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Diabetes Risk Factor and Its Relationship to Increasing Coronavirus (COVID-19) Mortality Rate in United States in 2019-2022: An Epidemiological Study
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作者 Henry Zeidan Iman Zeidan Laura Scholer-Bland 《Open Journal of Epidemiology》 2023年第2期128-143,共16页
As an effort to understand the effect of diabetes on the increasing rate of COVID-19 infection, we embarked upon a detailed statistical analysis of various datasets that include COVID-19 infection and mortality rate, ... As an effort to understand the effect of diabetes on the increasing rate of COVID-19 infection, we embarked upon a detailed statistical analysis of various datasets that include COVID-19 infection and mortality rate, diabetes and diseases that may contribute to the severity and risk factor of diabetes in individuals and this impact on COVID-19 and the mortality rate. These diseases include respiratory diseases, cardiovascular diseases, and obesity. Equally significant is the statistical analysis on ethnicity, age, and sex on COVID-19 infection as well as mortality rate. Their possible contributions to increasing the severity and risk factor of diabetes as a risk to mortality to individuals who have COVID-19. Objectives: The ultimate objectives of this investigation are as follow: 1) Is there a risk factor of diabetes on COVID-19 infection and increasing mortality rate? 2) To what extent do other disease conditions that include, obesity, heart failure, and respiratory diseases influence the severity and risk factor of diabetes on increasing COVID-19 infection and mortality rate? 3) To what extent does age, race, and gender increase the mortality of COVID-19 and increase the severity and risk factor of diabetes on COVID-19 mortality rate? 4) How and why COVID-19 virus increases the risk of diabetes in children? 5) Diabetes and COVID-19: Who is most at Risk? Lastly, understanding the misconception of COVID-19 and diabetes. 展开更多
关键词 middle east respiratory Syndrome coronavirus (MERS-COVID) Infection Risk Factors Omicron Virus COVID-19 Risk on Children Interactions of Independent Variables Poisson Regression Linear Regression
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Middle East respiratory syndrome coronavirus in pediatrics: a report of seven cases from Saudi Arabia 被引量:2
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作者 Sarah H. Alfaraj Jaffar A. Al-Tawfiq +1 位作者 Talal A. Altuwaijri Ziad A. Memish 《Frontiers of Medicine》 SCIE CAS CSCD 2019年第1期126-130,共5页
Infection with Middle East respiratory syndrome coronavirus (MERS-CoV) emerged in 2012 as an important respiratory disease with high fatality rates of 40%—60%. Despite the increased number of cases over subsequent ye... Infection with Middle East respiratory syndrome coronavirus (MERS-CoV) emerged in 2012 as an important respiratory disease with high fatality rates of 40%—60%. Despite the increased number of cases over subsequent years, the number of pediatric cases remained low. A review of studies conducted from June 2012 to April 19, 2016 reported 31 pediatric MERS-CoV cases. In this paper, we present the clinical and laboratory features of seven patients with pediatric MERS. Five patients had no underlying