Unisabana Center for Translational Science, School of Medicine, Universidad de La Sabana, Chía, Colombia.
Critical Care Department, Clínica Universidad de La Sabana, Chía, Colombia.
Expert Rev Anti Infect Ther. 2024 Sep;22(9):725-738. doi: 10.1080/14787210.2024.2400548. Epub 2024 Sep 11.
Lower respiratory tract infections (LRTI) remain a significant global cause of mortality and disability. Viruses constitute a substantial proportion of LRTI cases, with their pandemic potential posing a latent threat. After the SARS-CoV-2 pandemic, the resurgence of other respiratory viruses, including Influenza and Respiratory Syncytial Virus responsible for LRTI has been observed especially in susceptible populations.
This review details the inflammatory mechanisms associated with three primary respiratory viruses: SARS-CoV-2, Influenza, and Respiratory Syncytial Virus (RSV). The focus will be on elucidating the activation of inflammatory pathways, understanding cellular contributions to inflammation, exploring the role of interferon and induced cell death in the response to these pathogens and detailing viral evasion mechanisms. Furthermore, the distinctive characteristics of each virus will be explained.
The study of viral pneumonia, notably concerning SARS-CoV-2, Influenza, and RSV, offers critical insights into infectious and inflammatory mechanisms with wide-ranging implications. Addressing current limitations, such as diagnostic accuracy and understanding host-virus interactions, requires collaborative efforts and investment in technology. Future research holds promise for uncovering novel therapeutic targets, exploring host microbiome roles, and addressing long-term sequelae. Integrating advances in molecular biology and technology will shape the evolving landscape of viral pneumonia research, potentially enhancing global public health outcomes.
下呼吸道感染(LRTI)仍然是全球范围内导致死亡和残疾的主要原因。病毒构成了 LRTI 病例的很大一部分,其大流行的潜力构成了潜在的威胁。在 SARS-CoV-2 大流行之后,其他呼吸道病毒(包括流感病毒和呼吸道合胞病毒)引起的 LRTI 再次爆发,尤其是在易感人群中。
这篇综述详细介绍了与三种主要呼吸道病毒(SARS-CoV-2、流感病毒和呼吸道合胞病毒(RSV))相关的炎症机制。重点将放在阐明炎症途径的激活、理解细胞对炎症的贡献、探索干扰素和诱导细胞死亡在这些病原体反应中的作用以及详细描述病毒逃避机制上。此外,还将解释每种病毒的独特特征。
对病毒性肺炎的研究,特别是关于 SARS-CoV-2、流感病毒和 RSV 的研究,为感染和炎症机制提供了关键的见解,具有广泛的影响。解决当前的局限性,如诊断准确性和宿主-病毒相互作用的理解,需要合作努力和对技术的投资。未来的研究有望揭示新的治疗靶点,探索宿主微生物组的作用,并解决长期的后遗症。整合分子生物学和技术的进展将塑造病毒性肺炎研究的不断发展的格局,有可能改善全球公共卫生成果。