Mice raised with genetically modified endogenous genes that allowed for expression of cell surface proteins, specifically DPP4, were critical in laboratory testing to understand the interaction between MERS and hosts. In order to create an environment in which the virus could replicate, CRISPR was used to facilitate the expression of DPP4 in mice, and these mice were subjected to a battery of tests to assess organ failure associated with infection. (Baric, 2016)
After successfully isolating MERS from naturally infected dromedary camels, scanning electron microscopy was used to identify differences between those infected camels and naive camels. Infected camels showed lesions on the epithelial membranes lining their nasal cavities and respiratory tract where DPP4 proteins were expressed in the highest quantities. (Alnaeem, 2018)
Different clades, or evolutionary trees that break down one taxa, can be used to identify similarities in genome sequences and break the different variants of the virus into groups. The scanning electron microscopy above was indicated to be most associated with the virus strain in Clade B. (Alnaeem, 2018)