医学研究与教育 ›› 2020, Vol. 37 ›› Issue (6): 7-13.DOI: 10.3969/j.issn.1674-490X.2020.06.002

• 基础医学 • 上一篇    下一篇

柯萨奇病毒A组16型的研究进展

马士恒,李明   

  1. 河北大学附属医院感染性疾病科, 河北 保定 071000
  • 收稿日期:2020-09-17 出版日期:2020-12-25 发布日期:2020-12-25
  • 通讯作者: 李明(1980—),女,河北高阳人,主治医师,硕士,主要从事感染性疾病的诊治及教学工作。E-mail: lim3212005 @126.com
  • 作者简介:马士恒(1968—),男,河北博野人,主任医师,硕士,主要从事感染性疾病的诊治及教学工作。 E-mail: mashiheng@126.com

  • Received:2020-09-17 Online:2020-12-25 Published:2020-12-25

摘要: 柯萨奇病毒A组16型(Coxsackievirus A group 16 strain,CA16)感染在中国很常见,CA16在流行过程中不断发生变异,其致病性与肠道病毒71型有明显差异。CA16可诱导产生多种微小核糖核酸,影响炎性信号通路的传导,导致病理损害的发生。目前已成功建立了小鼠、树鼩、猕猴CA16感染模型,可用于评估抗CA16药物和疫苗效果。检测方面,多重实时逆转录聚合酶链反应可针对手足口病进行高灵敏度检测和快速分型,胶体金免疫层析法可用于现场的快速诊断。多种单价、多价的CA16疫苗在动物实验中诱导出有效的免疫。

关键词: 柯萨奇病毒A组16型, 手足口病, 致病性, 动物模型

Abstract: Coxsackievirus A group 16 strain(CA16)infection is very common in China. CA16 constantly mutated in the epidemic process, and its pathogenicity is significantly different from enterovirus 71(EV71). CA16 can induce a variety of microRNAs(miRNAs)and affect the transmission of inflammatory signaling pathways, leading to pathological damage. At present, CA16 infection models in mice, tree shrews and macaques have been successfully established, which can be used to evaluate the effect of anti CA16 drugs and vaccines. In terms of detection, multiplex real-time RT-PCR can be used for high-sensitivity detection and rapid typing of HFMD, and colloidal gold immunochromatographic assays can be used for rapid diagnosis. A variety of monovalent and multivalent CA16 vaccines can induce effective immunity in animal experiments.

Key words: Coxsackievirus A group 16 strain, hand, foot and mouth disease, pathogenicity, animal model

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