bioRxiv:蝙蝠为什么百毒不侵?清华等团队发现了新冠病毒抑制剂

2020-04-02 澎湃新闻 澎湃新闻

蝙蝠是“百毒不侵”的天然病毒蓄水池,它们为什么携带大量病毒却免受其害?人类是否可以从这里寻求一条对付多种病毒的普适性思路?

蝙蝠是“百毒不侵”的天然病毒蓄水池,它们为什么携带大量病毒却免受其害?人类是否可以从这里寻求一条对付多种病毒的普适性思路?

北京时间3月31日,清华大学结构生物学高精尖创新中心、杜克-新加坡国立大学医学院、中国疾控中心、中科院动物研究所、美国杜克大学的研究团队联合在论文预印本网站BioRxiv在线发表了一项最新研究,“Orthogonal genome-wide screenings in bat cells identify MTHFD1 as a target of broad antiviral therapy”。该研究尚未经同行评议。

研究团队通过对蝙蝠细胞的两万多个基因进行系统全面的筛查,确定了数十个病毒复制所依赖的关键蝙蝠基因,并发现了一个共同的新的宿主基因MTHFD1。

进一步的研究发现蝙蝠细胞的MTHFD1表达水平比人类相应组织的细胞要低很多,这可能和蝙蝠适应飞行生活的生理变化有关。

研究团队最终发现宿主蛋白MTHFD1的抑制剂carolacton可有效抑制新冠病毒复制。

他们认为,该研究成果不仅能助力新冠病毒药物研发,有力抗击疫情,更为人类未来抗击突发病毒流行打下基础。

清华大学结构生物学高精尖创新中心谭旭研究员和杜克-新加坡国立大学医学院王林发教授为论文的共同通讯作者。清华大学药学院博士生崔进、博士后叶倩、杜克-新加坡国立大学医学院Danielle Anderson、中国疾控中心黄保英博士为论文的并列第一作者。该研究还得到了中国疾控中心谭文杰研究员、中科院动物所周旭明研究员、美国Duke大学的So Young Kim教授的帮助。

此外,谭旭实验室的这项工作由清华大学疫情防控科技攻关应急专项课题,北京市结构生物学高精尖创新中心、清华-北大生命科学联合中心和国家自然基金委优秀青年基金联合资助。

人类需要广谱抗病毒药物

从SARS、埃博拉到2019年的新冠肺炎(COVID-19),病毒引起的传染性疾病一直是严重危害全球健康的主要病种之一。这些疫情发展史更让我们深刻体会到当务之急是对于广谱的抗病毒药物的研发。

广谱抗病毒药物对于新发突发病毒感染的应急性治疗可以救重症病人于危难,对于降低死亡率和缓解疫情有不可估量的作用。

然而,传统的抗病毒药物以病毒蛋白作为靶点,它们在应对不断出现的多种不同类别的病毒时很难发挥作用,而且病毒也很容易通过突变自身基因而产生耐药性。

相比之下,由于多种病毒在细胞内复制需要很多共同的宿主蛋白才能完成复制周期,所以针对病毒复制依赖的宿主蛋白的新型抗病毒药物可能具有广谱性和不易产生耐药性的优点。

论文中提到,蝙蝠是埃博拉病毒、SARS-CoV、MERS-CoV、亨尼巴病毒属和新冠病毒等病毒的天然宿主。研究团队试图从蝙蝠基因组分析入手,使用领先的功能基因组学方法,系统地寻找病毒生命周期依赖的宿主因子,通过理解病毒-宿主因子的相互作用的分子机制来寻找新的抗病毒药物靶点。

蝙蝠为何“百毒不侵”?

蝙蝠属于哺乳动物门翼手目,是唯一能真正飞行的哺乳动物。近年来诸多大规模致死疫情都和蝙蝠发生着千丝万缕的联系,而蝙蝠也已经被公认为新兴病毒最重要的天然“蓄水池”。

作者们提到,2003年的SARS、2014年的埃博拉以及2019年末开始暴发的的新冠肺炎均给世界各地带来了巨大的经济损失和心理恐慌。诸多证据支持蝙蝠是这些致病病毒的共同的天然宿主,病毒从蝙蝠到某个中间宿主传播最终导致了疫情的大规模暴发。

