Copyright © 2004 Elsevier Ltd. All rights reserved.
Review
HIV-chemotherapy and -prophylaxis: new drugs, leads and approaches
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







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