From SARS to MERS: evidence and speculation.

From SARS to MERS: evidence and speculation.
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DOI:
10.1007/s11684-016-0466-7
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发表时间:
2016-12
影响因子:
8.1
通讯作者:
Li L
Li L
中科院分区:
医学1区
文献类型:
--
作者:
Gao H;Yao H;Yang S;Li L

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中东呼吸综合征冠状病毒(MERS-CoV)是一种新型人畜共患病原体。2012年,中东呼吸综合征冠状病毒在沙特阿拉伯引起的传染性疫情已蔓延至26个国家的1600多名患者,造成600多人死亡。没有旅行史,很少有临床和放射学特征可以可靠地区分MERS和SARS。但在现实世界中,与SARS相比,MERS的流行病学定义更模糊,症状更严重,病死率更高。本文就MERS-CoV的分子病毒学、种间机制、临床特点、抗病毒治疗及进一步研究等方面的最新研究进展进行综述。作为一种新出现的病毒,许多问题尚未得到充分回答,包括确切的传播链模式、地理分布和动物起源。此外,还需要制定新的方案,快速评估未经证实的抗病毒药物和疫苗的效果,加快新药的临床应用。
The Middle East respiratory syndrome coronavirus (MERS-CoV) is a novel zoonotic pathogen. In 2012, the infectious outbreak caused by MERS-CoV in Saudi Arabia has spread to more than 1600 patients in 26 countries, resulting in over 600 deaths.Without a travel history, few clinical and radiological features can reliably differentiate MERS from SARS. But in real world, comparing with SARS, MERS presents more vaguely defined epidemiology, more severe symptoms, and higher case fatality rate. In this review, we summarize the recent findings in the field of MERS-CoV, especially its molecular virology, interspecies mechanisms, clinical features, antiviral therapies, and the further investigation into this disease. As a newly emerging virus, many questions are not fully answered, including the exact mode of transmission chain, geographical distribution, and animal origins. Furthermore, a new protocol needs to be launched to rapidly evaluate the effects of unproven antiviral drugs and vaccine to fasten the clinical application of new drugs.
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