然而,令人不解的是,虽然蝙蝠可以携带多种致病病毒,但是这些病毒却不会对蝙蝠造成明显的症状。蝙蝠对病毒的高度耐受性可能也是其能携带并传播多种病毒的重要原因。

中科院武汉病毒研究所研究员周鹏曾在接受澎湃新闻记者(www.thepapr.cn)采访时表示,“从免疫学角度来说,蝙蝠的免疫系统还是很独特的,它是唯一一个会持续飞行的哺乳动物,飞行这种能力就造成它很多基因和人或者其他哺乳动物的基因不一样,这些不一样的基因很多就是和抗病毒、免疫系统相关的。”

周鹏等人此前也证实,蝙蝠体内总是保持了一定量的干扰素表达。干扰素是一个很关键的抗病毒蛋白,如果它在身体中总是保持“低量”,就相当于动物本身具有“全天候保护”的防御机制。

“我们现在初步的结论是它的免疫通路会保持一定量的防御状态,但不会免疫过激。像人感染SARS等病毒最后会死于过度的炎症反应,但是蝙蝠的炎症反应和先天免疫不会过激,所以它也不会受到损伤。”

周鹏等人此前也提到过类似思路,研究蝙蝠携带病毒而不患病这一独特之处,有望让人类从中学习如何对抗病毒。

作者们认为,蝙蝠的生理学研究和基因组测序结果为解释其耐受病毒的能力提供了多种解释,而功能基因组学筛选可以帮助我们进一步理解病毒感染蝙蝠细胞所需要的宿主因子。

两万多个基因筛选:

蝙蝠与人类的病毒感染机制有何不同?

基于以上背景,研究团队建立了第一个蝙蝠(黑妖狐蝠,Pteropus alecto)的全基因组CRISPR敲除文库并完成了黑妖狐蝠肾上皮细胞(PaKi细胞)的流感病毒感染的全基因组CRISPR筛选,从中找到了20多个病毒复制所依赖的宿主因子(图一)。

与此同时,杜克-新加坡国立大学医学院的王林发课题组用RNA干扰(RNAi)的方法进行了蝙蝠细胞针对腮腺炎病毒感染的筛选,找到了数十个病毒依赖的宿主因子。

通过对两个课题组的筛选结果进行比较,研究团队发现其中都包括细胞内吞作用和蛋白分泌通路的重要基因,这些跟人类细胞的病毒感染是类似的,说明蝙蝠细胞和人类细胞的病毒感染对这些通路的依赖是保守的。

除此之外,两组筛选都发现了一个共同的新的宿主基因MTHFD1。MTHFD1编码亚甲基四氢叶酸脱氢酶,是DNA和RNA的组成成分嘌呤碱基从头合成的重要代谢酶。

非常有意思的是,以前的工作在人体细胞的全基因组筛选病毒宿主因子都没有发现MTHFD1。进一步的研究发现蝙蝠细胞的MTHFD1表达水平比人类相应组织的细胞要低很多,这可能和蝙蝠适应飞行生活的生理变化有关。

总体来说,研究团队通过对蝙蝠细胞的两万多个基因进行系统全面的筛查,确定了数十个病毒复制所依赖的关键蝙蝠基因。这些基因在蝙蝠和人类中功能是保守的,但是基因表达水平的物种差异可能决定了病毒感染的不同的病理结果。

发现抑制剂carolacton

研究团队进一步发现,RNA病毒包括腮腺炎病毒、马六甲病毒、寨卡病毒等都对MTHFD1的缺失非常敏感,而MTHFD1的抑制剂carolacton对于上述病毒的复制有非常强的抑制作用。这个现象在蝙蝠和人类细胞都很显著。

Carolacton是一种天然产物,被作为抗生素候选分子用于抑制细菌的菌膜生成。

令人欣喜的是,通过与中国疾控中心合作,研究团队发现carolacton也能有效的抑制新冠病毒在人体细胞中的复制,而且抗病毒有效浓度远远低于细胞毒性浓度,展示出了良好的成药性。

蝙蝠的基因筛查导致了MTHFD1这个全新的抗病毒药物靶点及carolacton这个抗病毒小分子的发现。这个结果也提示我们可以从研究蝙蝠的病毒感染机制中学习到如何应对病毒感染。


