs for SARS-CoV-2 infections in contact animals and particularly wildlife during pandemics made it hard to conclude about possible aa substitutions that are supposed to facilitate the household transmission of the virus into pets and other wildlife mammals. Nevertheless, the transmissibility of the virus into these contact species could be affected by different individual variations including animal family group, age, health status, frequency of contact, and viral load in infected contact person; rather than specific aa substitutions in the virus (<xref ref-type="bibr" rid="B53">Hobbs and Reid, 2021</xref>; <xref ref-type="bibr" rid="B94">Meisner et&#xa0;al., 2022</xref>).</p>
<p>Throughout the pandemic and the evolution of hundreds of SARS-CoV-2 variants, the S protein acquired several aa substitutions to potentially enhanced the binding affinity of the virus to the ACE2 receptor and consequently facilitated cross-species virus transmissibility (<xref ref-type="table" rid="T1">
<bold>Table&#xa0;1</bold>
</xref>). For instance, the D614G substitution that emerged at early stages of the COVID-19 pandemic, could increase the transmissibility of the virus among humans, and it&#x2019;s possible it could also have similar effects from humans to other mammals. Various VOC and VOI, including alpha (B.1.1.7), Beta (B.1.351), gamma (P.1), delta (B.1.617.2), and the most prevalent omicron variants (BA.1-BA.2.86), accumulated multiple substitutions in their S protein that have been associated with increased transmissibility among humans (<xref ref-type="table" rid="T1">
<bold>Table&#xa0;1</bold>
</xref>). The documented aa substitutions and their overall impact on virus transmission that may in turn affect the reverse zoonotic transmission of these variants from human to other contact animals are summarized in <xref ref-type="table" rid="T1">
<bold>Table&#xa0;1</bold>
</xref>.</p>
<p>Within the 3.5 years of the COVID-19 pandemic, SARS-CoV-2 infections have been documented in dogs, cats, deer, hippopotamus, sea and river otter, manatees, spotted hyena, Canadian lynx, tiger, lion, snow leopard, puma, black-tailed marmoset, pangolin, coati, giant anteater, skunks, ferret, hamster, and minks (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4</bold>
</xref>) (<xref ref-type="bibr" rid="B11">Bosco-Lauth et&#xa0;al., 2020</xref>; <xref ref-type="bibr" rid="B19">Chandler et&#xa0;al., 2021</xref>; <xref ref-type="bibr" rid="B90">Mathavarajah et&#xa0;al., 2021</xref>; <xref ref-type="bibr" rid="B95">Melo et&#xa0;al., 2022</xref>; <xref ref-type="bibr" rid="B115">Padilla-Blanco et&#xa0;al., 2022</xref>; <xref ref-type="bibr" rid="B71">Klestova, 2023</xref>; <xref ref-type="bibr" rid="B96">Michelitsch et&#xa0;al., 2023</xref>; <xref ref-type="bibr" rid="B161">Vercammen et&#xa0;al., 2023</xref>). In an experimental study, authors demonstrated that both dogs and cats can be infected with SARS-CoV-2, although dogs do not seem to spread the virus as efficiently as cats (<xref ref-type="bibr" rid="B11">Bosco-Lauth et&#xa0;al., 2020</xref>). This suggests that some pets like cats could potentially play a role in spreading SARS-CoV-2. A more recent study suggested that the interspecies transmission of SARS-CoV-2 between humans and their household pet animals occurs on a regular basis (<xref ref-type="bibr" rid="B96">Michelitsch et&#xa0;al., 2023</xref>), and that SARS-CoV-2 infections in dogs, cats and pet Syrian hamsters are usually asymptomatic without remarkable clinical signs, making it difficult for the contact humans to observe pets being infected (<xref ref-type="bibr" rid="B177">Yen et&#xa0;al., 2022</xref>; <xref ref-type="bibr" rid="B96">Michelitsch et&#xa0;al., 2023</xref>). Therefore, basic hygiene measurements must be implemented while dealing with domestic cats or dogs during the COVID-19 pandemic to avoid