Sen Sourav, Mathur Adesh G, Gupta Rajiv M, Kapila Ketoki, Chopra Gurvinder S
Department of Microbiology, Armed Forces Medical College, Pune, India - 411040.
Recent Pat Antiinfect Drug Discov. 2008 Nov;3(3):199-205. doi: 10.2174/157489108786242387.
HIV disease is a chronic infection that requires lifelong treatment with the aim of suppressing the circulating viral load in order to improve the host immune status. The development of safe and effective antiretroviral agents with unique resistance profiles or novel mechanisms of action are an important goal for the long-term management of HIV-infected patients. The antiretroviral drug classes include entry and fusion inhibitors, nucleoside reverse transcriptase inhibitors, non-nucleoside reverse transcriptase inhibitors, integrase inhibitors, and protease inhibitors. Current antiretroviral therapeutic regimens are associated with the emergence of issues like HIV drug resistance, drug toxicities, associated poor patient adherence to therapy, co-existence of other opportunistic, and blood borne viral infections. Newer antiretroviral agents may provide some alternatives to modulate the therapy as per the requirements of the HIV infected patients.
艾滋病是一种慢性感染,需要终身治疗,目的是抑制循环病毒载量,以改善宿主免疫状态。开发具有独特耐药谱或新作用机制的安全有效的抗逆转录病毒药物是长期管理艾滋病毒感染患者的一个重要目标。抗逆转录病毒药物类别包括进入和融合抑制剂、核苷类逆转录酶抑制剂、非核苷类逆转录酶抑制剂、整合酶抑制剂和蛋白酶抑制剂。目前的抗逆转录病毒治疗方案存在一些问题,如艾滋病毒耐药性、药物毒性、患者对治疗的依从性差、其他机会性感染和血源病毒感染的并存。新型抗逆转录病毒药物可能会根据艾滋病毒感染患者的需求提供一些调整治疗的替代方案。