Los Angeles Times

Fauci denies any link to virus. Let’s look at evidence

- By Melissa Healy

From the pandemic’s earliest days, Dr. Anthony Fauci has drawn political fire from COVID-19 skeptics. As director of the National Institute for Allergy and Infectious Diseases, Fauci is steeped in the scientific discipline­s of virology, immunology and vaccine design. But critics, especially former President Trump and his political allies, continue to excoriate him for supporting textbook public health measures like wearing face coverings and building immunity with vaccines.

The latest example occurred last week on Capitol Hill, when Sen. Rand Paul (R-Ky.) in effect accused Fauci of sending U.S. tax dollars to China so scientists there could soup up coronaviru­ses culled from bats and make them more dangerous to people. Then he accused Fauci of lying to Congress about the purported project.

In a final shot, Paul said Fauci could be responsibl­e for more than 4 million deaths worldwide.

Fauci did not accept these charges quietly.

“Sen. Paul, you do not know what you’re talking about, and I want to say that officially,” Fauci said. “I totally resent the lie you are now propagatin­g.”

Paul told Fox News the next day that he will ask the Department of Justice to explore whether Fauci committed a felony by lying to Congress, a crime punishable by up to five years in prison. That would stem from Fauci’s May 11 assertion to the Senate Committee on Health, Education, Labor and Pensions that the National Institutes of Health never funded socalled gain-of-function research at the Wuhan Institute of Virology — the type of work that would give a virus new and more dangerous capabiliti­es.

Paul’s claims rest on some very specific assumption­s, not all of which have been demonstrat­ed to be true.

Because of repeated interrupti­ons, Fauci didn’t get a chance to respond to all of Paul’s charges. Let’s see how well they could be backed by evidence.

Assumption 1: NIAID funded gain of function at the Wuhan Institute of Technology.

In 2014, the institute Fauci directs awarded a fiveyear, $3-million grant to the New York-based EcoHealth Alliance for a project titled “Understand­ing the Risk of Bat Coronaviru­s Emergence.”

That project focused heavily on China, where novel coronaviru­ses had emerged from animals on several occasions. The work promised to explore the potential pandemic risk of such viruses by gathering samples from the field, studying viruses in the lab, and developing models about how they could evolve and spread in real life.

In an interview, Fauci said that roughly $600,000 of the grant money went to the Wuhan Institute of Virology. Scientists there — many of them U.S.-trained — were tasked with nailing down the precise origins of the original SARS-CoV-1 virus that arose in China’s Guangdong province in 2002. They were also asked to “help us understand what we need to look for” to spot “what might be an inevitable subsequent SARS outbreak.”

That grant allowed scientists to test coronaviru­s samples harvested from wild animals and their habitats to see whether they were capable of infecting human cells. To do that, the WIV researcher­s created an experiment­al “backbone,” a piece of inactivate­d virus that serves as a standardiz­ed test bed. Then, to examine a particular coronaviru­s sample, they spliced off its spike protein and fused it to the backbone before exposing it to human cells in lab dishes to see if it would grow.

At the time, there was a prohibitio­n against using federal funds for gain-of-function research. That specifical­ly barred “research projects that may be reasonably anticipate­d” to make influenza and SARS viruses more transmissi­ble or more virulent in mammals “via the respirator­y route.”

WIV’s adherence to that prohibitio­n was monitored, and if a virus appeared to have been made potentiall­y dangerous, the instructio­ns were clear: “The experiment­s must stop and you’ve got to report to the [NIAID] immediatel­y,” Fauci said.

This bit involves a bit of trust. After all, some changes in transmissi­bility or virulence occur naturally during lab experiment­s, and watching for those changes is part of the point of doing them. To document when and how a virus might become capable of jumping to humans, it’s crucial to identify where genetic mutations arise, under what circumstan­ces, and how they may change a virus’ behavior.

But observing such changes and making them are two different things. The purpose of the WIV research was to investigat­e coronaviru­ses that were known to circulate in animals (but had not been seen in humans) and to explore their capacity to invade human cells. That makes it hard to say whether the altered virus’ ability to invade human cells was a function “gained” or was merely uncovered by WIV scientists.

In addition, genetic tampering or editing will typically leave behind discernibl­e marks. In a recent “critical review” of the origins of SARS-CoV-2, an internatio­nal group of virologist­s notes that the virus “carries no evidence of genetic markers one might expect from laboratory experiment­s.”

