Zhu Xu, Wang Lijie
Department of Pediatrics, Shengjing Hospital of China Medical University, Shenyang 110004, Liaoning, China. Corresponding author: Wang Lijie, Email:
Zhonghua Wei Zhong Bing Ji Jiu Yi Xue. 2023 May;35(5):548-553. doi: 10.3760/cma.j.cn121430-20220804-00714.
Human bocavirus is a novel pathogen first detected in respiratory tract samples in 2005. People of different ages can be infected by human bocavirus. Children are the susceptible population, especially the infants aged from 6-24 months old. The epidemic season varies in different regions due to the differences in climate and geographical location, and it mainly occurs in autumn and winter. It's demonstrated that human bocavirus-1 is closely related to respiratory system diseases and even causes life-threatening critical illness. Also, the severity of symptom is positively correlated with viral load. Co-infections between human bocavirus-1 and other viruses often present high frequency occurrence. Human bocavirus-1 interferes immune function of host by inhibiting interferon secrete pathway. Currently, it remains limited knowledge and understanding of the roles of human bocavirus 2-4 in diseases, but the gastrointestinal diseases should be paid more attention. Detection of human bocavirus DNA by traditional polymerase chain reaction (PCR) assay shouldn't be regarded as conclusive diagnostic basis. Instead, combined with mRNA and specific antigen detection, it is beneficial to improve the accuracy of diagnosis. Till now, the knowledge of human bocavirus remains poorly studied, which is deserved to further progress.
人博卡病毒是2005年首次在呼吸道样本中检测到的一种新型病原体。不同年龄段的人都可能感染人博卡病毒。儿童是易感人群,尤其是6至24个月大的婴儿。由于气候和地理位置的差异,不同地区的流行季节有所不同,主要发生在秋冬季节。研究表明,人博卡病毒1型与呼吸系统疾病密切相关,甚至可导致危及生命的重症。此外,症状的严重程度与病毒载量呈正相关。人博卡病毒1型与其他病毒的合并感染经常高频发生。人博卡病毒1型通过抑制干扰素分泌途径干扰宿主的免疫功能。目前,对于人博卡病毒2至4型在疾病中的作用仍知之甚少,但应更多关注其与胃肠道疾病的关系。传统聚合酶链反应(PCR)检测人博卡病毒DNA不应被视为确诊的诊断依据。相反,结合mRNA和特异性抗原检测,有利于提高诊断准确性。到目前为止,对人博卡病毒的了解仍然很少,值得进一步深入研究。