SARS冠状病毒M蛋白的生物信息学研究

针对GenBank上发布的来自不同国家地区的39条SARSCoV推测M蛋白,采用生物信息学软件分析其核酸和氨基酸序列,获得其分子生物学特征,确定突变位点,预测功能结构区、Motif及抗原决定簇,比较基因突变对这些功能结构的影响.结果表明:在39个病毒株M蛋白的666 bp中,共有18个病毒株在7个位点上发生了25次变异.在M蛋白序列上预测获得3个跨膜螺旋序列和一个可能的信号肽序列.氨基酸序列的变异主要发生在其跨膜和胞外区域,胞内区域相对较少.预测发现12个Motif和7个抗原决定簇.提示突变对M蛋白的结构功能区的影响不大,也未造成M蛋白的Motif的数量和构成发生改变.对抗原决定簇的影响也主要体现在序列成分构成的改变上,在设计疫苗时,应考虑由其导致的抗原特性改变.     

新发甲型H1N1流感病毒HA分子的变异分析

目的:从分子进化水平上分析流感的起源及发展问题,研究目前爆发的H1N1病毒的HA分子的变异行为.方法:以GenBank公布的甲型流感H1N1病毒血凝素(hemagglutinin,HA)核酸序列和我国及世界范围内近几年来报告的H1N1流感病毒HA的核酸及氨基酸序列为研究对象,利用CLUSTAL 1.83和NetNGlyc 1.0等生物信息学软件对HA核酸和氨基酸序列进行了比对分析;将其糖基化位点、氨基酸序列和抗原决定簇与以往流感病毒进行了比较.同时,还将人源和猪源甲型H1N1流感病毒的HA氨基酸序列进行了序列比对和系统发育分析.结果:最新爆发的甲型H1N1流感病毒的HA除了在60,259,453,512位点高度保守区域与之前爆发的流感病毒一致外,在249位点新出现1个"-NTT-"的糖基化位点.发现所有的甲型病毒的氨基酸序列在8个氨基酸位点均发生改变,而8个氨基酸位点位于6个抗原抗原决定簇上.结论:糖基化位点的增加,氨基酸位点的改变导致抗原决定簇的改变,即抗原性漂移现象,都成为引起其传染性改变的重要原因.     

A(H3N2)亚型流感病毒血凝素基因特性及蛋白结构分析,以南宁市2009～2012年为研究案例

利用生物信息学软件和数据库研究南宁市2009~2012年度A(H3N2)亚型流感病HA基因的遗传变异规律及蛋白结构变化。通过RT-PCR扩增H3N2病毒HA基因并测序,同源比对统计毒株氨基酸位点的差异、构建系统进化树分析进化规律和同源建模分析蛋白结构的变化。系统进化树表明53株HA基因序列被分为4个类群,呈多侧支流行;所有毒株的二硫键和受体结合位点(RBS)高度保守;部分毒株HA在第45位点增加一个糖基化位点,在第144位点丢失一个糖基化位点;HA抗原决定簇氨基酸累计有30个位点发生变异,涉及5个抗原决定簇;HA晶体结构分析抗原决定簇突变位点主要发生在无规则卷曲处,大多数替换的氨基酸种类和性质相同或相似。南宁市A(H3N2)亚型流感病毒株变异活跃,2012年A(H3N2)亚型流感病毒与当年WHO推荐的疫苗株具有较远的进化距离,多数毒株具备了形成新变种的条件,是否形成新的流行株,有待深入研究。     

