Cytopathogenic Effect, Viral

致细胞病变作用,Viral
  • 文章类型: Journal Article
    亨廷顿病(HD)是一种使人衰弱的神经退行性遗传疾病,由亨廷顿(HTT)基因中扩展的多谷氨酰胺编码(CAG)三核苷酸重复序列引起。HD表现为一种高度渗透的显性疾病,可能通过突变的亨廷顿蛋白的毒性功能获得而起作用。尾状核和壳核的中棘神经元的广泛细胞变性是引起包括运动的症状学发作的原因,认知,和行为异常。自从乔治·亨廷顿发表他的描述以来,在过去150年的HD研究中,已经提出了过多的致病机制,其关键主题包括兴奋性毒性,多巴胺能失衡,线粒体功能障碍,代谢缺陷,蛋白质停滞的破坏,转录失调,和神经炎症。尽管近年来对致病基因和突变的鉴定和表征以及我们对细胞病理学的理解取得了重大进展,改善疾病的干预措施尚未得到临床批准.这篇综述包括亨廷顿病的概述,从其遗传病因到临床表现及其致病表现。还将讨论分子机制的最新观点和最新的治疗进展。
    Huntington\'s disease (HD) is a debilitating neurodegenerative genetic disorder caused by an expanded polyglutamine-coding (CAG) trinucleotide repeat in the huntingtin (HTT) gene. HD behaves as a highly penetrant dominant disorder likely acting through a toxic gain of function by the mutant huntingtin protein. Widespread cellular degeneration of the medium spiny neurons of the caudate nucleus and putamen are responsible for the onset of symptomology that encompasses motor, cognitive, and behavioural abnormalities. Over the past 150 years of HD research since George Huntington published his description, a plethora of pathogenic mechanisms have been proposed with key themes including excitotoxicity, dopaminergic imbalance, mitochondrial dysfunction, metabolic defects, disruption of proteostasis, transcriptional dysregulation, and neuroinflammation. Despite the identification and characterisation of the causative gene and mutation and significant advances in our understanding of the cellular pathology in recent years, a disease-modifying intervention has not yet been clinically approved. This review includes an overview of Huntington\'s disease, from its genetic aetiology to clinical presentation and its pathogenic manifestation. An updated view of molecular mechanisms and the latest therapeutic developments will also be discussed.
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  • 文章类型: Journal Article
    2014年至2016年在西非爆发的埃博拉病毒病(EVD)破坏了当地的卫生系统,并造成数千人死亡。扎伊尔埃博拉病毒暴发的历史报告表明,怀孕与严重疾病和死亡风险增加有关。死亡率从74%到100%。总的来说,文献报道了111例妊娠合并EVD患者,孕产妇总死亡率为86%。最近爆发的妊娠特定数据包括四项小型描述性队列研究和五项病例报告。尽管存在报告偏差和样本量小等限制,这些研究表明,孕妇的死亡率可能低于以前的报道,13名受感染妇女中有5人(39%)死亡。孕妇的最佳治疗方法,孕妇和非孕妇之间的EVD病程差异,是尚未系统地解决的重大科学差距。埃博拉病毒可能在子宫内从母亲传播给婴儿,在交付期间,或在出生后接触母体体液,包括母乳。EVD对发育中的胎儿几乎普遍致命,和有限的胎儿尸检数据阻止了对出生缺陷风险的推断。有关分娩方式和其他产科干预措施的决定应个体化。世卫组织建议密切监测后来怀孕的幸存者,但不建议在后续交付时加强预防措施。尽管埃博拉病毒的性传播已被记录在案,幸存者的分娩结局尚未公布,这对于就妊娠结局向妇女提供适当的咨询,以及为医疗服务提供者提供分娩预防措施非常重要.出生缺陷研究109:353-362,2017.©2017Wiley期刊,Inc.
    The 2014 to 2016 Ebola virus disease (EVD) outbreak in West Africa devastated local health systems and caused thousands of deaths. Historical reports from Zaire ebolavirus outbreaks suggested pregnancy was associated with an increased risk of severe illness and death, with mortality rates from 74 to 100%. In total, 111 cases of pregnant patients with EVD are reported in the literature, with an aggregate maternal mortality of 86%. Pregnancy-specific data published from the recent outbreak include four small descriptive cohort studies and five case reports. Despite limitations including reporting bias and small sample size, these studies suggest mortality in pregnant women may be lower than previously reported, with five of 13 (39%) infected women dying. Optimal treatments for pregnant women, and differences in EVD course between pregnant women and nonpregnant individuals, are major scientific gaps that have not yet been systematically addressed. Ebola virus may be transmitted from mother to baby in utero, during delivery, or through contact with maternal body fluids after birth including breast milk. EVD is almost universally fatal to the developing fetus, and limited fetal autopsy data prevent inferences on risk of birth defects. Decisions about delivery mode and other obstetric interventions should be individualized. WHO recommends close monitoring of survivors who later become pregnant, but does not recommend enhanced precautions at subsequent delivery. Although sexual transmission of Ebola virus has been documented, birth outcomes among survivors have not been published and will be important to appropriately counsel women on pregnancy outcomes and inform delivery precautions for healthcare providers. Birth Defects Research 109:353-362, 2017. © 2017 Wiley Periodicals, Inc.
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  • 文章类型: Comparative Study
    Base of tongue, eyelid, and retropharyngeal lymph node were collected from three animals experimentally infected with rinderpest and utilised in a study comparing virus isolation with histopathology, immunohistochemistry, and in situ hybridisation to determine the usefulness of the latter three techniques as retrospective diagnostic aids for this disease. Virus isolation was positive for all nine samples. Histopathology was suggestive in all the tissues and definitive in some. Immunohistochemistry and in situ hybridisation highlighted the presence of rinderpest antigen of rinderpest nucleic acid in all of the sections. However, in situ hybridisation was more specific than immunohistochemistry.
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    文章类型: English Abstract
    It is generally agreed that HIV itself has the primary role in the initiation and propagation of the pathogenic process of the infection. Nonetheless, a number of important issues concerning the pathogenesis of HIV infection remain unresolved. For example, it remains unclear how CD4+ T cells are lost after HIV infection. The low frequency of infected cells seen even in advanced infection implies that a direct cythopathic effect of HIV on infected CD4+ T cells cannot explain their disappearance. Multiple and diverse mechanisms have been proposed as supplements to the HIV in the destruction of CD4+ cells and the pathogenesis of AIDS. However, it is not yet possible to state confidently which additional mechanism(s) is important. Identification of the nature of this supplemental process has become essential for successful, non-harmful intervention. We propose here a short analytical review of the possible supplemental mechanisms of immunological destruction in AIDS in order to emphasize the complexity of the pathogenesis of the disease.
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  • 文章类型: Journal Article
    A characteristic of the arenaviruses is persistent infections in their natural host. Age at infection is an important factor in the establishment of persistence. Infections early in life regularly result in persistence and this appears to be related to the immaturity of the immune system. Persistently infected animals make antibodies to the viral antigens, which indicates that the animals are not tolerant with respect to B cell functions. However, cytotoxic T cells cannot be demonstrated in persistently infected animals, suggesting a defect in effector T cell functions. The mechanisms leading to this defect in cytotoxic T cells have not been resolved. Persistence of arenaviruses in cell cultures is also regularly observed but the molecular basis for survival of the virus and cell in long-term cultures has yet to be clarified.
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