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A Novel Homozygous Variant in the COMP Gene Causing a Multiple Epiphyseal Dysplasia 1 with Autosomal Recessive Inheritance COMP基因的一种新的纯合变异导致多发性骨骺发育不良1伴常染色体隐性遗传
Pub Date : 2022-06-05 DOI: 10.3390/ijtm2020019
T. Markova, Aysylu Murtazina, V. Kenis, E. Melchenko, M. Ampleeva, T. Nagornova, A. Alieva, E. Dadali, S. Kutsev
Multiple epiphyseal dysplasia type 1 is one of the most common autosomal dominant types of the genetically heterogeneous group of skeletal dysplasias characterized by impaired ossification of the epiphyses of long bones. To date, it is known that the disease is caused by heterozygous variants in the COMP gene and is characterized by a significant variability in the clinical manifestations. We report the first case of a patient with MED 1 caused by novel homozygous single nucleotide variant c.2170dupG (p.Val724Glyfs*20) in the COMP gene identified by whole-exome sequencing. The following segregation analysis in the family found a detected variant in heterozygous state in healthy consanguineous parents of the proband. Clinical and radiological examination revealed the atypical signs of epiphyseal dysplasia including limited range of extension and supination of both forearms, severe bilateral ulnar clubhand, plano-valgus deformity of the feet and generalized muscle weakness with gait disturbances. Among the clinical features, myopathic signs were the most prominent. The radiological and neurophysiological data can be helpful in the differential diagnostics with the congenital myopathies. The novel homozygous variant in the COMP gene that caused multiple epiphyseal dysplasia 1 with autosomal recessive inheritance can contribute to the more detailed description of genotype–phenotype correlations, which will allow research to understand better the role of the C-terminal domain of COMP.
1型多发性骨骺发育不良是一种最常见的常染色体显性遗传异质性骨骼发育不良,其特征是长骨骨骺骨化受损。迄今为止,已知该疾病是由COMP基因的杂合变异体引起的,其特点是临床表现的显著差异。我们报告了首例由COMP基因的新型纯合单核苷酸变异c.2170dupG (p.Val724Glyfs*20)引起的MED 1患者,该突变通过全外显子组测序鉴定。随后的家族分离分析发现先证者的健康近亲父母中检测到杂合状态的变异。临床和影像学检查显示骨骺发育不良的不典型征象包括双前臂伸展和旋后活动受限,严重的双侧尺骨内翻,足跖平外翻畸形和全身肌肉无力伴步态障碍。临床表现中以肌病征象最为突出。放射学和神经生理学资料对先天性肌病的鉴别诊断有帮助。COMP基因中引起多发性骨骺发育不良1常染色体隐性遗传的新型纯合变异有助于更详细地描述基因型-表型相关性,这将使研究人员更好地了解COMP c端结构域的作用。
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引用次数: 0
How to Avoid False-Negative and False-Positive COVID-19 PCR Testing 如何避免COVID-19 PCR检测假阴性和假阳性
Pub Date : 2022-06-01 DOI: 10.3390/ijtm2020018
I. Fevraleva, O. Glinshchikova, T. Makarik, A. Sudarikov
Background: Up to 40% of test results for COVID-19 in the presence of clinical manifestations of the disease might be negative. The reason for a false-negative result might originate from any step of the analysis: poor-quality or empty swab, poor RNA isolation, inactivation of reverse transcriptase or Taq polymerase in the test. Methods: Here we describe a PCR approach for SARS-CoV-2 detection with swab quality and integrity controlled by human ABL1 mRNA amplification. Designed primers work with the cDNA of the ABL1 gene, not genomic DNA. Results: The simultaneous appearance of three signals corresponding to the nucleocapsid, spike, and ABL1 gene indicates infection with the Omicron strain. The amplification of ABL1 gene and nucleocapsid only indicate other than Omicron infection. The appearance of ABL1 amplification only indicates a true negative result for SARS-CoV-2. All other variants are null and void. Conclusions: A system has been developed for multiplex PCR diagnostics of SARS-CoV-2, which makes it possible to eliminate errors leading to false-negative and false-positive results at all stages of analysis. This is accomplished by the presence of specific primers for human RNA, controlling proper swab application, handling, and all the stages of RT-PCR.
