Karst Stephanie M, Wobus Christiane E, Goodfellow Ian G, Green Kim Y, Virgin Herbert W
College of Medicine, Department of Molecular Genetics and Microbiology, Emerging Pathogens Institute, University of Florida, Gainesville, FL 32610, USA.
Department of Microbiology and Immunology, University of Michigan Medical School, Ann Arbor, MI 48109, USA.
Cell Host Microbe. 2014 Jun 11;15(6):668-80. doi: 10.1016/j.chom.2014.05.015.
Human noroviruses are a major cause of epidemic and sporadic gastroenteritis worldwide and can chronically infect immunocompromised patients. Efforts to develop effective vaccines and antivirals have been hindered by the uncultivable nature and extreme genetic diversity of human noroviruses. Although they remain a particularly challenging pathogen to study, recent advances in norovirus animal models and in vitro cultivation systems have led to an increased understanding of norovirus molecular biology and replication, pathogenesis, cell tropism, and innate and adaptive immunity. Furthermore, clinical trials of vaccines consisting of nonreplicating virus-like particles have shown promise. In this review, we summarize these recent advances and discuss controversies in the field, which is rapidly progressing toward generation of antiviral agents and increasingly effective vaccines.
人诺如病毒是全球流行性和散发性胃肠炎的主要病因,并且可长期感染免疫功能低下的患者。人诺如病毒无法培养的特性以及其极高的遗传多样性阻碍了开发有效疫苗和抗病毒药物的努力。尽管它们仍然是一种特别具有挑战性的病原体,但诺如病毒动物模型和体外培养系统的最新进展使人们对诺如病毒的分子生物学、复制、发病机制、细胞嗜性以及固有免疫和适应性免疫有了更多的了解。此外,由非复制性病毒样颗粒组成的疫苗的临床试验已显示出前景。在本综述中,我们总结了这些最新进展,并讨论了该领域的争议,该领域正在迅速朝着抗病毒药物和日益有效的疫苗的研发迈进。