Zhou Qian, Liao Ling-Jie, Huang Han-Ju
State Key Laboratory for Infectious Disease Prevention and Control, National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206, China.
Bing Du Xue Bao. 2012 May;28(3):291-6.
Nucleoside reverse transcriptase inhibitors which act as a major component of highly active antiretroviral therapy regimens are widely used in treatment of Acquired Immune Deficiency Syndrome. However, the emergence of drug-resistant variants of HIV-1 severely limits the effectiveness of these drugs. Many drug resistance mutations confer a fitness cost, which can be partially overcome by compensatory mutations or other molecular mechanisms. This review focuses on the impacts of resistance mutations emerging during treatment with nucleoside reverse transcriptase inhibitors on viral fitness, and inter actions between these mutations.
核苷类逆转录酶抑制剂作为高效抗逆转录病毒治疗方案的主要组成部分,被广泛用于治疗获得性免疫缺陷综合征。然而,HIV-1耐药变异株的出现严重限制了这些药物的疗效。许多耐药突变会带来适应性代价,这可以通过补偿性突变或其他分子机制得到部分克服。本综述重点关注核苷类逆转录酶抑制剂治疗期间出现的耐药突变对病毒适应性的影响,以及这些突变之间的相互作用。