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[人类腺病毒的研究进展]

[Research progress in human adenovirus].

作者信息

Gao Wen-Juan, Jin Yu, Duan Zhao-Jun

出版信息

Bing Du Xue Bao. 2014 Mar;30(2):193-200.

Abstract

Human adenovirus (HAdV) is one of the most important pathogens in infants and young children with acute respiratory infections and other diseases. This article reviews the literature on HAdV, including its molecular biological characteristics, detection and typing, and pathogenic mechanism, the clinical features and epidemiological characteristics of HAdV-related diseases, and the prevention and control of HAdV infections. So far, 67 types of HAdV have been identified, including recombinant variants discovered in recent years. The major epidemic strains that cause acute respiratory infections are HAdV-3 and HAdV-7, both of which belong to the subgroup B. HAdV often leads to acute respiratory infections, but it also causes diseases of other systems. HAdV-related diseases have similar clinical manifestations as those caused by other respiratory viruses, but often accompanied by gastrointestinal symptoms. The pathogenic mechanism of HAdV remains unclear, especially for the new recombinant variants, due to few studies on their association with diseases. Because there are no prospective, large randomized controlled trials of HAdV infections, the treatment of HAdV infections is controversial. Vaccine is the most effective measure to reduce respiratory HAdV infections, but it is still not commercially available.

摘要

人腺病毒(HAdV)是引起婴幼儿急性呼吸道感染及其他疾病的最重要病原体之一。本文综述了有关HAdV的文献,包括其分子生物学特征、检测与分型、致病机制、HAdV相关疾病的临床特征和流行病学特征,以及HAdV感染的预防与控制。迄今为止,已鉴定出67种HAdV类型,包括近年来发现的重组变体。引起急性呼吸道感染的主要流行株是HAdV-3和HAdV-7,二者均属于B亚组。HAdV常导致急性呼吸道感染,但也可引起其他系统疾病。HAdV相关疾病的临床表现与其他呼吸道病毒引起的疾病相似,但常伴有胃肠道症状。HAdV的致病机制尚不清楚,尤其是对于新的重组变体,因为关于它们与疾病关联的研究较少。由于缺乏关于HAdV感染的前瞻性、大型随机对照试验,HAdV感染的治疗存在争议。疫苗是减少呼吸道HAdV感染的最有效措施,但仍未商业化。

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