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如何诊断汉坦病毒感染以及在啮齿动物和食虫动物中检测该病毒。

How to diagnose hantavirus infections and detect them in rodents and insectivores.

作者信息

Vaheri Antti, Vapalahti Olli, Plyusnin Alexander

机构信息

Department of Virology, Haartman Institute, FI-00014, University of Helsinki, Finland.

出版信息

Rev Med Virol. 2008 Jul-Aug;18(4):277-88. doi: 10.1002/rmv.581.

Abstract

Hantaviruses are carried by rodents and insectivores in which they cause persistent and generally asymptomatic infections. Several hantaviruses can infect humans and many of them cause either haemorrhagic fever with renal syndrome (HFRS) in Eurasia or hantavirus cardiopulmonary syndrome (HCPS) in the Americas. In humans hantavirus infections are diagnosed using IgM-capture tests but also by RT-PCR detection of viral RNA. For detection of hantavirus infections in rodents and insectivores, serology followed by immunoblotting of, for example, lung tissue, and RT-PCR detection of viral RNA may be used, and if of interest followed by sequencing and virus isolation. For sero/genotyping of hantavirus infections in humans and carrier animals neutralisation tests/RNA sequencing are required. Hantaviruses are prime examples of emerging and re-emerging infections and it seems likely that many new hantaviruses will be detected in the near future.

摘要

汉坦病毒由啮齿动物和食虫动物携带,在这些动物中它们会引起持续且通常无症状的感染。几种汉坦病毒可感染人类,其中许多会在欧亚大陆引起肾综合征出血热(HFRS),或在美洲引起汉坦病毒心肺综合征(HCPS)。在人类中,汉坦病毒感染通过IgM捕获试验诊断,也可通过逆转录聚合酶链反应(RT-PCR)检测病毒RNA来诊断。对于检测啮齿动物和食虫动物中的汉坦病毒感染,可采用血清学方法,随后对例如肺组织进行免疫印迹,以及通过RT-PCR检测病毒RNA,如有需要,随后进行测序和病毒分离。对于人类和携带动物中汉坦病毒感染的血清/基因分型,需要进行中和试验/RNA测序。汉坦病毒是新出现和再次出现的感染的典型例子,而且在不久的将来似乎很可能会发现许多新的汉坦病毒。

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