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冠状病毒对人类健康构成新威胁:我们是否应为未来新型冠状病毒的爆发做好准备?

Coronaviruses as the emerging threats for human health: should we be prepared for the future outbreaks of new coronaviruses?

作者信息

Bahrami R, Hashemi D, Aziziraftar S Keshavarz, Rahimi P

出版信息

Bratisl Lek Listy. 2020;121(10):733-741. doi: 10.4149/BLL_2020_120.

Abstract

Recent emergence of SARS-CoV-2 in human communities as the first major zoonotic pandemics of the new millennium following the emergence of SARS-CoV and MERS-CoV has increased our awareness about the future threat of viral zoonosis. Although, several studies have been conducted for better understanding of these viruses` evolution, and designing the effective anti-viral drugs and vaccines, the impact of human beings on occurrence of zoonotic diseases has been less considered and discussed. Improvement in global health resulted in human population growth, increasing demand for animal proteins, more exposures to wildlife, zoonotic and degradation of environment, which have facilitated interspecies transmissions. Since world population is increasing proportionately, the protection of public health against zoonotic diseases is a challenging task. It seems that intensified revision of human lifestyle is the best strategy to prevent the potential devastating future zoonotic pandemics. Herein, the characteristics of SARS-CoV, MERS-CoV, SARS-CoV-2, their transmission routs, their pathogenicity, the therapeutic and prevention approaches including of attempts for designing of effective prophylactic vaccines, anti-viral drugs, and the animal models that have been used for these studies have been reviewed (Ref. 134). Keywords: SARS-CoV-2, COVID-19, pandemic, zoonosis, SARS, MERS.

摘要

严重急性呼吸综合征冠状病毒2(SARS-CoV-2)作为继严重急性呼吸综合征冠状病毒(SARS-CoV)和中东呼吸综合征冠状病毒(MERS-CoV)出现之后新千年的首例主要人畜共患大流行病,近期在人类群体中的出现,提高了我们对病毒人畜共患病未来威胁的认识。尽管已经开展了多项研究以更好地了解这些病毒的进化,并设计有效的抗病毒药物和疫苗,但人类对人畜共患病发生的影响却较少得到考虑和讨论。全球健康状况的改善导致人口增长、对动物蛋白的需求增加、与野生动物的接触增多、人畜共患病以及环境退化,这些都促进了跨物种传播。由于世界人口按比例增长,保护公众健康免受人畜共患病影响是一项具有挑战性的任务。似乎强化对人类生活方式的审视是预防未来潜在毁灭性人畜共患大流行病的最佳策略。在此,对SARS-CoV、MERS-CoV、SARS-CoV-2的特征、它们的传播途径、致病性、治疗和预防方法(包括设计有效预防性疫苗、抗病毒药物的尝试)以及用于这些研究的动物模型进行了综述(参考文献134)。关键词:SARS-CoV-2、2019冠状病毒病、大流行病、人畜共患病、SARS、MERS

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