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新型严重急性呼吸综合征冠状病毒2(SARS-CoV-2)疫情与2019冠状病毒病;关于全球大流行的系统综述

Novel SARS-CoV-2 outbreak and COVID19 disease; a systemic review on the global pandemic.

作者信息

Al-Rohaimi Abdulmohsen H, Al Otaibi Faisal

机构信息

College of Pharmacy, University of Shaqra, Al Dawadmi, Saudi Arabia.

Clinical Pharmacology, William Harvey Research Institute, Queen Mary University of London, Charterhouse Square, London, EC1M6BQ, UK.

出版信息

Genes Dis. 2020 Jun 17;7(4):491-501. doi: 10.1016/j.gendis.2020.06.004. eCollection 2020 Dec.

Abstract

Since the beginning of the 21st century, several viral outbreaks have threatened humankind and posed a new challenge to the modern healthcare system. The recent outbreak in Wuhan (December 2019), China, represents a beta coronavirus classified as novel Severe Acute Respiratory Syndrome Corona Virus-2 (SARS-CoV-2) which belongs to the Coronaviridae family. Novel SARS-CoV-2 represents a significant similarity with previous coronaviruses such as SARS-CoV in 2002, China and MERS-CoV in 2015, Middle East. However, preliminary research investigations have shown the novel SARS-CoV-2 evolved with several mutations and developed the capacity to cross the species, i.e., animal to human. The initial findings have shown that spike proteins are vital molecules target hACE2 receptor for its attachment and entry into cells. After successful entry virus primarily focuses on respiratory airway cell lines and triggers a massive immune response leading to mucus generation. In severe conditions, the virus is capable of forcing viral pneumonia leading to the collapse of the respiratory system, i.e., COVID19. So far, there is a lack of immunity against the virus in humans. At the same in the absence of therapeutic interventions, many countries experienced high mortality, such as the United States, European countries, i.e., Italy, Spain, France, and the United Kingdom. The vaccine development is underway and experiencing challenges, as many reports demonstrated genetic variations in viral genome and proteins as well. The present study provides a complete comprehensive overview of the novel SARS-CoV-2 outbreak, human transmission, and global spread.

摘要

自21世纪初以来,几次病毒爆发威胁到人类,并对现代医疗保健系统构成了新的挑战。最近在中国武汉(2019年12月)爆发的疫情是一种β冠状病毒,被归类为新型严重急性呼吸综合征冠状病毒2(SARS-CoV-2),属于冠状病毒科。新型SARS-CoV-2与之前的冠状病毒有显著相似之处,如2002年在中国的SARS-CoV和2015年在中东的MERS-CoV。然而,初步研究调查表明,新型SARS-CoV-2通过多次突变进化,并发展出了跨物种传播的能力,即从动物传播到人类。初步研究结果表明,刺突蛋白是病毒附着并进入细胞的关键分子,其靶点是hACE2受体。成功进入细胞后,病毒主要聚焦于呼吸道细胞系,并引发大规模免疫反应,导致黏液生成。在严重情况下,病毒能够引发病毒性肺炎,导致呼吸系统衰竭,即新冠肺炎。到目前为止,人类对这种病毒缺乏免疫力。同时,在缺乏治疗干预措施的情况下,许多国家都经历了高死亡率,如美国、欧洲国家,即意大利、西班牙、法国和英国。疫苗研发正在进行中,但也面临挑战,因为许多报告显示病毒基因组和蛋白质也存在基因变异。本研究全面概述了新型SARS-CoV-2的爆发、人际传播和全球扩散情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8dea/7729096/8ffe5fb128d2/gr1.jpg

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