从严重急性呼吸系统综合征冠状病毒2型大流行中可以吸取的教训及其对被忽视的热带虫媒病毒预防和治疗发展的影响

Danilo Rosa-Nunes, Danilo B. M. Lucchi, Robert Andreata-Santos, L. Janini, C. Braconi
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摘要

在21世纪,传染病的出现和重新出现意义重大,在全球公共卫生关注中具有越来越重要的意义。根据新冠肺炎大流行和最近报告的流行病,大多数人类病原体起源于人畜共患病。许多此类病原体与具有RNA基因组的病毒有关,RNA基因组在结构上可以以单链或双链形式存在。在过去的二十年里,可以举例说明主要RNA病毒紧急情况的时间线,如2003年的严重急性呼吸综合征冠状病毒(SARS-CoV)、2009年的甲型流感病毒(H1N1)pdm09、2012年的中东呼吸综合征新冠病毒(MERS-CoV)、2013-2016年的埃博拉病毒(EBOV)、2015年的寨卡病毒(ZIKV)和2019年的SARS-CoV-2 pdm19。即便如此,对于许多正在传播的核糖核酸病毒来说,预防或治疗药物是不可用的。尽管如此,新冠肺炎大流行在加速预防、抗病毒和药物开发以及新型治疗方面取得了相当大的科学进展。关于人类的RNA病毒疾病,虫媒病毒发挥着重要而被忽视的作用,不断地重新出现并影响着几乎一半的人口,而这些人口还没有获得药物许可。在这里,我们通过现有数据回顾了整合RNA病毒在21世纪的出现和重新出现。然后,我们探索了在严重急性呼吸系统综合征冠状病毒2型大流行期间获得的宝贵经验教训,并重点关注潜在的流行病学更新、预防、可用的治疗方法和病毒药物抑制剂。最后,我们探讨了虫媒病毒的意义,以及正在进行的有效疫苗、抗病毒药物和新的治疗方法的开发,作为控制这些被忽视的热带疾病(NTD)的策略。
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Lessons that can be learned from the SARS-CoV-2 pandemic and their impact on the prophylaxis and treatment development for neglected tropical arboviruses
In the 21st Century, emergence and re-emergence of infectious diseases is significant and has an increasing importance in global concern of public health. Based on the COVID-19 pandemic and recently reported epidemics, most human pathogens originate in zoonosis. Many of such pathogens are related to viruses that have RNA genomes, which can be presented structurally as a single-strand or double-strand. During the last two decades, a timeline of major RNA viruses emergencies can be exemplified, such as Severe Acute Respiratory Syndrome Coronavirus (SARS-CoV) in 2003, influenza A virus (H1N1) pdm09 in 2009, Middle East respiratory syndrome coronavirus (MERS-CoV) in 2012, Ebola virus (EBOV) in 2013–2016, Zika virus (ZIKV) in 2015 and the SARS-CoV-2 pdm19 in 2019. Even so, prophylactic or therapeutic drugs are unavailable for many RNA viruses circulating. Nonetheless, the COVID-19 pandemic brought considerable scientific advances in accelerating progress regarding prophylaxis, antiviral and drug development, and novel treatments. Regarding RNA virus diseases for humans, arboviruses play an essential and neglected role, constantly reemerging and affecting almost half of the human population, for which no drug has been licensed. Here we review the consolidated RNA viruses’ emergence and re-emergence in the 21st Century through available data. Then, we explored valuable lessons gained during the SARS-CoV-2 pandemic and focused on potential epidemiologic updates, prophylaxis, available treatments, and viral drug inhibitors. Finally, we explore arbovirus’s significance and the ongoing development of effective vaccines, antiviral drugs, and novel therapeutic approaches as strategies to control these neglected tropical diseases (NTD).
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