Dehority Walter, Spence Dominique, Dinwiddie Darrell L
Department of Pediatrics, Division of Infectious Diseases, The University of New Mexico School of Medicine, Albuquerque, New Mexico, USA.
Clinical and Translational Science Center, The University of New Mexico School of Medicine, Albuquerque, New Mexico, USA.
Pediatr Allergy Immunol Pulmonol. 2020 Jun;33(2):49-52. doi: 10.1089/ped.2020.1179. Epub 2020 May 6.
Severe Acute Respiratory Syndrome coronavirus 2 (SARS-CoV-2), the etiologic agent of the disease COVID-19, first emerged in late December 2019 in China, and has subsequently become a pandemic with unprecedented clinical impact. The virus appears to more severely affect older individuals and those with co-morbid medical conditions, specifically those with chronic lung disease, obesity, heart failure and diabetes. Fortunately, children appear to be less severely affected, though mortality and severe disease have been reported. In addition, children's role in spreading the disease (potentially through asymptomatic shedding of the virus) remains an important area requiring further investigation. The emergence of SARS-CoV-2 has highlighted the importance of metagenomic next generation sequencing as a tool for pandemic investigation. Though no proven therapeutic options currently exist, ongoing genomic and clinical trial data may help inform the identification and development of both repurposed and novel therapeutic agents for use in this disease.
严重急性呼吸综合征冠状病毒2(SARS-CoV-2)是新冠肺炎疾病的病原体,于2019年12月下旬首次在中国出现,随后成为一场具有前所未有的临床影响的大流行病。该病毒似乎对老年人和患有合并症的人影响更为严重,特别是那些患有慢性肺病、肥胖症、心力衰竭和糖尿病的人。幸运的是,儿童似乎受影响较轻,不过也有死亡和重症病例的报道。此外,儿童在传播该疾病中的作用(可能通过无症状病毒脱落)仍是一个需要进一步研究的重要领域。SARS-CoV-2的出现凸显了宏基因组下一代测序作为大流行病调查工具的重要性。尽管目前尚无经证实的治疗选择,但正在进行的基因组和临床试验数据可能有助于为该疾病中既有药物的重新利用和新型治疗药物的识别与开发提供信息。