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抗人类免疫缺陷病毒 1 感染的抗病毒治疗的药理学进展:全面综述。

Pharmacological advances in anti-retroviral therapy for human immunodeficiency virus-1 infection: A comprehensive review.

机构信息

School of Pharmacy, Monash University Malaysia, Bandar Sunway, Selangor, Malaysia.

Faculty of Pharmacy, Universiti Teknologi MARA, Cawangan Pulau Pinang Kampus Bertam, Permatang Pauh, Pulau Pinang, Malaysia.

出版信息

Rev Med Virol. 2024 Mar;34(2):e2529. doi: 10.1002/rmv.2529.

Abstract

The discovery of anti-retroviral (ARV) drugs over the past 36 years has introduced various classes, including nucleoside/nucleotide reverse transcriptase inhibitors, non-nucleoside reverse transcriptase inhibitors, protease inhibitor, fusion, and integrase strand transfer inhibitors inhibitors. The introduction of combined highly active anti-retroviral therapies in 1996 was later proven to combat further ARV drug resistance along with enhancing human immunodeficiency virus (HIV) suppression. As though the development of ARV therapies was continuously expanding, the variation of action caused by ARV drugs, along with its current updates, was not comprehensively discussed, particularly for HIV-1 infection. Thus, a range of HIV-1 ARV medications is covered in this review, including new developments in ARV therapy based on the drug's mechanism of action, the challenges related to HIV-1, and the need for combination therapy. Optimistically, this article will consolidate the overall updates of HIV-1 ARV treatments and conclude the significance of HIV-1-related pharmacotherapy research to combat the global threat of HIV infection.

摘要

在过去的 36 年中,抗逆转录病毒 (ARV) 药物的发现引入了各种类别,包括核苷/核苷酸逆转录酶抑制剂、非核苷逆转录酶抑制剂、蛋白酶抑制剂、融合和整合酶链转移抑制剂。1996 年联合使用高效抗逆转录病毒疗法的引入后来被证明可以对抗进一步的 ARV 耐药性,同时增强人类免疫缺陷病毒 (HIV) 的抑制。尽管 ARV 治疗的发展一直在不断扩大,但 ARV 药物的作用变化及其当前的更新并没有得到全面讨论,特别是针对 HIV-1 感染。因此,本综述涵盖了一系列 HIV-1 ARV 药物,包括基于药物作用机制的 ARV 治疗的新进展、与 HIV-1 相关的挑战以及联合治疗的必要性。乐观地说,本文将整合 HIV-1 ARV 治疗的整体更新,并得出与 HIV-1 相关的药物治疗研究对抗全球 HIV 感染威胁的重要性的结论。

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