CBS (Centre de Biologie Structurale), Univ. Montpellier, CNRS, INSERM, 29 rue de Navacelles, 34090 Montpellier, France.
Department of Biosciences, Jamia Millia Islamia, Jamia Nagar, New Delhi 110025, India.
Biomed Pharmacother. 2023 Sep;165:115175. doi: 10.1016/j.biopha.2023.115175. Epub 2023 Jul 18.
Zika virus (ZIKV) poses a serious threat to the entire world. The rapid spread of ZIKV and recent outbreaks since 2007 have caused worldwide concern about the virus. Diagnosis is complicated because of the cross-reactivity of the virus with other viral antibodies. Currently, the virus is diagnosed by molecular techniques such as RT-PCR and IgM-linked enzyme immunoassays (MAC-ELISA). Recently, outbreaks and epidemics have been caused by ZIKV, and severe clinical symptoms and congenital malformations have also been associated with the virus. Although most ZIKV infections present with a subclinical or moderate flu-like course of illness, severe symptoms such as Guillain-Barre syndrome in adults and microcephaly in children of infected mothers have also been reported. Because there is no reliable cure for ZIKV and no vaccine is available, the public health response has focused primarily on preventing infection, particularly in pregnant women. A comprehensive approach is urgently needed to combat this infection and stop its spread and imminent threat. In view of this, this review aims to present the current structural and functional viewpoints, structure, etiology, clinical prognosis, and measures to prevent this transmission based on the literature and current knowledge. Moreover, we provide thorough description of the current understanding about ZIKV interaction with receptors, and a comparative examination of its similarities and differences with other viruses.
寨卡病毒(ZIKV)对全球构成严重威胁。自 2007 年以来,ZIKV 的迅速传播和最近的爆发引起了全球对该病毒的关注。由于该病毒与其他病毒抗体的交叉反应,诊断变得复杂。目前,病毒通过分子技术如 RT-PCR 和 IgM 连接的酶免疫测定(MAC-ELISA)进行诊断。最近,寨卡病毒引起了爆发和流行,并且该病毒还与严重的临床症状和先天性畸形有关。尽管大多数 ZIKV 感染表现为亚临床或中度流感样病程,但也有报道称成人出现格林-巴利综合征和感染母亲的儿童出现小头畸形等严重症状。由于没有针对 ZIKV 的可靠治疗方法,也没有疫苗可用,因此公共卫生应对措施主要集中在预防感染上,尤其是孕妇。迫切需要采取综合措施来应对这种感染,阻止其传播和迫在眉睫的威胁。有鉴于此,本综述旨在根据文献和现有知识,介绍当前关于 ZIKV 的结构和功能观点、结构、病因、临床预后以及预防传播的措施。此外,我们还对 ZIKV 与受体的相互作用进行了详细描述,并对其与其他病毒的相似性和差异性进行了比较分析。