medical illnesses, and three patients were asymptomatic. Of the seven cases, four (57%) patients sought medical advice within 1-7 days from the onset of symptoms. The three other patients (43%) were asymptomatic and were in contact with patients with confirmed diagnosis of MERS-CoV. The most common presenting symptoms were fever (57%), cough (14%), shortness of breath (14%), vomiting (28%), and diarrhea (28%). Two (28.6%) patients had platelet counts of < 150 ×10^9/L, and one patient had an underlying end-stage renal disease. The remaining patients presented with normal blood count, liver function, and urea and creatinine levels. The documented MERS-CoV Ct values were 32 38 for four of the seven cases. Two patients (28.6%) had abnormal chest radiographic findings of bilateral infiltration. One patient (14.3%) required ventilator support, and two patients (28.6%) required oxygen supplementation. All the seven patients were discharged without complications. 展开更多
关键词 middle east respiratory SYNDROME coronavirus MERS-CoV pregnancy PEDIATRICS
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Coronavirus: A “Mild” Virus Turned Deadly Infection 被引量:3
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作者 Rizwan Ali Naqvi Muhammad Faheem Mushtaq +5 位作者 Natash Ali Mian Muhammad Adnan Khan Atta-ur-Rahman Muhammad Ali Yousaf Muhammad Umair Rizwan Majeed 《Computers, Materials & Continua》 SCIE EI 2021年第5期2631-2646,共16页
Coronaviruses are a family of viruses that can be transmitted from one person to another.Earlier strains have only been mild viruses,but the current form,known as coronavirus disease 2019(COVID-19),has become a deadly... Coronaviruses are a family of viruses that can be transmitted from one person to another.Earlier strains have only been mild viruses,but the current form,known as coronavirus disease 2019(COVID-19),has become a deadly infection.The outbreak originated in Wuhan,China,and has since spread worldwide.The symptoms of COVID-19 include a dry cough,sore throat,fever,and nasal congestion.Antimicrobial drugs,pathogen–host interaction,and 2 weeks of isolation have been recommended for the treatment of the infection.Safe operating procedures,such as the use of face masks,hand sanitizer,handwashing with soap,and social distancing,are also suggested.Moreover,travel bans for cities,states,and countries have been put in place,along with lockdowns to control the outbreak.Travel restrictions,mask use,sanitizer or soap use,and avoidance of touching the face and nose have produced encouraging results,whereas the effectiveness of antibiotics has not been proved.The results of isolation for the recovery of infected people have also been promising.Travel bans and lockdowns have caused a slump in economies,and unemployment has risen sharply,resulting in an increase in mental health cases globally.To date,vaccines have been developed and are in use in certain countries,but following standard operating procedures remain critical.The countries following the guidelines can eradicate this virus.New Zealand was the rst country to eliminate the virus from their territory. 展开更多
关键词 coronavirus severe acute respiratory syndrome middle east respiratory syndrome world health organization
