Rega Institute for Medical Research, KU Leuven, B-3000, Leuven, Belgium.
Med Res Rev. 2013 Nov;33(6):1249-77. doi: 10.1002/med.21281. Epub 2013 Mar 11.
Prominent in the current stage of antiviral drug development are: (i) for human immunodeficiency virus (HIV), the use of fixed-dose combinations (FDCs), the most recent example being Stribild(TM); (ii) for hepatitis C virus (HCV), the pleiade of direct-acting antivirals (DAAs) that should be formulated in the most appropriate combinations so as to obtain a cure of the infection; (iii)-(v) new strategies (i.e., AIC316, AIC246, and FV-100) for the treatment of herpesvirus infections: herpes simplex virus (HSV), cytomegalovirus (CMV), and varicella-zoster virus (VZV), respectively; (vi) the role of a new tenofovir prodrug, tenofovir alafenamide (TAF) (GS-7340) for the treatment of HIV infections; (vii) the potential use of poxvirus inhibitors (CMX001 and ST-246); (viii) the usefulness of new influenza virus inhibitors (peramivir and laninamivir octanoate); (ix) the position of the hepatitis B virus (HBV) inhibitors [lamivudine, adefovir dipivoxil, entecavir, telbivudine, and tenofovir disoproxil fumarate (TDF)]; and (x) the potential of new compounds such as FGI-103, FGI-104, FGI-106, dUY11, and LJ-001 for the treatment of filoviruses (i.e., Ebola). Whereas for HIV and HCV therapy is aimed at multiple-drug combinations, for all other viruses, HSV, CMV, VZV, pox, influenza, HBV, and filoviruses, current strategies are based on the use of single compounds.
在当前抗病毒药物研发阶段,主要有以下几种方法:(i)针对人类免疫缺陷病毒(HIV),使用固定剂量组合(FDC),最近的例子是 Stribild(TM);(ii)针对丙型肝炎病毒(HCV),使用直接作用抗病毒药物(DAAs)的多种组合,以获得感染的治愈;(iii)-(v)针对疱疹病毒感染(单纯疱疹病毒(HSV)、巨细胞病毒(CMV)和水痘带状疱疹病毒(VZV))的新策略(即 AIC316、AIC246 和 FV-100);(vi)新型替诺福韦前药替诺福韦艾拉酚胺(TAF)(GS-7340)在 HIV 治疗中的作用;(vii)痘病毒抑制剂(CMX001 和 ST-246)的潜在用途;(viii)新型流感病毒抑制剂(帕拉米韦和拉尼米韦辛酯)的应用;(ix)乙型肝炎病毒(HBV)抑制剂(拉米夫定、阿德福韦酯、恩替卡韦、替比夫定和替诺福韦二吡呋酯(TDF))的地位;(x)新型化合物如 FGI-103、FGI-104、FGI-106、dUY11 和 LJ-001 治疗丝状病毒(即埃博拉病毒)的潜力。尽管 HIV 和 HCV 的治疗方法旨在采用多种药物组合,但对于所有其他病毒(HSV、CMV、VZV、痘病毒、流感病毒、HBV 和丝状病毒),当前的策略基于使用单一化合物。