SARS-CoV-2,SARS-CoV 和 MERS-CoV 的另一面:未来预测。
SARS-CoV-2, the other face to SARS-CoV and MERS-CoV: Future predictions.
机构信息
Botany and Microbiology Department, Faculty of Science, Al-Azhar University, Cairo, Egypt.
Biology Department, Faculty of Science, King Abdulaziz University, Jeddah, Saudi Arabia.
出版信息
Biomed J. 2021 Mar;44(1):86-93. doi: 10.1016/j.bj.2020.10.008. Epub 2020 Oct 28.
Coronavirus disease 2019 (COVID-19) outbreak is proving to be an unprecedented disaster that lays its dark shadow on global health, economics and personal freedom. Severe acute respiratory syndrome (SARS) and middle east respiratory syndrome (MERS) epidemics provide scientific data that is useful in better understanding and resolution of COVID-19. Similarities among SARS-CoV, MERS-CoV and SARS-CoV-2 have been investigated in the light of available data. SARS-CoV, MERS-CoV and SARS-CoV-2 evolved in bats and have positive-sense RNA genomes of 27.9 kb, 30.1 kb and 29.9 kb, respectively. Molecular and serological tools used for diagnosis of SARS and MERS patients resemble COVID-19 diagnostic tools. Stability and longevity data of SARS and MERS epidemics contribute in the current pandemic precaution policies. Trials to produce vaccines for SARS-CoV and MERS-CoV failed, therefore different strategies were employed for SARS-CoV2 vaccines production and during the past period antiviral agents, Convalescent plasma and monoclonal antibodies provide potential treatments for sever patients. The mortality rate caused by the SARS-CoV and MERS-CoV reached 15% and 37%, respectively. The first declarations about mortality rate of SARS-CoV-2 was around 2-4% but now this rate differed globally and reached more than 13% in some countries. A realistic COVID-19 outbreak scenario suggest that the pandemic might last for three years with fluctuation in the number of infected cases, unless vaccination process goes faster and/or antiviral drug is discovered.
2019 年冠状病毒病(COVID-19)疫情正在证明是一场前所未有的灾难,给全球健康、经济和个人自由蒙上了阴影。严重急性呼吸综合征(SARS)和中东呼吸综合征(MERS)疫情提供了有用的科学数据,有助于更好地了解和解决 COVID-19 问题。根据现有数据,对 SARS-CoV、MERS-CoV 和 SARS-CoV-2 之间的相似性进行了研究。SARS-CoV、MERS-CoV 和 SARS-CoV-2 在蝙蝠中进化而来,分别具有 27.9kb、30.1kb 和 29.9kb 的正链 RNA 基因组。用于诊断 SARS 和 MERS 患者的分子和血清学工具与 COVID-19 诊断工具相似。SARS 和 MERS 疫情的稳定性和持久性数据有助于当前的大流行预防政策。用于 SARS-CoV 和 MERS-CoV 的疫苗生产试验失败,因此针对 SARS-CoV2 疫苗生产采用了不同的策略,在过去的一段时间里,抗病毒药物、恢复期血浆和单克隆抗体为重症患者提供了潜在的治疗方法。SARS-CoV 和 MERS-CoV 引起的死亡率分别达到 15%和 37%。关于 SARS-CoV-2 死亡率的首次声明约为 2-4%,但现在这一比率在全球范围内有所不同,在一些国家已超过 13%。对 COVID-19 疫情爆发的现实情景预测表明,除非疫苗接种进程加快和/或发现抗病毒药物,否则该大流行可能会持续三年,并伴有感染病例数量的波动。