potential mutual SARS-CoV-2 infections. At the molecular level, a recent genome-wide association study revealed that no single nucleotide variants (SNVs) were significantly associated with cats and dogs, potentially due to small sample sizes (<xref ref-type="bibr" rid="B105">Naderi et&#xa0;al., 2023</xref>). Despite a broad host range of permissive animals to SARS-CoV-2 infection, only three animal species are known to effectively transmit the virus: Syrian hamsters, mink and white-tailed deer (<xref ref-type="bibr" rid="B87">Markov et&#xa0;al., 2023</xref>). Until now, no animal-specific aa adaptations have been identified in the viral genome of SARS-CoV-2 circulating in Syrian hamsters (<xref ref-type="bibr" rid="B87">Markov et&#xa0;al., 2023</xref>). Nevertheless, an aa substitution in SARS-CoV-2 S protein, L18F, arose during a hamster outbreak in a warehouse in Hong Kong (<xref ref-type="bibr" rid="B177">Yen et&#xa0;al., 2022</xref>), with an ability to reduce antibody neutralization of the SARS-CoV-2 gamma variant infecting humans (<xref ref-type="bibr" rid="B92">McCallum et&#xa0;al., 2021</xref>).</p>
<p>The first occurrence of SARS-CoV-2 in mink occurred in two separate farms in the Netherlands between April and May 2020 (<xref ref-type="bibr" rid="B113">Oreshkova et&#xa0;al., 2020</xref>). Since then, multiple COVID-19 outbreaks were reported among minks in Europe and North America (<xref ref-type="bibr" rid="B83">Lu et&#xa0;al., 2021</xref>; <xref ref-type="bibr" rid="B114">Oude Munnink et&#xa0;al., 2021</xref>; <xref ref-type="bibr" rid="B128">Porter et&#xa0;al., 2023</xref>). In Denmark, the largest mink fur producer in the world, several outbreaks in minks were identified, resulting in the emergence of different SARS-CoV-2 clusters/variants (<xref ref-type="bibr" rid="B74">Krammer, 2020</xref>; <xref ref-type="bibr" rid="B79">Larsen and Paludan, 2020</xref>; <xref ref-type="bibr" rid="B9">Bayarri-Olmos et&#xa0;al., 2021</xref>). One variant &#x201c;Cluster 5&#x201d; of these Denmark mink SARS-CoV-2 variants attracted more attention because it was reported in humans within the mink outbreak region (<xref ref-type="bibr" rid="B79">Larsen and Paludan, 2020</xref>). This variant was characterized by five distinct aa substitutions in S protein, including Y453F, 69-70 deletion (&#x394;69-70), I692V, M1229I, and S1147L (<xref ref-type="bibr" rid="B79">Larsen and Paludan, 2020</xref>; <xref ref-type="bibr" rid="B22">Clayton et&#xa0;al., 2022</xref>). The Y453F substitution located in the RBD domain of SARS-CoV-2 S protein was found to be fundamental for efficient binding of the viral S protein and the mink ACE2 receptor (<xref ref-type="bibr" rid="B134">Ren et&#xa0;al., 2021</xref>).</p>
<p>In the United States of America (USA), the Animal and Plant Health Inspection Service (APHIS) has documented SARS-CoV-2 outbreaks in 18 mink farms from August 2020 to November 2023, using PCR (16 farms) or immunological antibody (2 farms) tests (<xref ref-type="bibr" rid="B35">Eckstrand et&#xa0;al., 2021</xref>; <xref ref-type="bibr" rid="B6">APHIS, 2023</xref>). In Europe, a COVID-19 outbreak in Danish mink farms was documented in June 2020, suggesting that minks can transmit the virus to contact uninfected minks (<xref ref-type="bibr" rid="B10">Boklund et&#xa0;al., 2021</xref>). By characterizing the SARS-CoV-2 in mink and contact humans, data suggests that infected minks could transmit the virus readily to contact minks and farm personnel (<xref ref-type="bibr" rid="B114">Oude Munnink et&#xa0;al., 2021</xref>). The SARS-CoV-2 in this mink outbreak was found to carry five distinct substitutions/deletion in the S protein (&#x394;H69-V70, Y453F, D614G, I692V, M1229I) (<xref ref-type="bibr" rid="B54">Hoffmann et&#xa0;al., 2021</xref>). By comparing the genomic landscapes of SARS-CoV-2 isolated from animal species to