发热伴血小板减少综合征布尼亚病毒核衣壳蛋白优势线性B细胞抗原决定簇的预测与确定

为了确定发热伴血小板减少综合征布尼亚病毒(Severe fever with thrombocytopenia syndrome virus,SFTSV)核衣壳蛋白(N蛋白)的优势线性B细胞抗原决定簇位点,本文根据线性B细胞抗原表位拥有较强的抗原性、亲水性以及表面性等特点,运用生物信息学软件分析SFTSV N蛋白的氨基酸序列,预测潜在的线性B细胞抗原决定簇位点。根据已解析的SFTSV N蛋白晶体结构,使用PyMOL软件分析预测出的线性B细胞抗原决定簇位点的柔性及其在整个SFTSV N蛋白中的分布情况。人工合成相应多肽片段并以其为抗原,与SFTSV临床感染者的血清反应,采用多肽-酶联免疫吸附检测法检验多肽片段的免疫原性。结果共预测出六个可能的线性B细胞抗原决定簇位点,即A(40-KKLKETGGDDWVKDTK-55)、B(71-ASGKMSNSGSKRL-83)、C(94-ERAETRL-100)、D(135-LKVENYPP-142)、E(157-GVSEATT-163)和F(184-KMRGASKTEVYNSFRDP-200),均位于N蛋白表面且含有柔性较大的loop区。相应的六段人工合成多肽都与SFTSV临床病例血清呈阳性反应,确定它们均为优势线性B细胞抗原决定簇位点,其各自检测结果与商品化N蛋白抗体检测试剂盒相应检测结果进行线性回归分析表明呈正相关。综合运用上述多种方法,本研究成功地预测并确定了SFTSV N蛋白的线性B细胞抗原决定簇位点,为该病毒抗原特异性的分子基础研究以及相关疾病的诊断和治疗奠定了基础。     

1996～2005年中国H3N2亚型人流感病毒神经氨酸酶基因特性分析

测定了1996~2005年间在中国分离并保存的395株H3N2亚型人流感病毒神经氨酸酶(NA)基因序列,应用生物信息学工具进行了分析。结果表明:NA基因序列的进化树表现为一主要进化主干伴随多侧分支进化,同一年份的毒株可以分为几个分支存在;疫苗株在NA基因序列进化树上存在明显的滞后现象;NA没有氨基酸的丢失与插入;抗原决定簇大部分位点保守且各抗原决定簇之间的变异情况各有特点,其中197~199位、431~434位和339~347位点的变异频率最高,而153位、328~336位、367~370位、400~403位抗原决定簇的氨基酸变异频率相对比较小;除了抗原决定簇外还有些氨基酸位点的变异频率很高,它们分别是18、23、30、93、143、208、216、221、249、265、267、307、385、437位氨基酸,其中143位和267位这两个位点的变异频率高于抗原决定簇位点,具体生物学意义还需要进一步研究;NA蛋白的酶活性中心位点高度保守;二硫键和糖基化位点保守。NA基因的这些特点为流感的预防、控制以及NA抑制剂药物的应用提供了一定的参考依据。     

H3N2亚型人流行性感冒病毒HA1的蛋白序列同源性比较、变异规律及结构与功能的分析

应用生物信息学数据库和工具,结合自身的实验结果,对现有的H3N2亚型人流行性感冒(流感)病毒全球分离株的HA1氨基酸序列和蛋白分子结构进行了分析研究.初步的进化分析结果表明,历史上的分离株大致分为以年代划分为特征的两大谱系,即1968～1984/1985年的谱系,时间跨度为18年;1984/1985～1997/2000年的谱系,时间跨度为13～17年.它们分别起源于两类毒株,并在各自的谱系内发展演化,基本上不存在大规模相互交叉渗透的现象.在1984/1985年,两大谱系发生交替转换和过渡,说明流感病毒的起源、发展和演化是有一定规律性的,这可能对流感的监测预报有一定的指导意义.绝大多数毒株的二硫键组成位点和糖基化位点是极其保守的.受体结合位点(RBS)的一部分构成成份保守;其他构成成份发生变异甚至高变,并与某些抗原决定簇位点重合,可能参与了抗原抗体相互作用.5个抗原决定簇位点的变异各有其特点.A和B位点的变异表现最活跃,抗原性最强,但B位点稍弱于A位点.C和D位点的抗原性一般,且D位点的变异性低于C位点.E位点抗原性一般.在各位置的变异中,大多常是相同相近性质或相同种类的氨基酸相互替换.HA1蛋白全序列的熵(entropy)峰值作图的分析表明,HA1蛋白上121～126位等区域或位点可能独立,或参与构成了某些已知或未知的抗原决定簇位点.这很可能是新发现的或未被鉴定的抗原决定簇位点或其组成.     

