人类猴痘病毒:人类对猴痘病毒的认识现状及其对未来的影响。

Q3 Pharmacology, Toxicology and Pharmaceutics Infectious disorders drug targets Pub Date : 2023-01-01 DOI:10.2174/1871526523666230427144755
Suman Kumar Ray, Sukhes Mukherjee
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引用次数: 0

摘要

猴痘是一种人畜共患的正痘病毒,会无意中感染人类,导致类似天花的病症,但死亡率明显降低。尽管名为猴痘,但这种病毒并非起源于猴子。这种病毒与几种啮齿类动物和小型哺乳动物有关,但猴痘的真正来源至今不明。猴痘最早出现在猕猴身上,因此被命名为猴痘。尽管猴痘在人与人之间的传播极为罕见,但它经常与呼吸道飞沫或密切接触感染者的皮肤黏膜病变有关。这种病毒原产于非洲西部和中部,在西半球的爆发与外来宠物交易和国际旅行有关,因此具有重要的临床意义。接种天花病毒疫苗可偶然获得对猴痘的免疫力,但天花的根除和随之而来的疫苗接种运动的缺乏使猴痘变得与临床相关。尽管天花疫苗提供了对猴痘病毒的保护,但由于新生代未接种疫苗,猴痘的发病率仍在上升。目前还没有针对受感染者的指定治疗方法,但可通过辅助治疗缓解症状。在极其严重的病例中,特考韦利马特(tecovirimat)等药物可能有效,在欧洲也有使用。由于没有关于缓解症状的确切建议,许多治疗方法都在试用中。对于猴痘病毒,JYNNEOS 和 ACAM2000 等天花免疫接种也被用作预防措施。本文介绍了人类猴痘感染的评估和治疗方法,并强调了多学科团队治疗猴痘患者和预防疾病爆发的必要性。
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Human Monkeypox Virus: Current State of Knowledge and Implications for the Imminent Days.
Monkeypox, a zoonotic orthopoxvirus, unintentionally infects humans and causes a condition resembling smallpox with noticeably reduced fatality. Despite the name monkeypox, the virus did not originate in monkeys. The virus has been linked to several rodents and small mammals, but the real source of monkeypox is still unknown. It was first noticed in macaque monkeys; hence it is named monkeypox. Although monkeypox transmission from person to person is extremely uncommon, it is frequently linked to respiratory droplets or close contact with mucocutaneous lesions of an infected person. This virus is indigenous to western and central Africa, with outbreaks in the Western Hemisphere linked to the exotic pet trade and international travel, making it clinically significant. The immunization against vaccinia virus provided coincidental immunity to monkeypox, but the eradication of smallpox and the consequent lack of vaccination campaigns allowed monkeypox to become clinically relevant. Even though the smallpox vaccine offers protection against the monkeypox virus, the incidence is increasing because of newly non-immunized generations. There is currently no designated treatment for infected individuals; however, supportive treatments are used to relieve symptoms. In extremely severe cases, medications such as tecovirimat may be effective and are used in Europe. Because there are no precise recommendations for symptom alleviation, many treatments are on trial. Smallpox immunizations like JYNNEOS and ACAM2000 are also used as prophylactic measures in the case of the monkeypox virus. This article describes the assessment and treatment of monkeypox infections in humans and emphasizes the need for a multidisciplinary team to treat patients with this condition and prevent disease outbreaks.
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来源期刊
Infectious disorders drug targets
Infectious disorders drug targets Pharmacology, Toxicology and Pharmaceutics-Pharmacology
CiteScore
3.10
自引率
0.00%
发文量
123
期刊介绍: Infectious Disorders - Drug Targets aims to cover all the latest and outstanding developments on the medicinal chemistry, pharmacology, molecular biology, genomics and biochemistry of contemporary molecular targets involved in infectious disorders e.g. disease specific proteins, receptors, enzymes, genes. Each issue of the journal contains a series of timely in-depth reviews written by leaders in the field covering a range of current topics on drug targets involved in infectious disorders. As the discovery, identification, characterization and validation of novel human drug targets for anti-infective drug discovery continues to grow, this journal will be essential reading for all pharmaceutical scientists involved in drug discovery and development.
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