that in humans, one study identified 5 animal-specific S and non-S adapted substitutions in minks: NSP9_G37E, S_F486L, S_N501T, S_Y453F, and ORF3a_L219V (<xref ref-type="bibr" rid="B153">Tan et&#xa0;al., 2022</xref>). Fortunately, the mink-adaptative substitutions in the S protein were unlikely to increase viral pathogenicity in humans, as Y453F attenuates the replication of the virus in human cells and could only lead to minimal antigenic impact or partial immune escape potential (<xref ref-type="bibr" rid="B153">Tan et&#xa0;al., 2022</xref>; <xref ref-type="bibr" rid="B184">Zhou et&#xa0;al., 2022</xref>). From January 2021 to July 2021, SARS-CoV-2 was identified in fourteen Polish mink farms. These mink farms were infected with four different SARS-CoV-2 variants (<xref ref-type="bibr" rid="B32">Doma&#x144;ska-Blicharz et&#xa0;al., 2021</xref>; <xref ref-type="bibr" rid="B31">Doma&#x144;ska-Blicharz et&#xa0;al., 2022</xref>). The etiologic agents of these outbreaks belong to eight different variants including 20B (two farms), alpha (one farm) delta (eight farms), and omicron (one farm) (<xref ref-type="bibr" rid="B33">Doma&#x144;ska-Blicharz et&#xa0;al., 2023</xref>). Between September 2022 and January 2023, another three mink farms were reported positive for SARS-CoV-2 (<xref ref-type="bibr" rid="B33">Doma&#x144;ska-Blicharz et&#xa0;al., 2023</xref>). The mink&#x2019;s SARS-CoV-2 genome in this outbreak were characterized by aa substitutions in S proteins, including W64L, F486L, N501T, T572I, S929I, and &#x394;140&#x2013;143 (<xref ref-type="bibr" rid="B33">Doma&#x144;ska-Blicharz et&#xa0;al., 2023</xref>). Interestingly, aa substitutions F486L and N501T have been previously reported as animal-specific changes associated with SARS-CoV-2 circulation in minks (<xref ref-type="bibr" rid="B153">Tan et&#xa0;al., 2022</xref>; <xref ref-type="bibr" rid="B33">Doma&#x144;ska-Blicharz et&#xa0;al., 2023</xref>). The high evolutionary rates of SARS-CoV-2 in minks in response to greater selective pressures in the new host are more than any other farmed animal species and could permit viral transmission among humans and other contact animals on mink farms (<xref ref-type="bibr" rid="B121">Peacock and Barclay, 2023</xref>; <xref ref-type="bibr" rid="B128">Porter et&#xa0;al., 2023</xref>). However, no clear evidence suggests that these adaptive aa substitutions may be a significant factor in SARS-CoV-2 zoonosis and transmission from minks to contact humans. A recent study revealed that the zooanthroponotic transmission of SARS-CoV-2 was associated with three SNVs (non-synonymous mutations) in minks, including ORF3a_L219V, Nsp9_G37E and S_N501T (<xref ref-type="bibr" rid="B105">Naderi et&#xa0;al., 2023</xref>).</p>
<p>In parallel, multiple outbreaks of SARS-CoV-2 among wild white-tailed deer (WTD) have been documented initially in the USA as a wildlife host for SARS-CoV-2 with 40% seroprevalence among sampled free-ranging WTD across four states (<xref ref-type="bibr" rid="B19">Chandler et&#xa0;al., 2021</xref>; <xref ref-type="bibr" rid="B49">Hale et&#xa0;al., 2022</xref>; <xref ref-type="bibr" rid="B75">Kuchipudi et&#xa0;al., 2022</xref>). Shortly after, active viral infections with different SARS-CoV-2 variants and high seroprevalence among free-ranging deer were detected in different localities in the USA (<xref ref-type="bibr" rid="B49">Hale et&#xa0;al., 2022</xref>; <xref ref-type="bibr" rid="B137">Roundy et&#xa0;al., 2022</xref>; <xref ref-type="bibr" rid="B159">Vandegrift et&#xa0;al., 2022</xref>; <xref ref-type="bibr" rid="B15">Caserta et&#xa0;al., 2023</xref>; <xref ref-type="bibr" rid="B91">McBride et&#xa0;al., 2023</xref>). Interestingly, the viral genome sequences from WTD are highly divergent from human-derived SARS-CoV-2 sequences with large nucleotide sequence variations across the genome, probably