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有备无患:我们能否预测和准备未来的病毒性疾病爆发?

Praemonitus praemunitus: can we forecast and prepare for future viral disease outbreaks?

机构信息

Laboratory for Molecular Modeling, Division of Chemical Biology and Medicinal Chemistry, UNC Eshelman School of Pharmacy, University of North Carolina, 301 Pharmacy Ln, Chapel Hill, NC 27599, United States.

School of Chemistry, University of Louisville, 2320 S Brook St, Louisville, KY 40208, United States.

出版信息

FEMS Microbiol Rev. 2023 Sep 5;47(5). doi: 10.1093/femsre/fuad048.

Abstract

Understanding the origins of past and present viral epidemics is critical in preparing for future outbreaks. Many viruses, including SARS-CoV-2, have led to significant consequences not only due to their virulence, but also because we were unprepared for their emergence. We need to learn from large amounts of data accumulated from well-studied, past pandemics and employ modern informatics and therapeutic development technologies to forecast future pandemics and help minimize their potential impacts. While acknowledging the complexity and difficulties associated with establishing reliable outbreak predictions, herein we provide a perspective on the regions of the world that are most likely to be impacted by future outbreaks. We specifically focus on viruses with epidemic potential, namely SARS-CoV-2, MERS-CoV, DENV, ZIKV, MAYV, LASV, noroviruses, influenza, Nipah virus, hantaviruses, Oropouche virus, MARV, and Ebola virus, which all require attention from both the public and scientific community to avoid societal catastrophes like COVID-19. Based on our literature review, data analysis, and outbreak simulations, we posit that these future viral epidemics are unavoidable, but that their societal impacts can be minimized by strategic investment into basic virology research, epidemiological studies of neglected viral diseases, and antiviral drug discovery.

摘要

了解过去和现在病毒流行的起源对于防范未来的爆发至关重要。许多病毒,包括 SARS-CoV-2,不仅因其毒力,还因为我们对它们的出现毫无准备,而导致了重大后果。我们需要从经过充分研究的过去大流行中积累的大量数据中吸取教训,并运用现代信息学和治疗开发技术来预测未来的大流行,并帮助将其潜在影响降至最低。虽然承认建立可靠的爆发预测存在复杂性和困难,但在此我们提供了一个视角,探讨世界上哪些地区最有可能受到未来爆发的影响。我们特别关注具有流行潜力的病毒,即 SARS-CoV-2、MERS-CoV、DENV、ZIKV、MAYV、LASV、诺如病毒、流感、尼帕病毒、汉坦病毒、奥罗普切病毒、MARV 和埃博拉病毒,这些病毒都需要引起公众和科学界的关注,以避免像 COVID-19 这样的社会灾难。基于我们的文献综述、数据分析和爆发模拟,我们认为这些未来的病毒性流行是不可避免的,但通过对基础病毒学研究、被忽视的病毒性疾病的流行病学研究和抗病毒药物发现进行战略投资,可以将其对社会的影响降到最低。

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