2019冠状病毒病康复血浆治疗的进展和挑战

Infectious diseases & immunity Pub Date : 2021-04-20 eCollection Date: 2021-04-01 DOI:10.1097/01.ID9.0000733568.58627.47
Ming Shi, Chao Zhang, Fu-Sheng Wang
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摘要

摘要中东呼吸系统综合征(MERS)、严重急性呼吸系统综合症(SARS)和SARS-CoV-2感染(导致2019冠状病毒病[新冠肺炎])是严重疾病。迄今为止,没有任何有效的暴露后预防、预防或治疗剂被推荐为对这些疾病有效。康复血浆(CP)是由冠状病毒感染康复后对病毒具有体液免疫力的个人捐赠的,已成功应用于治疗多种传染病,包括SARS、MERS和新冠肺炎。尽管如此,在使用CP方面仍存在一些障碍和挑战,应予以考虑。在这篇综述中,我们总结了临床尝试用CP治疗新冠肺炎的证据,这是一种治疗严重冠状病毒感染的有前景的疗法。此外,我们概述了在使用CP治疗进行治疗或预防时应考虑的剩余挑战和一般问题。
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The Progress and Challenges of Convalescent Plasma Therapy for Coronavirus Disease 2019.

Middle East respiratory syndrome (MERS), severe acute respiratory syndrome (SARS), and SARS-CoV-2 infection (causing coronavirus disease 2019 [COVID-19]) are serious diseases. To date, no effective post-exposure prophylaxis, prevention, or therapeutic agents are recommended as effective for these diseases. Convalescent plasma (CP), donated by individuals with established humoral immunity to the virus after recovering from coronavirus infection, has been successfully applied to treat several infectious diseases, including SARS, MERS, and COVID-19. Nonetheless, there are obstacles and challenges to using CP that should be taken into account. In this review, we summarize the evidence derived from clinical attempts to treat COVID-19 with CP, which represents a promising therapy for severe coronavirus infection. Furthermore, we outline the remaining challenges and general issues that should be considered when using CP treatment for therapeutic or prophylactic purposes.

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