蝙蝠细胞的全基因组CRISPR筛选找到一个RNA病毒复制的关键宿主因子MTHFD1,其抑制剂carolacton能有效抑制新冠病毒在灵长类动物细胞系中的复制。

据悉,研究团队后续将在动物感染模型上进一步对carolacton及其衍生物的抗病毒功能进行临床前测试,希望能将其作为一种广谱抗病毒药物早日推向临床。MTHFD1相关的基因对病毒的影响及其药物靶向的研究也有望提供更多的候选药物分子。

另外,研究团队前期建立的全基因组筛选系统也将在针对蝙蝠的其它组织细胞,特别是免疫细胞的研究中发挥巨大作用,帮助研究者继续探寻蝙蝠的更多的奥秘。

原始出处:

Danielle E Anderson, Jin Cui, Qian Ye, et.al. Orthogonal genome-wide screenings in bat cells identify MTHFD1 as a target of broad antiviral therapy. bioRxiv March 30, 2020.

版权声明:
本网站所有内容来源注明为“梅斯医学”或“MedSci原创”的文字、图片和音视频资料,版权均属于梅斯医学所有。非经授权,任何媒体、网站或个人不得转载,授权转载时须注明来源为“梅斯医学”。其它来源的文章系转载文章,或“梅斯号”自媒体发布的文章,仅系出于传递更多信息之目的,本站仅负责审核内容合规,其内容不代表本站立场,本站不负责内容的准确性和版权。如果存在侵权、或不希望被转载的媒体或个人可与我们联系,我们将立即进行删除处理。
在此留言
评论区 (7)
#插入话题
  1. [GetPortalCommentsPageByObjectIdResponse(id=1919038, encodeId=08c5191903894, content=<a href='/topic/show?id=4f26341994' target=_blank style='color:#2F92EE;'>#Bio#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=3419, encryptionId=4f26341994, topicName=Bio)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=12de429, createdName=sunylz, createdTime=Sat Nov 14 16:09:52 CST 2020, time=2020-11-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1957094, encodeId=deb4195e0940b, content=<a href='/topic/show?id=a8d5e09475e' target=_blank style='color:#2F92EE;'>#病毒抑制剂#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=70947, encryptionId=a8d5e09475e, topicName=病毒抑制剂)], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTIOca9icPByKxo3ZRUrvuibf7tWt7EScQ1NEiaKy4NCUctSU2jDjOayLicDIaicwUxaQhJ1SZKdEevgjRg/132, createdBy=4f272500131, createdName=若水123, createdTime=Sat Jun 13 23:09:52 CST 2020, time=2020-06-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1852316, encodeId=7c771852316e8, content=<a href='/topic/show?id=f0a254918f0' target=_blank style='color:#2F92EE;'>#抑制剂#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=54918, encryptionId=f0a254918f0, topicName=抑制剂)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=44a360, createdName=jklm09, createdTime=Mon Nov 09 20:09:52 CST 2020, time=2020-11-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2007027, encodeId=9495200e0277a, content=<a href='/topic/show?id=9d62e0946c6' target=_blank style='color:#2F92EE;'>#病毒抑制#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=70946, encryptionId=9d62e0946c6, topicName=病毒抑制)], attachment=null, authenticateStatus=null, createdAvatar=http://thirdqq.qlogo.cn/qqapp/101296147/385F510BDFE0F55A4FFDFDFFD9892943/100, createdBy=a3262500163, createdName=siiner, createdTime=Mon Jan 25 15:09:52 CST 2021, time=2021-01-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=382292, encodeId=a741382292cb, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=70, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2020/04/28/a5fe04f5f79e7eaa02a969e1db5d9cfa.jpg, createdBy=aaa45315037, createdName=学海无涯123, createdTime=Tue Apr 28 16:02:31 CST 2020, time=2020-04-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1500154, encodeId=5475150015475, content=<a href='/topic/show?id=9e6866216d7' target=_blank style='color:#2F92EE;'>#清华#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=66216, encryptionId=9e6866216d7, topicName=清华)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=10f29422809, createdName=医生2397, createdTime=Sat Apr 04 02:09:52 CST 2020, time=2020-04-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1027606, encodeId=3eea102e606bc, content=新冠肺炎,疫情何时才能消失, beContent=null, objectType=article, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=公卫新人, createdTime=Thu Apr 02 14:09:52 CST 2020, time=2020-04-02, status=1, ipAttribution=)]
    2020-11-14 sunylz