due to virus circulation and evolution within the deer population as a response to host adaptation (<xref ref-type="bibr" rid="B15">Caserta et&#xa0;al., 2023</xref>). Interestingly, several studies have revealed higher C-to-T bias in the SARS-CoV-2 genome from infected deer, which may reflect an evolutionary adaptation to APOBEC1 (<xref ref-type="bibr" rid="B127">Pickering et&#xa0;al., 2022</xref>; <xref ref-type="bibr" rid="B91">McBride et&#xa0;al., 2023</xref>; <xref ref-type="bibr" rid="B105">Naderi et&#xa0;al., 2023</xref>), a family of evolutionarily conserved cytidine deaminases that deaminates deoxycytidine in single-stranded DNA (ssDNA) and edits messenger RNAs (C-to-U editing) (<xref ref-type="bibr" rid="B139">Salter et&#xa0;al., 2016</xref>; <xref ref-type="bibr" rid="B105">Naderi et&#xa0;al., 2023</xref>).</p>
<p>The evolutionary rates of alpha and delta SARS-CoV-2 variants in WTD were shown to be faster and higher by 3 and 2.7 times than in humans, respectively (<xref ref-type="bibr" rid="B91">McBride et&#xa0;al., 2023</xref>). WTD infections with SARS-CoV-2 were associated with several aa substitutions in structural, non-structural and accessory ORF proteins including the variant specific recurrent substitutions in the S protein, such as the distinct L18F (delta), H69Y, N501Y (alpha, beta, gamma, omicron, mu) and T29I (alpha and delta) (<xref ref-type="bibr" rid="B91">McBride et&#xa0;al., 2023</xref>). Analysis of the whole genome sequences of alpha SARS-CoV-2 variants from infected WTD revealed that the zooanthroponotic transmission of SARS-CoV-2 in WTD was statistically associated with 26 SNVs (five intergenic mutations within the 5&#x2032; and 3&#x2032; UTRs, 12 synonymous mutations, and 9 non-synonymous mutations, including Nsp3_P822L, Nsp3_L1035F, Nsp3_S1437F, Nsp4_S386F, Nsp12_N507I, Nsp13_P77L, ORF5/M_I82T, ORF7a_T120I, and ORF10_L37F (<xref ref-type="bibr" rid="B105">Naderi et&#xa0;al., 2023</xref>). Consistently, other studies have identified the non-S aa substitution NSP3_L1035F as a more significantly deer-associated substitution (<xref ref-type="bibr" rid="B153">Tan et&#xa0;al., 2022</xref>), highlighting the importance of SARS-CoV-2 Nsp for virus fitness in the new host.</p>
<p>The phyloproteomic analysis of SARS-CoV-2 proteome sequences to investigate the variations in 16 non-human hosts (mink, cat, deer, dog, hyena, tiger, lion, gorilla, green monkey, Syrian hamster, leopard cat, fishing cat, bear cat, coati, ferret, and snow leopard) from 18 countries led to seven major divergent country-specific SARS-CoV-2 clades (<xref ref-type="bibr" rid="B105">Naderi et&#xa0;al., 2023</xref>). This study reported a number of high recurring (HR) aa substitutions in non-human hosts, including S_T19R, S_&#x394;H69-V70, S_G142D, S_E156G, S_&#x394;F157-R158, S_T478K, S_L452R, S_Y453F, S_F486L, S_N501T, S_D614G, S_P681R, S_D950N, N_D63G, N_S194L, N_R203K, N_G204R, N_G215C, N_D377Y, M_I82T, Nsp1_&#x394;M85, Nsp2_T85I, Nsp2_A192V, Nsp3_A488S, Nsp3_P1228L, Nsp3_L1244F, Nsp3_&#x394;N1263, Nsp3_P1469S, Nsp4_V167L, Nsp4_T492I, Nsp6_T77A, Nsp9_G37E, Nsp12_P323L, Nsp12_T739I, Nsp12_G671S, Nsp13_P77L, Nsp14_A394V, ORF3a_H182Y, ORF3a_Q57H, ORF3a_L219V, ORF3a_S26L, ORF7a_V82A, ORF7a_T120I, and ORF7b_T40I (<xref ref-type="bibr" rid="B105">Naderi et&#xa0;al., 2023</xref>). The contributing role of the substitutions in non-S proteins including the Orf1ab-derived Nsps, structural proteins, and accessory ORF genes in mediating virus zooanthroponotic and zoonotic potential is still unclear. Interestingly, this study could provide evidence that the occurrence of the non-human SARS-CoV-2 variants in humans is possible, emphasizing the zooanthroponotic and zoonotic transmission events between human and non-human hosts (<xref ref-type="bibr" rid="B105">Naderi et&#xa0;al., 2023</xref>).</p>
</sec>
<sec id="s5">
