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寨卡病毒导致胎儿小头畸形发病机制的解剖学、动物及细胞证据。

Anatomical, animal, and cellular evidence for Zika-induced pathogenesis of fetal microcephaly.

作者信息

Wang Jing-Zhang, Guo Xin-Hua, Xu Dian-Guo

机构信息

Hebei University of Engineering, Affiliated Hospital, College of Medicine, Handan 056002, Hebei Province, PR China.

Hebei University of Engineering, Affiliated Hospital, College of Medicine, Handan 056002, Hebei Province, PR China.

出版信息

Brain Dev. 2017 Apr;39(4):294-297. doi: 10.1016/j.braindev.2016.10.012. Epub 2016 Nov 19.

Abstract

Several recent articles published by Brain and Development in 2016 demonstrated some rare, but innovative, genetic mechanisms for microcephaly. This concise mini-review presented another novel pathogenic mechanism for microcephaly, which has actually been a worldwide medical challenge since the World Health Organization (WHO) defined the outbreak of the Zika virus (ZIKV) as an International Public Health Emergency on 1 Feb, 2016. As a recent noteworthy clinical phenomenon, the ZIKV outbreak was accompanied by a dramatically increased number of microcephalus fetuses. However, no direct evidence supporting the suspected pathogenic effects of ZIKV on fetal microcephaly was shown previously before 2016. Herein, we evaluated the most important human pathological, animal developmental, and neuro-cytotoxic findings released in 2016, and highlighted the original experimental evidence that strengthens the potential link between ZIKV and the high incidence of microcephaly in new-born babies. Because killing mosquitoes via insecticides is currently the only effective way to suppress ZIKV-induced disorders, the animal and cellular models described in this mini-review are very beneficial to anti-ZIKV drug development and vaccine assessment.

摘要

《大脑与发育》在2016年发表的几篇近期文章展示了一些罕见但具有创新性的小头畸形遗传机制。这篇简洁的小型综述提出了另一种小头畸形的新型致病机制,自世界卫生组织(WHO)于2016年2月1日将寨卡病毒(ZIKV)疫情定义为国际公共卫生紧急事件以来,小头畸形实际上一直是一项全球性的医学挑战。作为近期一个值得注意的临床现象,ZIKV疫情伴随着小头畸形胎儿数量的急剧增加。然而,在2016年之前,此前并未有直接证据表明ZIKV对胎儿小头畸形有可疑的致病作用。在此,我们评估了2016年发布的最重要的人类病理学、动物发育学和神经细胞毒性研究结果,并强调了加强ZIKV与新生儿小头畸形高发病率之间潜在联系的原始实验证据。由于目前通过杀虫剂杀死蚊子是抑制ZIKV引发疾病的唯一有效方法,因此本小型综述中描述的动物和细胞模型对抗ZIKV药物研发和疫苗评估非常有益。

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