水稻南方黑条矮缩病毒湖南鼎城株系S10片段的基因组序列分析

运用RT-PCR技术克隆了水稻南方黑条矮缩病毒(southern rice black-streaked dwarf virus,SRBSDV)湖南鼎城株系的基因组S10片段(SRBSDV-HuNDCS10),并对其全序列进行了测定和生物信息学分析。结果显示,SRBSDV-HuNDC S10片段全长为1797bp(登录号:JQ337964),含有1个ORF,编码557个氨基酸残基的衣壳蛋白,推测分子量约62.6kD,推测等电点为7.62,与已报道的广东、海南和云南分离物病毒的S10作比较,它们的核苷酸相似性分别为99.7%、99.0%和98.4%,氨基酸相似性分别为100.0%、99.5%和99.3%。对SRBSDV-HuNDCS10及部分Fijiviruses病毒对应片段在5’URT与3’URT存在的保守序列和互补序列进行了归纳,对其ORF编码的氨基酸序列进行了motif查找,得到该属(Fijiviruses)氨基酸序列的10个保守区段。此外,进行了糖基化位点、磷酸化位点及B细胞抗原表位预测,发现了3个可能的N端豆蔻酰基化位点,可能与病毒的侵染机制有关。     

2008～2009年珠海市H3N2亚型流感病毒HA1基因特性分析

为了解2008~2009年珠海市H3N2亚型流感病毒HA1基因变异情况,选择珠海市2008~2009年期间不同时间点的经狗肾传代细胞(MDCK)培养分离的H3N2亚型流感毒株20株,提取病毒RNA,通过RT-PCR扩增HA1基因片段,将产物纯化并测序,推导氨基酸序列,进行基因进化特性分析。与同时期的疫苗株比较,2008年珠海市流行的H3N2亚型流感毒株HA1区抗原决定簇的氨基酸位点变异数少于4个;2009年珠海市流行的H3N2亚型流感毒株除09-0056外,HA1区存在5个位于抗原决定簇内的变异氨基酸位点。2008年H3N2亚型流感毒株的HA1区的糖基化位点与疫苗株一致;2009年H3N2亚型流感毒株HA1区丢失第144位糖基化位点。2008~2009年H3N2亚型流感毒株RBS氨基酸序列未见明显变异。与2008年H3N2亚型流感毒株比较,2009年H3N2亚型流感毒株HA1区抗原决定簇内存在多个位点的氨基酸替换。这些说明2008年珠海市流行的H3N2亚型流感病毒不是新变种;2009年流行的H3N2亚型流感病毒为新的变异株,这可能是H3N2亚型流感病毒在2009年6-9月为珠海地区季节性流感流行优势株的原因。     

中国MERS输入病例病毒基因组测序及分析

为测定分析中国第一例输入性中东呼吸综合征冠状病毒基因组序列.采用PCR分段扩增、测序、拼接的方法,组装病毒基因组序列,应用BLAST,MEGA6.0,SIMPLOT,RDP等软件分析病毒序列的相似性、变异、进化、重组事件.结果发现,所完成的病毒序列长度为29928 bp,与韩国报道的序列最为接近.病毒核苷酸序列与近期中东地区分离到的病毒株序列相似性高达99.53%~99.92%;在多聚蛋白ORF1ab中有3个新发突变,而S,E,M,N蛋白未出现变异;核苷酸序列无明显的片段重组现象.本研究表明,中国广东第一例输入性MERS患者的序列没有出现明显的变异,一些位点突变后功能变化仍需进一步研究.     

2022年海南省新型冠状病毒奥密克戎（BA.1.1）变异株基因特征分析

为进一步积累和完善海南省新型冠状病毒（Severe acute respiratory syndrome coronavirus 2,SARS-CoV-2）奥密克戎（Omicron）变异株病原学特点的认识,本研究对2022年海南省14例感染奥密克戎（BA.1.1）变异株病例进行新冠病毒基因特征分析。应用Illumina公司MiSeqDX深度测序平台进行全基因组序列测定,Nextclade在线分析平台和DNASTAR 7.0.1生物信息学软件进行多序列比对和基因组特征分析,采用MEGA 10.1.8邻位归并法（Neighbour-joining）绘制系统进化树,结合流行病学调查进行回顾性溯源分析。海南省14例病例感染的奥密克戎（BA.1.1）变异株基因组高度相似,同武汉参考序列（GenBank No.NC＿045512）相比,存在63或64个核苷酸突变位点,39个核苷酸位点缺失,22204位点有9个核苷酸插入,引起43个氨基酸突变和16个氨基酸位点缺失。刺突（Spike, S）蛋白存在32个氨基酸突变位点,S1蛋白RBD区R346K是VOC/Omicron(BA.1.1)变异株特征性突变...     

