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埃博拉病毒感染的病理生理学:当前挑战与未来希望

Pathophysiology of Ebola Virus Infection: Current Challenges and Future Hopes.

作者信息

Rivera Andrea, Messaoudi Ilhem

机构信息

Division of Biomedical Sciences, University of California, Riverside , Riverside, California 92521, United States.

出版信息

ACS Infect Dis. 2015 May 8;1(5):186-97. doi: 10.1021/id5000426. Epub 2015 Mar 30.

DOI:10.1021/id5000426
PMID:27622648
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7443712/
Abstract

The filoviruses, Ebola virus (EBOV) and Marburg virus (MARV), are among the deadliest viruses that cause disease in humans, with reported case fatality rates of up to 90% in some outbreaks. The high virulence of EBOV and MARV is largely attributed to the ability of these viruses to interfere with the host immune response. Currently, there are no approved vaccines or postexposure therapeutics, and treatment options for patients infected with EBOV are limited to supportive care. In this review, we discuss mechanisms of EBOV pathogenesis and its ability to subvert host immunity as well as several vaccines and therapeutics with respect to their evaluation in small animal models, nonhuman primates, and human clinical trials.

摘要

丝状病毒,埃博拉病毒(EBOV)和马尔堡病毒(MARV),是导致人类疾病的最致命病毒之一,在某些疫情中报告的病死率高达90%。EBOV和MARV的高毒力很大程度上归因于这些病毒干扰宿主免疫反应的能力。目前,尚无获批的疫苗或暴露后治疗方法,感染EBOV患者的治疗选择仅限于支持性护理。在本综述中,我们讨论了EBOV发病机制及其颠覆宿主免疫的能力,以及几种疫苗和治疗方法在小动物模型、非人灵长类动物和人类临床试验中的评估情况。

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本文引用的文献

1
Emergency postexposure vaccination with vesicular stomatitis virus-vectored Ebola vaccine after needlestick.针刺伤后使用水疱性口炎病毒载体埃博拉疫苗进行紧急暴露后接种。
JAMA. 2015;313(12):1249-55. doi: 10.1001/jama.2015.1995.
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A single phosphorodiamidate morpholino oligomer targeting VP24 protects rhesus monkeys against lethal Ebola virus infection.一种靶向VP24的单磷酰胺吗啉代寡聚物可保护恒河猴免受致命埃博拉病毒感染。
mBio. 2015 Feb 10;6(1):e02344-14. doi: 10.1128/mBio.02344-14.
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Chimpanzee Adenovirus Vector Ebola Vaccine.黑猩猩腺病毒载体埃博拉疫苗。
N Engl J Med. 2017 Mar 9;376(10):928-938. doi: 10.1056/NEJMoa1410863. Epub 2014 Nov 26.
4
Update: Ebola virus disease epidemic--West Africa, November 2014.更新:埃博拉病毒病疫情——西非,2014年11月
MMWR Morb Mortal Wkly Rep. 2014 Nov 21;63(46):1064-6.
5
Host genetic diversity enables Ebola hemorrhagic fever pathogenesis and resistance.宿主基因多样性影响埃博拉出血热的发病机制及抵抗力。
Science. 2014 Nov 21;346(6212):987-91. doi: 10.1126/science.1259595. Epub 2014 Oct 30.
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Ebola virus disease in West Africa--the first 9 months of the epidemic and forward projections.西非埃博拉病毒病——疫情头9个月及未来预测
N Engl J Med. 2014 Oct 16;371(16):1481-95. doi: 10.1056/NEJMoa1411100. Epub 2014 Sep 22.
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Genomic surveillance elucidates Ebola virus origin and transmission during the 2014 outbreak.基因组监测解析了 2014 年埃博拉疫情期间病毒的起源和传播。
Science. 2014 Sep 12;345(6202):1369-72. doi: 10.1126/science.1259657. Epub 2014 Aug 28.
8
Chimpanzee adenovirus vaccine generates acute and durable protective immunity against ebolavirus challenge.黑猩猩腺病毒疫苗可产生针对埃博拉病毒挑战的急性和持久保护免疫。
Nat Med. 2014 Oct;20(10):1126-9. doi: 10.1038/nm.3702. Epub 2014 Sep 7.
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Case fatality rates of Ebola virus diseases: a meta-analysis of World Health Organization data.埃博拉病毒病的病死率:基于世界卫生组织数据的荟萃分析
Med Mal Infect. 2014 Sep;44(9):412-6. doi: 10.1016/j.medmal.2014.08.005. Epub 2014 Sep 2.
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US signs contract with ZMapp maker to accelerate development of the Ebola drug.美国与“ZMapp”药物制造商签署合同,以加速埃博拉药物的研发。
BMJ. 2014 Sep 4;349:g5488. doi: 10.1136/bmj.g5488.