Zika Virus 101: A Mini Review

N. Nandini, S. Deepthi, M. Sindhu
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Abstract

Zika virus is a mosquito-borne Flavivirus that is the focus of an ongoing pandemic and public health emergency. The Zika virus outbreak in Brazil in 2015, previously limited to sporadic cases in Africa and Asia, heralded a rapid spread across the Americas. Although most Zika virus infections are characterized by subclinical or mild flu-like illness, severe manifestations have been reported, including Guillain-Barre syndrome in adults and microcephaly in children born to infected mothers. There is no effective treatment or vaccine for the Zika virus; therefore, the public health response is primarily focused on preventing infections, especially in pregnant women. Despite the growing knowledge of this virus, questions remain regarding the vectors and reservoirs of the virus, pathogenesis, genetic diversity, and potential synergistic effects of coinfection with other circulating viruses. These questions highlight the need for research to optimize surveillance, patient management, and public health interventions in the current Zika virus epidemic .Zika virus (ZIKV) is an emerging arthropod-borne Flavivirus that leads to teratogenic effects and neurological disorders after infection. ZIKV infections are a serious global public health problem, leading scientists to increase research into antiviral and vaccines against the virus. These efforts are still ongoing, as the pathogenesis and immune evasion mechanisms of ZIKV are not yet fully understood. There are currently no specific vaccines or drugs approved for ZIKV; however, some are undergoing clinical trials. Notably, several strategies have been used to develop antiviral, including drugs that target viral and host proteins. In addition, drug reuse is preferred because it is cheaper and less timeconsuming than other strategies because the drugs used have already been approved for human use. Similarly, various platforms for vaccine design have been evaluated, including DNA, mRNA, peptide, protein, viral vectors, virus-like particles (VLPS), inactivated viruses, and live attenuated virus vaccines. These vaccines have been shown to induce specific humoral and cellular immune responses and reduce viremia and viral RNA in vitro and in vivo. Importantly, most of these vaccines have entered clinical trials. Understanding the mechanism of viral disease will provide better strategies for the development of therapeutic agents against ZIKV. This review provides a comprehensive summary of the viral pathogenesis of ZIKV and current progress in the development of vaccines and drugs against this virus.
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寨卡病毒101:迷你回顾
寨卡病毒是一种由蚊子传播的黄病毒,是目前大流行和突发公共卫生事件的焦点。2015年,寨卡病毒在巴西爆发,之前仅限于非洲和亚洲的零星病例,预示着该病毒在美洲的迅速传播。虽然大多数寨卡病毒感染的特征是亚临床或轻度流感样疾病,但也有严重症状的报告,包括成人格林-巴利综合征和受感染母亲所生儿童的小头畸形。目前还没有针对寨卡病毒的有效治疗方法或疫苗;因此,公共卫生应对措施主要侧重于预防感染,特别是孕妇感染。尽管对该病毒的认识不断增加,但关于该病毒的载体和宿主、发病机制、遗传多样性以及与其他流行病毒共同感染的潜在协同效应等问题仍然存在。这些问题突出了当前寨卡病毒流行中优化监测、患者管理和公共卫生干预的研究需求。寨卡病毒(ZIKV)是一种新兴的节肢动物传播的黄病毒,感染后会导致致畸作用和神经系统疾病。寨卡病毒感染是一个严重的全球公共卫生问题,导致科学家们加大了对该病毒的抗病毒药物和疫苗的研究。这些努力仍在进行中,因为寨卡病毒的发病机制和免疫逃避机制尚未完全了解。目前还没有批准用于寨卡病毒的特定疫苗或药物;然而,其中一些正在进行临床试验。值得注意的是,已经使用了几种策略来开发抗病毒药物,包括针对病毒和宿主蛋白质的药物。此外,药物再利用是首选,因为它比其他策略更便宜,更省时,因为所使用的药物已经被批准用于人类使用。同样,各种疫苗设计平台也得到了评估,包括DNA、mRNA、肽、蛋白质、病毒载体、病毒样颗粒(VLPS)、灭活病毒和减毒活疫苗。这些疫苗已被证明在体内和体外诱导特异性体液和细胞免疫反应,减少病毒血症和病毒RNA。重要的是,这些疫苗大多已进入临床试验阶段。了解病毒病的发病机制将为开发抗寨卡病毒的治疗药物提供更好的策略。本文综述了寨卡病毒的发病机制以及寨卡病毒疫苗和药物的研究进展。
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