Chio Chi-Chong, Chien Jou-Chun, Chan Hio-Wai, Huang Hsing-I
Research Center for Emerging Viral Infections, College of Medicine, Chang Gung University, Kwei-Shan, Taoyuan 33302, Taiwan.
Department of Medical Biotechnology and Laboratory Science, College of Medicine, Chang Gung University, Kwei-Shan, Taoyuan 33302, Taiwan.
Biomedicines. 2024 Dec 5;12(12):2773. doi: 10.3390/biomedicines12122773.
Enteric virus infection is a major public health issue worldwide. Enteric viruses have become epidemic infectious diseases in several countries. Enteric viruses primarily infect the gastrointestinal tract and complete their life cycle in intestinal epithelial cells. These viruses are transmitted via the fecal-oral route through contaminated food, water, or person to person and cause similar common symptoms, including vomiting, abdominal pain, and diarrhea. Diarrheal disease is the third leading cause of death in children under five years of age, accounting for approximately 1.7 billion cases and 443,832 deaths annually in this age group. Additionally, some enteric viruses can invade other tissues, leading to severe conditions and even death. The pathogenic mechanisms of enteric viruses are also unclear. In this review, we organized the research on trending enteric virus infections, including rotavirus, norovirus, adenovirus, Enterovirus-A71, Coxsackievirus A6, and Echovirus 11. Furthermore, we discuss the gastrointestinal effects and pathogenic mechanisms of SARS-CoV-2 in intestinal epithelial cells, given the gastrointestinal symptoms observed during the COVID-19 pandemic. We conducted a literature review on their pathogenic mechanisms, which serves as a guide for formulating future treatment strategies for enteric virus infections.
肠道病毒感染是全球主要的公共卫生问题。肠道病毒已在多个国家成为流行性传染病。肠道病毒主要感染胃肠道,并在肠道上皮细胞中完成其生命周期。这些病毒通过受污染的食物、水经粪-口途径传播,或人传人,引发类似的常见症状,包括呕吐、腹痛和腹泻。腹泻病是五岁以下儿童死亡的第三大主要原因,该年龄组每年约有17亿病例,443,832人死亡。此外,一些肠道病毒可侵袭其他组织,导致严重病情甚至死亡。肠道病毒的致病机制也尚不清楚。在本综述中,我们整理了有关当前流行的肠道病毒感染的研究,包括轮状病毒、诺如病毒、腺病毒、肠道病毒A71、柯萨奇病毒A6和埃可病毒11。此外,鉴于在COVID-19大流行期间观察到的胃肠道症状,我们讨论了SARS-CoV-2在肠道上皮细胞中的胃肠道影响和致病机制。我们对它们的致病机制进行了文献综述,为制定未来肠道病毒感染的治疗策略提供指导。