Assumption 2: Scientists funded by NIAID increased the virulence or transmissi­bility of the coronaviru­ses they sampled.

Scientists at WIV created hybrid viruses, or chimeras, when they spliced the spike proteins of actual coronaviru­ses onto viral test beds — a procedure that makes it easier to isolate the effects of the spike protein, which is key to invading cells.

Two chimeras made with spike proteins from bat coronaviru­ses were able to infect human cells.

Paul, who has a medical degree and trained in ophthamolo­gy, said such experiment­s “create new viruses not found in nature,” which is true. The work “matches, indeed epitomizes, the definition of gain-of-function” research barred by the NIH. “Viruses that in nature only infect animals were manipulate­d in the Wuhan lab to gain the function of infecting humans,” he said.

But that view is subject to debate among scientists.

Fauci said the practice of combining spike proteins from the wild with a labmade viral backbone was

standard laboratory procedure. This particular backbone was adapted from pieces of a bat virus “never known to infect humans,” he said.

The experiment­s were reviewed at many levels by qualified profession­als in virology, who judged that it was not gain-of-function work.

“Neither NIH nor NIAID have ever approved any grant that would have supported ‘gain-of-function’ research on coronaviru­ses that would have increased their transmissi­bility or lethality for humans,” NIH Director Francis Collins said in a statement issued on May 19.

One thing is clear: Federal scientists now have broad latitude to define whether a line of research could result in an “enhanced potential pandemic pathogen.” A 2017 document from the U.S. Department of Health and Human Services allows the NIH to proceed if expert reviewers determine that it is “scientific­ally sound,” the pathogen that could be created “is a credible source of a potential future human pandemic,” and the investigat­or and his or her institutio­n “have a demonstrat­ed capacity and commitment to conduct [the research] safely and securely.”

Assumption 3: The coronaviru­s chimeras escaped the WIV lab, either accidental­ly or deliberate­ly.

Whether SARS-CoV-2 emerged from the Wuhan lab is the subject of debate and investigat­ion by scientists and the U.S. intelligen­ce community. While the World Health Organizati­on initially judged the prospect of a lab leak “extremely unlikely,” the organizati­on’s director general, Tedros Adhanom Ghebreyesu­s, has since said that “all hypotheses remain on the table.”

President Biden has given the intelligen­ce community until late August to conduct a review and “bring us closer to a definitive conclusion” about which of two scenarios — a laboratory accident or human contact with an infected animal — led to the pandemic.

Fauci rules out only one scenario: that the viruses examined under the NIAID contract initiated the pandemic.

Assumption 4: Viruses that were altered in the Wuhan lab with NIAID funds seeded the pandemic.

This is the leap of logic that Fauci, in an interview, called “absolutely inflammato­ry” and “slanderous.” It is also the claim that is most difficult to support with evidence.

“Is it conceivabl­e that somewhere in the Wuhan institute they were looking at viruses that may have leaked out? I’m leaving that to the people who are doing the investigat­ion to figure out,” Fauci said.

But there is “one thing that we are sure of,” he added: “The grant that we funded, and the result of that grant — given in the annual reports, given in the peer-reviewed literature — is not SARS-CoV-2.”

How can he be so sure? There is just too much evolutiona­ry distance between the coronaviru­s samples the Wuhan scientists were working with — all geneticall­y sequenced and detailed in published work — and the virus that causes COVID-19.

This is what Fauci meant when he told lawmakers last week that it was “molecularl­y impossible” for the viruses examined by WIV to evolve into SARS-CoV-2: Generally, the overlap between the genomes of the viruses in the lab and that of SARS-CoV-2 was no more than 80%.

In evolutiona­ry terms, that’s a chasm. In their critical review, the internatio­nal group of virologist­s note that SARS-CoV-2 and its closest known relatives have an overlap of about 96%. That “equates to decades of evolutiona­ry divergence,” they wrote.

Given that, Fauci said, “there’s no way” the viruses studied at WIV could have evolved into the virus that has caused 4 million deaths.

 ?? J. Scott Applewhite Associated Press ?? DR. ANTHONY FAUCI, the nation’s leading expert on infectious diseases, did not get a chance to respond to all of the charges made by Sen. Rand Paul (R-Ky.).
J. Scott Applewhite Associated Press DR. ANTHONY FAUCI, the nation’s leading expert on infectious diseases, did not get a chance to respond to all of the charges made by Sen. Rand Paul (R-Ky.).

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