Brugere-Picoux Jeanne, Tessier Philippe
l'Académie nationale de médecine.
Bull Acad Natl Med. 2010 Nov;194(8):1439-49. doi: 10.1016/S0001-4079(19)32174-0.
Etiologic investigations of infectious diarrhea were long limited to bacteria and protozoa. The advent of electron microscopy and molecular biology showed that diarrhea could also be caused by viruses, both in humans and in other animals. In 1969, electron microcopy was used to show, for the first time, the responsibility of a virus in a case of calf diarrhea. This "reo-like virus "was subsequently identified as a rotavirus, and was shown only four years later to be responsible for severe diarrhea in young children. Noroviruses, and particularly the human virus Norwalk, were subsequently discovered, followed by coronavirus, sapovirus, pestivirus, astrovirus, enteric adenoviruses, torovirus, and picobirnavirus. Some of viruses found in animals, and particularly rotaviruses, can also infect humans. Rotaviruses have been identified in numerous animal species and are generally host-specific, but zoonotic transmission has been suggested by cross-infection (especially in experimental models), by genetic studies showing a close relationship between certain human and animal rotaviruses, and by the discovery of new animal genotypes during epidemiological surveillance of human rotaviroses. Some animal strains of norovirus, sapovirus, picobirnavirus and astrovirus are genetically related to human strains, but their human transmission has not been demonstrated.
感染性腹泻的病因学研究长期以来仅限于细菌和原生动物。电子显微镜和分子生物学的出现表明,腹泻在人类和其他动物中也可能由病毒引起。1969年,电子显微镜首次用于显示病毒在一例小牛腹泻中的作用。这种“类呼肠孤病毒”随后被鉴定为轮状病毒,仅在四年后就被证明是幼儿严重腹泻的病因。随后发现了诺如病毒,尤其是人类诺沃克病毒,接着是冠状病毒、札幌病毒、瘟病毒、星状病毒、肠道腺病毒、环曲病毒和微小双股RNA病毒。在动物中发现的一些病毒,尤其是轮状病毒,也可以感染人类。轮状病毒已在众多动物物种中被鉴定出来,通常具有宿主特异性,但交叉感染(尤其是在实验模型中)、显示某些人类和动物轮状病毒之间密切关系的基因研究以及在人类轮状病毒的流行病学监测中发现新的动物基因型都提示了人畜共患传播。诺如病毒、札幌病毒、微小双股RNA病毒和星状病毒的一些动物毒株在基因上与人类毒株相关,但它们向人类的传播尚未得到证实。