  2. [GetPortalCommentsPageByObjectIdResponse(id=1919038, encodeId=08c5191903894, content=<a href='/topic/show?id=4f26341994' target=_blank style='color:#2F92EE;'>#Bio#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=3419, encryptionId=4f26341994, topicName=Bio)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=12de429, createdName=sunylz, createdTime=Sat Nov 14 16:09:52 CST 2020, time=2020-11-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1957094, encodeId=deb4195e0940b, content=<a href='/topic/show?id=a8d5e09475e' target=_blank style='color:#2F92EE;'>#病毒抑制剂#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=70947, encryptionId=a8d5e09475e, topicName=病毒抑制剂)], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTIOca9icPByKxo3ZRUrvuibf7tWt7EScQ1NEiaKy4NCUctSU2jDjOayLicDIaicwUxaQhJ1SZKdEevgjRg/132, createdBy=4f272500131, createdName=若水123, createdTime=Sat Jun 13 23:09:52 CST 2020, time=2020-06-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1852316, encodeId=7c771852316e8, content=<a href='/topic/show?id=f0a254918f0' target=_blank style='color:#2F92EE;'>#抑制剂#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=54918, encryptionId=f0a254918f0, topicName=抑制剂)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=44a360, createdName=jklm09, createdTime=Mon Nov 09 20:09:52 CST 2020, time=2020-11-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2007027, encodeId=9495200e0277a, content=<a href='/topic/show?id=9d62e0946c6' target=_blank style='color:#2F92EE;'>#病毒抑制#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=70946, encryptionId=9d62e0946c6, topicName=病毒抑制)], attachment=null, authenticateStatus=null, createdAvatar=http://thirdqq.qlogo.cn/qqapp/101296147/385F510BDFE0F55A4FFDFDFFD9892943/100, createdBy=a3262500163, createdName=siiner, createdTime=Mon Jan 25 15:09:52 CST 2021, time=2021-01-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=382292, encodeId=a741382292cb, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=70, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2020/04/28/a5fe04f5f79e7eaa02a969e1db5d9cfa.jpg, createdBy=aaa45315037, createdName=学海无涯123, createdTime=Tue Apr 28 16:02:31 CST 2020, time=2020-04-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1500154, encodeId=5475150015475, content=<a href='/topic/show?id=9e6866216d7' target=_blank style='color:#2F92EE;'>#清华#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=66216, encryptionId=9e6866216d7, topicName=清华)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=10f29422809, createdName=医生2397, createdTime=Sat Apr 04 02:09:52 CST 2020, time=2020-04-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1027606, encodeId=3eea102e606bc, content=新冠肺炎,疫情何时才能消失, beContent=null, objectType=article, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=公卫新人, createdTime=Thu Apr 02 14:09:52 CST 2020, time=2020-04-02, status=1, ipAttribution=)]
  3. [GetPortalCommentsPageByObjectIdResponse(id=1919038, encodeId=08c5191903894, content=<a href='/topic/show?id=4f26341994' target=_blank style='color:#2F92EE;'>#Bio#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=3419, encryptionId=4f26341994, topicName=Bio)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=12de429, createdName=sunylz, createdTime=Sat Nov 14 16:09:52 CST 2020, time=2020-11-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1957094, encodeId=deb4195e0940b, content=<a href='/topic/show?id=a8d5e09475e' target=_blank style='color:#2F92EE;'>#病毒抑制剂#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=70947, encryptionId=a8d5e09475e, topicName=病毒抑制剂)], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTIOca9icPByKxo3ZRUrvuibf7tWt7EScQ1NEiaKy4NCUctSU2jDjOayLicDIaicwUxaQhJ1SZKdEevgjRg/132, createdBy=4f272500131, createdName=若水123, createdTime=Sat Jun 13 23:09:52 CST 2020, time=2020-06-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1852316, encodeId=7c771852316e8, content=<a href='/topic/show?id=f0a254918f0' target=_blank