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病毒感染诊断的进展和见解。

Advances and insights in the diagnosis of viral infections.

机构信息

Laboratory of Nanotechnology, Department of Functional Materials and Electronics, Center for Physical Sciences and Technology, Sauletekio av. 3, Vilnius, Lithuania.

Department of Physical Chemistry, Faculty of Chemistry and Geoscience, Vilnius University, Naugarduko str. 24, 03225, Vilnius, Lithuania.

出版信息

J Nanobiotechnology. 2021 Oct 30;19(1):348. doi: 10.1186/s12951-021-01081-2.

Abstract

Viral infections are the most common among diseases that globally require around 60 percent of medical care. However, in the heat of the pandemic, there was a lack of medical equipment and inpatient facilities to provide all patients with viral infections. The detection of viral infections is possible in three general ways such as (i) direct virus detection, which is performed immediately 1-3 days after the infection, (ii) determination of antibodies against some virus proteins mainly observed during/after virus incubation period, (iii) detection of virus-induced disease when specific tissue changes in the organism. This review surveys some global pandemics from 1889 to 2020, virus types, which induced these pandemics, and symptoms of some viral diseases. Non-analytical methods such as radiology and microscopy also are overviewed. This review overlooks molecular analysis methods such as nucleic acid amplification, antibody-antigen complex determination, CRISPR-Cas system-based viral genome determination methods. Methods widely used in the certificated diagnostic laboratory for SARS-CoV-2, Influenza A, B, C, HIV, and other viruses during a viral pandemic are outlined. A comprehensive overview of molecular analytical methods has shown that the assay's sensitivity, accuracy, and suitability for virus detection depends on the choice of the number of regions in the viral open reading frame (ORF) genome sequence and the validity of the selected analytical method.

摘要

病毒感染是全球范围内最常见的疾病之一,约占医疗需求的 60%。然而,在疫情高峰期,缺乏医疗设备和住院设施,无法为所有病毒感染患者提供治疗。病毒感染的检测有三种常见方法:(i)直接病毒检测,在感染后 1-3 天进行;(ii)检测针对某些病毒蛋白的抗体,这些抗体主要在病毒潜伏期内或之后观察到;(iii)检测病毒引起的疾病,当机体组织发生特定变化时。本文综述了 1889 年至 2020 年期间的一些全球大流行、引发这些大流行的病毒类型以及一些病毒性疾病的症状。本文还综述了放射学和显微镜等非分析方法。本文忽略了核酸扩增、抗体-抗原复合物测定、基于 CRISPR-Cas 系统的病毒基因组测定等分子分析方法。本文概述了在病毒性大流行期间,经认证的诊断实验室中广泛用于检测 SARS-CoV-2、流感 A、B、C、HIV 等病毒的方法。对分子分析方法的全面综述表明,检测方法的灵敏度、准确性和对病毒检测的适用性取决于病毒开放阅读框(ORF)基因组序列中选择的区域数量以及所选分析方法的有效性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a3ba/8556937/766cbae31401/12951_2021_1081_Fig1_HTML.jpg

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