背景:在有COVID-19临床表现的情况下,高达40%的COVID-19检测结果可能为阴性。假阴性结果的原因可能源于分析的任何步骤:质量差或空拭子,RNA分离不良,测试中逆转录酶或Taq聚合酶失活。方法:采用人ABL1 mRNA扩增控制拭子质量和完整性的PCR方法检测SARS-CoV-2。设计的引物与ABL1基因的cDNA一起工作,而不是基因组DNA。结果:核衣壳、穗和ABL1基因三个信号同时出现,表明感染了Omicron菌株。ABL1基因和核衣壳扩增仅表明非Omicron感染。ABL1扩增的出现仅表明对SARS-CoV-2的真阴性结果。所有其他的变体都是无效的。结论:已开发出一套SARS-CoV-2多重PCR诊断系统,可消除分析各阶段导致假阴性和假阳性结果的错误。这是通过人类RNA的特定引物的存在,控制正确的拭子应用,处理和RT-PCR的所有阶段来完成的。
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引用次数: 0
CRISPR-Based Diagnostics for Point-of-Care Viral Detection 基于crispr的即时病毒检测诊断
Pub Date : 2022-06-01 DOI: 10.3390/ijtm2020017
Alexander I. Mosa
Point-of-care detection of viral infection is required for effective contact-tracing, epidemiological surveillance, and linkage to care. Traditional diagnostic platforms relying on either antigen detection or nucleic amplification are limited by sensitivity and the need for costly laboratory infrastructure, respectively. Recently, CRISPR-based diagnostics have emerged as an alternative, combining equipment light workflows with high specificity and sensitivity. However, as a nascent technology, several outstanding challenges to widespread field deployment remain. These include the need for pre-detection amplification of target molecules, the lack of standardization in sample preparation and reagent composition, and only equivocal assessments of the unit-economics relative to traditional antigen or polymerase chain reaction-based diagnostics. This review summarizes recent advances with the potential to overcome existing translational barriers, describes the events in CRISPR-based detection of target molecules, and offers perspective on how multiple approaches can be combined to decrease the limit of detection without introducing pre-amplification.
为实现有效的接触者追踪、流行病学监测和与护理的联系,需要在护理点检测病毒感染。依赖抗原检测或核酸扩增的传统诊断平台分别受到敏感性和昂贵的实验室基础设施需求的限制。最近,基于crispr的诊断已经成为一种替代方法,结合了高特异性和敏感性的设备光工作流程。然而,作为一项新兴技术,在广泛的现场应用中仍然存在一些突出的挑战。这些问题包括需要对目标分子进行检测前扩增,样品制备和试剂组成缺乏标准化,相对于传统的抗原或基于聚合酶链反应的诊断,对单位经济的评估含糊不清。本综述总结了具有克服现有翻译障碍潜力的最新进展,描述了基于crispr的靶分子检测中的事件,并提供了如何将多种方法结合起来以在不引入预扩增的情况下降低检测限制的观点。
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引用次数: 0
Can Similarities between the Pathogenesis of Preeclampsia and COVID-19 Increase the Understanding of COVID-19? 子痫前期与COVID-19发病机制的相似性能否增进对COVID-19的认识?
Pub Date : 2022-05-06 DOI: 10.3390/ijtm2020016
V. Giardini, C. Gambacorti-Passerini, M. Casati, Andrea Carrer, P. Vergani
COVID-19 has been primarily identified as a respiratory infection characterized by signs and symptoms associated with the dysfunction of the renin-angiotensin system (RAS). This is attributed to the SARS-CoV-2 virus invading the respiratory mucosa via angiotensin-converting enzyme 2 (ACE2), which is an important element of the RAS. Meanwhile, preeclampsia is an obstetric pathology that, surprisingly, resembles the pathology of COVID-19. It is a systemic syndrome that occurs during the second half of pregnancy and is determined to be a major cause of maternal and perinatal morbidity and mortality. This disease typically presents with new-onset hypertension and proteinuria or other specific end-organ dysfunctions. RAS-mediated mechanisms may explain its primary clinical-pathological features, which are suggestive of an underlying microvascular dysfunction in both diseases, with induction of vasculopathy, coagulopathy, and inflammation. In this report, we review the medical literature on this subject. Further, the underlying similarities between the two conditions are discussed to assess preeclampsia as a model for COVID-19. These considerations are valid in the case of original SARS-CoV-2 primary infection. Emerging SARS-CoV-2 variants as well as the vaccination could alter various aspects of the virus biology, including human ACE-2 receptor binding affinity and therefore the RAS mediated consequences.
