"13.4 Conclusion
Due to the ever-increasing human population, increasing wild-life habitat destruction for human inhabitation, the demand for exotic animals for food, and the inability of humans to control or successfully track zoonotic diseases in wild
animal populations, the emergence of novel viral pathogens from zoonotic pools
will continue to threaten human global public health. The development of antiviral
therapies against viral pathogens that might emerge in the future is a difficult
multifaceted problem, but it is critical for improving global health. SARS-CoV
was the first significant emerging virus of the twenty-first century. The availability
of reverse genetics, time-ordered sequence variation of animal and human strains,
robust availability of biochemical reagents, and age-related animal models provide
a unique opportunity to study many basic aspects of novel virus emergence and
antigenic diversity, pathogenesis, antiviral therapy development, and vaccine
immunopotentiation of disease. As SARS-CoV vaccines must provide broad
protection against the larger zoonotic pool, successful vaccine strategies may
provide a template for developing broadly reactive vaccines against other
emerging viruses, like filoviruses, Nipah virus, NL63, HKU1, and avian influenza
viruses. Importantly, SARS-CoV pathogenesis is exacerbated in the immunosenescent, a population that suffers a disproportionate disease burden from other
emerging viruses. Through the use of aged models of SARS-CoV pathogenesis
and vaccine efficacy, the immunological deficiencies of the aged immune system
and/or the variables required for successful vaccination may be elucidated. These
data may be applied to improve vaccines for other viral pathogens that cause a
disproportionate disease burden in vulnerable populations like the elderly (West
Nile virus, influenza, norovirus, SARS-CoV, RSV, etc.). In the past, the use of
whole killed vaccines for vaccination has been successful in preventing disease
but has also contributed to immunopotentiation of disease, and the mechanisms for
this exacerbation of disease are not completely understood. Uncovering the
mechanisms of SARS-CoV nucleocapsid-induced immunopotentiation may reveal
common host pathways with other vaccine formulations (e.g., FI-RSV, FI-MV)
that mediate vaccine-related pathologies. Alternatively, the unique genetic differences between coronaviruses and paramyxoviruses may reveal entirely new pathways for virus–host interactions that potentiate vaccine-induced immune
pathology. Thus, current models of SARS-CoV pathogenesis can be employed
to study the many difficult problems associated with the development of effective
therapies for emerging pathogens, and future studies may provide the solutions
that will prepare us for future SARS-CoV emergence or the emergence of yet
unknown viral pathogens."
https://www.businessinsider.fr/le-developpement-dun-vaccin-contre-le-coronavirus-de-chine-pourrait-prendre-des-annees-dapres-notre-experience-avec-zika-et-ebola/
Molecular Biology of the SARS-Coronavirus-Springer-Verlag Berlin Heidelberg (2010)
Indeed the mutation potential of RNA viruses is a great challenge.
Aucun commentaire:
Enregistrer un commentaire