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Genetic Evidence of Middle East Respiratory Syndrome Coronavirus(MERS-Cov) and Widespread Seroprevalence among Camels in Kenya 被引量:1
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作者 Sheila Ommeh Wei Zhang +24 位作者 Ali Zohaib Jing Chen Huajun Zhang Ben Hu Xing-Yi Ge Xing-Lou Yang Moses Masika Vincent Obanda Yun Luo Shan Li Cecilia Waruhiu Bei Li Yan Zhu Desterio Ouma Vincent Odendo Lin-Fa Wang Danielle E.Anderson Jacqueline Lichoti Erick Mungube Francis Gakuya Peng Zhou Kisa-Juma Ngeiywa Bing Yan Bernard Agwanda Zheng-Li Shi 《Virologica Sinica》 SCIE CAS CSCD 2018年第6期484-492,共9页
We describe the first genome isolation of Middle East respiratory syndrome coronavirus(MERS-CoV) in Kenya. This fatal zoonotic pathogen was first described in the Kingdom of Saudi Arabia in 2012. Epidemiological and m... We describe the first genome isolation of Middle East respiratory syndrome coronavirus(MERS-CoV) in Kenya. This fatal zoonotic pathogen was first described in the Kingdom of Saudi Arabia in 2012. Epidemiological and molecular evidence revealed zoonotic transmission from camels to humans and between humans. Currently, MERS-CoV is classified by the WHO as having high pandemic potential requiring greater surveillance. Previous studies of MERS-CoV in Kenya mainly focused on site-specific and archived camel and human serum samples for antibodies. We conducted active nationwide cross-sectional surveillance of camels and humans in Kenya, targeting both nasal swabs and plasma samples from 1,163 camels and 486 humans collected from January 2016 to June 2018. A total of 792 camel plasma samples were positive by ELISA. Seroprevalence increased with age, and the highest prevalence was observed in adult camels(82.37%, 95%confidence interval(CI) 79.50–84.91). More female camels were significantly seropositive(74.28%, 95% CI 71.14–77.19)than male camels(P \ 0.001)(53.74%, 95% CI 48.48–58.90). Only 11 camel nasal swabs were positive for MERS-CoV by reverse transcription-quantitative PCR. Phylogenetic analysis of whole genome sequences showed that Kenyan MERSCoV clustered within sub-clade C2, which is associated with the African clade, but did not contain signature deletions of orf4 b in African viruses. None of the human plasma screened contained neutralizing antibodies against MERS-CoV. This study confirms the geographically widespread occurrence of MERS-CoV in Kenyan camels. Further one-health surveillance approaches in camels, wildlife, and human populations are needed. 展开更多
关键词 middle east respiratory SYNDROME coronavirus(MERS-CoV) One-health Public health Zoonosis Kenya
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Middle East respiratory syndrome coronavirus: current situation and travel-associated concerns 被引量:1
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作者 Jaffar A. Al-Tawfiq Ali S. Omrani Ziad A. Memish 《Frontiers of Medicine》 SCIE CAS CSCD 2016年第2期111-119,共9页
