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Conquest of Invisible Enemies
Conquest of Invisible
Enemies
A Human History of Antiviral Drugs
J I E JAC K L I
Oxford University Press is a department of the University of Oxford. It furthers
the University’s objective of excellence in research, scholarship, and education
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Press in the UK and certain other countries.
Published in the United States of America by Oxford University Press
198 Madison Avenue, New York, NY 10016, United States of America.
© Oxford University Press 2022
All rights reserved. No part of this publication may be reproduced, stored in
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above should be sent to the Rights Department, Oxford University Press, at the
address above.
You must not circulate this work in any other form
and you must impose this same condition on any acquirer.
Library of Congress Cataloging-in-Publication Data
Names: Li, Jie Jack, author.
Title: Conquest of invisible enemies : a human history of antiviral drugs / Jie Jack Li.
Description: New York, NY : Oxford University Press, 2022. |
Includes bibliographical references and index.
Identifiers: LCCN 2022029911 (print) | LCCN 2022029912 (ebook) |
ISBN 9780197609859 (hardback) | ISBN 9780197609873 | ISBN 9780197609866 |
ISBN 9780197609880 | ISBN 9780197609873 (epub)
Subjects: LCSH: Antiviral agents.
Classification: LCC RM411 .L55 2022 (print) | LCC RM411 (ebook) |
DDC 615.7/924—dc23/eng/20220802
LC record available at https://lccn.loc.gov/2022029911
LC ebook record available at https://lccn.loc.gov/2022029912
DOI: 10.1093/oso/9780197609859.001.0001
1 3 5 7 9 8 6 4 2
Printed by Sheridan Books, Inc., United States of America
To Vivien and Alexandra
Contents
Preface xi
3. Hepatitis Viruses 91
3.1 Hepatitis A Virus 92
3.1.1 Discovery of the hepatitis A virus 93
3.1.2 Hepatitis A vaccines 95
3.2 Hepatitis B Virus 98
3.2.1 Discovery of the hepatitis B virus 99
3.2.2 Hepatitis B vaccines 106
3.2.3 Hepatitis B drugs 112
3.3 Hepatitis C Virus 125
3.3.1 Discovery of hepatitis C virus 126
3.3.2 Hepatitis C virus NS3/4A serine protease inhibitors 130
3.3.3 Hepatitis C virus NS5A protein inhibitors 139
3.3.4 Hepatitis C virus NS5B polymerase inhibitors 143
3.4 A Triumph of Modern Medicine 151
5. Coronaviruses 187
5.1 Coronavirus 188
5.1.1 What is a coronavirus? 188
5.1.2 SARS and MERS 189
5.1.3 SARS-CoV-2 190
5.2 COVID-19 Vaccines 192
5.2.1 Pfizer/BioNTech’s mRNA vaccine 193
5.2.2 Johnson & Johnson’s viral vector vaccine 196
Contents ix
Jie Jack Li
San Mateo, CA
June 1, 2021
1
Viruses Shaping History and
the Discovery of Viruses
Even though viruses were invisible to man until the 1930s, their im-
pact has been felt throughout human history. Here, I share some
Conquest of Invisible Enemies. Jie Jack Li, Oxford University Press. © Oxford University Press 2022.
DOI: 10.1093/oso/9780197609859.003.0001
2 Conquest of Invisible Enemies
The seventeenth century was the Golden Age of the Dutch Republic.
From 1634 to1637, both well-to-do rich regents and merchants and
also poor artisans seemed to be seized by a craze, an obsession, or
more aptly, a mania: tulipomania!
Wild tulips flourished among the foothills and valleys of Tian
Shan (天山), the Celestial Mountains that run along China’s
western border neighboring both Russia and Afghanistan.1 By
the eleventh century, Turkish nomads had brought the wildflower
to Persia, most likely along the Silk Road. Admired for the vivid
sheen of the flower’s petals, wild tulips were gradually planted in
gardens and domesticized in the Ottoman Empire. In Islamic lit-
erature, tulips were worshiped as a symbol of holiness and love
during the fifteenth and sixteenth centuries. Slowly but surely, the
oriental flower migrated westward. Its wide distribution was made
easy by its portability as either seeds or bulbs, and the latter was
the preferred form because seeds took years to bear flowers. In
1576, Dutch botanist Carolus Clusius, the father of the tulip, first
reported viral flower color-breaking. He described a variegation
of the flower color in striped and flamed patterns in combination
with a weakening of the tulip plants, eventually leading to the loss
of varieties. This was the oldest documented plant disease.2
By the early seventeenth century, the subtle elegance, novelty,
and rarity of tulips made the flowers a symbol of wealth and good
stature in Europe. In Paris, already the center of European fashion,
a cut tulip flower became a fashionable adornment to the ladies’
cleavage in high society. While fashions came and went, it was the
Dutch people of all classes who became seriously infatuated with
Viruses Shaping History 3
broken tulips were highly appreciated and served as the catalyst for
the tulipomania. Such virus-infected tulips were not healthy, and so
they did not breed true. The color-breaking pattern suddenly died
out after having been a craze in Holland for four years.
In the 1930s, Dorothy Cayley and Charles Mackay at the John
Innes Horticulture Institution in London discovered that variega-
tion of tulips was caused by the tulip breaking virus. By permitting
aphids to feed on broken bulbs (virus-infected, which thus would
give broken tulips) and then on breeders (not infected, which thus
would not give broken tulips), they were able to show that the
breeder bulbs visited by the aphids broke twice as often as control
samples. The British duo simultaneously proved that the disease
was caused by a virus and demonstrated the mechanism whereby it
was transmitted from one tulip to another.3
The tulip-breaking virus, tulip mosaic virus, is a ribonucleic
acid (RNA) plant potyvirus. Indeed, the great majority of plant
viruses are RNA viruses; only about seventeen percent of viruses
infecting plants are deoxyribonucleic acid (DNA) viruses. On a
molecular level, flower color is largely determined by the different
Viruses Shaping History 5