人副流感病毒(Human parainfluenza virus,HPIV) 是引发5岁以下儿童急性呼吸道感染的主要病原体,可导致一系列上、下呼吸道症状,包括感冒、中耳炎、支气管炎、细支气管炎和肺炎等。HPIV通常在春季和初夏流行,主要存在于呼吸道分泌物内,通过人与人直接接触和飞沫传播。HPIV最初感染部位为鼻和口咽部,随后传播到下呼吸道,在感染2~5d后病毒复制到达高峰。疾病的严重程度与感染部位密切相关:轻微的上呼吸道感染多发生于鼻咽部,累及下呼吸道时会引起严重疾病。目前,尚无有效预防HPIV感染的疫苗,也没有许可的抗HPIV药物。
HPIV属于副黏病毒科,是有包膜的、单链负RNA病毒。其基因组全长约15.4~17.3 kb,从3’到5’端依次编码6个主要结构蛋白:血凝素-神经氨酸酶蛋白、融合蛋白、基质蛋白、大蛋白、RNA聚合酶和磷蛋白。
基于补体结合和血凝抗原,HPIV 可分为四种主要血清型(HPIV-1–4)。HPIV-1和HPIV-3属于呼吸道病毒属,而HPIV-2和HPIV-4(细分为HPIV-4A和HPIV-4B)属于腮腺炎病毒属。HPIV-1和HPIV-2通常与儿童喉炎相关。HPIV-3是与肺炎和细支气管炎相关的最常见血清型,其持续时间较长,几乎常年均可检出,主要在春夏季流行,且婴幼儿普遍易感。HPIV还存在混合感染现象,包括亚型间的混合感染以及合并其他类型病毒感染,如流感病毒、腺病毒、单纯疱疹病毒及呼吸道合胞病毒等。
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