纤维介素基因hfgl2启动子的SARS冠状病毒核心蛋白反应元件初步分析

 SARS冠状病毒核心蛋白对hfgl2纤维介素基因有激活作用,采用实时荧光定量PCR和Western印迹已验证了hfgl2基因在mRNA和蛋白水平的表达.为进一步明确在SARS冠状病毒核心蛋白刺激下,hfgl2纤维介素基因5′端非编码区对转录激活起重要作用的转录调控序列,构建了一系列hfgl2 基因启动子荧光素酶报告基因质粒,将其与SARS冠状病毒核心蛋白真核表达质粒共转染CHO细胞.结果表明,转染前3个质粒hfgl2p(－1334)LUC、hfgl2p(－997)LUC、hfgl2p(－816)LUC的细胞的相对荧光素酶活性无显著改变;但转染hfgl2p( 468)LUC 质粒的细胞荧光素酶的活性较前明显降低,说明在hfgl2 基因启动子－816位至－468位（相对于转录起始点）之间存在着激活该基因的调控序列.本研究在一定程度上从分子水平揭示了SARS冠状病毒蛋白与宿主纤维介素基因之间的关系.     

Evolution of genomes, host shifts and the geographic spread of SARS-CoV and related coronaviruses

Severe acute respiratory syndrome (SARS) is a novel human illness caused by a previously unrecognized coronavirus (CoV) termed SARS‐CoV. There are conflicting reports on the animal reservoir of SARS‐CoV. Many of the groups that argue carnivores are the original reservoir of SARS‐CoV use a phylogeny to support their argument. However, the phylogenies in these studies often lack outgroup and rooting criteria necessary to determine the origins of SARS‐CoV. Recently, SARS‐CoV has been isolated from various species of Chiroptera from China (e.g., Rhinolophus sinicus) thus leading to reconsideration of the original reservoir of SARS‐CoV. We evaluated the hypothesis that SARS‐CoV isolated from Chiroptera are the original zoonotic source for SARS‐CoV by sampling SARS‐CoV and non‐SARS‐CoV from diverse hosts including Chiroptera, as well as carnivores, artiodactyls, rodents, birds and humans. Regardless of alignment parameters, optimality criteria, or isolate sampling, the resulting phylogenies clearly show that the SARS‐CoV was transmitted to small carnivores well after the epidemic of SARS in humans that began in late 2002. The SARS‐CoV isolates from small carnivores in Shenzhen markets form a terminal clade that emerged recently from within the radiation of human SARS‐CoV. There is evidence of subsequent exchange of SARS‐CoV between humans and carnivores. In addition SARS‐CoV was transmitted independently from humans to farmed pigs (Sus scrofa). The position of SARS‐CoV isolates from Chiroptera are basal to the SARS‐CoV clade isolated from humans and carnivores. Although sequence data indicate that Chiroptera are a good candidate for the original reservoir of SARS‐CoV, the structural biology of the spike protein of SARS‐CoV isolated from Chiroptera suggests that these viruses are not able to interact with the human variant of the receptor of SARS‐CoV, angiotensin‐converting enzyme 2 (ACE2). In SARS‐CoV we study, both visually and statistically, labile genomic fragments and, putative key mutations of the spike protein that may be associated with host shifts. We display host shifts and candidate mutations on trees projected in virtual globes depicting the spread of SARS‐CoV. These results suggest that more sampling of coronaviruses from diverse hosts, especially Chiroptera, carnivores and primates, will be required to understand the genomic and biochemical evolution of coronaviruses, including SARS‐CoV. © The Willi Hennig Society 2008.     