COVID-19主要被确定为以肾素-血管紧张素系统(RAS)功能障碍相关体征和症状为特征的呼吸道感染。这是由于SARS-CoV-2病毒通过血管紧张素转换酶2 (ACE2)侵入呼吸道粘膜,而ACE2是RAS的重要组成部分。与此同时,子痫前期是一种产科病理,令人惊讶的是,它与COVID-19的病理相似。它是一种发生在妊娠后半期的全身性综合征,被确定为孕产妇和围产期发病率和死亡率的主要原因。本病典型表现为新发高血压和蛋白尿或其他特异性终末器官功能障碍。ras介导的机制可以解释其主要的临床病理特征,这些特征提示两种疾病中潜在的微血管功能障碍,诱导血管病变、凝血功能障碍和炎症。在本报告中,我们回顾了有关这一主题的医学文献。此外,讨论了两种情况之间的潜在相似性,以评估子痫前期作为COVID-19的模型。在SARS-CoV-2原发感染的情况下,这些考虑是有效的。新出现的SARS-CoV-2变体以及疫苗接种可能改变病毒生物学的各个方面,包括人类ACE-2受体结合亲和力以及RAS介导的后果。
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引用次数: 10
Membrane Lipid Replacement with Glycerolphospholipids Slowly Reduces Self-Reported Symptom Severities in Chemically Exposed Gulf War Veterans 用甘油磷脂替代膜脂可缓慢降低海湾战争化学暴露老兵自我报告的症状严重程度
Pub Date : 2022-04-29 DOI: 10.3390/ijtm2020014
G. Nicolson, P. C. Breeding
Background: Chemically exposed veterans of the 1991 Gulf War have few options for treatment of conditions and symptoms related to their chemical exposures. Membrane Lipid Replacement (MLR) with oral membrane glycerolphospholipids is a safe and effective method for slowly removing hydrophobic organic molecules from tissues, while enhancing mitochondrial function and decreasing the severity of certain signs and symptoms associated with multi-symptom illnesses. Methods: A preliminary open-label study utilizing 20 male veterans who were deployed to combat areas, exposed to environmental toxic chemicals and subsequently diagnosed with Gulf War Illnesses (GWI) were utilized. These subjects took 6 g per day oral glycerolphospholipids for 6 months, and the severities of over 100 signs and symptoms were self-reported at various times using illness survey forms. Results: In the sixteen patients that fully complied and completed the study, there were gradual and significant reductions of symptom severities in categories related to fatigue, pain, musculoskeletal, nasopharyngeal, breathing, vision, sleep, balance, and urinary, gastrointestinal and chemical sensitivities. There were no adverse incidents during the study, and the all-natural oral study supplement was extremely well tolerated. Conclusions: MLR with oral glycerolphospholipids appears to be a simple, safe and potentially effective method of slowly reducing the severities of multiple symptoms in chemically exposed veterans.