style='color:#2F92EE;'>#抑制剂#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=54918, encryptionId=f0a254918f0, topicName=抑制剂)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=44a360, createdName=jklm09, createdTime=Mon Nov 09 20:09:52 CST 2020, time=2020-11-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2007027, encodeId=9495200e0277a, content=<a href='/topic/show?id=9d62e0946c6' target=_blank style='color:#2F92EE;'>#病毒抑制#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=70946, encryptionId=9d62e0946c6, topicName=病毒抑制)], attachment=null, authenticateStatus=null, createdAvatar=http://thirdqq.qlogo.cn/qqapp/101296147/385F510BDFE0F55A4FFDFDFFD9892943/100, createdBy=a3262500163, createdName=siiner, createdTime=Mon Jan 25 15:09:52 CST 2021, time=2021-01-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=382292, encodeId=a741382292cb, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=70, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2020/04/28/a5fe04f5f79e7eaa02a969e1db5d9cfa.jpg, createdBy=aaa45315037, createdName=学海无涯123, createdTime=Tue Apr 28 16:02:31 CST 2020, time=2020-04-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1500154, encodeId=5475150015475, content=<a href='/topic/show?id=9e6866216d7' target=_blank style='color:#2F92EE;'>#清华#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=66216, encryptionId=9e6866216d7, topicName=清华)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=10f29422809, createdName=医生2397, createdTime=Sat Apr 04 02:09:52 CST 2020, time=2020-04-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1027606, encodeId=3eea102e606bc, content=新冠肺炎,疫情何时才能消失, beContent=null, objectType=article, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=公卫新人, createdTime=Thu Apr 02 14:09:52 CST 2020, time=2020-04-02, status=1, ipAttribution=)]
    2020-11-09 jklm09
  4. [GetPortalCommentsPageByObjectIdResponse(id=1919038, encodeId=08c5191903894, content=<a href='/topic/show?id=4f26341994' target=_blank style='color:#2F92EE;'>#Bio#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=3419, encryptionId=4f26341994, topicName=Bio)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=12de429, createdName=sunylz, createdTime=Sat Nov 14 16:09:52 CST 2020, time=2020-11-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1957094, encodeId=deb4195e0940b, content=<a href='/topic/show?id=a8d5e09475e' target=_blank style='color:#2F92EE;'>#病毒抑制剂#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=70947, encryptionId=a8d5e09475e, topicName=病毒抑制剂)], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTIOca9icPByKxo3ZRUrvuibf7tWt7EScQ1NEiaKy4NCUctSU2jDjOayLicDIaicwUxaQhJ1SZKdEevgjRg/132, createdBy=4f272500131, createdName=若水123, createdTime=Sat Jun 13 23:09:52 CST 2020, time=2020-06-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1852316, encodeId=7c771852316e8, content=<a href='/topic/show?id=f0a254918f0' target=_blank style='color:#2F92EE;'>#抑制剂#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=54918, encryptionId=f0a254918f0, topicName=抑制剂)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=44a360, createdName=jklm09, createdTime=Mon Nov 09 20:09:52 CST 2020, time=2020-11-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2007027, encodeId=9495200e0277a, content=<a href='/topic/show?id=9d62e0946c6' target=_blank style='color:#2F92EE;'>#病毒抑制#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=70946, encryptionId=9d62e0946c6, topicName=病毒抑制)], attachment=null, authenticateStatus=null, createdAvatar=http://thirdqq.qlogo.cn/qqapp/101296147/385F510BDFE0F55A4FFDFDFFD9892943/100, createdBy=a3262500163, createdName=siiner, createdTime=Mon Jan 25 15:09:52 CST 2021, time=2021-01-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=382292, encodeId=a741382292cb, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=70, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2020/04/28/a5fe04f5f79e7eaa02a969e1db5d9cfa.jpg, createdBy=aaa45315037, createdName=学海无涯123, createdTime=Tue