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HIV 治疗中的整合酶链转移抑制剂。

Integrase Strand Transfer Inhibitors in HIV Therapy.

机构信息

McGill University AIDS Centre, Lady Davis Institute for Medical Research, Jewish General Hospital, Montréal, QC, Canada.

出版信息

Infect Dis Ther. 2013 Dec;2(2):83-93. doi: 10.1007/s40121-013-0020-8. Epub 2013 Nov 19.

DOI:10.1007/s40121-013-0020-8
PMID:25134473
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4108112/
Abstract

HIV drug resistance has been one of the major obstacles to HIV eradication and has contributed to the need for the constant development of new antiretroviral drugs over the past 25 years. With the recent approval of dolutegravir for human therapy by the U.S. Food and Drug Administration, health practitioners may soon have access to three integrase strand transfer inhibitors to treat individuals living with HIV. Here, we review the use of raltegravir, elvitegravir, and dolutegravir for use in first- and second-line HIV treatment regimens and the issue of HIV resistance against integrase inhibitors.

摘要

HIV 耐药性一直是 HIV 根除的主要障碍之一,也是过去 25 年来不断开发新的抗逆转录病毒药物的原因。随着美国食品和药物管理局最近批准多替拉韦用于人体治疗,医疗保健从业者可能很快将有三种整合酶链转移抑制剂可用于治疗 HIV 感染者。在这里,我们回顾了雷替拉韦、艾维雷韦和多替拉韦在一线和二线 HIV 治疗方案中的应用,以及针对整合酶抑制剂的 HIV 耐药性问题。

相似文献

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Integrase Strand Transfer Inhibitors in HIV Therapy.HIV 治疗中的整合酶链转移抑制剂。
Infect Dis Ther. 2013 Dec;2(2):83-93. doi: 10.1007/s40121-013-0020-8. Epub 2013 Nov 19.
2
Resistance against Integrase Strand Transfer Inhibitors and Relevance to HIV Persistence.对整合酶链转移抑制剂的耐药性及其与HIV持续存在的相关性。
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Mutations Located outside the Integrase Gene Can Confer Resistance to HIV-1 Integrase Strand Transfer Inhibitors.突变位于整合酶基因之外可赋予 HIV-1 整合酶链转移抑制剂耐药性。
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Accumulation of integrase strand transfer inhibitor resistance mutations confers high-level resistance to dolutegravir in non-B subtype HIV-1 strains from patients failing raltegravir in Uganda.整合酶抑制剂耐药突变的积累赋予了来自乌干达因拉替拉韦治疗失败的非 B 亚型 HIV-1 患者对多替拉韦的高水平耐药性。
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Dolutegravir, an HIV integrase inhibitor for the treatment of HIV infection.多替拉韦,一种用于治疗HIV感染的HIV整合酶抑制剂。
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Combination of two pathways involved in raltegravir resistance confers dolutegravir resistance.参与拉替拉韦耐药的两条途径联合导致多替拉韦耐药。
J Antimicrob Chemother. 2015 Oct;70(10):2870-80. doi: 10.1093/jac/dkv197. Epub 2015 Jul 23.

