家畜和其他动物中溶血病毒感染的挑战:病毒学上的困惑、惊恐、懊恼和好奇的混合。

IF 3.3 3区 医学 Q2 MICROBIOLOGY
Charles E Rupprecht, Aniruddha V Belsare, Florence Cliquet, Philip P Mshelbwala, Janine F R Seetahal, Vaughn V Wicker
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引用次数: 0

摘要

溶血病毒是溶血病毒属狂犬病毒科的RNA病毒。它们是急性进行性脑炎(历史上称为狂犬病)的病原体。无论具体病因如何,它们的集体病毒形态、生物化学、病理生物学、相关临床体征、诊断、流行病学和管理基本上是相同的。尽管几个世纪以来的临床认识,这些典型的嗜神经剂今天仍然是重要的病原体,对农业、公共卫生和保护生物学产生了实质性的影响。值得注意的是,溶血病毒引起的单一发病率是无法治愈的,是所有病毒性疾病中致死率最高的。所有温血脊椎动物都被认为是易感的。狗是唯一作为宿主、媒介和受害者的家畜。相反,电场是有效的载体,而不是储层。所有其他狂犬病家养物种,如家畜,构成外溢感染,作为当地溶血病毒活动的风向标。兽医界经常出现专业上的混淆,因为尽管狂犬病狂犬病毒是该属中最著名的代表,但至少有20种其他已知或假定的单系成员是已知的。这一点经常被忽视。此外,通常在生物政治背景下错误地引用“分类病因学”(即“Lyssavirus x”),而不是明显的临床疾病(即“狂犬病”)。如果一些地方认为它们是“无病的”,当记录的溶血病毒传播或基于实验室的监测不足以支持这种说法时,全球的恐慌就会持续下去。可以理解的是,当个人误解控制、预防、消除等流行病学术语时,职业上的懊恼就会产生。管理并不简单,因为只有获得许可的兽用和人用疫苗是针对狂犬病毒的。目前还没有足够的抗病毒药物用于任何溶血病毒或针对更远亲的病毒成员开发的交叉反应性生物制剂。虽然在哺乳动物目翼翅目、食肉目和灵长类动物中有代表性的分类群是全球主要的宿主,但哪些哺乳动物物种对其他lyssav病毒的延续负有责任,这似乎仍然是学术界的一个好奇。这种人畜共患病被忽视了。显然,由于狂犬病具有基本的“自然疾病”这样的基本特征,与天花和牛瘟不同,它不是根除的候选对象。全世界都在努力在迅速临近的2030年之前将犬狂犬病病毒造成的人类死亡人数降至零,因此,加强监测和更多地反思狂犬病病毒和各种其他狂犬病病毒所造成的尚未得到充分认识的负担,可能成为未来全球总体规划的流行病学奢侈品。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Challenge of Lyssavirus Infections in Domestic and Other Animals: A Mix of Virological Confusion, Consternation, Chagrin, and Curiosity.

Lyssaviruses are RNA viruses in the Family Rhabdoviridae, Genus Lyssavirus. They represent the causative agents of acute, progressive encephalitis, known historically as rabies. Regardless of specific etiology, their collective viral morphology, biochemistry, pathobiology, associated clinical signs, diagnosis, epizootiology, and management are essentially the same. Despite centuries of clinical recognition, these quintessential neurotropic agents remain significant pathogens today, with substantive consequences to agriculture, public health, and conservation biology. Notably, the singular morbidity caused by lyssaviruses is incurable and constitutes the highest case fatality of any viral disease. All warm-blooded vertebrates are believed to be susceptible. The dog is the only domestic animal that serves as a reservoir, vector, and victim. In contrast, felids are effective vectors, but not reservoirs. All other rabid domestic species, such as livestock, constitute spillover infections, as a bellwether to local lyssavirus activity. Frequently, professional confusion abounds among the veterinary community, because although the viral species Lyssavirus rabies is inarguably the best-known representative in the Genus, at least 20 other recognized or putative members of this monophyletic group are known. Frequently, this is simply overlooked. Moreover, often the 'taxonomic etiology' (i.e., 'Lyssavirus x') is mistakenly referenced in a biopolitcal context, instead of the obvious clinical illness (i.e., 'rabies'). Global consternation persists, if localities believe they are 'disease-free', when documented lyssaviruses circulate or laboratory-based surveillance is inadequate to support such claims. Understandably, professional chagrin develops when individuals mistake the epidemiological terminology of control, prevention, elimination, etc. Management is not simple, given that the only licensed veterinary and human vaccines are against rabies virus, sensu lato. There are no adequate antiviral drugs for any lyssaviruses or cross-reactive biologics developed against more distantly related viral members. While representative taxa among the mammalian Orders Chiroptera, Carnivora, and Primates exemplify the major global reservoirs, which mammalian species are responsible for the perpetuation of other lyssaviruses remains a seemingly academic curiosity. This zoonosis is neglected. Clearly, with such underlying characteristics as a fundamental 'disease of nature', rabies, unlike smallpox and rinderpest, is not a candidate for eradication. With the worldwide zeal to drive human fatalities from canine rabies viruses to zero by the rapidly approaching year 2030, enhanced surveillance and greater introspection of the poorly appreciated burden posed by rabies virus and diverse other lyssaviruses may manifest as an epidemiological luxury to the overall global program of the future.

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来源期刊
Pathogens
Pathogens Medicine-Immunology and Allergy
CiteScore
6.40
自引率
8.10%
发文量
1285
审稿时长
17.75 days
期刊介绍: Pathogens (ISSN 2076-0817) publishes reviews, regular research papers and short notes on all aspects of pathogens and pathogen-host interactions. There is no restriction on the length of the papers. Our aim is to encourage scientists to publish their experimental and theoretical research in as much detail as possible. Full experimental and/or methodical details must be provided for research articles.
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