The emergence of Middle East respiratory syndrome coronavirus (MERS-CoV) in 2012 brought back memories of the occurrence of severe acute respiratory syndrome coronavirus (SARS-CoV) in 2002. More than 1500 MERS-CoV... The emergence of Middle East respiratory syndrome coronavirus (MERS-CoV) in 2012 brought back memories of the occurrence of severe acute respiratory syndrome coronavirus (SARS-CoV) in 2002. More than 1500 MERS-CoV cases were recorded in 42 months with a case fatality rate (CFR) of 40%. Meanwhile, 8000 cases of SARS-CoV were confirmed in six months with a CFR of 10%. The clinical presentation of MERS-CoV ranges from mild and non-specific presentation to progressive and severe pneumonia. No predictive signs or symptoms exist to differentiate MERS-CoV from community-acquired pneumonia in hospitalized patients. An apparent heterogeneity was observed in transmission. Most MERS-CoV cases were secondary to large outbreaks in healthcare settings. These cases were secondary to community-acquired cases, which may also cause family outbreaks. Travel-associated MERS infection remains low. However, the virus exhibited a clear tendency to cause large outbreaks outside the Arabian Peninsula as exemplified by the outbreak in the Republic of Korea. In this review, we summarize the current knowledge about MERS-CoV and highlight travel-related issues. 展开更多
关键词 coronavirus MERS middle east respiratory syndrome
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Structural and mutational analysis of the interaction between the Middle-East respiratory syndrome coronavirus (MERS-CoV) papain-like protease and human ubiquitin 被引量:1
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作者 Jian Lei Rolf Hilgenfeld 《Virologica Sinica》 SCIE CAS CSCD 2016年第4期288-299,共12页
The papain-like protease(PL^(pro)) of Middle-East respiratory syndrome coronavirus(MERS-CoV) has proteolytic,deubiquitinating,and de ISGylating activities.The latter two are involved in the suppression of the antivira... The papain-like protease(PL^(pro)) of Middle-East respiratory syndrome coronavirus(MERS-CoV) has proteolytic,deubiquitinating,and de ISGylating activities.The latter two are involved in the suppression of the antiviral innate immune response of the host cell.To contribute to an understanding of this process,we present here the X-ray crystal structure of a complex between MERS-CoV PL^(pro) and human ubiquitin(Ub) that is devoid of any covalent linkage between the two proteins.Five regions of the PL^(pro) bind to two areas of the Ub.The C-terminal five residues of Ub,RLRGG,are similar to the P5–P1 residues of the polyprotein substrates of the PL^(pro) and are responsible for the major part of the interaction between the two macromolecules.Through sitedirected mutagenesis,we demonstrate that conserved Asp165 and non-conserved Asp164 are important for the catalytic activities of MERS-CoV PL^(pro).The enzyme appears not to be optimized for catalytic efficiency; thus,replacement of Phe269 by Tyr leads to increased peptidolytic and deubiquitinating activities.Ubiquitin binding by MERS-CoV PL^(pro) involves remarkable differences compared to the corresponding complex with SARS-CoV PL^(pro).The structure and the mutational study help understand common and unique features of the deubiquitinating activity of MERS-CoV PL^(pro). 展开更多
关键词 coronavirus middle-east respiratory syndrome(MERS) papain-like protease UBIQUITIN deubiquitinase
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Controversies’ clarification regarding ribavirin efficacy in measles and coronaviruses: Comprehensive therapeutic approach strictly tailored to COVID-19 disease stages
