SARS-CoV-2 和病毒性败血症:观察和假设
Hui Li1, Liang Liu2, Dingyu Zhang3
1Department of Pulmonary and Critical Care Medicine, China-Japan Friendship Hospital, Center of Respiratory Medicine, National Clinical Research Center for Respiratory Diseases, Beijing, China; Institute of Respiratory Medicine, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Lancet (London, England)
|April 21, 2020
概括
严重的COVID-19患者可能因病毒性败血症而感到震惊. 这种基于尸检和基础科学研究的假设指导了未来对2019年新冠病毒病的发病研究.
科学领域:
- 传染性疾病
- 病理学
- 危急护理医学
背景情况:
- 2019年新冠病毒病 (COVID-19) 的临床特征多样化.
- 严重的COVID-19病例即使没有低血压,也会表现出像感冒一样的冲击症状.
- 了解COVID-19的潜在机制对于有效的患者管理至关重要.
研究的目的:
- 提出关于COVID-19病变的假设.
- 调查病毒性败血症在严重COVID-19中的作用.
- 为指导COVID-19基础科学的未来研究方向.
主要方法:
- 对COVID-19患者的尸检结果的审查.
- 对SARS-CoV-2和SARS-CoV的基础科学研究进行分析.
- 在病理学,基础科学和临床护理专家之间进行多学科讨论.
主要成果:
- 假设病毒性败血症是COVID-19发病的一个关键机制.
- 在严重的COVID-19患者中发现了冲击表现.
- 提出了解SARS-CoV-2病变的框架.
结论:
- 病毒性败血症是严重的COVID-19的一个潜在关键因素.
- 提出的假设需要通过基础研究进一步验证.
- 这项工作为未来对COVID-19机制的调查提供了基础.
相关概念视频
Pneumonia II: Pathophysiology
2.4K
The pathophysiology of pneumonia involves the following steps:
2.4K
Single Nucleotide Polymorphisms-SNPs
17.7K
A single nucleotide polymorphism or SNP is a single nucleotide variation at a specific genomic position in a large population. It is the most prevalent type of sequence variation found in the human genome. Point mutations that occur in more than 1% of the population qualify as SNPs. These are present once every 1000 nucleotides on an average in the human genome. Replacement of a purine with another purine (A/G) or a pyrimidine with another pyrimidine (C/T) is known as a transition. In contrast,...
17.7K
Rous Sarcoma Virus (RSV) and Cancer
6.0K
Rous Sarcoma virus or RSV was discovered by F. Peyton Rous in the year 1911 as a filterable transmissible agent that could cause tumors in chickens. He won a Nobel Prize for this discovery in 1966. His experiments clearly demonstrated that some cancers could be caused by infectious agents and led to the discovery of many more cancer-causing viruses in animals as well as humans.
RSV is a retrovirus that contains two copies of a plus-strand RNA genome. Its genome consists of four main open...
RSV is a retrovirus that contains two copies of a plus-strand RNA genome. Its genome consists of four main open...
6.0K
Viral Mutations
39.4K
A mutation is a change in the sequence of bases of DNA or RNA in a genome. Some mutations occur during replication of the genome due to errors made by the polymerase enzymes that replicate DNA or RNA. Unlike DNA polymerase, RNA polymerase is prone to errors because it is not capable of “proofreading” its work. Viruses with RNA-based genomes, like HIV, therefore accrue mutations faster than viruses with DNA-based genomes. Because mutation and recombination provide the raw material...
39.4K