<label>5</label>
<title>Adverse impacts of reverse zoonosis on potential prophylactic, therapeutic interventions, and virus evolution</title>
<p>Zoonotic viruses transmit among hosts and can undergo strong and stringent adaptive selection to improve their fitness in their new niche (<xref ref-type="bibr" rid="B100">Mostafa et&#xa0;al., 2018</xref>; <xref ref-type="bibr" rid="B101">Mostafa et&#xa0;al., 2020</xref>; <xref ref-type="bibr" rid="B4">Al-Karmalawy et&#xa0;al., 2021</xref>; <xref ref-type="bibr" rid="B87">Markov et&#xa0;al., 2023</xref>). Although susceptible mammalian hosts have host cell receptor similarities in type, affinity, and abundance, the gradual improvement of viral fitness and transmission ability could be associated with a continuous evolution of antigenicity resulting in altered vaccine efficacy and resistance to limited antiviral treatment (<xref ref-type="bibr" rid="B99">Morris et&#xa0;al., 2020</xref>; <xref ref-type="bibr" rid="B87">Markov et&#xa0;al., 2023</xref>; <xref ref-type="bibr" rid="B171">Wong and Lal, 2023</xref>).</p>
<p>The seasonal human influenza vaccines are either propagated in specific-pathogen free (SPF) chicken embryonated eggs (avian-origin) or certified cell culture cell lines, including Madin-Darby canine kidney (MDCK) and African green monkey (Vero) cells with predominant &#x3b1;2,3-linked (avian-type) sialic acid receptor (<xref ref-type="bibr" rid="B102">Mostafa et&#xa0;al., 2016</xref>; <xref ref-type="bibr" rid="B100">Mostafa et&#xa0;al., 2018</xref>). The passaging of human influenza vaccine strains with an absolute affinity towards &#x3b1;2,6-linked (mammalian-type) sialic acid receptor in avian or avian-like mammalian systems is occasionally associated with low vaccine effectiveness due to adaptive aa substitutions in or around important antigenic sites of the immunogenic viral surface proteins HA and NA (<xref ref-type="bibr" rid="B103">Mostafa and Pleschka, 2018</xref>; <xref ref-type="bibr" rid="B145">Skowronski and De Serres, 2018</xref>; <xref ref-type="bibr" rid="B81">Liang et&#xa0;al., 2022</xref>).</p>
<p>In addition, the detection of AIV of H5-, H7-, and H9-subtypes in poultry carrying human adaptive aa substitutions in their PB2 segments, including G590S/Q591R and E627K, together with antiviral resistance markers that confer resistance to NA inhibitors, including H275Y and N295S, or M2 blockers (e.g. S31N) without apparent prior adaptation into mammals (<xref ref-type="bibr" rid="B56">Hossain et&#xa0;al., 2021</xref>), suggest possible reverse zoonotic transmission of these AIV strains from infected humans or mammals to poultry. This may explain the increasing abundance of antiviral resistance to adamantanes (M2) and neuraminidase (NA) inhibitors, and the high risk to human public health in possible outbreaks and/or potential pandemic situations (<xref ref-type="bibr" rid="B77">Lampejo, 2020</xref>; <xref ref-type="bibr" rid="B62">Jones et&#xa0;al., 2023</xref>).</p>
<p>Following influenza virus transmission from human to infect contact and wildlife animal species, moving through various biological systems, the new host animal will act as an additional reservoir for the virus that may yield an increased rate of adaptive aa substitutions or provide a new vessel (e.g. swine) to mix the genetic materials of two invading viruses (<xref ref-type="bibr" rid="B20">Chastagner et&#xa0;al., 2019</xref>; <xref ref-type="bibr" rid="B131">Rajao et&#xa0;al., 2019</xref>; <xref ref-type="bibr" rid="B1">Abdelwhab and Mettenleiter, 2023</xref>). This bidirectional transmission of influenza virus ends up with new virus variant(s) with unprecedented characteristics in humans.</p>
