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中国生物工程杂志

CHINA BIOTECHNOLOGY
中国生物工程杂志  2020, Vol. 40 Issue (11): 56-66    DOI: 10.13523/j.cb.2005012
综述     
冠状病毒基因组特征及感染特点比较*
程子昭1,陈楚楚1,应磊2,李校堃1,黄志锋1**()
1 温州医科大学药学院 温州 325035
2 温州医科大学基础医学院 温州 325035
Comparison of Genomic and Infection Characteristics of Coronavirus
CHENG Zi-zhao1,CHEN Chu-chu1,YING Lei2,LI Xiao-kun1,HUANG Zhi-feng1**()
1 School of Pharmaceutical Science, Wenzhou Medical University, Wenzhou 325035, China
2 School of Basic Medical Science, Wenzhou Medical University, Wenzhou 325035, China
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摘要:

冠状病毒是一种可以引起人呼吸系统、消化系统等疾病的病原体。目前,对冠状病毒的了解还不够深入,尚不清楚新型冠状病毒(SARS-CoV-2)与其他人冠状病毒在生物学特点和感染机制、流行病学与临床特点等方面的异同,通过概括包括SARS-CoV-2在内的几种冠状病毒的特点,并分析SARS-CoV-2在特殊人群中的易感性及预后等特点,为临床研究和鉴别诊断提供参考和依据。

关键词: 冠状病毒基因组结构感染机制流行病学临床特点    
Abstract:

Coronavirus is a kind of pathogen that can cause respiratory and digestive diseases. At present, the understanding of coronavirus is not deep enough, and the similarities and differences between SARS-CoV-2 and other human coronaviruses in biological characteristics, infection mechanism, epidemiology and clinical characteristics are not clear. By summarizing the characteristics of several coronaviruses including SARS-CoV-2, and analyzes the susceptibility and prognosis of SARS-CoV-2 in special population, so as to provide reference for clinical research and differential diagnosis.

Key words: Coronavirus    Genome structure    Infection mechanism    Epidemiology    Clinical characteristics
收稿日期: 2020-05-07 出版日期: 2020-12-11
ZTFLH:  Q939.4  
基金资助: * 中国工程院咨询项目(2020-KYGG-02-02);温州市新冠病毒肺炎疫情防控应急公关项目(ZY202002)
通讯作者: 黄志锋     E-mail: hzf@wmu.edu.cn
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引用本文:

程子昭,陈楚楚,应磊,李校堃,黄志锋. 冠状病毒基因组特征及感染特点比较*[J]. 中国生物工程杂志, 2020, 40(11): 56-66.

CHENG Zi-zhao,CHEN Chu-chu,YING Lei,LI Xiao-kun,HUANG Zhi-feng. Comparison of Genomic and Infection Characteristics of Coronavirus. China Biotechnology, 2020, 40(11): 56-66.

链接本文:

https://manu60.magtech.com.cn/biotech/CN/10.13523/j.cb.2005012        https://manu60.magtech.com.cn/biotech/CN/Y2020/V40/I11/56

病毒名称 种属及亚群 基因组长度(bp) GC含量(%) 发现时间 参考文献
HCoV-229E α冠状病毒 27 317 38 1966 [3]
HCoV-NL63 α冠状病毒 27 553 34 2004 [4-5]
HCoV-OC43 β冠状病毒A亚群 30 738 37 1967 [6-7]
HCoV-HKU1 β冠状病毒A亚群 29 926 32 2005 [8-9]
SARS-CoV β冠状病毒B亚群 29 727 41 2002 [10-11]
MERS-CoV β冠状病毒C亚群 29 809 41 2012 [12]
SARS-CoV-2 β冠状病毒B亚群 29 891 38 2019 [13]
表1  各种冠状病毒的基本信息
图1  可感染人类的7种冠状病毒的基因组示意图[14,15,16,17]
病毒名称 受体 主要分布器官 参考文献
HCoV-229E APN 肠、肺、肾上皮细胞 [30]
HCoV-NL63 ACE2 肺、肠、鼻、口腔黏膜和鼻咽非角化鳞状上皮基底层 [31-32]
HCoV-OC43 9-O-Ac-Sia 除肺外不详 [33]
HCoV-HKU1 9-O-Ac-Sia 除肺外不详 [34]
SARS-CoV ACE2 肺、肠、鼻、口腔黏膜和鼻咽非角化鳞状上皮基底层 [32-35]
MERS-CoV DDP-4 血管、肺、脾、胰、肾、肠 [36-37]
SARS-CoV-2 ACE2 肺、肠、鼻、口腔黏膜和鼻咽非角化鳞状上皮基底层 [32]
表2  各种冠状病毒及其对应的功能性受体
病毒 易感人群 季节特点 症状 参考文献
HCoV-229E 人群普遍易感 冬春季季节性流行 类似于普通感冒 [82-84]
HCoV-NL63 儿童、老年人和免疫功能
低下的呼吸系统疾病患者
冬春季季节性流行 类似于普通感冒 [5, 85]
HCoV-OC43 儿童和老年人 冬春季季节性流行 类似于普通感冒 [6-7]
HCoV-HKU1 儿童 冬春季季节性流行 类似于普通感冒,感染者易诱发癫痫 [8, 86-87]
SARS-CoV 人群普遍易感 无季节特点 发热、肌痛、头痛、全身不适和发冷,随后进展为干咳、呼吸困难和呼吸衰竭 [66-67, 71]
MERS-CoV 人群普遍易感 无季节特点 发热、咳嗽、发冷、肌痛、关节痛、重度肺炎、急性呼吸窘迫综合征(ARDS)、败血性休克、肾衰竭 [72-73]
SARS-CoV-2 人群普遍易感 无季节特点 乏力、肌痛、发热、呼吸困难和干咳,可迅速发展为 ARDS、败血性休克、代谢性酸中毒及凝血功能障碍 [74-77]
表3  各种冠状病毒的流行病学和临床表现特征
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