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登革病毒:结构、基因组、进化以及控制和预防传播面临的挑战

Dengue virus: structure, genome, evolution and challenges to control and prevent transmission.

作者信息

Umar Khalida, Sutradhar Tanisha, Prakash P, Bavanilatha M, Hemamalani A U, Prakashini R Subha, Thangam T, Parthasarathy Krupakar

机构信息

Department of Biotechnology, Sathyabama Institute of Science and Technology, Chennai, India.

Centre for Drug Discovery and Development, Sathyabama Institute of Science and Technology, Chennai, India.

出版信息

Antonie Van Leeuwenhoek. 2025 Aug 26;118(9):139. doi: 10.1007/s10482-025-02153-1.

DOI:10.1007/s10482-025-02153-1
PMID:40858865
Abstract

Dengue virus (DENV) is a major global health threat, primarily transmitted by Aedes mosquitoes. It manifests in mild to severe forms, including dengue hemorrhagic fever and dengue shock syndrome, causing significant morbidity and mortality. With four serotypes (DENV-1 to DENV-4), the virus exhibits rapid genetic evolution, complicating vaccine development and disease control. This review explores the structural and genomic characteristics of DENV, emphasizing its evolutionary pressures, immune evasion mechanisms, and emerging strains. The virus's adaptation to environmental and host factors has led to increased outbreaks, notably in tropical regions. Global warming and urbanization have exacerbated the spread, challenging current vector control strategies. Laboratory diagnosis remains complex, relying on molecular and serological techniques with varying sensitivity. The lack of effective antiviral drugs and universally protective vaccines highlights critical gaps in disease management. Ongoing genomic surveillance and integrated control strategies are crucial for mitigating the impact of new DENV variants. This review highlights the importance of investigating the effect of emerging dengue strains on society, as well as how environmental factors exacerbate their severity.

摘要

登革病毒(DENV)是全球主要的健康威胁,主要通过伊蚊传播。它表现为轻度至重度形式,包括登革出血热和登革休克综合征,会导致显著的发病率和死亡率。该病毒有四种血清型(DENV - 1至DENV - 4),呈现出快速的基因进化,这使得疫苗研发和疾病控制变得复杂。本综述探讨了登革病毒的结构和基因组特征,重点强调了其进化压力、免疫逃避机制以及新出现的毒株。该病毒对环境和宿主因素的适应导致疫情爆发增加,特别是在热带地区。全球变暖和城市化加剧了其传播,对当前的病媒控制策略构成挑战。实验室诊断仍然复杂,依赖于灵敏度各异的分子和血清学技术。缺乏有效的抗病毒药物和普遍有效的保护性疫苗凸显了疾病管理方面的关键差距。持续的基因组监测和综合控制策略对于减轻新的登革病毒变种的影响至关重要。本综述强调了研究新出现的登革毒株对社会的影响以及环境因素如何加剧其严重性的重要性。

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本文引用的文献

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The molecular epidemiology of a dengue virus outbreak in Taiwan: population wide versus infrapopulation mutation analysis.台湾登革热病毒爆发的分子流行病学:全人群与亚人群突变分析。
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Predominance of Dengue virus type 2-genotype II (Cosmopolitan) in Bangladesh, 2023: Presumptive sudden replacement of a prevailing virus strain.2023年孟加拉国登革2型病毒基因型II(泛在型)占主导:一种流行病毒株可能突然被取代
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Introduction of New Dengue Virus Lineages of Multiple Serotypes after COVID-19 Pandemic, Nicaragua, 2022.
2022 年尼加拉瓜新冠大流行后出现多种血清型新登革热病毒谱系。
Emerg Infect Dis. 2024 Jun;30(6):1203-1213. doi: 10.3201/eid3006.231553.
4
Upsurge of dengue outbreaks in several WHO regions: Public awareness, vector control activities, and international collaborations are key to prevent spread.世卫组织多个区域登革热疫情激增:公众意识、病媒控制活动和国际合作是防止疫情蔓延的关键。
Health Sci Rep. 2024 Apr 22;7(4):e2034. doi: 10.1002/hsr2.2034. eCollection 2024 Apr.
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Dengue Virus Infection of Human Retinal Müller Glial Cells.登革热病毒感染人视网膜神经胶质细胞。
Viruses. 2023 Jun 21;15(7):1410. doi: 10.3390/v15071410.
6
Evolutionary dynamics of dengue virus in India.印度登革热病毒的进化动态。
PLoS Pathog. 2023 Apr 3;19(4):e1010862. doi: 10.1371/journal.ppat.1010862. eCollection 2023 Apr.
7
Molecular Mechanisms of Antiviral Agents against Dengue Virus.抗登革病毒药物的分子机制。
Viruses. 2023 Mar 8;15(3):705. doi: 10.3390/v15030705.
8
Innate and adaptive immune evasion by dengue virus.登革热病毒的先天和适应性免疫逃逸。
Front Cell Infect Microbiol. 2022 Sep 16;12:1004608. doi: 10.3389/fcimb.2022.1004608. eCollection 2022.
9
Dengue Virus NS4b N-Terminus Disordered Region Interacts with NS3 Helicase C-Terminal Subdomain to Enhance Helicase Activity.登革病毒NS4b N端无序区域与NS3解旋酶C端亚结构域相互作用以增强解旋酶活性。
Viruses. 2022 Aug 3;14(8):1712. doi: 10.3390/v14081712.
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Innate Immune Response to Dengue Virus: Toll-like Receptors and Antiviral Response.固有免疫对登革病毒的反应: Toll 样受体与抗病毒反应。
Viruses. 2022 May 7;14(5):992. doi: 10.3390/v14050992.