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人类猴痘病毒与宿主免疫:新出现的诊断和治疗挑战

The Human Monkeypox Virus and Host Immunity: Emerging Diagnostic and Therapeutic Challenges.

作者信息

Singh Vijay, Dwivedi Shailendra, Agrawal Ruchika, Fatima Ghizal, Abidi Afroz

机构信息

Department of Biochemistry, All India Institute of Medical Sciences, Gorakhpur, 273008, India.

Department of ENT, All India Institute of Medical Sciences, Gorakhpur, 273008, India.

出版信息

Infect Disord Drug Targets. 2025;25(2):e18715265309361. doi: 10.2174/0118715265309361240806064619.

Abstract

This article explores the Human Monkeypox Virus (MPV), a contagious virus that causes disease in both vertebrates and insects. It originated in Denmark in 1958 and expanded beyond Africa during the 1970s. The virus was initially detected in the United States in 2003 following the hospitalisation of a toddler who had been bitten by a prairie dog. The article examines the identification of the virus, its categorization into two genetic groups with different levels of harmfulness, and its genetic changes over time due to specific influences. Additionally, it investigates the immunological reaction to MPXV, encompassing both the innate and adaptive systems. This article also addresses the diagnostic difficulties presented by MPXV's resemblance to other orthopoxviruses and the progress made in molecular diagnostics. The paper analyses different therapeutic interventions, such as tecovirimat, an antiviral medication, and JYNNEOS, a vaccine, in terms of their efficacy, potential drawbacks, and the difficulties encountered in managing outbreaks. The future outlook emphasises the necessity of inventive research methodologies, worldwide monitoring, and individualised medical treatments to counteract the dissemination of MPXV and alleviate its consequences on public health.

摘要

本文探讨了人类猴痘病毒(MPV),这是一种可在脊椎动物和昆虫中引发疾病的传染性病毒。它于1958年起源于丹麦,并在20世纪70年代传播至非洲以外地区。2003年,一名被草原犬鼠咬伤的幼儿住院后,该病毒首次在美国被检测到。本文研究了该病毒的鉴定、被分为两个具有不同危害程度的基因群的分类情况,以及由于特定影响其随时间发生的基因变化。此外,还研究了针对猴痘病毒的免疫反应,包括先天免疫和适应性免疫系统。本文还讨论了猴痘病毒与其他正痘病毒相似性所带来的诊断困难以及分子诊断方面取得的进展。本文分析了不同的治疗干预措施,如抗病毒药物替考韦瑞玛和疫苗JYNneos,包括它们的疗效、潜在缺点以及在控制疫情中遇到的困难。未来展望强调了创新研究方法、全球监测和个性化医疗治疗对于应对猴痘病毒传播及减轻其对公共卫生影响的必要性。

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