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新型冠状病毒肺炎流行病学:最新综述

Epidemiology of COVID-19: An updated review.

作者信息

Halaji Mehrdad, Heiat Mohammad, Faraji Niloofar, Ranjbar Reza

机构信息

Department of Microbiology, Faculty of Medicine, Babol University of Medical Sciences, Babol, Iran.

Baqiyatallah Research Center for Gastroenterology and Liver Diseases, Baqiyatallah University of Medical Sciences, Tehran, Iran.

出版信息

J Res Med Sci. 2021 Sep 30;26:82. doi: 10.4103/jrms.JRMS_506_20. eCollection 2021.

Abstract

The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), a zoonotic infection, is responsible for COVID-19 pandemic and also is known as a public health concern. However, so far, the origin of the causative virus and its intermediate hosts is yet to be fully determined. SARS-CoV-2 contains nearly 30,000 letters of RNA that allows the virus to infect cells and hijack them to make new viruses. On the other hand, among 14 detected mutations in the SARS-CoV-2 S protein that provide advantages to virus for transmission and evasion form treatment, the D614G mutation (substitution of aspartic acid [D] with glycine [G] in codon 614 was particular which could provide the facilitation of the transmission of the virus and virulence. To date, in contrary to the global effort to come up with various aspects of SARS-CoV-2, there are still great pitfalls in the knowledge of this disease and many angles remain unclear. That's why, the monitoring and periodical investigation of this emerging infection in an epidemiological study seems to be essential. The present study characterizes the current epidemiological status (i.e., possible transmission route, mortality and morbidity risk, emerging SARS-CoV-2 variants, and clinical feature) of the SARS-CoV-2 in the world during these pandemic.

摘要

严重急性呼吸综合征冠状病毒2(SARS-CoV-2)是一种人畜共患感染源,是导致COVID-19大流行的原因,也是一个公共卫生问题。然而,到目前为止,致病病毒的起源及其中间宿主尚未完全确定。SARS-CoV-2含有近3万个RNA字母,使病毒能够感染细胞并劫持它们来制造新的病毒。另一方面,在SARS-CoV-2 S蛋白中检测到的14种突变中,有一些为病毒传播和逃避治疗提供了优势,其中D614G突变(密码子614处天冬氨酸[D]被甘氨酸[G]取代)尤为特殊,它可以促进病毒传播和毒力。迄今为止,尽管全球在SARS-CoV-2的各个方面都付出了努力,但对这种疾病的了解仍然存在很大的缺陷,许多方面仍不清楚。这就是为什么在流行病学研究中对这种新出现的感染进行监测和定期调查似乎至关重要。本研究描述了在这些大流行期间SARS-CoV-2在全球的当前流行病学状况(即可能的传播途径、死亡率和发病率风险、新出现的SARS-CoV-2变体以及临床特征)。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ae81/8548902/3685dbac406e/JRMS-26-82-g001.jpg

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