背景:1991年海湾战争中接触化学物质的退伍军人很少有治疗与化学物质接触有关的条件和症状的选择。口服膜甘油磷脂膜脂替代(MLR)是一种安全有效的方法,可以缓慢地从组织中去除疏水有机分子,同时增强线粒体功能并降低与多症状疾病相关的某些体征和症状的严重程度。方法:对20名被部署到战区、暴露于环境有毒化学物质并随后被诊断为海湾战争病(GWI)的男性退伍军人进行初步开放标签研究。受试者每天口服6克甘油磷脂,持续6个月,并在不同时间使用疾病调查表自我报告100多种体征和症状的严重程度。结果:在完全遵守并完成研究的16例患者中,疲劳、疼痛、肌肉骨骼、鼻咽、呼吸、视力、睡眠、平衡、泌尿、胃肠道和化学敏感性等类别的症状严重程度逐渐显著减轻。在研究期间没有发生不良事件,全天然口服研究补充剂的耐受性非常好。结论:口服甘油磷脂的MLR似乎是一种简单、安全、潜在有效的方法,可以缓慢降低化学暴露退伍军人多种症状的严重程度。
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引用次数: 3
Set Operations in Python for Translational Medicine 为转化医学设置Python操作
Pub Date : 2022-04-29 DOI: 10.3390/ijtm2020015
Yoshiyasu Takefuji
This is the world’s first tutorial article on Python programing on set operations for beginners and practitioners in translational medicine or medicine in general. This tutorial will allow researchers to demonstrate and showcase their tools on PyPI packages around the world. Via the PyPI packaging, a Python application with a single source code can run on Windows, MacOS, and Linux operating systems. In addition to the PyPI packaging, the reproducibility and quality of the source code must be guaranteed. This paper shows how to publish the Python application in Code Ocean after the PyPI packaging. Code Ocean is used in IEEE, Springer, and Elsevier for software reproducibility validation. First, programmers must understand how to scrape a dataset over the Internet. Second, the dataset files must be read in Python. Third, a program must be built to compute the target values using set operations. Fourth, the Python program must be converted to the PyPI package. Finally, the PyPI package is uploaded. Code Ocean plays a key role in publishing validation for software reproducibility. This paper depicts a vaers executable package as an example for calculating the number of deaths due to COVID-19 vaccines. Calculations were based on gender (male and female), age group, and vaccine group (Moderna, Pfizer, and Novartis), respectively.
这是世界上第一篇针对转化医学或一般医学的初学者和从业者的关于集合操作的Python编程教程。本教程将允许研究人员在世界各地的PyPI包上演示和展示他们的工具。通过PyPI封装,具有单个源代码的Python应用程序可以在Windows, MacOS和Linux操作系统上运行。除了PyPI封装之外,还必须保证源代码的可再现性和质量。本文展示了如何在PyPI打包后在Code Ocean中发布Python应用程序。Code Ocean在IEEE、Springer和Elsevier中用于软件可再现性验证。首先,程序员必须了解如何在互联网上抓取数据集。其次,数据集文件必须用Python读取。第三,必须构建一个程序来使用集合操作计算目标值。第四,必须将Python程序转换为PyPI包。最后,上传PyPI包。Code Ocean在发布验证软件再现性方面起着关键作用。本文以vaers可执行包为例,计算COVID-19疫苗导致的死亡人数。计算分别基于性别(男性和女性)、年龄组和疫苗组(Moderna、辉瑞和诺华)。
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引用次数: 0
TRPC6 Is Found in Distinct Compartments of the Human Kidney TRPC6存在于人类肾脏的不同腔室中
Pub Date : 2022-04-24 DOI: 10.3390/ijtm2020013
Colya N. Englisch, Daniel Röhricht, M. Walz, K. Junker, Anja Beckmann, C. Meier, F. Paulsen, M. Jung, T. Tschernig
In the context of renal proteinuric diseases, TRPC6 has been shown to play an important role in ultrafiltration associated with the slit diaphragm through the control of the intracellular Ca2+ concentration in the podocytes of glomeruli. However, to date, the properties of TRPC6 have been studied mainly in cell lines or in animal models. Therefore, the aim of the study presented here was to investigate the presence and distribution of TRPC6 in human kidneys in order to possibly verify the applicability of the results previously obtained in nonhuman experiments. For this purpose, kidneys from nine cadavers were prepared for immunohistochemical staining and were supplemented with a fresh human kidney obtained by nephrectomy. TRPC6 was detected in glomeruli and in the parietal epithelial cells of Bowman’s capsule. Larger amounts were detected in the tubular system and collecting ducts. In contrast to the peritubular capillary bed, which showed no immune reaction, the cortical resistance vessels showed mild TRPC6 staining. In conclusion, our studies on the expression of TRPC6 in human kidney tissue support the translational concept of the involvement of TRPC6 in various renal diseases and reveal new aspects of the distribution of TRPC6 in the human kidney.
