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推进对猴痘的理解与管理:关于流行病学、疾病路径、预防及治疗策略的见解

Advancing the understanding and management of Mpox: insights into epidemiology, disease pathways, prevention, and therapeutic strategies.

作者信息

Hajjo Rima, Abusara Osama H, Sabbah Dima A, Bardaweel Sanaa K

机构信息

Department of Pharmacy, Faculty of Pharmacy, Al-Zaytoonah University of Jordan, P.O. Box 130, Amman, 11733, Jordan.

Laboratory for Molecular Modeling, Division of Chemical Biology and Medicinal Chemistry, Eshelman School of Pharmacy, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.

出版信息

BMC Infect Dis. 2025 Apr 15;25(1):529. doi: 10.1186/s12879-025-10899-2.

DOI:10.1186/s12879-025-10899-2
PMID:40234789
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12001656/
Abstract

Mpox, previously known as monkeypox, is a zoonotic viral disease caused by the Mpox virus (MPXV), a member of the Orthopoxvirus genus. This disease is of significant concern due to its zoonotic transmission, which can be challenging to control, its ability to spread easily from person to person, the potential for severe symptoms or even fatality, and its history of frequent global outbreaks. Despite the growing threat, there is still limited research on the pathophysiology of the disease and available disease-modifying treatments. To address this gap, the latest developments in Mpox epidemiology, viral variant detection, and advanced diagnostic tools for accurate MPXV detection have been reviewed. Ongoing preventive measures, including vaccination strategies, have also been examined. Additionally, the genomic and proteomic characteristics of MPXV have been explored, and network and pathway enrichment analyses have been performed to identify potential therapeutic targets. The findings presented in this manuscript suggest the potential for novel disease-modifying treatments. Moreover, emerging technologies, such as artificial intelligence and "big data," are playing a crucial role in advancing disease management and enhancing prevention strategies. This review emphasizes the evolving understanding of Mpox and MPXV variants and underscores the importance of continued research and public health initiatives to combat the disease and prevent future global outbreaks.

摘要

猴痘,以前称为猴痘,是一种由猴痘病毒(MPXV)引起的人畜共患病毒性疾病,猴痘病毒属于正痘病毒属。由于其人畜共患传播难以控制、易于在人与人之间传播、可能出现严重症状甚至死亡以及全球频繁爆发的历史,这种疾病备受关注。尽管威胁不断增加,但关于该疾病病理生理学和可用的疾病改善治疗方法的研究仍然有限。为填补这一空白,本文综述了猴痘流行病学、病毒变异检测以及准确检测MPXV的先进诊断工具的最新进展。还研究了正在进行的预防措施,包括疫苗接种策略。此外,还探索了MPXV的基因组和蛋白质组特征,并进行了网络和通路富集分析以确定潜在的治疗靶点。本手稿中的研究结果表明了新型疾病改善治疗方法的潜力。此外,人工智能和“大数据”等新兴技术在推进疾病管理和加强预防策略方面发挥着关键作用。这篇综述强调了对猴痘和MPXV变异体不断演变的认识,并强调了持续研究和公共卫生举措对于抗击该疾病和预防未来全球爆发的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e2d2/12001656/1aa34e02b1a8/12879_2025_10899_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e2d2/12001656/11d2e00dbd87/12879_2025_10899_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e2d2/12001656/328056a1fcf2/12879_2025_10899_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e2d2/12001656/d1a1e9266ba2/12879_2025_10899_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e2d2/12001656/a4c2244f6dff/12879_2025_10899_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e2d2/12001656/dd88edaab961/12879_2025_10899_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e2d2/12001656/1aa34e02b1a8/12879_2025_10899_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e2d2/12001656/11d2e00dbd87/12879_2025_10899_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e2d2/12001656/328056a1fcf2/12879_2025_10899_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e2d2/12001656/d1a1e9266ba2/12879_2025_10899_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e2d2/12001656/a4c2244f6dff/12879_2025_10899_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e2d2/12001656/dd88edaab961/12879_2025_10899_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e2d2/12001656/1aa34e02b1a8/12879_2025_10899_Fig6_HTML.jpg

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本文引用的文献

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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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Kyasanur Forest Disease: A Comprehensive Review.基孔肯雅森林病:全面综述
Cureus. 2024 Jul 23;16(7):e65228. doi: 10.7759/cureus.65228. eCollection 2024 Jul.
3
Community-based mpox and sexually transmitted disease surveillance using discarded condoms in the global south.在全球南方地区利用废弃避孕套开展基于社区的猴痘和性传播疾病监测。
猴痘疫情的最新进展:全球特征与疫苗预防研究
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Lancet Infect Dis. 2024 Oct;24(10):e610-e613. doi: 10.1016/S1473-3099(24)00514-0. Epub 2024 Aug 21.
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Expanded Access Programme for the use of tecovirimat for the treatment of monkeypox infection: A study protocol for an Expanded Access Programme.特考韦瑞玛治疗猴痘感染的扩大获取方案:一项扩大获取方案的研究方案。
PLoS One. 2024 May 9;19(5):e0278957. doi: 10.1371/journal.pone.0278957. eCollection 2024.
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Mpox-AISM: AI-mediated super monitoring for mpox and like-mpox.猴痘-AISM:用于猴痘及类猴痘的人工智能介导的超级监测
iScience. 2024 Apr 17;27(5):109766. doi: 10.1016/j.isci.2024.109766. eCollection 2024 May 17.
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