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纸质出版:2015
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饶贤才.埃博拉病毒病之病原学[J].陆军军医大学学报(原第三军医大学学报),2015,37(04):282-286.
Rao Xiancai.Etiology for Ebola virus disease[J].J Amry Med Univ (J Third Mil Med Univ),2015,37(04):282-286.
埃博拉病毒病(Ebola virus disease
EVD),以往称埃博拉出血热(Ebola haemorrhagic fever,EHF),是迄今发现的凶猛烈性传染病之一。自1976年发现于非洲的扎伊尔和苏丹后,至今已有8次较大规模的人群流行,均发生在非洲,平均病死率高达67.98%。EVD的病原体埃博拉病毒(Ebola virus,EBOV)是一种人兽共患病原体,虽然其自然储存宿主尚不完全清楚,但EBOV能造成非人灵长类动物(如黑猩猩、猴等)感染,并具有致死性。EBOV在分类上属于丝状病毒科(Filoviridae)的埃博拉病毒属(Ebolavirus),属内有5个种。各种间的毒力存在差异,以扎伊尔埃博拉病毒(Zaire-EBOV)致病性最强,也是引起2014年西非大规模流行的元凶。EBOV呈丝状,形态多样,以长丝分枝状为常见;病毒体由核心、核衣壳和包膜3部分构成,病毒基因组为单股负链RNA,可编码7种结构蛋白,在病毒复制、感染和致病中发挥重要作用。EBOV主要通过接触传播,目前对其致病机制尚不完全清楚。EBOV为生物危害度最高的4级病原体,与活病毒相关的检验和实验必须在生物安全4级(BSL-4)实验室中进行,其感染的临床诊断以检测血清中抗体、抗原和核酸为主,实时荧光定量反转录PCR检测阳性可作出诊断。EVD尚无特效治疗方法,疫苗尚在研制之中,临床上以辅助性支持疗法为主。
Ebola virus disease (EVD)
formerly known as Ebola haemorrhagic fever (EHF)
is one of the most ferocious fulminating infectious diseases so far for human beings. Since it was first reported in Sudan and Zaire in 1976
there have been 8 outbreaks at comparative large scale
and all of them appeared in Africa
with an average mortality as higher as 67.98%. The disease is caused by a zoonotic pathogen named as Ebola virus (EBOV). Although the natural reservoir for EBOV has not been identified
EBOV can infect the nonhuman primates
including chimpanzee and monkey
and result in lethality in the infected animals. EBOV is classified into family Filoviridae
genus Ebolavirus. Five species with variable virulence have been discovered in the genus Ebolavirus. Zaire-EBOV is the strongest one
and causes the current large-scale EVD outbreak in the West of Africa in 2014. EBOV is filamentous with diversified forms
and mostly appeared as cladodromous. The viron of EBOV is composed of core
nucleocapsid and envelope. The genome of EBOV is a single minus-strand RNA molecule encoding 7 structural proteins
which are involved in the replication
infection and pathogenicity of the virus. Direct contact transmission is the major route for EBOV transmission. However
the actual mechanisms for EBOV pathogenicity were poorly understood so far. As a pathogen of Biohazard Grade 4
the operations on active virus of EBOV
such as performing diagnosis and doing research experiment
are severely restricted in the laboratory of Biosafety Level 4 (BSL-4). Determinations of EBOV specific antibodies
antigens and nucleic acid are helpful for the diagnosis of EVD. The positive detection by real-time reverse transcription PCR (RT-PCR) targeting EBOV RNA is considered as the golden standard for laboratory diagnosis of EVD. Till now
there are no available strategies for the treatment of EVD. Several vaccine candidates against EVD are still in the developing progress
and support therapy is commonly applied in clinical practice.
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