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作者 George D Liatsos 《World Journal of Clinical Cases》 SCIE 2021年第19期5135-5178,共44页
BACKGROUND Ribavirin is a broad-spectrum nucleoside antiviral drug with multimodal mechanisms of action,which supports its longevity and quality as a clinical resource.It has been widely administered for measles and c... BACKGROUND Ribavirin is a broad-spectrum nucleoside antiviral drug with multimodal mechanisms of action,which supports its longevity and quality as a clinical resource.It has been widely administered for measles and coronavirus infections.Despite the large amount of data concerning the use of ribavirin alone or in combination for measles,severe acute respiratory syndrome,Middle East respiratory syndrome,and coronavirus disease 2019(COVID-19)outbreaks,the conclusions of these studies have been contradictory.Underlying reasons for these discrepancies include possible study design inaccuracies and failures and misinterpretations of data,and these potential confounds should be addressed.AIM To determine the confounding factors of ribavirin treatment studies and propose a therapeutic scheme for COVID-19.METHODS PubMed database was searched over a period of five decades utilizing the terms“ribavirin”alone or combined with other compounds in measles,severe acute respiratory syndrome,Middle East respiratory syndrome,and COVID-19 infections.The literature search was performed and described according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines.Articles were considered eligible when they reported on ribavirin dose regimens and/or specified outcomes concerning its efficacy and/or possible adverseeffects.In vitro and animal studies were also retrieved.A chapter on ribavirin’s pharmacology was included as well.RESULTS In addition to the difficulties and pressures of an emerging pandemic,there is the burden of designing and conducting well-organized,double-blind,randomized controlled trials.Many studies have succumbed to specific pitfalls,one of which was identified in naturally ribavirin-resistant Vero cell lines in in vitro studies.Other pitfalls include study design inconsistent with the well-established clinical course of disease;inappropriate pharmacology of applied treatments;and the misinterpretation of study results with misconceived generalizations.A comprehensive treatment for COVID-19 is proposed,documented by thorough,longterm investigation of ribavirin regimens in coronavirus infections.CONCLUSION A comprehensive treatment strictly tailored to distinct disease stages was proposed based upon studies on ribavirin and coronavirus infections. 展开更多
关键词 COVID-19 RIBAVIRIN Severe acute respiratory syndrome-associated coronavirus middle east respiratory syndrome coronavirus MEASLES Treatment
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Coronavirus disease 2019 (COVID-19), MERS and SARS: Similarity and difference
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作者 Zeinab Mohseni Afshar Soheil Ebrahimpour +4 位作者 Mostafa Javanian Veerendra Koppolu VeneelaKrishna Rekha Vasigala Amir Hossein Hasanpour Arefeh Babazadeh 《Journal of Acute Disease》 2020年第5期194-199,共6页
