New nucleoside analogues for chronic hepatitis B.

New nucleoside analogues for chronic hepatitis B.
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治疗慢性乙型肝炎的新核苷类似物。

DOI:
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发表时间:
2000
影响因子:
25.7
通讯作者:
H. Niesters
H. Niesters
中科院分区:
医学1区
文献类型:
--
作者:
S. Schalm;R. D. de Man;R. Heijtink;H. Niesters

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In recent years, an in vitro system for screening nucleoside analogues against hepatitis B virus has yielded several compounds with a high therapeutic index. Phase I and II studies have also shown a potent in vivo antiviral effect of fialuridine and lamivudine in patients with chronic hepatitis B. The use of fialuridine was associated with unexpectedly severe mitochondrial dysfunction; in contrast, lamivudine had virtually no side-effects. Experience in liver transplant patients with recurrent hepatitis B shows that famciclovir may be another effective antivirotic drug with good tolerance.