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埃博拉病毒(EBOV)综述:未来展望

Comprehensive Review on Ebola (EBOV) Virus: Future Prospects.

作者信息

Khan Sajad, Rauf Abdur, Khan Ahsan, Rizwan Muhammad, Patel Seema, Khan Haroon, Mahasneh Adel M, Mubarak Mohammad S

机构信息

Centre for Biotechnology and Microbiology, University of Swat, KPK, Pakistan.

Department of Microbiology, University of Swabi, KPK, Pakistan.

出版信息

Infect Disord Drug Targets. 2018;18(2):96-104. doi: 10.2174/1871526517666170817100828.

Abstract

Ebola virus (EBOV) was discovered for the first time in 1976. It belongs to the family Filoviridae, which causes hemorrhagic fever that could lead to death in a few days. West Africa faced a major outbreak where symptoms appeared in the form of chills, myalgia, fever, diarrhea, and vomiting, and the disease finally reached a severe state as a result of hemorrhagic complications and failure of multiple organs. EBOV spreads by contact with body fluids of an infected person such as blood, saliva, urine, and seminal fluid, and also spreads by a contact with contaminated surfaces. Viral infection depends on the virus and host defenses. When the virus invades the body, the immune system becomes activated in an attempt to neutralize it. However, if this fails, EBOV viral infection spreads and leads to impaired innate and adaptive immune responses and uncontrollable viral replication. Consequently, the symptomatic patient is isolated and various medicinal regimens such as BCX-4430n TKM- EBOV are used, to cure EBOV, though, a specific treatment is not available. Accordingly, the aim of the present review is to survey and summarize the recent literature pertaining to the outbreak of EBOV, systematic infection of the human body, along with transmission and treatment. In addition, the review also aims to identify areas that need more research and development in combatting this dangerous virus. In the meantime, it should be noted that there is no fully FDA approved drug to treat infections by this virus. Therefore, there is a pressing need to focus on drug discovery along with public awareness to effectively manage any outbreaks in the future.

摘要

埃博拉病毒(EBOV)于1976年首次被发现。它属于丝状病毒科,可引发出血热,数天内就能导致死亡。西非曾面临一次重大疫情爆发,症状表现为寒战、肌痛、发热、腹泻和呕吐,最终因出血并发症和多器官衰竭而发展到严重状态。埃博拉病毒通过接触感染者的体液(如血液、唾液、尿液和精液)传播,也可通过接触受污染的表面传播。病毒感染取决于病毒和宿主防御机制。当病毒侵入人体时,免疫系统会被激活以试图将其中和。然而,如果这一过程失败,埃博拉病毒感染就会扩散,导致先天性和适应性免疫反应受损以及病毒复制失控。因此,有症状的患者会被隔离,并使用各种药物治疗方案(如BCX - 4430、TKM - EBOV)来治疗埃博拉病毒,不过目前尚无特效治疗方法。因此,本综述的目的是调查和总结近期有关埃博拉病毒爆发、人体系统性感染以及传播和治疗方面的文献。此外,该综述还旨在确定在抗击这种危险病毒方面需要更多研究和开发的领域。同时,需要注意的是,目前尚无完全获得美国食品药品监督管理局(FDA)批准用于治疗该病毒感染的药物。因此,迫切需要专注于药物研发以及提高公众意识,以便在未来有效应对任何疫情爆发。

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