Coronavirus infections: Epidemiological, clinical and immunological features and hypotheses
Identifieur interne : 000416 ( France/Analysis ); précédent : 000415Coronavirus infections: Epidemiological, clinical and immunological features and hypotheses
Auteurs : Didier Raoult [France] ; Alimuddin Zumla [Royaume-Uni] ; Franco Locatelli [Italie] ; Giuseppe Ippolito [Italie] ; Guido Kroemer [France, République populaire de Chine, Suède]Source :
- Cell Stress [ 2523-0204 ] ; ????.
English descriptors
- mix :
Abstract
Coronaviruses (CoVs) are a large family of enveloped, positive-strand RNA viruses. Four human CoVs (HCoVs), the non-severe acute respiratory syndrome (SARS)-like HCoVs (namely HCoV 229E, NL63, OC43, and HKU1), are globally endemic and account for a substantial fraction of upper respiratory tract infections. Non-SARS-like CoV can occasionally produce severe diseases in frail subjects but do not cause any major (fatal) epidemics. In contrast, SARS like CoVs (namely SARS-CoV and Middle-East respiratory syndrome coronavirus, MERS-CoV) can cause intense short-lived fatal outbreaks. The current epidemic caused by the highly contagious SARS-CoV-2 and its rapid spread globally is of major concern. There is scanty knowledge on the actual pandemic potential of this new SARS-like virus. It might be speculated that SARS-CoV-2 epidemic is grossly underdiagnosed and that the infection is silently spreading across the globe with two consequences: (i) clusters of severe infections among frail subjects could haphazardly occur linked to unrecognized index cases; (ii) the current epidemic could naturally fall into a low-level endemic phase when a significant number of subjects will have developed immunity. Understanding the role of paucisymptomatic subjects and stratifying patients according to the risk of developing severe clinical presentations is pivotal for implementing reasonable measures to contain the infection and to reduce its mortality. Whilst the future evolution of this epidemic remains unpredictable, classic public health strategies must follow rational patterns. The emergence of yet another global epidemic underscores the permanent challenges that infectious diseases pose and underscores the need for global cooperation and preparedness, even during inter-epidemic periods.
Url:
- http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7146059
- https://www.hal.inserm.fr/inserm-02545522
- http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7064018
DOI: 10.15698/cst2020.04.216
PubMed: 32292881
PubMed Central: 7146059
Affiliations:
- France, Italie, Royaume-Uni, République populaire de Chine, Suède
- Angleterre, Grand Londres, Latium, Provence-Alpes-Côte d'Azur, Svealand, Île-de-France
- Londres, Marseille, Paris, Rome, Stockholm
- University College de Londres
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PMC:7146059Le document en format XML
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Paris, Sorbonne Université, INSERM U1138, Institut Universitaire de France, Paris, France.</nlm:aff><country xml:lang="fr" wicri:curation="lc">France</country><wicri:regionArea>Centre de Recherche des Cordeliers, Equipe labellisée par la Ligue contre le cancer, Université de Paris, Sorbonne Université, INSERM U1138, Institut Universitaire de France, Paris</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation><affiliation wicri:level="1"><nlm:aff id="aff7">Metabolomics and Cell Biology Platforms, Institut Gustave Roussy, Villejuif, France.</nlm:aff><country xml:lang="fr" wicri:curation="lc">France</country><wicri:regionArea>Metabolomics and Cell Biology Platforms, Institut Gustave Roussy, Villejuif</wicri:regionArea><wicri:noRegion>Villejuif</wicri:noRegion><wicri:noRegion>Villejuif</wicri:noRegion></affiliation><affiliation wicri:level="3"><nlm:aff id="aff8">Pôle de Biologie, Hôpital Européen Georges Pompidou, AP-HP, Paris, France.</nlm:aff><country xml:lang="fr" wicri:curation="lc">France</country><wicri:regionArea>Pôle de Biologie, Hôpital Européen Georges Pompidou, AP-HP, Paris</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation><affiliation wicri:level="1"><nlm:aff id="aff9">Suzhou Institute for Systems Medicine, Chinese Academy of Medical Sciences, Suzhou, China.</nlm:aff><country xml:lang="fr" wicri:curation="lc">République populaire de Chine</country><wicri:regionArea>Suzhou Institute for Systems Medicine, Chinese Academy of Medical Sciences, Suzhou</wicri:regionArea><wicri:noRegion>Suzhou</wicri:noRegion></affiliation><affiliation wicri:level="3"><nlm:aff id="aff10">Karolinska Institute, Department of Women's and Children's Health, Karolinska University Hospital, Stockholm, Sweden.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Suède</country><wicri:regionArea>Karolinska Institute, Department of Women's and Children's Health, Karolinska University Hospital, Stockholm</wicri:regionArea><placeName><settlement type="city">Stockholm</settlement><region nuts="2">Svealand</region></placeName></affiliation></author></analytic><series><title level="j">Cell Stress</title><idno type="eISSN">2523-0204</idno><imprint><date when="????">????