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埃博拉病毒持续存在作为临床研究的新焦点。

Ebola virus persistence as a new focus in clinical research.

作者信息

Caviness Katie, Kuhn Jens H, Palacios Gustavo

机构信息

U.S. Army Medical Research Institute of Infectious Diseases, Fort Detrick, Frederick, MD 21702, USA.

Integrated Research Facility at Fort Detrick, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Fort Detrick, Frederick, MD 21702, USA.

出版信息

Curr Opin Virol. 2017 Apr;23:43-48. doi: 10.1016/j.coviro.2017.02.006. Epub 2017 Mar 21.

Abstract

Ebola virus (EBOV) causes severe acute human disease with high lethality. Viremia is typical during the acute disease phase. However, EBOV RNA can remain detectable in immune-privileged tissues for prolonged periods of time after clearance from the blood, suggesting EBOV may persist during convalescence and thereafter. Eliminating persistent EBOV is important to ensure full recovery of survivors and decrease the risk of outbreak re-ignition caused by EBOV spread from apparently healthy survivors to naive contacts. Here, we review prior evidence of EBOV persistence and explore the tools needed for the development of model systems to understand persistence.

摘要

埃博拉病毒(EBOV)可引发具有高致死率的严重急性人类疾病。病毒血症在急性疾病阶段较为典型。然而,在血液中病毒清除后,EBOV RNA可在免疫赦免组织中长时间保持可检测状态,这表明EBOV可能在康复期及之后持续存在。消除持续性EBOV对于确保幸存者完全康复以及降低由看似健康的幸存者将EBOV传播给未接触过病毒的人而导致疫情再次爆发的风险至关重要。在此,我们回顾EBOV持续存在的先前证据,并探索开发模型系统以了解持续性所需的工具。

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