Department of Toxicology, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania.
Department of Forensic Sciences and Toxicology, Faculty of Medicine, University of Crete, 71003 Heraklion, Greece.
Int J Mol Med. 2020 Jun;45(6):1631-1643. doi: 10.3892/ijmm.2020.4555. Epub 2020 Mar 27.
The new outbreak of coronavirus from December 2019 has brought attention to an old viral enemy and has raised concerns as to the ability of current protection measures and the healthcare system to handle such a threat. It has been known since the 1960s that coronaviruses can cause respiratory infections in humans; however, their epidemic potential was understood only during the past two decades. In the present review, we address current knowledge on coronaviruses from a short history to epidemiology, pathogenesis, clinical manifestation of the disease, as well as treatment and prevention strategies. Although a great amount of research and efforts have been made worldwide to prevent further outbreaks of coronavirus‑associated disease, the spread and lethality of the 2019 outbreak (COVID‑19) is proving to be higher than previous epidemics on account of international travel density and immune naivety of the population. Only strong, joint and coordinated efforts of worldwide healthcare systems, researchers, and pharmaceutical companies and receptive national leaders will succeed in suppressing an outbreak of this scale.
自 2019 年 12 月以来,新型冠状病毒的爆发引起了人们对这种古老病毒的关注,并引发了人们对当前保护措施和医疗体系应对此类威胁能力的担忧。自 20 世纪 60 年代以来,人们就已经知道冠状病毒会导致人类呼吸道感染;然而,直到过去二十年,人们才了解到它们的流行潜力。在本次综述中,我们将从冠状病毒的简史到流行病学、发病机制、疾病临床表现以及治疗和预防策略等方面介绍目前对冠状病毒的认识。尽管全世界已经进行了大量的研究和努力来预防冠状病毒相关疾病的进一步爆发,但由于国际旅行密度和人群的免疫幼稚性,2019 年爆发的 COVID-19 的传播和致死率高于以往的流行疫情。只有全球医疗保健系统、研究人员和制药公司以及乐于接受的国家领导人的强大、联合和协调一致的努力,才能成功抑制这种规模的疫情爆发。