The Virological, Immunological, and Imaging Approaches for COVID-19 Diagnosis and Research
The Virological, Immunological, and Imaging Approaches for COVID-19 Diagnosis and Research
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DOI：
10.1177/2472630320950248
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发表时间：
2020-08-18
期刊：
影响因子：
2.7
通讯作者：
Poh Sheng Yeong, Joe
中科院分区：
文献类型：
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作者：
Tan, An Sen;Nerurkar, Sanjna Nilesh;Poh Sheng Yeong, Joe
2019年，一种新型冠状病毒（SARS-CoV-2）被发现会引起一种以肺炎为特征的高度传染性疾病。这种疾病（COVID-19）迅速在地球仪范围内传播，升级为全球大流行病。在这篇综述中，我们讨论了用于COVID-19诊断和研究的病毒学，免疫学和成像方法。COVID-19与其他呼吸道疾病有许多共同的临床特征。准确和早期发现感染对控制疫情至关重要，因为这可以识别病例，隔离和追踪接触者。我们总结了现有的文献，目前的实验室和床旁诊断，强调其优势和局限性，并描述了新兴的诊断方法在地平线上，我们还讨论了各种研究技术，正在被用来评估实验室确认的患者的宿主免疫力。此外，受影响患者的组织样本的病理成像在指导对这种疾病的调查方面具有关键作用。常规技术，如免疫组织化学和免疫荧光，经常用于表征COVID-19中的免疫微环境。我们还概述了新兴的成像技术，如RNA显微镜，这也可能有助于我们了解COVID-19特异性生物标志物的意义，如血管紧张素转换酶2（ACE 2）细胞受体。总体而言，COVID-19研究在短时间内取得了很大进展。对我们目前对SARS-CoV-2的知识进行广泛的全球整理将为新的治疗方式（如单克隆抗体）提供见解，并支持SARS-CoV-2疫苗的开发。
In 2019, a novel coronavirus (SARS-CoV-2) was found to cause a highly contagious disease characterized by pneumonia. The disease (COVID-19) quickly spread around the globe, escalating to a global pandemic. In this review, we discuss the virological, immunological, and imaging approaches harnessed for COVID-19 diagnosis and research. COVID-19 shares many clinical characteristics with other respiratory illnesses.Accurate and early detection of the infection is pivotal to controlling the outbreak, as this enables case identification, isolation, and contact tracing. We summarize the available literature on current laboratory and point-of-care diagnostics, highlight their strengths and limitations, and describe the emerging diagnostic approaches on the horizon.We also discuss the various research techniques that are being used to evaluate host immunity in laboratory-confirmed patients. Additionally, pathological imaging of tissue samples from affected patients has a critical role in guiding investigations on this disease. Conventional techniques, such as immunohistochemistry and immunofluorescence, have been frequently used to characterize the immune microenvironment in COVID-19. We also outline the emerging imaging techniques, such as the RNAscope, which might also aid in our understanding of the significance of COVID-19-specific biomarkers, such as the angiotensin-converting enzyme 2 (ACE2) cellular receptor.Overall, great progress has been made in COVID-19 research in a short period. Extensive, global collation of our current knowledge of SARS-CoV-2 will provide insights into novel treatment modalities, such as monoclonal antibodies, and support the development of a SARS-CoV-2 vaccine.