登革病毒:分子生物学以及控制策略、预防、管理和治疗方面的最新进展

A. Hershan
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摘要

登革热是由登革热病毒(DENV)的四种血清型之一引起的病毒感染,在全球范围内可导致潜在的危及生命的疾病和严重的公共卫生及经济负担。登革热病毒的非结构蛋白和结构蛋白对其病毒活性和致病机理至关重要。遗憾的是,尽管做出了许多努力,但登革热仍然无法治愈。大多数现有的治疗方案只能提供对症治疗。由于无法治愈登革热,以及与登革热相关的巨大经济和公共卫生负担,因此迫切需要一种安全有效的登革热疫苗。目前,只有一种登革热疫苗获得批准,但其保护效果并不理想;不过,其他一系列登革热疫苗正在研发之中,以降低感染负担,减少登革热发病率。此外,许多登革热治疗药物也正在开发中,它们在登革热治疗方面具有巨大潜力。这些疗法大多通过减少病毒复制、血管病变和/或炎症发挥作用。本综述全面总结了登革热疫苗和疗法的最新进展。此外,还讨论了登革热病毒的其他重要方面,包括分子生物学、发病机制和控制策略。
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Dengue Virus: Molecular Biology and Recent Developments in Control Strategies, Prevention, Management, and Therapeutics
Dengue is a viral infection caused by one of four serotypes of dengue virus (DENV), which is responsible for causing potentially life-threatening disease and substantial public health as well as economic burden worldwide. The non-structural and structural proteins of DENV are essential to its viral activity and pathogenesis. Unfortunately, despite numerous efforts, there is still no cure for dengue. Most of the available therapeutic options only provide symptomatic treatment. Since there is a lack of cure and dengue-related substantial economic and public health burden, a safe and effective dengue vaccine is urgently required. Currently, there is only one approved dengue vaccine available that provides suboptimal protection; however, a range of other dengue vaccines are under development to lower the infection burden and decrease dengue morbidities. In addition, numerous dengue therapeutics are also being developed, which have great potential in dengue treatment. These therapeutics mostly act by decreasing viral replication, vascular pathologies, and/or inflammation. This review comprehensively summarizes the latest update on dengue vaccines and therapeutics. Moreover, various other important aspects of DENV, including molecular biology, pathogenesis, and control strategies, have also been discussed.
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