Architecture and self‐assembly of the SARS‐CoV‐2 nucleocapsid protein

The COVID‐2019 pandemic is the most severe acute public health threat of the twenty‐first century. To properly address this crisis with both robust testing and novel treatments, we require a deep understanding of the life cycle of the causative agent, the SARS‐CoV‐2 coronavirus. Here, we examine the architecture and self‐assembly properties of the SARS‐CoV‐2 nucleocapsid protein, which packages viral RNA into new virions. We determined a 1.4 Å resolution crystal structure of this protein's N2b domain, revealing a compact, intertwined dimer similar to that of related coronaviruses including SARS‐CoV. While the N2b domain forms a dimer in solution, addition of the C‐terminal spacer B/N3 domain mediates formation of a homotetramer. Using hydrogen‐deuterium exchange mass spectrometry, we find evidence that at least part of this putatively disordered domain is structured, potentially forming an α‐helix that self‐associates and cooperates with the N2b domain to mediate tetramer formation. Finally, we map the locations of amino acid substitutions in the N protein from over 38,000 SARS‐CoV‐2 genome sequences. We find that these substitutions are strongly clustered in the protein's N2a linker domain, and that substitutions within the N1b and N2b domains cluster away from their functional RNA binding and dimerization interfaces. Overall, this work reveals the architecture and self‐assembly properties of a key protein in the SARS‐CoV‐2 life cycle, with implications for both drug design and antibody‐based testing.     

重组SARS病毒N蛋白可与SARS患者血清发生特异反应

N蛋白是SARS CoV病毒基因组编码病毒核衣壳蛋白 ,它不同于现已知的任何蛋白质 .对它的深入研究对揭示SARS -CoV的致病机理和疫苗及诊断试剂的研制有重要意义 .灭活的病毒经逆转录后 ,用根据已知的病毒的基因组序列所设计的引物PCR扩增N蛋白基因 .扩增出的基因经序列分析表明和已知的序列完全一致 ,共编码 4 2 2个氨基酸残基 .将N蛋白基因克隆入原核表达载体pET2 8a构建成表达质粒pET2 8a N .表达质粒转化大肠杆菌BL2 1 (DE3) ,并用IPTG诱导后 ,获得了高表达N蛋白的重组菌株 .目的蛋白经一步金属离子螯合层析纯化后获得了纯度超过 90 %的样品 .Western印迹及ELISA分析表明 ,SARS患者体内有特异性的针对N蛋白的抗体 ,并具有较高的特异性 .这为临床上诊断SARS患者提供了新方法 ,并为SARS疫苗的研制提供了研究思路     

Retroviral vectors pseudotyped with severe acute respiratory syndrome coronavirus S protein

The worldwide outbreak of severe acute respiratory syndrome (SARS) was shown to be associated with a novel coronavirus (CoV) now called SARS CoV. We report here the generation of SARS CoV S protein-pseudotyped murine leukemia virus (MLV) vector particles. The wild-type S protein pseudotyped MLV vectors, although at a low efficiency. Partial deletion of the cytoplasmic tail of S dramatically increased infectivity of pseudotypes, with titers only two- to threefold lower than those of pseudotypes generated in parallel with the vesicular stomatitis virus G protein. S-pseudotyped MLV particles were used to analyze viral tropism. MLV(SARS) pseudotypes and wild-type SARS CoV displayed similar cell types and tissue and host restrictions, indicating that the expression of a functional receptor is the major restraint in permissiveness to SARS CoV infection. Efficient gene transfer could be detected in Vero and CaCo2 cells, whereas the level of gene marking of 293T, HeLa, and HepG2 cells was only slightly above background levels. A cat cell line and a dog cell line were not susceptible. Interestingly, PK-15, a porcine kidney cell line, and primary porcine kidney cells were also highly permissive for SARS S pseudotypes and wild-type SARS CoV. This finding suggests that swine may be susceptible to SARS infection and may be a source for infection of humans. Taken together, these results indicate that MLV(SARS) pseudotypes are highly valuable for functional studies of viral tropism and entry and, in addition, can be a powerful tool for the development of therapeutic entry inhibitors without posing a biohazard to human beings.     

Evolutionary relationships and sequence-structure determinants in human SARS coronavirus-2 spike proteins for host receptor recognition

Coronavirus disease 2019 (COVID-19) is a pandemic infectious disease caused by novel severe acute respiratory syndrome coronavirus-2 (SARS CoV-2). The SARS CoV-2 is transmitted more rapidly and readily than SARS CoV. Both, SARS CoV and SARS CoV-2 via their glycosylated spike proteins recognize the human angiotensin converting enzyme-2 (ACE-2) receptor. We generated multiple sequence alignments and phylogenetic trees for representative spike proteins of SARS CoV and SARS CoV-2 from various host sources in order to analyze the specificity in SARS CoV-2 spike proteins required for causing infection in humans. Our results show that among the genomes analyzed, two sequence regions in the N-terminal domain “MESEFR” and “SYLTPG” are specific to human SARS CoV-2. In the receptor-binding domain, two sequence regions “VGGNY“ and ”EIYQAGSTPCNGV” and a disulfide bridge connecting 480C and 488C in the extended loop are structural determinants for the recognition of human ACE-2 receptor. The complete genome analysis of representative SARS CoVs from bat, civet, human host sources, and human SARS CoV-2 identified the bat genome (GenBank code: MN996532.1) as closest to the recent novel human SARS CoV-2 genomes. The bat SARS CoV genomes (GenBank codes: MG772933 and MG772934) are evolutionary intermediates in the mutagenesis progression toward becoming human SARS CoV-2.     

