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家猫和其他动物感染狂犬病病毒的挑战:病毒学上的困惑、惊愕、懊恼与好奇交织。

The Challenge of Lyssavirus Infections in Domestic and Other Animals: A Mix of Virological Confusion, Consternation, Chagrin, and Curiosity.

作者信息

Rupprecht Charles E, Belsare Aniruddha V, Cliquet Florence, Mshelbwala Philip P, Seetahal Janine F R, Wicker Vaughn V

机构信息

College of Forestry, Wildlife and Environment, Auburn University, Auburn, AL 36849, USA.

College of Veterinary Medicine, Auburn University, Auburn, AL 36849, USA.

出版信息

Pathogens. 2025 Jun 13;14(6):586. doi: 10.3390/pathogens14060586.

Abstract

Lyssaviruses are RNA viruses in the Family Rhabdoviridae, Genus . 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 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., '') 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.

摘要

狂犬病毒属弹状病毒科,是一类RNA病毒。它们是急性进行性脑炎的病原体,历史上称为狂犬病。无论具体病因如何,它们的病毒形态、生物化学、病理生物学、相关临床症状、诊断、动物流行病学及管理等方面基本相同。尽管经过了几个世纪的临床认知,但这些典型的嗜神经性病原体如今仍是重要的病原体,对农业、公共卫生和保护生物学都有重大影响。值得注意的是,狂犬病毒导致的发病率是无法治愈的,其病死率是所有病毒性疾病中最高的。所有温血脊椎动物都被认为易感。狗是唯一作为储存宿主、传播媒介和受害者的家畜。相比之下,猫科动物是有效的传播媒介,但不是储存宿主。所有其他患有狂犬病的家养动物,如家畜,都构成了溢出性感染,是当地狂犬病毒活动的一个预警信号。兽医界常常存在专业上的困惑,因为尽管狂犬病毒无疑是该属中最广为人知的代表,但已知该单系类群中至少还有20个其他已被认可或推测的成员。这种情况常常被忽视。此外,“分类病因”(即“狂犬病毒”)常常在生物政治背景下被错误引用,而不是明显的临床疾病(即“狂犬病”)。如果有记录表明狂犬病毒在某地传播,或者基于实验室的监测不足以支持某些地区认为自己“无病”的说法,全球的担忧就会持续存在。可以理解的是,当人们错误地使用控制、预防、消除等流行病学术语时,就会产生职业上的懊恼。管理并不简单,因为唯一获得许可的兽用和人用疫苗是针对狂犬病病毒(广义)的。目前没有针对任何狂犬病毒的有效抗病毒药物,也没有针对更远亲缘关系病毒成员研发的交叉反应生物制品。虽然翼手目、食肉目和灵长目哺乳动物中的代表性类群是全球主要的储存宿主,但其他狂犬病毒的持续传播是由哪些哺乳动物物种造成的,这似乎仍是一个学术上的好奇点。这种人畜共患病被忽视了。显然,狂犬病作为一种基本的“自然疾病”,具有这样的潜在特征,与天花和牛瘟不同,它不是一种可以根除的疾病。随着全球迫切希望在2030年迅速到来之际将犬类狂犬病病毒导致的人类死亡降至零,加强监测以及对狂犬病病毒和其他多种狂犬病毒造成的未得到充分认识的负担进行更多反思,对于未来的全球总体计划而言,可能会成为一种流行病学上的奢侈行为。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bbbe/12195927/3db18ea36705/pathogens-14-00586-g001.jpg

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