After >8,000 infections and >700 deaths worldwide, the pathogenesis of the new infectious disease, severe acute respiratory syndrome (SARS), remains poorly understood. We investigated 18 autopsies of patients who had suspected SARS; 8 cases were confirmed as SARS. We evaluated white blood cells from 22 confirmed SARS patients at various stages of the disease. T lymphocyte counts in 65 confirmed and 35 misdiagnosed SARS cases also were analyzed retrospectively. SARS viral particles and genomic sequence were detected in a large number of circulating lymphocytes, monocytes, and lymphoid tissues, as well as in the epithelial cells of the respiratory tract, the mucosa of the intestine, the epithelium of the renal distal tubules, the neurons of the brain, and macrophages in different organs. SARS virus seemed to be capable of infecting multiple cell types in several organs; immune cells and pulmonary epithelium were identified as the main sites of injury. A comprehensive theory of pathogenesis is proposed for SARS with immune and lung damage as key features.

In addition to the lungs, H5N1 influenza virus infects the trachea and disseminates to other organs including the brain. The virus could also be transmitted from mother to fetus across the placenta.

Unlike inorganic quantum dots, fluorescent graphene quantum dots (GQDs) display excitation-dependent multiple color emission. In this study, we report N-doped GQDs (N-GQDs) with tailored single color emission by tuning p-conjugation degree, which is comparable to the inorganic quantum dot. Starting from citric acid and diethylenetriamine, as prepared N-GQDs display blue, green, and yellow light emission by changing the reaction solvent from water, dimethylformamide (DMF), and solvent free. The X-ray photoelectron spectroscopy, ultraviolet-visible spectra results clearly show the N-GQDs with blue emission (N-GQDs-B) have relatively short effective conjugation length and more carboxyl group because H 2 O is a polar protic solvent, which tends to donate proton to the reagent to depress the H 2 O elimination reaction. On the other hand, the polar aprotic solvent (DMF) cannot donate hydrogen, the elimination of H 2 O is promoted and more nitrogen units enter GQD framework. With the increase of effective p-conjugation length and N content, the emission band of N-GQDS red-shifts to green and yellow. We also demonstrate that N-GQDs could be a potential great biomarker for fluorescent bioimaging.