对乙型流感病毒及其生物学和临床方面的全面综述。

A comprehensive review of influenza B virus, its biological and clinical aspects.

作者信息

Ashraf Muhammad Awais, Raza Muhammad Asif, Amjad Muhammad Nabeel, Ud Din Ghayyas, Yue Lihuan, Shen Bei, Chen Lingdie, Dong Wei, Xu Huiting, Hu Yihong

机构信息

CAS Key Laboratory of Molecular Virology and Immunology, Institutional Center for Shared Technologies and Facilities, Pathogen Discovery and Big Data Platform, Shanghai Institute of Immunity and Infection, Chinese Academy of Sciences, Shanghai, China.

University of Chinese Academy of Sciences, Beijing, China.

出版信息

Front Microbiol. 2024 Sep 4;15:1467029. doi: 10.3389/fmicb.2024.1467029. eCollection 2024.

Abstract

Influenza B virus (IBV) stands as a paradox, often overshadowed by its more notorious counterpart, influenza A virus (IAV). Yet, it remains a captivating and elusive subject of scientific inquiry. Influenza B is important because it causes seasonal flu outbreaks that can lead to severe respiratory illnesses, including bronchitis, pneumonia, and exacerbations of chronic conditions like asthma. Limitations in the influenza B virus's epidemiological, immunological, and etiological evolution must be addressed promptly. This comprehensive review covers evolutionary epidemiology and pathogenesis, host-virus interactions, viral isolation and propagation, advanced molecular detection assays, vaccine composition and no animal reservoir for influenza B virus. Complex viral etiology begins with intranasal transmission of influenza B virus with the release of a segmented RNA genome that attacks host cell machinery for transcription and translation within the nucleus and the release of viral progeny. Influenza B virus prevalence in domesticated and wild canines, sea mammals, and birds is frequent, yet there is no zoonosis. The periodic circulation of influenza B virus indicates a 1-3-year cycle for monophyletic strain replacement within the Victoria strain due to frequent antigenic drift in the HA near the receptor-binding site (RBS), while the antigenic stability of Yamagata viruses portrays a more conservative evolutionary pattern. Additionally, this article outlines contemporary antiviral strategies, including pharmacological interventions and vaccination efforts. This article serves as a resource for researchers, healthcare professionals, and anyone interested in the mysterious nature of the influenza B virus. It provides valuable insights and knowledge essential for comprehending and effectively countering this viral foe, which continues to pose a significant public health threat.

摘要

乙型流感病毒(IBV)是一个矛盾的存在,常常被其更为臭名昭著的同类——甲型流感病毒(IAV)所掩盖。然而,它仍然是一个引人入胜且难以捉摸的科学研究对象。乙型流感很重要,因为它会引发季节性流感爆发,进而导致严重的呼吸道疾病,包括支气管炎、肺炎以及哮喘等慢性疾病的加重。必须及时解决乙型流感病毒在流行病学、免疫学和病因学演变方面的局限性。这篇全面的综述涵盖了进化流行病学和发病机制、宿主 - 病毒相互作用、病毒分离与繁殖、先进的分子检测方法、疫苗组成以及乙型流感病毒没有动物宿主等内容。复杂的病毒病因始于乙型流感病毒通过鼻内传播,释放出分段的RNA基因组,该基因组攻击宿主细胞机制以在细胞核内进行转录和翻译,并释放出病毒后代。乙型流感病毒在驯养和野生犬类、海洋哺乳动物及鸟类中普遍存在,但不存在人畜共患病。乙型流感病毒的周期性传播表明,由于血凝素(HA)靠近受体结合位点(RBS)处频繁发生抗原漂移,维多利亚株内单系毒株替换的周期为1至3年,而山形病毒的抗原稳定性则呈现出更为保守的进化模式。此外,本文概述了当代抗病毒策略,包括药物干预和疫苗接种工作。本文为研究人员、医疗保健专业人员以及任何对乙型流感病毒神秘本质感兴趣的人提供了参考资源。它提供了宝贵的见解和知识,对于理解和有效对抗这种继续构成重大公共卫生威胁的病毒敌人至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8b35/11408344/37cd6c6f2198/fmicb-15-1467029-g001.jpg

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