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本文引用的文献

1
Switching tenofovir/emtricitabine plus lopinavir/r to raltegravir plus Darunavir/r in patients with suppressed viral load did not result in improvement of renal function but could sustain viral suppression: a randomized multicenter trial.将替诺福韦/恩曲他滨加洛匹那韦/利托那韦转换为拉替拉韦加达芦那韦/利托那韦治疗病毒载量抑制的患者并未改善肾功能,但可维持病毒抑制:一项随机多中心试验。
PLoS One. 2013 Aug 8;8(8):e73639. doi: 10.1371/journal.pone.0073639. eCollection 2013.
2
In-vitro phenotypic susceptibility of HIV-1 'non-B' integrase inhibitors naive clinical isolates to dolutegravir and raltegravir.HIV-1“非B”型整合酶抑制剂初治临床分离株对多替拉韦和拉替拉韦的体外表型敏感性
AIDS. 2013 Nov 28;27(18):2959-61. doi: 10.1097/QAD.0000000000000016.
3
Bone mineral density in HIV participants randomized to raltegravir and lopinavir/ritonavir compared with standard second line therapy.HIV 感染者中接受拉替拉韦和洛匹那韦/利托那韦与标准二线治疗相比的骨矿物质密度。
AIDS. 2013 Sep 24;27(15):2403-11. doi: 10.1097/01.aids.0000432534.47217.b4.
4
Dolutegravir versus raltegravir in antiretroviral-experienced, integrase-inhibitor-naive adults with HIV: week 48 results from the randomised, double-blind, non-inferiority SAILING study.多替拉韦对比雷特格韦在有 HIV 的抗逆转录病毒治疗经验、整合酶抑制剂初治成人中的疗效:来自随机、双盲、非劣效性 SAILING 研究的第 48 周结果。
Lancet. 2013 Aug 24;382(9893):700-8. doi: 10.1016/S0140-6736(13)61221-0. Epub 2013 Jul 3.
5
Dolutegravir in antiretroviral-naive adults with HIV-1: 96-week results from a randomized dose-ranging study.多替拉韦在 HIV-1 初治成人患者中的疗效:一项随机剂量范围研究的 96 周结果。
AIDS. 2013 Jul 17;27(11):1771-8. doi: 10.1097/QAD.0b013e3283612419.
6
A randomized phase 3 study comparing once-daily elvitegravir with twice-daily raltegravir in treatment-experienced subjects with HIV-1 infection: 96-week results.一项比较每日一次艾维雷格与每日两次雷特格韦治疗经治 HIV-1 感染患者的随机 3 期研究:96 周结果。
J Acquir Immune Defic Syndr. 2013 Aug 1;63(4):494-7. doi: 10.1097/QAI.0b013e318298469c.
7
Ritonavir-boosted lopinavir plus nucleoside or nucleotide reverse transcriptase inhibitors versus ritonavir-boosted lopinavir plus raltegravir for treatment of HIV-1 infection in adults with virological failure of a standard first-line ART regimen (SECOND-LINE): a randomised, open-label, non-inferiority study.利托那韦增强洛匹那韦/利托那韦加核苷或核苷酸逆转录酶抑制剂与利托那韦增强洛匹那韦/利托那韦加雷特格韦用于治疗标准一线抗逆转录病毒治疗方案病毒学失败的成人 HIV-1 感染(二线治疗):一项随机、开放标签、非劣效性研究。
Lancet. 2013 Jun 15;381(9883):2091-9. doi: 10.1016/S0140-6736(13)61164-2.
8
Efficacy and safety of raltegravir for treatment of HIV for 5 years in the BENCHMRK studies: final results of two randomised, placebo-controlled trials.在 BENCHMRK 研究中,raltegravir 治疗 HIV 长达 5 年的疗效和安全性:两项随机、安慰剂对照试验的最终结果。
Lancet Infect Dis. 2013 Jul;13(7):587-96. doi: 10.1016/S1473-3099(13)70093-8. Epub 2013 May 7.
9
Viral fitness cost prevents HIV-1 from evading dolutegravir drug pressure.病毒适应性成本可防止 HIV-1 逃避多替拉韦药物压力。
Retrovirology. 2013 Feb 22;10:22. doi: 10.1186/1742-4690-10-22.
10
Durable efficacy and safety of raltegravir versus efavirenz when combined with tenofovir/emtricitabine in treatment-naive HIV-1-infected patients: final 5-year results from STARTMRK.在初治 HIV-1 感染患者中,与依非韦伦相比,联合替诺福韦/恩曲他滨时,拉替拉韦具有持久的疗效和安全性:STARTMRK 的最终 5 年结果。
J Acquir Immune Defic Syndr. 2013 May 1;63(1):77-85. doi: 10.1097/QAI.0b013e31828ace69.