在肾脏蛋白尿疾病的背景下,TRPC6已被证明通过控制肾小球足细胞细胞内Ca2+浓度,在与狭缝隔膜相关的超滤中发挥重要作用。然而,迄今为止,TRPC6的性质主要是在细胞系或动物模型中研究的。因此,本研究的目的是研究TRPC6在人体肾脏中的存在和分布,以可能地验证先前在非人体实验中获得的结果的适用性。为此,我们准备了9具尸体的肾脏进行免疫组织化学染色,并用肾切除术获得的新鲜人肾作为补充。肾小球及鲍曼囊壁上皮细胞中检测到TRPC6。在管状系统和收集管中检测到较大的量。与小管周围毛细血管床无免疫反应相比,皮质抵抗血管呈轻度TRPC6染色。总之,我们对TRPC6在人肾组织中的表达的研究支持了TRPC6参与多种肾脏疾病的翻译概念,并揭示了TRPC6在人肾中的分布的新方面。
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引用次数: 4
Potential Translational Thioflavin T Methodology as a Complement of Cell-Based Assays and after Drug Exposition 潜在的翻译硫黄素T方法作为基于细胞的检测和药物暴露后的补充
Pub Date : 2022-03-22 DOI: 10.3390/ijtm2020011
A. Correia, Diana Duarte, Vera Miranda-Gonçalves, N. Vale
Protein aggregation is a common characteristic of several human diseases such as Alzheimer’s disease. Recent evidence has indicated that the aggregation of peptides such as p53 is also marked in cancer cells. The aim of this study was to correlate Thioflavin T (ThT) data with different cellular viability assays (Neutral Red and MTT) in SH-SY5Y neuroblastoma cells and HT-29 colon cancer cells treated with doxorubicin, a classical antineoplastic agent. We also studied the effects of the well-known peptide Aβ42 on the aggregation process in these cells. Our data suggest that both cancer cell lines are responsive to doxorubicin and formed aggregates, highlighting a relationship between ThT and cellular viability methodologies. We observed that lower values of cell viability corresponded with pronounced aggregation. Thus, these results indicated that the ThT methodology used in cells may complement the cell viability assays. In addition, this methodology may be of interest to evaluate the role of protein aggregation in other cancer cells.
蛋白质聚集是几种人类疾病(如阿尔茨海默病)的共同特征。最近的证据表明,像p53这样的多肽聚集在癌细胞中也很明显。本研究的目的是将硫黄素T (ThT)数据与SH-SY5Y神经母细胞瘤细胞和HT-29结肠癌细胞经阿霉素(一种经典的抗肿瘤药物)治疗后的不同细胞活力测定(中性红和MTT)相关联。我们还研究了众所周知的肽Aβ42对这些细胞聚集过程的影响。我们的数据表明,两种癌细胞系都对阿霉素有反应并形成聚集体,强调了ThT与细胞活力方法之间的关系。我们观察到,较低的细胞活力值与明显的聚集相对应。因此,这些结果表明,细胞中使用的ThT方法可以补充细胞活力测定。此外,这种方法可能对评估蛋白质聚集在其他癌细胞中的作用感兴趣。
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引用次数: 0
Cardiac Glycosides Increase Temozolomide Anticancer Activity in Therapy Resistant Glioblastoma Cells 心脏糖苷增加替莫唑胺对治疗耐药胶质母细胞瘤细胞的抗癌活性
Pub Date : 2022-03-22 DOI: 10.3390/ijtm2020012
A. Valluri, Logan Lawrence, K. Denning, J. Cuda, G. Zhu
Glioblastomas (GBMs) are a form of malignant gliomas characterized by a dismal prognosis. Standard treatment for glioblastoma patients is combined maximal surgical removal of the tumor with postoperative radiotherapy and concomitant chemotherapy with Temozolomide (TMZ). Among the histological characteristics that contribute to GBM progression are the rapid proliferation and neo-angiogenetic processes. The Na+/K+-ATPase is a transporter that promotes the migration of cancer cells, and its aberrant expression and activity have been associated with several cancers, including GBM. Using cardiac glycosides, we examined the effects of direct inhibition of the Na+/K+-ATPase in glioblastoma cells in vitro. We found that cardiac glycoside Digoxin is an effective anticancer agent on several glioma cell lines via Na+/K+-ATPase inhibition. Drug cytotoxicity assays showed that Digoxin as monotherapy significantly increased cell death and increased the efficacy of Temozolomide (TMZ) in the glioma cell lines T98G, U-97 MG, and primary GBM cells BNC-6. Additionally, Digoxin exhibited important anti-migratory effects on the highly aggressive and chemotherapy-resistant T98G glioma cell-line, demonstrating a potential therapeutic role for cardiac glycosides.
