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人类免疫缺陷病毒治疗背景下的抗逆转录病毒药物耐药现象:动态且不断演变的主题。

The Phenomenon of Antiretroviral Drug Resistance in the Context of Human Immunodeficiency Virus Treatment: Dynamic and Ever Evolving Subject Matter.

作者信息

Apetroaei Miruna-Maria, Velescu Bruno Ștefan, Nedea Marina Ionela Ilie, Dinu-Pîrvu Cristina Elena, Drăgănescu Doina, Fâcă Anca Ionela, Udeanu Denisa Ioana, Arsene Andreea Letiția

机构信息

Faculty of Pharmacy, Carol Davila University of Medicine and Pharmacy, 6 Traian Vuia Street, 020956 Bucharest, Romania.

Marius Nasta Institute of Pneumophthisiology, 90 Viilor Street, 050159 Bucharest, Romania.

出版信息

Biomedicines. 2024 Apr 20;12(4):915. doi: 10.3390/biomedicines12040915.

Abstract

Human immunodeficiency virus (HIV) is a significant global health issue that affects a substantial number of individuals across the globe, with a total of 39 million individuals living with HIV/AIDS. ART has resulted in a reduction in HIV-related mortality. Nevertheless, the issue of medication resistance is a significant obstacle in the management of HIV/AIDS. The unique genetic composition of HIV enables it to undergo rapid mutations and adapt, leading to the emergence of drug-resistant forms. The development of drug resistance can be attributed to various circumstances, including noncompliance with treatment regimens, insufficient dosage, interactions between drugs, viral mutations, preexposure prophylactics, and transmission from mother to child. It is therefore essential to comprehend the molecular components of HIV and the mechanisms of antiretroviral medications to devise efficacious treatment options for HIV/AIDS.

摘要

人类免疫缺陷病毒(HIV)是一个重大的全球健康问题,影响着全球大量人口,全球共有3900万人感染艾滋病毒/艾滋病。抗逆转录病毒疗法(ART)已降低了与HIV相关的死亡率。然而,耐药性问题是艾滋病毒/艾滋病管理中的一个重大障碍。HIV独特的基因组成使其能够迅速发生突变并适应环境,从而产生耐药形式。耐药性的产生可归因于多种情况,包括不遵守治疗方案、剂量不足、药物相互作用、病毒突变、暴露前预防以及母婴传播。因此,了解HIV的分子成分和抗逆转录病毒药物的作用机制对于设计有效的艾滋病毒/艾滋病治疗方案至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ea9/11048092/7dd4871cdc47/biomedicines-12-00915-g001.jpg

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