Young N S
Hematology Branch, National Heart, Lung & Blood Institute, Bethesda, MD 20892, USA.
Baillieres Clin Haematol. 1995 Mar;8(1):25-56. doi: 10.1016/s0950-3536(05)80231-8.
B19 parvovirus is pathogenic in man and causes a variety of clinical illnesses, among them several haematological diseases. Acute infection of a host with underlying haemolysis produces transient aplastic crisis; of the midtrimester fetus, hydrops fetalis; and of an immunocompromised patient, pure red cell aplasia. The target of B19 parvovirus infection is the human erythroid progenitor cell. Infection is cytotoxic due to expression of the viral nonstructural protein. The virus can be propagated in cultures of human bone marrow, blood, and fetal liver. Humoral immunity normally terminates infection, and commercially available immunoglobulin can be used to treat persistent infection. Recombinant capsids, produced in a baculovirus system, are suitable as a vaccine reagent.
B19细小病毒可使人致病,并引发多种临床疾病,其中包括几种血液系统疾病。潜在溶血的宿主发生急性感染会产生短暂再生障碍危象;孕中期胎儿感染会导致胎儿水肿;免疫功能低下的患者感染会引发纯红细胞再生障碍。B19细小病毒感染的靶细胞是人类红系祖细胞。由于病毒非结构蛋白的表达,感染具有细胞毒性。该病毒可在人骨髓、血液和胎儿肝脏培养物中增殖。体液免疫通常可终止感染,市售免疫球蛋白可用于治疗持续性感染。在杆状病毒系统中产生的重组衣壳适合作为疫苗试剂。