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严重急性呼吸综合征冠状病毒2(SARS-CoV-2):病毒结构与宿主反应概述

Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2): An overview of viral structure and host response.

作者信息

Astuti Indwiani

机构信息

Department of Pharmacology and Therapy, Faculty of Medicine, Public Health and Nurses, Universitas Gadjah Mada, Yogyakarta, Indonesia.

出版信息

Diabetes Metab Syndr. 2020 Jul-Aug;14(4):407-412. doi: 10.1016/j.dsx.2020.04.020. Epub 2020 Apr 18.

Abstract

BACKGROUND AND AIM

As a result of its rapid spread in various countries around the world, on March 11, 2020, WHO issued an announcement of the change in coronavirus disease 2019 status from epidemic to pandemic disease. The virus that causes this disease is indicated originating from animals traded in a live animal market in Wuhan, China. Severe Acute Respiratory Syndrome Coronavirus 2 can attack lung cells because there are many conserved receptor entries, namely Angiotensin Converting Enzyme-2. The presence of this virus in host cells will initiate various protective responses leading to pneumonia and Acute Respiratory Distress Syndrome. This review aimed to provide an overview related to this virus and examine the body's responses and possible therapies.

METHOD

We searched PubMed databases for Severe Acute Respiratory Syndrome Coronavirus-2, Middle East respiratory syndrome-related coronavirus and Severe Acute Respiratory Syndrome Coronavirus. Full texts were retrieved, analyzed and developed into an easy-to-understand review.

RESULTS

We provide a complete review related to structure, origin, and how the body responds to this virus infection and explain the possibility of an immune system over-reaction or cytokine storm. We also include an explanation of how this virus creates modes of avoidance to evade immune system attacks. We further explain the therapeutic approaches that can be taken in the treatment and prevention of this viral infection.

CONCLUSION

In summary, based on the structural and immune-evasion system of coronavirus, we suggest several approaches to treat the disease.

摘要

背景与目的

由于其在世界各国迅速传播,2020年3月11日,世界卫生组织宣布将2019冠状病毒病的状态从流行病变更为大流行病。引发这种疾病的病毒被认为起源于中国武汉一个活体动物市场交易的动物。严重急性呼吸综合征冠状病毒2能够攻击肺细胞,因为存在许多保守的受体位点,即血管紧张素转换酶2。这种病毒在宿主细胞中的存在会引发各种保护性反应,导致肺炎和急性呼吸窘迫综合征。本综述旨在提供有关这种病毒的概述,并研究机体的反应及可能的治疗方法。

方法

我们在PubMed数据库中搜索严重急性呼吸综合征冠状病毒2、中东呼吸综合征相关冠状病毒和严重急性呼吸综合征冠状病毒。检索全文,进行分析,并编写成一篇通俗易懂的综述。

结果

我们提供了一篇关于该病毒的结构、起源以及机体如何应对这种病毒感染的完整综述,并解释了免疫系统过度反应或细胞因子风暴的可能性。我们还阐述了这种病毒如何产生逃避机制以躲避免疫系统攻击。我们进一步解释了在治疗和预防这种病毒感染时可以采用的治疗方法。

结论

总之,基于冠状病毒的结构和免疫逃逸系统,我们提出了几种治疗该疾病的方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8813/7165108/672f8e59dcfd/gr1_lrg.jpg

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