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The International Journal of Biochemistry & Cell Biology
Volume 36, Issue 9, September 2004, Pages 1800-1822
Molecular Biology of HIV
 
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doi:10.1016/j.biocel.2004.02.015    How to Cite or Link Using DOI (Opens New Window)
Copyright © 2004 Elsevier Ltd. All rights reserved.

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HIV-chemotherapy and -prophylaxis: new drugs, leads and approaches

Erik De ClercqCorresponding Author Contact Information, E-mail The Corresponding Author

Rega Institute for Medical Research, K.U. Leuven, Minderbroedersstraat 10, B-3000, Leuven, Belgium

Available online 8 May 2004.

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Abstract

In recent years, significant progress has been made towards the chemotherapy (and prophylaxis) of HIV infections. This progress is situated at three different levels. (i) New anti-HIV drugs have been approved for clinical use and have entered the market: the virus entry inhibitor enfuvirtide (Fuzeon™), the nucleoside reverse transcriptase inhibitor (NRTI) emtricitabine (Emtriva™), the nucleotide reverse transcriptase inhibitor (NtRTI) tenofovir disoproxil fumarate (Viread™) and the HIV protease inhibitor (PI) atazanavir (Reyataz™). (ii) Other compounds have proceeded through preclinical and/or clinical development: CXCR4 antagonists (i.e. AMD070), CCR5 antagonists (i.e. SCH-C), NRTIs (such as amdoxovir), NNRTIs (such as etravirine), integrase inhibitors (such as S-1360) and PIs (such as tipranavir). (iii) Yet other compounds, acting by novel mechanisms, have recently been identified as anti-HIV agents that seem worthy of further (pre)clinical development: cell receptor CD4 down-modulators (i.e. cyclotriazadisulfonamides), viral envelope gp120-binding agents such as plant lectins and glycopeptide antibiotics, HIV integrase inhibitors such as the pyranodipyrimidine V-165, and two new classes of compounds (i.e. N-aminoimidazoles and pyridine oxide derivatives) which seem to interfere with a post-integration, transcription transactivation event. Taken together, it is obvious that the approaches for the treatment of HIV infections in recent years have become both more diverse and more efficient.

Author Keywords: HIV; Chemotherapy; Chemoprophylaxis; Anti-HIV drugs

Article Outline

1. Introduction
2. Cellular CD4 receptor down-modulators
3. Viral glycoprotein gp120 binders
4. CXCR4 and CCR5 antagonists
5. Virus–cell fusion inhibitors
6. Nucleoside reverse transcriptase inhibitors (NRTIs)
7. Nucleotide reverse transcriptase inhibitors (NtRTIs)
8. Non-nucleoside reverse transcriptase inhibitors (NNRTIs)
9. HIV integrase inhibitors
10. Transcription (transactivation) inhibitors
11. HIV protease inhibitors
12. Conclusion
Acknowledgements
References

The International Journal of Biochemistry & Cell Biology
Volume 36, Issue 9, September 2004, Pages 1800-1822
Molecular Biology of HIV
 
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