[诺如病毒灭活的当前主题]。

Q4 Medicine
Mamoru Noda, Masashi Uema
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引用次数: 0

摘要

人诺如病毒是日本最重要的食源性病毒。根据厚生劳动省(MHLW)对食物中毒的统计,近年来感染诺如病毒的患者占所有食物中毒患者的一半。控制传染病的最重要措施之一是建立灭活病原体的技术。为预防诺如病毒引起的食物中毒,卫生和社会福利部建议将食物在85摄氏度下加热1分钟或更长时间;此外,建议使用次氯酸钠灭活(消毒)这种病毒。然而,这些处理方法的应用并不总是可行的,因为加热会导致变性,次氯酸钠对人体有毒,并可能导致变色。因此,有必要开发和提高消毒剂和物理化学处理方法的有效性。人类诺如病毒不能在细胞培养物或小动物体内繁殖。这个问题是测试该病毒在环境中的稳定性或评估消毒剂、热处理、pH值处理、紫外线或伽马照射、高静水压力处理和其他灭活病毒方法的效果的最大障碍。因此,一些病毒如人类肠道病毒、猫杯状病毒或小鼠诺如病毒已被用作人类诺如病毒的替代品。替代病毒的失活和稳定性数据专门用作人诺如病毒的数据。近年来,人们尝试用聚合酶链反应等遗传方法来区分传染性和非传染性病毒颗粒。这些方法包括用RNase进行预处理,以消化来自未完整或被破坏的病毒颗粒的病毒RNA,或在提取RNA之前加入试剂,如单叠氮乙啶,以抑制从中提取的病毒RNA的PCR扩增。非完整病毒颗粒,可能代表结构蛋白中有一些损伤的病毒颗粒,不一定与非感染性病毒颗粒同义。然而,使用这些治疗方法的结果,与不使用这些治疗的传统方法的结果相比,似乎与传染性病毒颗粒的数量更相关。尽管已经报道了许多消毒剂或物理化学处理方法,但传统技术,如通过自来水洗涤、热处理或次氯酸钠消毒来去除病毒颗粒仍然是重要的控制措施。建立人类诺如病毒的控制措施和病毒在细胞培养中的成功繁殖是迫切需要的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Current topics on inactivation of norovirus].

Human norovirus is the most important foodborne virus in Japan. According to the statistics of food poisoning by the Ministry of Health, Labour, and Welfare (MHLW), the number of patients infected with norovirus has accounted for half of all the patients with food poisoning in recent years. One of the most important measures for the control of infectious diseases is establishing of techniques for inactivating pathogens. For the prevention of food poisoning caused by norovirus, MHLW recommends that foods be subjected to heat treatment at 85 degrees C for 1 min or more; moreover, it recommends the use of sodium hypochlorite to inactivate (disinfect) this virus. However, application of these treatments is not always feasible because heat results in denaturation and sodium hypochlorite can be toxic to the human body and can cause discoloration. Therefore, it is necessary to develop and improve the efficacy of disinfectants and physiochemical treatments against the virus. Human norovirus cannot be propagated in cell culture or in a small animal. This matter is the greatest hindrance for testing the stability of this virus in environments or for evaluating the efficacy of disinfectants, heat treatment, pH treatment, ultraviolet or gamma irradiation, high hydrostatic pressure treatment, and other methods for the inactivation of the virus. Hence, some viruses such as human enterovirus, feline calicivirus, or mouse norovirus have been used as surrogates of human norovirus. The data on inactivation and stability of surrogate viruses are exclusively used as the data of human noroviruses. In recent years, some attempts to distinguish between infectious and noninfectious virus particles by genetic methods such as polymerase chain reaction have been made. These methods include pretreatments by RNase for digesting viral RNAs from non-intact or destroyed virus particles, or addition of a reagent such as ethidium monoazide for inhibiting PCR amplification of viral RNAs from them, before RNA extraction. Non-intact virus particles, which may represent virus particles with some damage (s) in the structural protein(s), are not necessarily synonymous with non-infectious virus particles. However, the results of methods using these treatments, compared to the results of traditional methods without these treatments, seem to be more correlated to the amount of the infectious virus particles. Although many disinfectants or physiochemical treatments have been reported, traditional techniques such as removal of virus particles by washing in running water, heat treatment, or disinfection by sodium hypochlorite are still important control measures. Establishment of control measures for human norovirus and successful propagation of the virus in cell culture are strongly desired.

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