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骆驼痘:流行病学、诊断和控制措施。

Camelpox: epidemiology, diagnosis and control measures.

机构信息

Division of Virology, Indian Veterinary Research Institute, Campus Mukteswar-263 138, Nainital District, Uttarakhand, India.

出版信息

Expert Rev Anti Infect Ther. 2010 Oct;8(10):1187-201. doi: 10.1586/eri.10.105.

Abstract

Camelpox is an economically important contagious skin disease of camelids caused by camelpox virus (CMLV) and is characterized by mild local skin infection and less common severe systemic infections. The disease is confined to camel-rearing belts particularly in developing countries and causes economic impact due to considerable loss in terms of morbidity, mortality, loss of weight and reduction in milk yield. The virus has gained attention from researchers due to its recent emergence with close genetic relatedness to variola virus, the causative agent of smallpox, and carrying genes responsible for host immune evasion mechanisms. CMLV was earlier thought to be a zoonotic agent but so far little evidence has been documented from Somalia. Although the disease can be diagnosed based on clinical signs, the similar confounding skin lesions necessitate identification of infection by molecular biology based diagnostic techniques, namely restriction enzyme analysis of the virus genome and specific genes, genus- and species-specific diagnostic PCRs including real-time quantitative PCR, and sequence and phylogenetic analysis for diagnosis and differentiation of CMLV. The entire genome sequence of CMLV is known and it contains more than 211 putative genes, which code for different proteins with host range, immunomodulation, virulence and other functions. Both inactivated and live-attenuated vaccines are available in some countries. However, live vaccines are preferred as they provide long-lasting immunity. Considering the virus spreads through contaminated environments, an improved diagnostic and control method would be of immense value to curtail the infection in the field. Alternative therapeutics such as antiviral agents is an area that needs to be explored. This article discusses the epidemiology and biology of the disease, novel diagnostic approaches and control measures.

摘要

骆驼痘是一种由骆驼痘病毒(CMLV)引起的、对骆驼具有重要经济意义的传染性皮肤病,其特征为轻微的局部皮肤感染和较不常见的严重全身感染。这种疾病局限于养驼带,特别是在发展中国家,由于发病率、死亡率、体重减轻和产奶量减少造成了重大经济损失。该病毒由于与天花的病原体——正痘病毒具有密切的遗传关系,并且携带负责宿主免疫逃避机制的基因,最近引起了研究人员的关注。CMLV 曾被认为是一种人畜共患病原,但迄今为止,在索马里几乎没有记录到相关证据。尽管可以根据临床症状诊断该病,但相似的混淆性皮肤损伤需要通过基于分子生物学的诊断技术来识别感染,即病毒基因组和特定基因的限制性酶分析、种属和物种特异性诊断 PCR(包括实时定量 PCR)以及序列和系统发育分析,以用于 CMLV 的诊断和区分。CMLV 的整个基因组序列已为人所知,它包含 211 个以上的推定基因,这些基因编码具有宿主范围、免疫调节、毒力和其他功能的不同蛋白质。一些国家既有灭活疫苗又有活疫苗。然而,由于活疫苗能提供持久的免疫力,因此更受青睐。鉴于该病毒通过污染环境传播,一种改进的诊断和控制方法对于在现场遏制感染将具有巨大价值。需要探索替代治疗方法,如抗病毒药物。本文讨论了该病的流行病学和生物学、新的诊断方法和控制措施。

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