Apr 28 16:02:31 CST 2020, time=2020-04-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1500154, encodeId=5475150015475, content=<a href='/topic/show?id=9e6866216d7' target=_blank style='color:#2F92EE;'>#清华#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=66216, encryptionId=9e6866216d7, topicName=清华)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=10f29422809, createdName=医生2397, createdTime=Sat Apr 04 02:09:52 CST 2020, time=2020-04-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1027606, encodeId=3eea102e606bc, content=新冠肺炎,疫情何时才能消失, beContent=null, objectType=article, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=公卫新人, createdTime=Thu Apr 02 14:09:52 CST 2020, time=2020-04-02, status=1, ipAttribution=)]
  5. [GetPortalCommentsPageByObjectIdResponse(id=1919038, encodeId=08c5191903894, content=<a href='/topic/show?id=4f26341994' target=_blank style='color:#2F92EE;'>#Bio#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=3419, encryptionId=4f26341994, topicName=Bio)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=12de429, createdName=sunylz, createdTime=Sat Nov 14 16:09:52 CST 2020, time=2020-11-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1957094, encodeId=deb4195e0940b, content=<a href='/topic/show?id=a8d5e09475e' target=_blank style='color:#2F92EE;'>#病毒抑制剂#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=70947, encryptionId=a8d5e09475e, topicName=病毒抑制剂)], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTIOca9icPByKxo3ZRUrvuibf7tWt7EScQ1NEiaKy4NCUctSU2jDjOayLicDIaicwUxaQhJ1SZKdEevgjRg/132, createdBy=4f272500131, createdName=若水123, createdTime=Sat Jun 13 23:09:52 CST 2020, time=2020-06-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1852316, encodeId=7c771852316e8, content=<a href='/topic/show?id=f0a254918f0' target=_blank style='color:#2F92EE;'>#抑制剂#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=54918, encryptionId=f0a254918f0, topicName=抑制剂)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=44a360, createdName=jklm09, createdTime=Mon Nov 09 20:09:52 CST 2020, time=2020-11-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2007027, encodeId=9495200e0277a, content=<a href='/topic/show?id=9d62e0946c6' target=_blank style='color:#2F92EE;'>#病毒抑制#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=70946, encryptionId=9d62e0946c6, topicName=病毒抑制)], attachment=null, authenticateStatus=null, createdAvatar=http://thirdqq.qlogo.cn/qqapp/101296147/385F510BDFE0F55A4FFDFDFFD9892943/100, createdBy=a3262500163, createdName=siiner, createdTime=Mon Jan 25 15:09:52 CST 2021, time=2021-01-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=382292, encodeId=a741382292cb, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=70, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2020/04/28/a5fe04f5f79e7eaa02a969e1db5d9cfa.jpg, createdBy=aaa45315037, createdName=学海无涯123, createdTime=Tue Apr 28 16:02:31 CST 2020, time=2020-04-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1500154, encodeId=5475150015475, content=<a href='/topic/show?id=9e6866216d7' target=_blank style='color:#2F92EE;'>#清华#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=66216, encryptionId=9e6866216d7, topicName=清华)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=10f29422809, createdName=医生2397, createdTime=Sat Apr 04 02:09:52 CST 2020, time=2020-04-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1027606, encodeId=3eea102e606bc, content=新冠肺炎,疫情何时才能消失, beContent=null, objectType=article, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=公卫新人, createdTime=Thu Apr 02 14:09:52 CST 2020, time=2020-04-02, status=1, ipAttribution=)]
    2020-04-28 学海无涯123