</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="mix" xml:lang="en"><term>COVID-19</term><term>Coronavirus</term><term>MERS-CoV</term><term>SARS-CoV</term><term>epidemiology</term><term>immunology</term><term>sARS-CoV-2</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Coronaviruses (CoVs) are a large family of enveloped, positive-strand RNA viruses. Four human CoVs (HCoVs), the non-severe acute respiratory syndrome (SARS)-like HCoVs (namely HCoV 229E, NL63, OC43, and HKU1), are globally endemic and account for a substantial fraction of upper respiratory tract infections. Non-SARS-like CoV can occasionally produce severe diseases in frail subjects but do not cause any major (fatal) epidemics. In contrast, SARS like CoVs (namely SARS-CoV and Middle-East respiratory syndrome coronavirus, MERS-CoV) can cause intense short-lived fatal outbreaks. The current epidemic caused by the highly contagious SARS-CoV-2 and its rapid spread globally is of major concern. There is scanty knowledge on the actual pandemic potential of this new SARS-like virus. It might be speculated that SARS-CoV-2 epidemic is grossly underdiagnosed and that the infection is silently spreading across the globe with two consequences: (i) clusters of severe infections among frail subjects could haphazardly occur linked to unrecognized index cases; (ii) the current epidemic could naturally fall into a low-level endemic phase when a significant number of subjects will have developed immunity. Understanding the role of paucisymptomatic subjects and stratifying patients according to the risk of developing severe clinical presentations is pivotal for implementing reasonable measures to contain the infection and to reduce its mortality. Whilst the future evolution of this epidemic remains unpredictable, classic public health strategies must follow rational patterns. The emergence of yet another global epidemic underscores the permanent challenges that infectious diseases pose and underscores the need for global cooperation and preparedness, even during inter-epidemic periods.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Macciocchi, D" uniqKey="Macciocchi D">D Macciocchi</name></author><author><name sortKey="Lanini, S" uniqKey="Lanini S">S Lanini</name></author><author><name sortKey="Vairo, F" uniqKey="Vairo F">F Vairo</name></author><author><name sortKey="Zumla, A" uniqKey="Zumla A">A Zumla</name></author><author><name sortKey="Figueiredo, Lt" uniqKey="Figueiredo L">LT Figueiredo</name></author><author><name sortKey="Lauria, Fn" uniqKey="Lauria F">FN Lauria</name></author><author><name sortKey="Strada, G" uniqKey="Strada G">G Strada</name></author><author><name sortKey="Brouqui, P" uniqKey="Brouqui P">P Brouqui</name></author><author><name sortKey="Puro, V" uniqKey="Puro V">V 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Madhi</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Killerby, Me" uniqKey="Killerby M">ME Killerby</name></author><author><name sortKey="Biggs, Hm" uniqKey="Biggs H">HM Biggs</name></author><author><name sortKey="Haynes, A" uniqKey="Haynes A">A Haynes</name></author><author><name sortKey="Dahl, Rm" uniqKey="Dahl R">RM Dahl</name></author><author><name sortKey="Mustaquim, D" uniqKey="Mustaquim D">D Mustaquim</name></author><author><name sortKey="Gerber Si And Watson, Jt" uniqKey="Gerber Si And Watson J">JT Gerber SI and Watson</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>France</li><li>Italie</li><li>Royaume-Uni</li><li>République populaire de Chine</li><li>Suède</li></country><region><li>Angleterre</li><li>Grand Londres</li><li>Latium</li><li>Provence-Alpes-Côte d'Azur</li><li>Svealand</li><li>Île-de-France</li></region><settlement><li>Londres</li><li>Marseille</li><li>Paris</li><li>Rome</li><li>Stockholm</li></settlement><orgName><li>University College de Londres</li></orgName></list><tree><country name="France"><region name="Provence-Alpes-Côte d'Azur"><name sortKey="Raoult, Didier" sort="Raoult, Didier" uniqKey="Raoult D" first="Didier" last="Raoult">Didier Raoult</name></region><name sortKey="Kroemer, Guido" sort="Kroemer, Guido" uniqKey="Kroemer G" first="Guido" last="Kroemer">Guido Kroemer</name><name sortKey="Kroemer, Guido" sort="Kroemer, Guido" uniqKey="Kroemer G" first="Guido" last="Kroemer">Guido Kroemer</name><name sortKey="Kroemer, Guido" sort="Kroemer, Guido" uniqKey="Kroemer G" first="Guido" last="Kroemer">Guido Kroemer</name></country><country name="Royaume-Uni"><region name="Angleterre"><name sortKey="Zumla, Alimuddin" sort="Zumla, Alimuddin" uniqKey="Zumla A" first="Alimuddin" last="Zumla">Alimuddin Zumla</name></region><name sortKey="Zumla, Alimuddin" sort="Zumla, Alimuddin" uniqKey="Zumla A" first="Alimuddin" last="Zumla">Alimuddin Zumla</name></country><country name="Italie"><region name="Latium"><name sortKey="Locatelli, Franco" sort="Locatelli, Franco" uniqKey="Locatelli F" first="Franco" last="Locatelli">Franco Locatelli</name></region><name sortKey="Ippolito, Giuseppe" sort="Ippolito, Giuseppe" uniqKey="Ippolito G" first="Giuseppe" last="Ippolito">Giuseppe Ippolito</name></country><country name="République populaire de Chine"><noRegion><name sortKey="Kroemer, Guido" sort="Kroemer, Guido" uniqKey="Kroemer G" first="Guido" last="Kroemer">Guido Kroemer</name></noRegion></country><country name="Suède"><region name="Svealand"><name sortKey="Kroemer, Guido" sort="Kroemer, Guido" uniqKey="Kroemer G" first="Guido" last="Kroemer">Guido Kroemer</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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