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基于病毒基因组和受体影响的2019冠状病毒病:诊断与免疫学突破概述

SARS-CoV-2 Disease through Viral Genomic and Receptor Implications: An Overview of Diagnostic and Immunology Breakthroughs.

作者信息

Inchingolo Alessio Danilo, Inchingolo Angelo Michele, Bordea Ioana Roxana, Malcangi Giuseppina, Xhajanka Edit, Scarano Antonio, Lorusso Felice, Farronato Marco, Tartaglia Gianluca Martino, Isacco Ciro Gargiulo, Marinelli Grazia, D'Oria Maria Teresa, Hazballa Denisa, Santacroce Luigi, Ballini Andrea, Contaldo Maria, Inchingolo Francesco, Dipalma Gianna

机构信息

Department of Interdisciplinary Medicine, University of Medicine Aldo Moro, 70124 Bari, Italy.

Department of Oral Rehabilitation, Faculty of Dentistry, Iuliu Hațieganu University of Medicine and Pharmacy, 400012 Cluj-Napoca, Romania.

出版信息

Microorganisms. 2021 Apr 10;9(4):793. doi: 10.3390/microorganisms9040793.

Abstract

The SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2), which is believed to have originated in China towards the end of November 2019, has now spread across the globe, causing a pandemic in 192 countries. The World Health Organization has called it the SARS-CoV-2 pandemic. Rapid dissemination of the virus occurs mainly through the saliva (Flügge's droplets) and aerosol, together with nasal and lachrymal passages. The literature associated with the recent advancement in terms of rapid diagnostics and SARS-CoV-2 vaccines has thoroughly studied the role of ACE2 receptors and Furin, as well as viral agent access into the host cell and its significant persistence at the level of the oral mucosa, which represents the main access to the virus. The purpose of this review was to underline the processes of SARS-CoV-2 infection mechanisms and novel breakthroughs in diagnostics and vaccines. Different technologies, such as the RT-PCR molecular test and the antigenic test, have been developed to identify subjects affected by the SARS-CoV-2 in order to improve the tracking of infection geographical diffusion. Novel rapid and highly sensitive diagnostic tests has been proposed for the detection of SARS-CoV-2 to improve the screening capability of suspected contagions. The strengthening of the vaccination campaign represents the most effective means to combat the SARS-CoV-2 infection and prevent severe manifestations of the virus-different classes of vaccines have been developed for this purpose. Further attention on the novel SARS-CoV-2 variant is necessary in order to verify the protection efficacy and virulence reduction of the infective agent in the recent vaccine campaign.

摘要

严重急性呼吸综合征冠状病毒2(SARS-CoV-2)据信于2019年11月底在中国出现,现已蔓延至全球,在192个国家引发了大流行。世界卫生组织称其为SARS-CoV-2大流行。该病毒的快速传播主要通过唾液(飞沫)和气溶胶,以及鼻腔和泪道。近期关于快速诊断和SARS-CoV-2疫苗进展的文献深入研究了血管紧张素转换酶2(ACE2)受体和弗林蛋白酶的作用,以及病毒进入宿主细胞的途径及其在口腔黏膜水平的显著持久性,口腔黏膜是病毒的主要入侵途径。本综述的目的是强调SARS-CoV-2感染机制的过程以及诊断和疫苗方面的新突破。已经开发了不同技术,如逆转录聚合酶链反应(RT-PCR)分子检测和抗原检测,以识别受SARS-CoV-2感染的个体,从而改进对感染地理扩散的追踪。已提出新型快速且高度灵敏的诊断测试用于检测SARS-CoV-2,以提高对疑似传染病例的筛查能力。加强疫苗接种运动是对抗SARS-CoV-2感染和预防该病毒严重症状的最有效手段——为此已开发了不同类型的疫苗。有必要进一步关注新型SARS-CoV-2变体,以验证其在近期疫苗接种运动中对感染因子的保护效力和毒力降低情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef54/8070527/baec9b4fca7c/microorganisms-09-00793-g001.jpg

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