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抗病毒药物研发的另外十个故事(C部分):“旧”与“新”的抗病毒药物、策略及展望

Another ten stories in antiviral drug discovery (part C): "Old" and "new" antivirals, strategies, and perspectives.

作者信息

De Clercq Erik

机构信息

Rega Institute for Medical Research, K.U.Leuven, Minderbroedersstraat 10, B-3000 Leuven, Belgium.

出版信息

Med Res Rev. 2009 Jul;29(4):611-45. doi: 10.1002/med.20153.

Abstract

The ten stories told here deal with (i) ribavirin as an inhibitor of IMP dehydrogenase and (ii) ribavirin, in combination with pegylated interferon, as the present "standard of care" for hepatitis C; (iii) S-adenosylhomocysteine hydrolase inhibitors as antiviral agents; (iv) new adamantadine derivatives for the treatment of influenza A virus infections; (v) 5-substituted 2'-deoxyuridines (i.e. IDU, TFT) for the treatment of herpes simplex virus (HSV) infections; (vi) acyclic guanosine analogues (e.g. acyclovir) for the treatment of HSV infections; (vii) OMP decarboxylase inhibitors (i.e. pyrazofurin) and CTP synthetase inhibitors (i.e. cyclopentenylcytosine) as possible antiviral agents; (viii) the future of cidofovir (and alkoxyalkyl esters thereof) and ST-246 as potential antipoxvirus agents; (ix) the two decade journey from tivirapine to rilpivirine in the ultimate therapy of HIV infections; and (x) the extension of the therapeutic application of tenofovir disoproxil fumarate (Viread) to the treatment of hepatitis B virus infection, in addition to HIV infection.

摘要

此处讲述的十个故事涉及

(i)利巴韦林作为肌苷酸脱氢酶抑制剂;(ii)利巴韦林与聚乙二醇化干扰素联合使用,作为目前丙型肝炎的“标准治疗方案”;(iii)S-腺苷同型半胱氨酸水解酶抑制剂作为抗病毒药物;(iv)用于治疗甲型流感病毒感染的新型金刚烷衍生物;(v)用于治疗单纯疱疹病毒(HSV)感染的5-取代2'-脱氧尿苷(即碘苷、三氟胸腺嘧啶核苷);(vi)用于治疗HSV感染的无环鸟苷类似物(如阿昔洛韦);(vii)OMP脱羧酶抑制剂(即吡唑呋林)和CTP合成酶抑制剂(即环戊烯基胞嘧啶)作为可能的抗病毒药物;(viii)西多福韦(及其烷氧基烷基酯)和ST-246作为潜在抗痘病毒药物的未来发展;(ix)在HIV感染的最终治疗中,从替维拉平到利匹韦林的二十年历程;以及(x)富马酸替诺福韦二吡呋酯(韦瑞德)除用于治疗HIV感染外,其治疗应用扩展至乙型肝炎病毒感染。

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