Evolution and immunopathology of chikungunya virus informs therapeutic development.

Evolution and immunopathology of chikungunya virus informs therapeutic development.
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DOI:
10.1242/dmm.049804
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发表时间:
2023-04-01
影响因子:
4.3
通讯作者:
--
中科院分区:
医学2区
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--
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基孔肯雅病毒(CHIKV)是一种蚊媒甲病毒,是一种在各大洲60多个国家发现的新兴全球威胁。CHIKV传播的风险正在上升,这是由于全球相互作用的增加、蚊子媒介的全年存在以及CHIKV产生高宿主病毒载量和经历突变的能力。虽然CHIKV疾病很少致命,但它可以进展到慢性阶段,在此期间,患者会经历严重的衰弱性关节炎,持续数周至数月或数年。目前,没有针对CHIKV疾病的许可疫苗或抗病毒药物,治疗主要是对症治疗。本综述概述了CHIKV的发病机制,并探讨了现有的治疗方案和针对CHIKV感染的新型治疗策略的最新进展。摘要:虽然基孔肯雅病毒(CHIKV)病例在全球范围内不断上升,但治疗选择仍然非常有限。在这里,我们提供了CHIKV发病机制的概述,并探讨了预防和治疗感染策略的最新进展。
Chikungunya virus (CHIKV), a mosquito-borne alphavirus, is an emerging global threat identified in more than 60 countries across continents. The risk of CHIKV transmission is rising due to increased global interactions, year-round presence of mosquito vectors, and the ability of CHIKV to produce high host viral loads and undergo mutation. Although CHIKV disease is rarely fatal, it can progress to a chronic stage, during which patients experience severe debilitating arthritis that can last from several weeks to months or years. At present, there are no licensed vaccines or antiviral drugs for CHIKV disease, and treatment is primarily symptomatic. This Review provides an overview of CHIKV pathogenesis and explores the available therapeutic options and the most recent advances in novel therapeutic strategies against CHIKV infections. Summary: Although chikungunya virus (CHIKV) cases are rising globally, therapeutic options remain extremely limited. Here, we provide an overview of CHIKV pathogenesis and explore recent advances in strategies to prevent and treat infections.
DOI: 10.1093/infdis/jiq042
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