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猴痘(mpox)综合见解:流行病学、诊断方法和治疗策略的最新进展

Comprehensive Insights into Monkeypox (mpox): Recent Advances in Epidemiology, Diagnostic Approaches and Therapeutic Strategies.

作者信息

Kumar Suresh, Guruparan Dhanyashri, Karuppanan Kalimuthu, Kumar K J Senthil

机构信息

Faculty of Health and Life Sciences, Management and Science University, Shah Alam 40100, Malaysia.

Department of Biotechnology, School of Bioengineering, SRM Institute of Science and Technology, Kattankulathur, Chennai 603203, Tamil Nadu, India.

出版信息

Pathogens. 2024 Dec 26;14(1):1. doi: 10.3390/pathogens14010001.

DOI:10.3390/pathogens14010001
PMID:39860962
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11768232/
Abstract

Monkeypox (mpox) is a viral infection closely related to smallpox, manifesting as a milder febrile rash in affected individuals. Over the past two decades, the incidence of mpox has surged, possibly linked to a declining immunity against the smallpox vaccine worldwide. Recent outbreaks of mpox in multiple countries have sparked concerns regarding altered transmission patterns and the potential for a global menace. In this article, we present a multidimensional review encompassing the latest scientific discoveries, illuminating the intricate structure of the human mpox virus. Key findings include advancements in understanding the virus's molecular mechanisms, which highlight its genetic adaptability and potential for zoonotic spillover. Diagnostic innovations, such as improved molecular assays, have enhanced detection accuracy, while novel therapeutic strategies, including antiviral drugs and vaccines, show promise in mitigating outbreaks. Our conclusions emphasize the importance of robust surveillance systems, vaccination programs, and rapid response strategies to curb mpox's spread. Future recommendations include strengthening global collaboration for zoonotic disease surveillance, advancing the research on host-pathogen interactions, and developing next-generation therapeutics to address this emerging public health threat effectively.

摘要

猴痘是一种与天花密切相关的病毒感染,在受感染个体中表现为症状较轻的发热性皮疹。在过去二十年中,猴痘发病率激增,这可能与全球范围内对天花疫苗的免疫力下降有关。近期多个国家爆发的猴痘疫情引发了人们对传播模式改变以及全球威胁可能性的担忧。在本文中,我们进行了多维度综述,涵盖了最新的科学发现,阐明了人类猴痘病毒的复杂结构。主要发现包括在理解病毒分子机制方面取得的进展,这些进展凸显了其基因适应性和人畜共患病溢出的可能性。诊断创新,如改进的分子检测方法,提高了检测准确性,而新型治疗策略,包括抗病毒药物和疫苗,在减轻疫情方面显示出前景。我们的结论强调了强大的监测系统、疫苗接种计划和快速反应策略对于遏制猴痘传播的重要性。未来建议包括加强人畜共患病监测的全球合作、推进宿主-病原体相互作用的研究以及开发下一代治疗方法,以有效应对这一新兴的公共卫生威胁。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f21/11768232/93e0e9c8250b/pathogens-14-00001-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f21/11768232/e29dcfcb1ffb/pathogens-14-00001-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f21/11768232/748ccd0798d9/pathogens-14-00001-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f21/11768232/5e07f84ed947/pathogens-14-00001-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f21/11768232/93e0e9c8250b/pathogens-14-00001-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f21/11768232/e29dcfcb1ffb/pathogens-14-00001-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f21/11768232/748ccd0798d9/pathogens-14-00001-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f21/11768232/5e07f84ed947/pathogens-14-00001-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f21/11768232/93e0e9c8250b/pathogens-14-00001-g004.jpg

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本文引用的文献

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Signal Transduct Target Ther. 2024 Nov 20;9(1):327. doi: 10.1038/s41392-024-02058-x.
2
Comparative Analysis of 2022 Outbreak MPXV and Previous Clade II MPXV.2022 年爆发的猴痘病毒与以往 II 型猴痘病毒的比较分析。
J Med Virol. 2024 Nov;96(11):e70023. doi: 10.1002/jmv.70023.
3
MVA-BN vaccine effectiveness: A systematic review of real-world evidence in outbreak settings.
与重症新型冠状病毒肺炎相关的乙型肝炎:瑞典一项全国性队列研究
Virol J. 2025 Apr 30;22(1):127. doi: 10.1186/s12985-025-02743-5.
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Genomic surveillance of SARS-CoV-2 variants using pooled WGS.使用混合全基因组测序对严重急性呼吸综合征冠状病毒2(SARS-CoV-2)变异株进行基因组监测。
Sci Rep. 2025 Apr 22;15(1):13948. doi: 10.1038/s41598-025-99201-7.
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evidence of monkeypox F14 as a ligand for the human TLR1/2 dimer.猴痘病毒F14作为人类TLR1/2二聚体配体的证据。
Front Immunol. 2025 Mar 17;16:1544443. doi: 10.3389/fimmu.2025.1544443. eCollection 2025.
MVA-BN疫苗效力:对疫情背景下真实世界证据的系统评价
Vaccine. 2024 Dec 2;42(26):126409. doi: 10.1016/j.vaccine.2024.126409. Epub 2024 Oct 16.
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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”。
Saudi Med J. 2024 Aug;45(9):1002-1003.
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Vaccines against mpox: MVA-BN and LC16m8.针对猴痘的疫苗:MVA-BN 和 LC16m8。
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Virol Sin. 2024 Oct;39(5):709-718. doi: 10.1016/j.virs.2024.08.008. Epub 2024 Aug 22.
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The Fading of the Mpox Outbreak Among Men Who Have Sex With Men: A Mathematical Modelling Study.男男性行为者中猴痘疫情消退:一项数学建模研究。
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