SARS-CoV-2 is the causative agent of COVID-19.Since its outbreak in December 2019,COVID-19 has swept the globe.By 17 July 2020,the World Health Organization(WHO)had confirmed 13?119?239 cases and 573?752 deaths,and th... SARS-CoV-2 is the causative agent of COVID-19.Since its outbreak in December 2019,COVID-19 has swept the globe.By 17 July 2020,the World Health Organization(WHO)had confirmed 13?119?239 cases and 573?752 deaths,and the numbers are still rising.Current evidence shows that COVID-19 is lower than severe acute respiratory syndrome and Middle East respiratory syndrome in terms of severity and mortality risk,although the infections are particularly more severe in patients with underlying medical conditions.The bulk of COVID-19 patients had close contact with confirmed cases,but an exact origin and specific transmission for COVID-19 are still unknown.As there is no approved antiviral treatment for COVID-19 infection,proper prevention and control practices are essential to control the infection.To have an insight view of COVID-19,we summarized and compared the etiology,clinical manifestations,diagnosis,treatment,and prevention measures of COVID-19,severe acute respiratory syndrome,and Middle East respiratory syndrome. 展开更多
关键词 COVID-19 middle east respiratory syndrome Severe acute respiratory syndrome coronavirus
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免疫信息学方法预测针对中东呼吸综合征冠状病毒的T/B细胞抗原表位
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作者 黄转青 孙琦 +5 位作者 杨森 李渊源 石浩源 张莹 龚辉 徐风华 《中国医药导报》 CAS 2023年第18期15-19,共5页
目的通过免疫信息学方法预测针对中东呼吸综合征冠状病毒(MERS-CoV)的T/B细胞抗原表位。方法从NCBI获取S蛋白序列后,运用MEGA11进行多序列比对及系统发育树构建,Expasy Protparam分析其理化性质,SOPMA预测其二级结构。随后对S蛋白建模... 目的通过免疫信息学方法预测针对中东呼吸综合征冠状病毒(MERS-CoV)的T/B细胞抗原表位。方法从NCBI获取S蛋白序列后,运用MEGA11进行多序列比对及系统发育树构建,Expasy Protparam分析其理化性质,SOPMA预测其二级结构。随后对S蛋白建模并进行模型验证。再通过NetCTL-1.2、NetMHC pan EL 4.1和IEDB预测杀伤性T细胞(CTL)表位,NetMHCⅡpan-4.0、IFNepitope和IL-4pred预测辅助性T细胞表位(HTL),ABCpred和BepiPred-2.0预测线性B细胞表位(LBL),ElliPro工具预测构象B细胞表位(CBL)。最后对上述预测得到的线性表位进行抗原性、致敏性和毒性预测。结果S蛋白序列保守性较高,且来自不同国家的100个MERS-CoV S蛋白可以装进同一系统进化枝。理化性质分析结果显示,S蛋白亲水性总平均值为-0.078,在哺乳动物网织红细胞中半衰期约为30 h。模型验证结果显示构建的S蛋白模型是合理的。从S蛋白中预测得到具有抗原性、无致敏性和无毒性的CTL表位2个、HTL表位2个,LBL表位15个。ElliPro工具预测得到的CBL表位5个。结论MERS-CoV的S蛋白是亲水性的稳定蛋白;综合多种生物信息学方法可以预测得到T/B细胞抗原表位,对开发针对MERS-CoV的多肽疫苗具有重要借鉴意义。 展开更多
关键词 中东呼吸综合征冠状病毒 T/B细胞表位 抗原表位 生物信息学免疫表位预测
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皮下注射α-干扰素治疗2019年新型冠状病毒肺炎的循证快速评估 被引量:33
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作者 陈岷 童荣生 +8 位作者 边原 舒永全 杨勇 杜姗 李文渊 刘心霞 闫峻峰 龙恩武 何林 《医药导报》 CAS 北大核心 2020年第4期483-488,共6页
目的该研究旨在基于重症急性呼吸综合征(SARS)和中东呼吸综合征(MERS)中抗病毒治疗方法进行快速系统评价,进而探索皮下注射α-干扰素用于2019年新型冠状病毒(2019-nCoV)肺炎的临床可能性。方法使用计算机检索中国期刊全文数据库(CNKI)... 目的该研究旨在基于重症急性呼吸综合征(SARS)和中东呼吸综合征(MERS)中抗病毒治疗方法进行快速系统评价,进而探索皮下注射α-干扰素用于2019年新型冠状病毒(2019-nCoV)肺炎的临床可能性。方法使用计算机检索中国期刊全文数据库(CNKI)、维普中文科技期刊全文数据库(VIP)、万方数据库(Wangfang Data)、中国生物医文献数据库(CBM)、Cochrane library、PubMed等数据库检索相关研究。此外,检索WHO以及美国和中国疾控中心网站、国家卫生健康委员会网站,对国家发布的相关诊疗方案进行检索,同时把已发表文献的相关参考文献等作为辅助。按照循证药学的方法进行证据评价和数据提取。结果经检索获得1502篇文章,最终纳入11项研究。结果提示:①皮下注射α-干扰素的早期使用,尽可能在确诊冠状病毒感染后48 h使用,随着用药时间与确诊时间的延长,有效率降低,因此尽可能早治疗。②干扰素的各种类型之间治疗效果差异无统计学意义。③皮下注射α-干扰素与利巴韦林联合使用在个别研究中证实有效,但需要警惕其不良反应。不良反应多为可耐受的血红蛋白下降,转氨酶升高,淀粉酶升高,但多数不影响治疗。结论皮下注射α-干扰素可以作为一种试验性疗法用于新型冠状病毒肺炎(尤其是新发感染者)的抗病毒治疗,并应该为此尽快开展随机对照试验和真实世界临床研究,进一步探索α-干扰素用于新型冠状病毒肺炎的临床效应。 展开更多
关键词 Α-干扰素 新型冠状病毒 新型冠状病毒肺炎 皮下注射 抗病毒治疗 严重急性呼吸综合征(SARS) 中东呼吸综合征(MERS)
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中国首例输入性中东呼吸综合征患者收治单位的消毒隔离措施及效果评价 被引量:12