Characterization of germline antibody libraries from human umbilical cord blood and selection of monoclonal antibodies to viral envelope glycoproteins: Implications for mechanisms of immune evasion and design of vaccine immunogens

We have previously observed that all known HIV-1 broadly neutralizing antibodies (bnAbs) are highly divergent from germline antibodies in contrast to bnAbs against Hendra virus, Nipah virus and SARS coronavirus (SARS CoV). We have hypothesized that because the germline antibodies are so different from the mature HIV-1-specific bnAbs they may not bind the epitopes of the mature antibodies and provided the first evidence to support this hypothesis by using individual putative germline-like predecessor antibodies. To further validate the hypothesis and understand initial immune responses to different viruses, two phage-displayed human cord blood-derived IgM libraries were constructed which contained mostly germline antibodies or antibodies with very low level of somatic hypermutations. They were panned against different HIV-1 envelope glycoproteins (Envs), SARS CoV protein receptor-binding domain (RBD), and soluble Hendra virus G protein (sG). Despite a high sequence and combinatorial diversity observed in the cord blood-derived IgM antibody repertoire, no enrichment for binders of Envs was observed in contrast to considerable specific enrichments produced with panning against RBD and sG; one of the selected monoclonal antibodies (against the RBD) was of high (nM) affinity with only few somatic mutations. These results further support and expand our initial hypothesis for fundamental differences in immune responses leading to elicitation of bnAbs against HIV-1 compared to SARS CoV and Hendra virus. HIV-1 uses a strategy to minimize or eliminate strong binding of germline antibodies to its Env; in contrast, SARS CoV and Hendra virus, and perhaps other viruses causing acute infections, can bind germline antibody or minimally somatically mutated antibodies with relatively high affinity which could be one of the reasons for the success of sG and RBD as vaccine immunogens.     

SARS- CoV X4 基因转染对T 细胞 TNF- A及IL- 6 分泌的影响

目的：通过检测SARS-CoV X4基因转染后T细胞细胞因子分泌的变化,研究SARS-CoV X4蛋白潜在的功能及其作用机制,并探讨其与SARS-CoV致病机制的关系。方法：利用RosetteSep分离法分离外周血T细胞,以Amaxa核转染仪将pEGFP-SARS-CoV X4真核表达载体转入T细胞,应用激光共聚焦显微镜观察其瞬时表达情况,流式细胞仪检测转染效率,CBA技术检测T细胞细胞因子。结果：SARS-CoV X4基因转染后12h得到了明显表达,共聚焦显微镜观察到EGFP绿色荧光表达,流式细胞仪检测其表达率为245;与空载体转染组相比,SARS-CoV X4基因转染能显著促进T细胞IL-6及TNF-α的分泌。结论：SARS-CoV X4蛋白可诱导T细胞分泌前炎症因子IL-6及TNT-α,SARS-CoV X4蛋白可能在SARS发病机制中起重要的作用。     

逆转录套式PCR检测粪便样本中的SARS冠状病毒

为了观察SARS冠状病毒在SARS患者粪便中的存在规律,建立了检测SARS冠状病毒RNA的逆转录-聚合酶链反应(RT-PCR)方法,并应用该方法检测了241份SARS患者粪便样本。部分PCR产物应用测序技术进行验证。RT-PCR的灵敏度为10^-10稀释度的病毒原液(原液为10^8TCID50／ml)。241份粪便样本的总体检出率为24．1％(58／241),其中发病后的前10d和20d的检出率均为50．0％。随着发病时间的延长,阳性检出率呈下降趋势。应用RT-PCR从粪便中检测SARS冠状病毒是可行的,在发病50d以后仍有17．0％左右的阳性检出率,提示SARS恢复期患者具有排毒的可能性,给后续的卫生防疫措施提供了一定的参考数据。