Singh Gurpreet, Kumar Arbind, Singh Kashmir, Kaur Jagdeep
Department of Biotechnology, Panjab University, Chandigarh, India.
Rev Med Virol. 2016 Jan;26(1):49-56. doi: 10.1002/rmv.1863. Epub 2015 Nov 12.
The Ebola viruses are causative agent of a severe Ebola virus disease (EVD) or Ebola hemorrhagic fever (EHF) in human and other primates. Transmission of EVD occurs through the contact of body fluids from infected persons or animals, making it one of the most epidemic diseases worldwide. Underestimating the Ebola virus has cost loss of precious human lives in recent years. Ebola virus outbreak in year 2014 created a history, affecting a larger population in a wide geographical region of African sub-continent. EVD outbreaks have a case fatality rate of up to 70%. Ebola viruses are endemic in regions of Africa. Ebola viruses mainly target the hepatocytes, endothelial, and macrophage-rich lymphoid tissues and are characterized by immune suppression and a systemic inflammatory response that causes impairment of the vascular, coagulation, and immune systems. This impairment leads to multifocal necrosis and multi organ failure, and thus, in some ways, resembling septic shock. Currently, neither a specific treatment nor a vaccine licensed for use in humans is available. This review is focused on general characteristic of Ebola viruses, its pathogenesis, immunological response of host, and recent approaches for vaccine development against EVD. Copyright © 2015 John Wiley & Sons, Ltd.
埃博拉病毒是人类和其他灵长类动物中严重埃博拉病毒病(EVD)或埃博拉出血热(EHF)的病原体。埃博拉病毒病通过接触受感染人员或动物的体液传播,使其成为全球最具流行性的疾病之一。近年来,对埃博拉病毒的低估导致了宝贵生命的损失。2014年的埃博拉病毒爆发创造了历史,影响了非洲次大陆广大地理区域内的大量人口。埃博拉病毒病爆发的病死率高达70%。埃博拉病毒在非洲地区流行。埃博拉病毒主要靶向肝细胞、内皮细胞以及富含巨噬细胞的淋巴组织,其特征是免疫抑制和全身性炎症反应,会导致血管、凝血和免疫系统受损。这种损伤会导致多灶性坏死和多器官衰竭,因此在某些方面类似于感染性休克。目前,既没有特效治疗方法,也没有获得许可用于人类的疫苗。本综述聚焦于埃博拉病毒的一般特征、其发病机制、宿主的免疫反应以及近期针对埃博拉病毒病的疫苗研发方法。版权所有© 2015约翰威立父子有限公司。