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作者 周仕丹 刘春来 +3 位作者 钟昱文 毛慧 彭莉利 张卫平 《中国感染控制杂志》 CAS 北大核心 2016年第8期603-607,共5页
目的评价中国首例输入性中东呼吸综合征(MERS)患者收治单位的消毒隔离措施及效果。方法 2015年5月28日某院ICU负压病房收治中国首例输入性MERS患者,医院制定和落实一系列消毒隔离措施,以治疗和预防中东呼吸综合征冠状病毒(MERS-CoV)感... 目的评价中国首例输入性中东呼吸综合征(MERS)患者收治单位的消毒隔离措施及效果。方法 2015年5月28日某院ICU负压病房收治中国首例输入性MERS患者,医院制定和落实一系列消毒隔离措施,以治疗和预防中东呼吸综合征冠状病毒(MERS-CoV)感染。结果 2015年5月28日2:30该院收治1例经广东省疾病预防控制中心(CDC)和国家CDC确诊的MERS患者:患者咽拭子、血液样本实时荧光定量聚合酶链反应(real-time PCR)检测均为MERS-CoV阳性。患者入院后第3天咽拭子即转阴,入院后第8天血转阴,入院2周后粪便转阴,6月21日痰转阴,出院前连续2次咽拭子、痰、血、粪便检测均为阴性,连续10 d无发热,临床症状好转,6月26日康复出院。采集所有参与人员的鼻拭子、咽拭子、血标本,检测均为MERS-CoV阴性;从患者6月26日出院至7月10日对所有参与救治的医务人员进行健康监测,均未出现不适,医务人员零感染。患者入院后第7天、第13天,以及终末消毒后采集环境和物体表面标本,检测均为MERS-CoV阴性。结论严格执行消毒隔离措施,可有效切断MERS的传播途径,保护医务人员的安全。 展开更多
关键词 中东呼吸综合征 冠状病毒 MERS 消毒 隔离 医院感染
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阿比多尔与连花清瘟胶囊对中东呼吸综合征冠状病毒的体内外抑制作用比较 被引量:51
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作者 关文达 杜秋伶 +2 位作者 江海明 赵金存 杨子峰 《广东医学》 CAS 2018年第23期3454-3458,共5页
目的评价阿比多尔与连花清瘟胶囊抑制中东呼吸综合征冠状病毒(Middle East respiratory syndrome coronavirus,MERS-CoV)复制的体内外药效。方法以MTT方法检测阿比多尔和连花清瘟胶囊在非洲绿猴肾细胞的半数有毒浓度(TC_(50))。建立MERS... 目的评价阿比多尔与连花清瘟胶囊抑制中东呼吸综合征冠状病毒(Middle East respiratory syndrome coronavirus,MERS-CoV)复制的体内外药效。方法以MTT方法检测阿比多尔和连花清瘟胶囊在非洲绿猴肾细胞的半数有毒浓度(TC_(50))。建立MERS-CoV感染非洲绿猴肾细胞模型,药物分别处理感染细胞48 h后收获上清,通过空斑试验检测培养上清病毒滴度;建立MERS-CoV感染表达h CD26小鼠模型,将小鼠随机分成3组,分别为病毒对照组、阿比多尔组[90 mg/(kg·d)]和连花清瘟胶囊组[1 300 mg/(kg·d)],每组6只,药物处理后于感染后第3、5天,采用空斑试验检测鼠肺病毒滴度,分析阿比多尔组、连花清瘟胶囊组与病毒对照组的病毒滴度差异。结果阿比多尔和连花清瘟胶囊在非洲绿猴肾细胞的TC_(50)分别为36. 78μg/m L和4 023. 27μg/m L,其体外抑制MERS-CoV复制的最低浓度分别为4μg/m L和900μg/m L,治疗指数分别为2. 19和0. 47;两种药物处理MERS-CoV感染小鼠后病毒滴度与病毒对照组差异无统计学意义(P> 0. 05)。结论阿比多尔具有体外抑制MERS-CoV复制的作用。 展开更多
关键词 阿比多尔 连花清瘟胶囊 中东呼吸综合征冠状病毒 抑制作用
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中东呼吸综合征 被引量:4
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作者 王晓欢 严延生 +2 位作者 张智芳 梁小洁 林志龙 《中国人兽共患病学报》 CAS CSCD 北大核心 2020年第6期496-502,共7页
中东呼吸综合征是2012年在沙特阿拉伯发现的一种冠状病毒病.由于地理关系,目前已知该病在中东多个国家存在.根据WHO报道,该病已蔓延或输入到27个国家.该病系呼吸道及密切接触传播,最大的一起输入性后引起人传人传播的疫情发生在韩国,包... 中东呼吸综合征是2012年在沙特阿拉伯发现的一种冠状病毒病.由于地理关系,目前已知该病在中东多个国家存在.根据WHO报道,该病已蔓延或输入到27个国家.该病系呼吸道及密切接触传播,最大的一起输入性后引起人传人传播的疫情发生在韩国,包括沙特在内的其他绝大多数国家为散发疫情.业已证明传染源为蝙蝠,中间宿主为单峰骆驼,迄今为止人用疫苗尚未研制成功.本综述就该病的病原学、流行病学、分子病毒学、治疗、实验室诊断等进行概述,目的在于对该病的深入了解并加强防控. 展开更多
关键词 中东呼吸综合征 冠状病毒 病原学特征 流行病学特征 疾病防控
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中东呼吸综合征的影像学研究进展 被引量:7
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作者 刘晓龙(综述) 于珊珊(综述) 李萍(校审) 《医学影像学杂志》 2016年第1期109-111,共3页
中东呼吸综合征(MERS)自2012年首次报道以来在全球不断蔓延,为全球医疗卫生系统带来巨大挑战。目前,关于MERS的影像学表现的报道还很少。本文主要介绍影像学检查在MERS诊断及病情评估中的价值。
关键词 中东呼吸综合征 冠状病毒 体层摄影术 X线计算机
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2019新型冠状病毒与严重急性呼吸综合征冠状病毒及中东呼吸综合征冠状病毒相关肺炎研究进展 被引量:5
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作者 郭丽娅 王玉光 +6 位作者 刘建 袁怀平 韩雪 霍建伟 马家驹 卢幼然 焦以庆 《心肺血管病杂志》 2020年第5期500-504,513,共6页
严重急性呼吸综合征冠状病毒(SARS-CoV)、中东呼吸综合征冠状病毒(MERS-CoV)、2019新型冠状病毒(2019-nCoV)同属于可感染人类的冠状病毒,并分别造成了20世纪之后人类历史上三次传染病的流行,对公共卫生构成了严重威胁。本文通过对SARS-... 严重急性呼吸综合征冠状病毒(SARS-CoV)、中东呼吸综合征冠状病毒(MERS-CoV)、2019新型冠状病毒(2019-nCoV)同属于可感染人类的冠状病毒,并分别造成了20世纪之后人类历史上三次传染病的流行,对公共卫生构成了严重威胁。本文通过对SARS-CoV、MERS-CoV、2019-nCoV的生物学特征,流行病学特征,以及其所引起肺炎的诊断、影像以及治疗等临床特征进行综述,比较异同点,以期对2019-nCoV导致的肺炎的临床诊治提供帮助。 展开更多
关键词 严重急性呼吸综合征冠状病毒 中东呼吸综合征冠状病毒 2019新型冠状病毒 肺炎 临床特征
