Current perspectives on HIV-1 antiretroviral drug resistance.

Current perspectives on HIV-1 antiretroviral drug resistance.
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DOI:
10.3390/v6104095
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发表时间:
2014-10-24
期刊:
Viruses
影响因子:
--
通讯作者:
Anderson KS
Anderson KS
中科院分区:
其他
文献类型:
--
作者:
Iyidogan P;Anderson KS

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目前抗逆转录病毒疗法(ART)的进展已将HIV-1感染转变为一种慢性和可控制的疾病。然而,治疗只有在HIV-1对所施用的药物产生耐药性之前才有效。最新的抗逆转录病毒药物在延迟获得性耐药性的演变方面已经变得上级。在这篇综述中,病毒的健身及其相关性的HIV-1的突变率和耐药性进行了讨论,同时强调致死性诱变作为一种替代疗法的概念。对不同类别的批准药物的耐药性的发展和监测抗逆转录病毒药物耐药性的重要性也作了简要总结。
Current advancements in antiretroviral therapy (ART) have turned HIV-1 infection into a chronic and manageable disease. However, treatment is only effective until HIV-1 develops resistance against the administered drugs. The most recent antiretroviral drugs have become superior at delaying the evolution of acquired drug resistance. In this review, the viral fitness and its correlation to HIV-1 mutation rates and drug resistance are discussed while emphasizing the concept of lethal mutagenesis as an alternative therapy. The development of resistance to the different classes of approved drugs and the importance of monitoring antiretroviral drug resistance are also summarized briefly.
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