    学习了

    0

  6. [GetPortalCommentsPageByObjectIdResponse(id=1919038, encodeId=08c5191903894, content=<a href='/topic/show?id=4f26341994' target=_blank style='color:#2F92EE;'>#Bio#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=3419, encryptionId=4f26341994, topicName=Bio)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=12de429, createdName=sunylz, createdTime=Sat Nov 14 16:09:52 CST 2020, time=2020-11-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1957094, encodeId=deb4195e0940b, content=<a href='/topic/show?id=a8d5e09475e' target=_blank style='color:#2F92EE;'>#病毒抑制剂#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=70947, encryptionId=a8d5e09475e, topicName=病毒抑制剂)], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTIOca9icPByKxo3ZRUrvuibf7tWt7EScQ1NEiaKy4NCUctSU2jDjOayLicDIaicwUxaQhJ1SZKdEevgjRg/132, createdBy=4f272500131, createdName=若水123, createdTime=Sat Jun 13 23:09:52 CST 2020, time=2020-06-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1852316, encodeId=7c771852316e8, content=<a href='/topic/show?id=f0a254918f0' target=_blank style='color:#2F92EE;'>#抑制剂#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=54918, encryptionId=f0a254918f0, topicName=抑制剂)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=44a360, createdName=jklm09, createdTime=Mon Nov 09 20:09:52 CST 2020, time=2020-11-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2007027, encodeId=9495200e0277a, content=<a href='/topic/show?id=9d62e0946c6' target=_blank style='color:#2F92EE;'>#病毒抑制#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=70946, encryptionId=9d62e0946c6, topicName=病毒抑制)], attachment=null, authenticateStatus=null, createdAvatar=http://thirdqq.qlogo.cn/qqapp/101296147/385F510BDFE0F55A4FFDFDFFD9892943/100, createdBy=a3262500163, createdName=siiner, createdTime=Mon Jan 25 15:09:52 CST 2021, time=2021-01-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=382292, encodeId=a741382292cb, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=70, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2020/04/28/a5fe04f5f79e7eaa02a969e1db5d9cfa.jpg, createdBy=aaa45315037, createdName=学海无涯123, createdTime=Tue Apr 28 16:02:31 CST 2020, time=2020-04-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1500154, encodeId=5475150015475, content=<a href='/topic/show?id=9e6866216d7' target=_blank style='color:#2F92EE;'>#清华#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=66216, encryptionId=9e6866216d7, topicName=清华)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=10f29422809, createdName=医生2397, createdTime=Sat Apr 04 02:09:52 CST 2020, time=2020-04-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1027606, encodeId=3eea102e606bc, content=新冠肺炎,疫情何时才能消失, beContent=null, objectType=article, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=公卫新人, createdTime=Thu Apr 02 14:09:52 CST 2020, time=2020-04-02, status=1, ipAttribution=)]
    2020-04-04 医生2397
  7. [GetPortalCommentsPageByObjectIdResponse(id=1919038, encodeId=08c5191903894, content=<a href='/topic/show?id=4f26341994' target=_blank style='color:#2F92EE;'>#Bio#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=3419, encryptionId=4f26341994, topicName=Bio)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=12de429, createdName=sunylz, createdTime=Sat Nov 14 16:09:52 CST 2020, time=2020-11-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1957094, encodeId=deb4195e0940b, content=<a href='/topic/show?id=a8d5e09475e' target=_blank style='color:#2F92EE;'>#病毒抑制剂#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=70947, encryptionId=a8d5e09475e, topicName=病毒抑制剂)], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTIOca9icPByKxo3ZRUrvuibf7tWt7EScQ1NEiaKy4NCUctSU2jDjOayLicDIaicwUxaQhJ1SZKdEevgjRg/132, createdBy=4f272500131, createdName=若水123, createdTime=Sat Jun 13 23:09:52 CST 2020, time=2020-06-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1852316, encodeId=7c771852316e8, content=<a href='/topic/show?id=f0a254918f0' target=_blank style='color:#2F92EE;'>#抑制剂#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=54918, encryptionId=f0a254918f0, topicName=抑制剂)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=44a360, createdName=jklm09, createdTime=Mon Nov 09 20:09:52 CST 2020, time=2020-11-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2007027, encodeId=9495200e0277a, content=<a href='/topic/show?id=9d62e0946c6' target=_blank style='color:#2F92EE;'>#病毒抑制#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=70946, encryptionId=9d62e0946c6, topicName=病毒抑制)], attachment=null, authenticateStatus=null, createdAvatar=http://thirdqq.qlogo.cn/qqapp/101296147/385F510BDFE0F55A4FFDFDFFD9892943/100, createdBy=a3262500163, createdName=siiner, createdTime=Mon Jan 25 15:09:52 CST 2021, time=2021-01-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=382292, encodeId=a741382292cb, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=70, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2020/04/28/a5fe04f5f79e7eaa02a969e1db5d9cfa.jpg, createdBy=aaa45315037, createdName=学海无涯123, createdTime=Tue Apr 28 16:02:31 CST 2020, time=2020-04-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1500154, encodeId=5475150015475, content=<a href='/topic/show?id=9e6866216d7' target=_blank style='color:#2F92EE;'>#清华#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=66216, encryptionId=9e6866216d7, topicName=清华)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=10f29422809, createdName=医生2397, createdTime=Sat Apr 04 02:09:52 CST 2020, time=2020-04-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1027606, encodeId=3eea102e606bc, content=新冠肺炎,疫情何时才能消失, beContent=null, objectType=article, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=公卫新人, createdTime=Thu Apr 02 14:09:52 CST 2020, time=2020-04-02, status=1, ipAttribution=)]
    2020-04-02 公卫新人