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冠状病毒肺炎的流行趋势 被引量:3
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作者 尹明 胡超 +2 位作者 徐国纲 李天志 杨雪 《中华老年多器官疾病杂志》 2020年第3期187-190,共4页
目的通过对历史上发生的3次冠状病毒肺炎[严重急性呼吸综合征(SARS)、中东呼吸综合征(MERS)、新型冠状病毒肺炎(COVID-19)]流行数据的深入分析,探讨冠状病毒的传播特征与流行规律,探索疫情防控的关键节点,从而为公共卫生决策提供依据。... 目的通过对历史上发生的3次冠状病毒肺炎[严重急性呼吸综合征(SARS)、中东呼吸综合征(MERS)、新型冠状病毒肺炎(COVID-19)]流行数据的深入分析,探讨冠状病毒的传播特征与流行规律,探索疫情防控的关键节点,从而为公共卫生决策提供依据。方法针对3种冠状病毒的累计感染例数、新增感染例数、累计死亡例数与时间的关系进行描述统计与时间趋势分析,并按疫情的地区分布进行COVID-19与SARS亚组分析,进而比较不同地区疫情流行的异同点。采用SPSS 17.0对数据进行分析。结果3种冠状病毒肺炎中,COVID-19的传染速率最大,病死率最低(2.96%);MERS的传染速率最低,但病死率最高(30.49%)。COVID-19与SARS的流行规律相似,累计感染病例均是短期内迅速增长,累计感染曲线呈S型。而MERS主要以散发病例为主。结论冠状病毒的传染性与致死性存在着一定的负相关关系,即传染性越强致死性越低。冠状病毒的防控关键点是疫情早期切断传播途径可有效控制疫情扩散。 展开更多
关键词 新型冠状病毒肺炎 严重急性呼吸综合征 中东呼吸综合征 流行趋势
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中东呼吸综合征冠状病毒及其疫苗和特异性药物的研发 被引量:3
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作者 瞿涤 陆路 姜世勃 《微生物与感染》 2015年第4期200-207,共8页
中东呼吸综合征冠状病毒(MERS-CoV)是引起MERS的病原。本文就MERS-CoV的分类、特性、决定宿主特异性的分子结构及其疫苗研究状况和特异性药物研究进展等方面进行综述。
关键词 中东呼吸综合征冠状病毒 中东呼吸综合征 疫苗 抗中东呼吸综合征冠状病毒中和抗体
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二肽基肽酶4为人类中东呼吸道综合征冠状病毒(MERS-CoV)功能性细胞受体 被引量:2
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作者 邢雅玲 陈晓娟 陈忠斌 《中国生物化学与分子生物学报》 CAS CSCD 北大核心 2013年第10期899-901,共3页
中东呼吸道综合征冠状病毒(Middle East respiratory syndrome coronavirus,MERS-CoV)是继SARS冠状病毒(SARS-CoV)之后新近出现的又一种能够引发严重呼吸道感染的人类新发冠状病毒.MERS-CoV于2012年9月首次在中东一些国家被发现,截至201... 中东呼吸道综合征冠状病毒(Middle East respiratory syndrome coronavirus,MERS-CoV)是继SARS冠状病毒(SARS-CoV)之后新近出现的又一种能够引发严重呼吸道感染的人类新发冠状病毒.MERS-CoV于2012年9月首次在中东一些国家被发现,截至2013年9月7日,MERS-CoV已经引起114例感染病例,其中54人死亡,死亡率约50%.病毒受体研究为MERS-CoV等人类新发冠状病毒进化和跨种传播机制提供重要依据.最近,Raj等在Nature发表文章,首次报道了二肽基肽酶4(dipeptidyl peptidase 4,DPP4;又名CD26)为MERS-CoV感染细胞的功能性受体.MERS-CoV功能性受体的发现为人类新冠状病毒溯源和跨种进化研究、病毒传染和流行病学特征分析以及抗病毒药物和疫苗研究提供重要基础. 展开更多
关键词 中东呼吸道综合征冠状病毒(MERS-CoV) 病毒受体 二肽基肽酶4
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2015年全球传染病相关热点回顾 被引量:6
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作者 王永怡 王姝 +6 位作者 张云辉 李姣姣 陈玉琪 卢福昱 胡玫 孙志杰 李军 《传染病信息》 2016年第1期30-34,51,共6页
2015年中东呼吸综合征、埃博拉病毒病和寨卡病毒感染疫情令人关注,结核病、AIDS、病毒性肝炎、疟疾、人乳头状瘤病毒感染以及被忽视的热带病也应引起重视。本文对2015年全球的传染病疫情和防控进行简要概述。
关键词 传染病 疾病报告 综合预防 中东呼吸综合征冠状病毒 出血热 埃博拉 获得性免疫缺陷综合征 结核 肝疾病 禽流感
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中东呼吸综合征冠状病毒假病毒系统的建立及其在中和抗体检测中的应用 被引量:2
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作者 李琳 郭彦 +6 位作者 赵光宇 于虹 孙世惠 潘婷 唐健 周育森 樊卫平 《生物技术通讯》 CAS 2014年第2期194-197,共4页
目的:为了避免中东呼吸综合征冠状病毒(MERS-CoV)感染与中和试验中操作活病毒带来的生物安全隐患,构建只具有一次感染能力而无复制能力的MERS假病毒,建立MERS假病毒系统,并应用于中和抗体检测。方法:构建含有MERS-CoV S基因的重组质粒pc... 目的:为了避免中东呼吸综合征冠状病毒(MERS-CoV)感染与中和试验中操作活病毒带来的生物安全隐患,构建只具有一次感染能力而无复制能力的MERS假病毒,建立MERS假病毒系统,并应用于中和抗体检测。方法:构建含有MERS-CoV S基因的重组质粒pcDNA3.1-MERS-S,与缺失Env基因、含有萤光素酶报告基因的HIV-1骨架质粒pNL4-3.Luc.RE共转染293T细胞,收获含有假病毒的上清;通过Western印迹、细胞感染实验和血清中和试验,确定是否包装出MERS假病毒,及是否能有效应用于细胞感染与中和试验。结果:MERS假病毒pMERS-S培养上清经Western印迹鉴定出相对分子质量为25×103的HIV-1 P24蛋白和相对分子质量为180×103的MERS-CoV S蛋白;与阴性对照假病毒pEnv-相比,pMERS-S能有效感染MERS-CoV敏感细胞系Huh-7,在感染细胞中产生荧光信号,感染细胞的假病毒量与产生的荧光信号呈明显的量效关系;在MERS假病毒中和试验中,pMERS-S能被MERS-CoV中和抗体中和而失去感染力,反映抗体对MERS-CoV的中和活性。结论:建立了不依赖于BSL-3高等级生物安全条件的MERS假病毒系统,并有效应用于中和抗体检测,为MERS-CoV疫苗、药物评价及病毒致病机制研究提供了良好的技术支撑手段。 展开更多
关键词 中东呼吸综合征冠状病毒 S蛋白 假病毒 中和试验
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