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从 SARS 到 SARS-CoV-2,了解大流行人类冠状病毒的结构、致病性和免疫方面的见解。

From SARS to SARS-CoV-2, insights on structure, pathogenicity and immunity aspects of pandemic human coronaviruses.

机构信息

Department of Science, Modern Institute of Technology, Dhalwala, Rishikesh, Uttarakhand, India.

Department of Biotechnology, Institute of Biotechnology, College of Life and Applied Sciences, Yeungnam University, 280 Daehak-Ro, Gyeongsan, Gyeongbuk 38541, Republic of Korea.

出版信息

Infect Genet Evol. 2020 Nov;85:104502. doi: 10.1016/j.meegid.2020.104502. Epub 2020 Aug 13.

Abstract

Human Coronaviruses (HCoV), periodically emerging across the world, are potential threat to humans such as severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) - diseases termed as COVID-19. Current SARS-CoV-2 outbreak have fueled ongoing efforts to exploit various viral target proteins for therapy, but strategies aimed at blocking the viral proteins as in drug and vaccine development have largely failed. In fact, evidence has now shown that coronaviruses undergoes rapid recombination to generate new strains of altered virulence; additionally, escaped the host antiviral defense system and target humoral immune system which further results in severe deterioration of the body such as by cytokine storm. This demands the understanding of phenotypic and genotypic classification, and pathogenesis of SARS-CoV-2 for the production of potential therapy. In lack of clear clinical evidences for the pathogenesis of COVID-19, comparative analysis of previous pandemic HCoVs associated immunological responses can provide insights into COVID-19 pathogenesis. In this review, we summarize the possible origin and transmission mode of CoVs and the current understanding on the viral genome integrity of known pandemic virus against SARS-CoV-2. We also consider the host immune response and viral evasion based on available clinical evidences which would be helpful to remodel COVID-19 pathogenesis; and hence, development of therapeutics against broad spectrum of coronaviruses.

摘要

人类冠状病毒(HCoV)在全球范围内周期性出现,是对人类的潜在威胁,例如严重急性呼吸综合征冠状病毒 2(SARS-CoV-2)-被称为 COVID-19 的疾病。目前的 SARS-CoV-2 爆发促使人们正在努力利用各种病毒靶蛋白进行治疗,但旨在阻断病毒蛋白的策略,如药物和疫苗开发,在很大程度上已经失败。事实上,现在有证据表明,冠状病毒会迅速重组,产生新的毒力改变的毒株;此外,还逃避了宿主抗病毒防御系统和靶向体液免疫系统,从而导致身体严重恶化,例如细胞因子风暴。这就要求我们了解 SARS-CoV-2 的表型和基因型分类以及发病机制,以生产潜在的治疗方法。由于缺乏 COVID-19 发病机制的明确临床证据,对以前大流行的 HCoV 相关免疫反应的比较分析可以深入了解 COVID-19 的发病机制。在这篇综述中,我们总结了 CoVs 的可能起源和传播模式,以及目前对已知大流行病毒(针对 SARS-CoV-2)的病毒基因组完整性的理解。我们还根据现有临床证据考虑了宿主免疫反应和病毒逃避,这将有助于重塑 COVID-19 的发病机制;并因此,针对广泛的冠状病毒开发治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f7cd/7425554/7b09183a5c9e/ga1_lrg.jpg

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