<p>Similarly, the transmission of SARS-CoV-2 between animal species could be associated with an increased rate of aa substitutions to adapt to the new hosts, resulting in adverse impacts on currently available vaccines and/or approved antiviral therapies (<xref ref-type="bibr" rid="B54">Hoffmann et&#xa0;al., 2021</xref>). In addition, CoVs have been shown to have high probability of recombination (<xref ref-type="bibr" rid="B41">Focosi and Maggi, 2022</xref>). Therefore, the wide host range of SARS-CoV-2 circulation among animal species with other CoVs might facilitate virus recombination with any of these CoVs following co-infection of the same host cell (<xref ref-type="bibr" rid="B41">Focosi and Maggi, 2022</xref>).</p>
</sec>
<sec id="s6" sec-type="conclusions">
<label>6</label>
<title>Conclusion</title>
<p>The wide spectrum of pandemic viruses, including influenza A/H1N1pdm09 virus and SARS-CoV-2, is alarming national and international health organizations to carefully follow up and control animal-to-human, human-to-human, as well as bidirectional human-to-animal zooanthroponosis transmission events. Pets and other animals that share household with infected humans, or farm animals, including minks, could be a persistent reservoir of these viral infections upon establishment of mild or non-asymptomatic infections, giving rise to potential new genetic reassortment, recombination, and evolution events, in addition to drug resistant and immune-escape variants. For these reasons, contact animals that are exposed to viral reverse zoonosis must be closely monitored in households, during transportation, and in wildlife since they could represent a new source of new zoonotic events to humans. Importantly, one of the major limitations in controlling viral pathogen zoonosis and zooanthroponosis includes the lack of a &#x201c;One Health&#x201d; concept, hindering an effective collaboration or coordination between animal and human health sectors in some areas with unusual habits with domestic pets and undomesticated animal species. Until now, we do not have solid background about the molecular determinant(s) of the zooanthroponosis of new emerging pandemic SARS-CoV-2 strains in most documented non-human hosts due to shortage in surveillance and the limited sample sizes. One Health surveillance strategy throughout different continents is more efficient and more sustainable than scattered efforts to monitor zoonosis and zooanthroponosis and control them at their first instance. Eventually, new and effective prophylactic and therapeutic countermeasures against newly emerging viral variants due to recurrent zoonosis and zooanthroponosis events must be developed and readily available. One limitation of this review is that most of the discussed data were mainly derived from European and North American countries where they have facilities and knowledge to follow up and characterize zoonosis and zooanthroponosis events.</p>
</sec>
<sec id="s7" sec-type="author-contributions">
<title>Author contributions</title>
<p>Conceptualization of the review, AK, LM-S and AM. Writing&#x2014;original draft preparation, AK, LM-S and AM. Writing&#x2014;review and editing, AK, LM-S and AM. All authors contributed to manuscript revision, read, and approved the submitted version.</p>
</sec>
</body>
<back>
<sec id="s8" sec-type="funding-information">
<title>Funding</title>
<p>Research in LM-S laboratory is partially funded by R43AI165089, R01AI161363, R01AI161175, R01AI145332, R01AI142985, R01AI141607, and R21 AI173816 from the NIH; the American Lung Association; the San Antonio Partnership for Precision Therapeutics; the San Antonio Medical Foundation; and the Texas Biomedical Research Institute Forum Foundation.</p>
</sec>
<sec id="s9" sec-type="COI-statement">
<title>Conflict of interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec id="s10" sec-type="disclaimer">
<title>Publisher&#x2019;s note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
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