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The history of antiretrovirals: key discoveries over the past 25 years

✍ Scribed by Erik De Clercq


Publisher
John Wiley and Sons
Year
2009
Tongue
English
Weight
450 KB
Volume
19
Category
Article
ISSN
1052-9276

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✦ Synopsis


Abstract

Within 25 years after zidovudine (3′‐azido‐2′,3′‐dideoxythymidine, AZT) was first described as an inhibitor of HIV replication, 25 anti‐HIV drugs have been formally approved for clinical use in the treatment of HIV infections: seven nucleoside reverse transcriptase inhibitors (NRTIs): zidovudine, didanosine, zalcitabine, stavudine, lamivudine, abacavir and emtricitabine; one nucleotide reverse transcriptase inhibitor (NtRTI): tenofovir [in its oral prodrug form: tenofovir disoproxil fumarate (TDF)]; four non‐nucleoside reverse transcriptase inhibitors (NNRTIs): nevirapine, delavirdine, efavirenz and etravirine; ten protease inhibitors (PIs): saquinavir, ritonavir, indinavir, nelfinavir, amprenavir, lopinavir, atazanavir, fosamprenavir, tipranavir and darunavir; one fusion inhibitor (FI): enfuvirtide; one co‐receptor inhibitor (CRI): maraviroc and one integrase inhibitor (INI): raltegravir. These compounds are used in various drug combination (some at fixed dose) regimens so as to achieve the highest possible benefit and tolerability, and to diminish the risk of virus‐drug resistance development. Copyright © 2009 John Wiley & Sons, Ltd.


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