Division of Virology, Department of Pathology, University of Cambridge, Addenbrooke's Hospital, Hills Road, Cambridge, CB2 2QQ, UK.
Future Microbiol. 2013 Nov;8(11):1475-87. doi: 10.2217/fmb.13.109.
Noroviruses are now recognized as the major cause of acute gastroenteritis in the developed world, yet our ability to prevent and control infection is limited. Recent work has highlighted that, while typically an acute infection in the population, immunocompromised patients often experience long-term infections that may last many years. This cohort of patients and those regularly exposed to infectious material, for example, care workers and others, would benefit greatly from the development of a vaccine or antiviral therapy. While a licensed vaccine or antiviral has yet to be developed, work over the past 10 years in this area has intensified and trials with a vaccine candidate have proven promising. Numerous antiviral targets and small molecule inhibitors that have efficacy in cell culture have now been identified; however, further studies in this area are required in order to make these suitable for clinical use.
诺如病毒现已被认为是发达国家急性肠胃炎的主要病因,但我们预防和控制感染的能力有限。最近的研究强调,尽管通常在人群中是急性感染,但免疫功能低下的患者经常会出现长期感染,可能持续多年。这一群患者和那些经常接触传染性物质的患者(例如医护人员等)将从疫苗或抗病毒疗法的开发中大大受益。虽然尚未开发出许可的疫苗或抗病毒药物,但过去 10 年来在该领域的工作已经加强,疫苗候选药物的试验已证明前景广阔。现在已经鉴定出许多在细胞培养中具有功效的抗病毒靶标和小分子抑制剂;然而,为了使其适合临床使用,还需要在该领域进行进一步的研究。