    新冠肺炎,疫情何时才能消失

    0

相关资讯

Cancer Discov:CDK7抑制剂能够通过MED1去激活抑制去势抵抗性前列腺癌

转移去势抵抗性前列腺癌(CRPC)是一种致死的疾病,主要是由于雄激素受体(AR)驱使的过度转录引起。一线CRPC治疗药物能够特异性的靶向AR信号,但是很快就失去特异性,导致生存益处减弱和抗雄激素的产生。因此,能够更加有效的靶向AR转录的治疗方法是急切需要的。最近,有研究人员调查了转录共激活子MED1与AR之间的相关性分子机制。研究发现,MED1在T1457能够产生CDK-7依赖的磷酸化,并能够在超

IJLH:体外研究依诺肝素对直接口服Xa因子抑制剂血药浓度的影响

在测量直接口服抗凝血剂(DOAC)水平时,依诺肝素和直接口服Xa因子抑制剂(xabans: apixaban, edoxaban, rivaroxaban)同时给药可能会导致抗Xa活性重叠的问题。本研究的目的是在体外评估增加依诺肝素浓度对xaban血浆水平干扰的程度。 研究人员对7份血浆样品分别加入固定浓度的阿哌沙班、依诺肝素、利伐沙班和依诺肝素(0,0.125、0.250、0.50、1.0

J Cell Biochem:Notch1蛋白的抑制能够减少肿瘤生长

Notch1在许多癌症中,包括前列腺癌(PCa),起着促进癌症的作用。利用γ-分泌酶抑制剂对Notch家族成员的整体抑制能够在小鼠模型中显著的抑制PCa的生长。然而,Notch的整体抑制表现出了显著的毒性,原因是在正常的细胞生理中,许多不同的Notch家族成员均具有相关的功能。最近,有研究人员将雄激素依赖的VCaP和不依赖雄激素的DU145细胞系对小鼠进行皮下注射。这些小鼠进行对照抗体1B7.11

Int J Cardiol:免疫检查点抑制剂相关性心肌炎的诊断

由此可见,免疫检查点抑制剂相关性心肌炎的特征是心肌肌钙蛋白水平升高和非特异性心电图改变。早期冠状动脉造影可将其与心肌缺血或心肌梗塞区分开来。

降糖药钠- 葡萄糖共转运蛋白2SGLT2 抑制剂成心衰治疗基石之一

近20年来,心衰的流行渐重,但死亡率的降低却较为迟滞。其中糖尿病与心衰可谓“狼狈为奸”,有研究显示,在2 型糖尿病患者中有10%~30% 合并心衰,而慢性心衰患者中多于30% 合并糖尿病。

病例:免疫治疗联合精准放疗,1+1能否>2?

免疫检查点抑制剂(immune checkpoint inhibitors,ICIs)的出现开辟了肿瘤治疗的新时代,免疫治疗(immunotherapy)渐渐完成了从陪跑、跟跑到领跑的转变。放射治疗作为肿瘤的重要治疗手段,同样被认为是一种免疫抑制的手段,那么当免疫治疗与精准放疗相遇又能擦出怎样的活化,能否发挥1+1>2的效果呢?

拓展阅读

J Pak Med Assoc:重症COVID-19住院患者的睡眠质量评估

在COVID-19患者中,睡眠质量差与住院时间更长,机械通气需求增加和死亡率更高有关。

J Clin Med:COVID-19住院患者血栓形成和出血风险评分与死亡率密切相关

本研究提示COVID-19血栓形成和出血风险评分高的患者死亡率更高。

Front Med:COVID-19住院患者Casirivimab/imdevimab失败预测评分的开发和验证

Casirivimab和imdevimab是两种非竞争性、高亲和力的人IgG1抗COVID-19单克隆抗体,它们特异性结合COVID-19病毒刺突糖蛋白的受体结合域,从而阻断病毒进入宿主细胞。

Biomedicines:2型糖尿病住院患者COVID-19的长期预后

在T2D合并COVID-19患者中,随访观察到住院死亡率、卒中和心血管住院率增加。

Cureus:2型糖尿病状态、糖尿病并发症严重程度指数评分及其与COVID-19严重程度的关系

与非糖尿病患者相比,我们样本中的糖尿病患者发生COVID-19不良临床结果和住院死亡率的几率更高。

Lancet Infect Dis:口服VV116用于治疗轻中度COVID-19成人患者的有效性和安全性评价

目前,治疗COVID-19的医疗需求仍未得到满足,新型抗病毒药物-VV116可用于治疗轻中度COVID-19成人患者,能够显著缩短临床症状持续时间,与其他药物较少发生药物间相互作用,且安全性良好。