胶质母细胞瘤(GBMs)是一种恶性胶质瘤,其特点是预后不佳。胶质母细胞瘤患者的标准治疗是联合最大手术切除肿瘤,术后放疗和联合替莫唑胺(TMZ)化疗。导致GBM进展的组织学特征包括快速增殖和新血管生成过程。Na+/K+- atp酶是一种促进癌细胞迁移的转运体,其异常表达和活性与包括GBM在内的几种癌症有关。使用心脏糖苷,我们在体外研究了直接抑制胶质母细胞瘤细胞Na+/K+- atp酶的作用。我们发现心脏糖苷地高辛通过抑制Na+/K+- atp酶对几种胶质瘤细胞系具有有效的抗癌作用。药物细胞毒性试验显示,地高辛单药治疗显著增加了胶质瘤细胞系T98G、U-97 MG和原代GBM细胞BNC-6的细胞死亡和替莫唑胺(TMZ)的疗效。此外,地高辛对高侵袭性和化疗耐药的T98G胶质瘤细胞系显示出重要的抗迁移作用,表明心脏糖苷具有潜在的治疗作用。
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引用次数: 0
Thinking Outside the Box: Utilizing Nontraditional Animal Models for COVID-19 Research 跳出框框思考:利用非传统动物模型进行COVID-19研究
Pub Date : 2022-03-09 DOI: 10.3390/ijtm2010010
Sachithra Gunasekara, Miruthula Tamil Selvan, Craig A. Miller, Jennifer M. Rudd
The ongoing COVID-19 pandemic continues to affect the lives, wellbeing, and stability of communities worldwide. The race to save human lives is critical, and the development of useful translational animal models to elucidate disease pathogenesis and prevention, and to test therapeutic interventions, is essential to this response. However, significant limitations exist with the currently employed animal models that slow our ability to respond to the pandemic. Non-human primates serve as an excellent animal model for SARS-CoV-2 disease and interventions, but the availability of these animals is scarce, and few facilities are able to house and utilize this model. Adapted murine models are accessible and improving but lack natural hACE-2 receptors and are only moderate representatives of human COVID-19 disease, transmission, and immune responses. On the other hand, there are several animal species that are both naturally and experimentally infected, such as domestic cats, hamsters, ferrets, and mink. Several of these have proven animal-to-animal transmission and evidence of significant clinical and histopathologic disease that mimics acute COVID-19 in humans. Mobilizing these nontraditional animal models could have a crucial role in SARS-CoV-2 research efficiency and impact. This review focuses on what is known about these nontraditional animal models, including their immune responses to SARS-CoV-2 infection, evidence of clinical and histopathologic disease, transmission potential, and the practicality of each model in a research setting. Comparative insight into these animal models for COVID-19 can strengthen the efforts to mitigate this pandemic.
当前的COVID-19大流行继续影响着世界各地社区的生活、福祉和稳定。拯救人类生命的竞赛至关重要,开发有用的转化动物模型来阐明疾病的发病机制和预防,并测试治疗干预措施,对这一反应至关重要。然而,目前采用的动物模型存在重大局限性,减缓了我们应对大流行的能力。非人类灵长类动物是SARS-CoV-2疾病和干预措施的优秀动物模型,但这些动物的可用性很少,很少有设施能够容纳和利用这种模型。适应的小鼠模型是可获得和改进的,但缺乏天然的hACE-2受体,仅是人类COVID-19疾病、传播和免疫反应的适度代表。另一方面,有几种动物既可以自然感染,也可以通过实验感染,如家猫、仓鼠、雪貂和水貂。其中一些已证实存在动物间传播,并有证据表明存在类似人类急性COVID-19的重大临床和组织病理学疾病。动员这些非传统的动物模型可以在SARS-CoV-2研究效率和影响方面发挥关键作用。本综述的重点是对这些非传统动物模型的了解,包括它们对SARS-CoV-2感染的免疫反应、临床和组织病理学疾病的证据、传播潜力以及每种模型在研究环境中的实用性。对这些COVID-19动物模型的比较了解可以加强缓解这一大流行的努力。
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引用次数: 2
期刊
Journal of International Translational Medicine
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