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从疫情爆发到人工智能:猴痘病毒流行病学、诊断、治疗、疫苗接种及深度学习应用的全面综述

From Outbreaks to Artificial Intelligence: A Comprehensive Review of Monkeypox Virus Epidemiology, Diagnosis, Treatment, Vaccination, and Deep Learning Applications.

作者信息

Ahmadi Shahed, Amirzadeh Mahdi, Ahmadi Mousa, Soleiman-Meigooni Saeed

机构信息

Department of Clinical Pharmacy, School of Pharmacy, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Department of Infectious Disease, Faculty of Medicine, Aja University of Medical Sciences, Tehran, Iran.

出版信息

J Trop Med. 2024 Dec 30;2024:6688914. doi: 10.1155/jotm/6688914. eCollection 2024.

DOI:10.1155/jotm/6688914
PMID:39764350
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11703581/
Abstract

After the global impact of the COVID-19 pandemic, concerns over virus transmission have risen. A state of health emergency was declared in 2022 due to Clade 2 of the monkeypox (MPOX) virus. In August 2024, another emergency was declared by the World Health Organization (WHO) because of the widespread Clade 1b, which caused a more severe and lethal disease. This review synthesizes current MPOX knowledge to assist policymakers, clinicians, and researchers in developing effective diagnostics, therapeutic interventions, vaccination strategies, and outbreak management. This systematic review study searched for articles on virus epidemiology, virology, clinical features, transmission routes, available drugs and vaccines, and new artificial intelligence (AI) applications in diagnosis and drug discovery. MPOX virus is a 200-250-nm, double-stranded DNA (ds-DNA) virus that causes smallpox-like skin lesions. Tecovirimat is the primary drug for severe cases, especially in people with suppressed immune systems. Smallpox vaccines can help prevent MPOX infection because of the genetic similarities between the MPOX and smallpox viruses. AI-based models can assist medical teams in promptly diagnosing MPOX skin lesions, improving decision-making for treatment. This review highlights the importance of using traditional public health knowledge alongside modern AI to manage MPOX outbreaks effectively. It shows that we need strong public health policies, focused interventions, and ongoing research on how AI can help control infectious diseases.

摘要

在新冠疫情产生全球影响之后,人们对病毒传播的担忧加剧。2022年,由于猴痘病毒2型毒株,该国宣布进入卫生紧急状态。2024年8月,世界卫生组织(WHO)因广泛传播的1b型毒株宣布了另一项紧急情况,该毒株导致了更严重、更致命的疾病。本综述综合了当前关于猴痘的知识,以协助政策制定者、临床医生和研究人员制定有效的诊断方法、治疗干预措施、疫苗接种策略和疫情管理措施。这项系统综述研究检索了有关病毒流行病学、病毒学、临床特征、传播途径、可用药物和疫苗以及诊断和药物研发中新型人工智能(AI)应用的文章。猴痘病毒是一种200 - 250纳米的双链DNA(ds-DNA)病毒,可引起类似天花的皮肤病变。tecovirimat是治疗重症病例的主要药物,尤其是对免疫系统受抑制的人群。由于猴痘病毒和天花病毒在基因上的相似性,天花疫苗有助于预防猴痘感染。基于人工智能的模型可以帮助医疗团队迅速诊断猴痘皮肤病变,改善治疗决策。本综述强调了将传统公共卫生知识与现代人工智能相结合以有效管理猴痘疫情的重要性。研究表明,我们需要强有力的公共卫生政策、有针对性的干预措施,以及对人工智能如何帮助控制传染病的持续研究。

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本文引用的文献

1
WHO Director-General declares mpox outbreak a public health emergency of international concern.世界卫生组织总干事宣布猴痘疫情构成“国际关注的突发公共卫生事件”。
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Estimating the relative importance of epidemiological and behavioural parameters for epidemic mpox transmission: a modelling study.评估流行病学和行为学参数对猴痘流行传播的相对重要性:一项建模研究
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Monkeypox infection and pregnancy in lower and middle-income countries: Precautions & recommendations.
中低收入国家的猴痘感染与妊娠:预防措施和建议。
Rev Bras Ginecol Obstet. 2024 Jun 27;46. doi: 10.61622/rbgo/2024rbgo54. eCollection 2024.
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Poxvirus Immune Evasion.痘病毒免疫逃逸
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Mpox: An Overview of Pathogenesis, Diagnosis, and Public Health Implications.猴痘:发病机制、诊断及公共卫生影响概述
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Concurrent Clade I and Clade II Monkeypox Virus Circulation, Cameroon, 1979-2022.1979-2022 年喀麦隆同时流行 I 型和 II 型猴痘病毒。
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Aggregation-Induced Emission-Based Macrophage-Like Nanoparticles for Targeted Photothermal Therapy and Virus Transmission Blockage in Monkeypox.基于聚集诱导发光的巨噬细胞样纳米粒子用于猴痘的靶向光热治疗和病毒传播阻断。
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Acute Respiratory Distress Syndrome due to Monkeypox Virus.猴痘病毒所致急性呼吸窘迫综合征
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An mpox virus mRNA-lipid nanoparticle vaccine confers protection against lethal orthopoxviral challenge.一种天花病毒 mRNA-脂质纳米颗粒疫苗可预防致死性正痘病毒攻击。
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Lives of Skin Lesions in Monkeypox: Histomorphological, Immunohistochemical, and Clinical Correlations in a Small Case Series.猴痘皮损的临床病理观察:一项小病例系列的组织形态学、免疫组织化学和临床相关性研究。
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