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黄热病病毒的未来走向如何?(一)

What Does the Future Hold for Yellow Fever Virus? (I).

作者信息

Klitting Raphaëlle, Gould Ernest A, Paupy Christophe, de Lamballerie Xavier

机构信息

Unité des Virus Émergents (UVE: Aix-Marseille Université, IRD 190, Inserm 1207, IHU Méditerranée Infection), 13385 Marseille Cedex 05, France.

UMR Maladies Infectieuses et Vecteurs: Écologie, Génétique Évolution et Contrôle (MIVEGEC: IRD, CNRS, Université Montpellier), 34394 Montpellier, France.

出版信息

Genes (Basel). 2018 Jun 8;9(6):291. doi: 10.3390/genes9060291.

Abstract

The recent resurgence of yellow fever virus (YFV) activity in the tropical regions of Africa and South America has sparked renewed interest in this infamous arboviral disease. Yellow fever virus had been a human plague for centuries prior to the identification of its urban transmission vector, the () (Linnaeus) mosquito species, and the development of an efficient live-attenuated vaccine, the YF-17D strain. The combination of vector-control measures and vaccination campaigns drastically reduced YFV incidence in humans on many occasions, but the virus never ceased to circulate in the forest, through its sylvatic invertebrate vector(s) and vertebrate host(s). Outbreaks recently reported in Central Africa (2015⁻2016) and Brazil (since late 2016), reached considerable proportions in terms of spatial distribution and total numbers of cases, with multiple exports, including to China. In turn, questions about the likeliness of occurrence of large urban YFV outbreaks in the Americas or of a successful import of YFV to Asia are currently resurfacing. This two-part review describes the current state of knowledge and gaps regarding the molecular biology and transmission dynamics of YFV, along with an overview of the tools that can be used to manage the disease at individual, local and global levels.

摘要

近期,黄热病病毒(YFV)在非洲和南美洲热带地区的活动再度活跃,引发了人们对这种臭名昭著的虫媒病毒疾病的新关注。在确定其城市传播媒介——埃及伊蚊(Linnaeus)以及研发出高效减毒活疫苗——YF-17D株之前,黄热病病毒已经困扰人类数百年。媒介控制措施和疫苗接种运动的结合多次大幅降低了人类感染YFV的发病率,但该病毒通过其野生无脊椎动物媒介和脊椎动物宿主,一直在森林中传播。最近在中非(2015 - 2016年)和巴西(自2016年末以来)报告的疫情,在空间分布和病例总数方面达到了相当规模,并有多次输出,包括输出到中国。相应地,目前关于美洲大城市YFV疫情发生的可能性或YFV成功传入亚洲的问题再次浮现。这篇分两部分的综述描述了关于YFV分子生物学和传播动力学的当前知识状态及差距,同时概述了可用于在个人、地方和全球层面管理该疾病的工具。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/20ea/6027470/2b7ac990ae06/genes-09-00291-g001.jpg

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