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1889 年俄罗斯流感大流行之谜:一种冠状病毒?

The enigma of the 1889 Russian flu pandemic: A coronavirus?

机构信息

Pr emeritus, University of Paris.

出版信息

Presse Med. 2022 Sep;51(3):104111. doi: 10.1016/j.lpm.2022.104111. Epub 2022 Feb 4.

Abstract

The "Russian flu", which raged from 1889 to 1894, is considered as the first pandemic of the industrial era for which statistics have been collected. This planetary event started in Turkestan and hit the Russian Empire, before reaching all European countries, the United States of America, and the whole world. Contemporaries were surprised by its high contagiousness as evidenced by attack rates averaging 60% in urban populations, its rapid spread in successive waves circling the globe in a few months by rail and sea, and the tendency of the disease to relapse. Despite its low case-fatality rate (0.10%-0.28%), it is estimated to have caused one million deaths worldwide. On serological grounds, it is generally accepted that the causative agent of Russian influenza was Myxovirus influenzae, the virus identified for all influenza pandemics since the "Spanish flu" of 1918. In light of the Covid-19 pandemic, which has underscored the extraordinary epidemic potential of coronaviruses, this assumption has recently been questioned. Coronaviruses come from wild reservoirs (bats, rodents, birds, …). They induce respiratory symptoms mimicking influenza, possibly leading to respiratory distress with pneumonia. In addition to the Covid-19 pandemic, recent deadly and limited epidemics, such as SARS in 2002 and MERS in 2012, have occurred. Russian influenza presented as an influenza-like syndrome with clinical peculiarities (multivisceral and neurological involvement, skin rash, early iterative relapses), evoking some particularities of Covid-19. Four other coronaviruses circulating in the human population for decades (HCoV-229E, HCoV-NL63, HCoV-OC43, HCoV-HKU1) have been found to be responsible for 15 to 30% of seasonal colds. All of these viruses are of animal origin. Recently, phylogenetic studies have revealed the genetic proximity between a bovine coronavirus BCoV and the human virus HCoV-OC43, indicating that the latter emerged around 1890, at the time of the Russian flu, when an epizootic was raging among cattle throughout Europe. Could the current human virus be the attenuated remnant that appeared after the Russian flu in 1894? Was there a coronavirus pandemic before Covid-19 ?

摘要

“俄罗斯流感”于 1889 年至 1894 年肆虐,被认为是有统计数据可查的工业时代的首次大流行。这场全球性的事件始于突厥斯坦,袭击了俄罗斯帝国,然后蔓延到所有欧洲国家、美国和全世界。其高传染性令当时的人们感到惊讶,城市人口的发病率平均为 60%,疾病通过铁路和海洋在几个月内连续几波迅速传播,且疾病有复发的趋势。尽管其病死率低(0.10%-0.28%),但据估计,全球有 100 万人因此死亡。从血清学角度来看,人们普遍认为俄罗斯流感的病原体是流感嗜血杆菌,这是自 1918 年“西班牙流感”以来所有流感大流行中确定的病毒。鉴于新冠疫情突显了冠状病毒的非凡流行潜力,最近这一假设受到了质疑。冠状病毒来自野生动物(蝙蝠、啮齿动物、鸟类等)。它们会引起类似流感的呼吸道症状,可能导致肺炎引起呼吸窘迫。除了新冠疫情,最近还发生了一些致命的、有限的疫情,如 2002 年的非典和 2012 年的中东呼吸综合征。俄罗斯流感表现为流感样综合征,具有临床特征(多器官和神经系统受累、皮疹、早期反复复发),使人联想到新冠病毒的一些特征。还有另外四种在人群中流行了几十年的冠状病毒(HCoV-229E、HCoV-NL63、HCoV-OC43、HCoV-HKU1),被发现可导致 15%至 30%的季节性感冒。所有这些病毒都来自动物。最近,系统发育研究表明,牛冠状病毒 BCoV 与人冠状病毒 HCoV-OC43 具有遗传亲缘关系,表明后者于 1890 年左右出现,正值俄罗斯流感爆发期间,当时欧洲各地的牛群中都爆发了疫情。目前的人类病毒是否是 1894 年俄罗斯流感后出现的衰减残余物?在新冠疫情之前是否发生过冠状病毒大流行?

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/638f/8813723/6043437ebeec/gr1_lrg.jpg

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