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Reverse-transcriptase inhibitor

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Mutations in response to NNRTIs decrease the binding of the drug to this pocket. Treatment with a regimen including efavirenz (EFV) and nevirapine (NVP) typically results in mutations L100I, Y181C/I, K103N, V106A/M, V108I, Y188C/H/L and G190A/S. There are three main mechanisms of NNRTI resistance. In the first NRTI mutations disrupt specific contacts between the inhibitor and the NNRTI binding pocket. An example of this is K103N and K101E which sit at the entrance of the pocket, blocking the entrance/binding of the drug. A second mechanism is the disruption of important interactions on the inside of the pocket. For example, Y181C and Y188L result in the loss of important aromatic rings involved in NNRTI binding. The third type of mutations result in changes in the overall conformation or the size of the NNRTI binding pocket. An example is G190E, which creates a steric bulk in the pocket, leaving little or no room for an NNRTI to tightly bind.
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the drug . A prime example for this mechanism is the M184V mutation that confers resistance to lamivudine (3TC) and emtricitabine (FTC). Another well characterized set of mutations is the Q151M complex found in multi-drug resistant HIV which decreases reverse transcriptase's efficiency at incorporating NRTIs, but does not affect natural nucleotide incorporation. The complex includes Q151M mutation along with A62V, V75I, F77L, and F116Y. A virus with Q151M alone is intermediately resistant to zidovudine (AZT), didanosine (ddI), zalcitabine (ddC), stavudine (d4T), and slightly resistant to abacavir (ABC). A virus with Q151M complexed with the other four mutations becomes highly resistant to the above drugs, and is additionally resistant to lamivudine (3TC) and emtricitabine (FTC).
507:. This is a reverse of the polymerase reaction in which the pyrophosphate/PPI released during nucleotide incorporation reacts with the incorporated drug (monophosphate) resulting in the release of the triphosphate drug. This 'unblocks' the DNA chain, allowing it to be extended, and replication to continue. Excision enhancement mutations, typically M41L, D67N, K70R, L210W, T215Y/F, and K219E/Q, are selected for by thymidine analogs AZT and D4T; and are therefore called thymidine analog mutations (TAMs). Other mutations including insertions and deletions in the background of the above mutations also confer resistance via enhanced excision. 491:
mutations in reverse transcriptase that make the virus less susceptible to NRTIs and NNRTIs. Aspartate residues 110, 185, and 186 in the reverse transcriptase polymerase domain are important in the binding and incorporation of nucleotides. The side chains of residues K65, R72, and Q151 interact with the next incoming nucleotide. Also important is L74, which interacts with the template strand to position it for base pairing with the nucleotide. Mutation of these key amino acids results in reduced incorporation of the analogs.
309:, also known as TDF is a so-called 'prodrug' with the active compound deactivated by a molecular side chain that dissolves in the human body allowing a low dose of tenofovir to reach the site of desired activity. One example of the prodrug form is tenofovir disoproxil fumarate with the trade name Viread (Gilead Sciences Inc USA). It is approved in the US for the treatment of both HIV and hepatitis B. 74:. The viral DNA is then integrated into the host chromosomal DNA, which then allows host cellular processes, such as transcription and translation, to reproduce the virus. RTIs block reverse transcriptase's enzymatic function and prevent completion of synthesis of the double-stranded viral DNA, thus preventing HIV from multiplying. 499:
There are two major mechanisms of NRTI resistance. The first being reduced incorporation of the nucleotide analog into DNA over the normal nucleotide. This results from mutations in the N-terminal polymerase domain of the reverse transcriptase that reduce the enzyme's affinity or ability to bind to
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In contrast, NNRTIs have a completely different mode of action. NNRTIs block reverse transcriptase by binding directly to the enzyme. NNRTIs are not incorporated into the viral DNA like NRTIs, but instead inhibit the movement of protein domains of reverse transcriptase that are needed to carry out
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A similar process occurs with other types of viruses. The hepatitis B virus, for example, carries its genetic material in the form of DNA, and employs an RNA-dependent DNA polymerase to replicate. Some of the same compounds used as RTIs can also block HBV replication; when used in this way they are
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Hsiou, Y; Das, K; Ding, J; Clark Jr, AD; Kleim, JP; RΓΆsner, M; Winkler, I; Riess, G; et al. (1998). "Structures of Tyr188Leu mutant and wild-type HIV-1 reverse transcriptase complexed with the non-nucleoside inhibitor HBY 097: inhibitor flexibility is a useful design feature for reducing drug
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While NRTIs and NNRTIs alike are effective at terminating DNA synthesis and HIV replication, HIV can and eventually does develop mechanisms that confer the virus resistance to the drugs. HIV-1 RT does not have proof-reading activity. This, combined with selective pressure from the drug, leads to
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NNRTIs do not bind to the active site of the polymerase but in a less conserved pocket near the active site in the p66 subdomain. Their binding results in a conformational change in the reverse transcriptase that distorts the positioning of the residues that bind DNA, inhibiting polymerization.
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needed to synthesize the viral DNA and they compete with the natural deoxynucleotides for incorporation into the growing viral DNA chain. However, unlike the natural deoxynucleotides substrates, NRTIs and NtRTIs lack a 3β€²-hydroxyl group on the deoxyribose moiety. As a result, following
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Ren, J; Nichols, C; Bird, L; Chamberlain, P; Weaver, K; Short, S; Stuart, DI; Stammers, DK (2001). "Structural mechanisms of drug resistance for mutations at codons 181 and 188 in HIV-1 reverse transcriptase and the improved resilience of second generation non-nucleoside inhibitors".
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Arion, D; Kaushik, N; McCormick, S; Borkow, G; Parniak, MA (1998). "Phenotypic mechanism of HIV-1 resistance to 3'-azido-3'-deoxythymidine (AZT): increased polymerization processivity and enhanced sensitivity to pyrophosphate of the mutant viral reverse transcriptase".
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Shafer, RW; Kozal, MJ; Winters, MA; Iversen, AK; Katzenstein, DA; Ragni, MV; Meyer, WA III; Gupta, P; et al. (1994). "Combination therapy with zidovudine and didanosine selects for drug-resistant human immunodeficiency virus type 1 strains with unique patterns of
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Das, K; Ding, J; Hsiou, Y; Clark Jr, AD; Moereels, H; Koymans, L; Andries, K; Pauwels, R; et al. (1996). "Crystal structures of 8-Cl and 9-Cl TIBO complexed with wild-type HIV-1 RT and 8-Cl TIBO complexed with the Tyr181Cys HIV-1 RT drug-resistant mutant".
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Das, Kalyan; Sarafianos, SG; Clark Jr, AD; Boyer, PL; Hughes, SH; Arnold, E (2007). "Crystal structures of clinically relevant Lys103Asn/Tyr181Cys double mutant HIV-1 reverse transcriptase in complexes with ATP and non-nucleoside inhibitor HBY 097".
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Nucleoside analog reverse-transcriptase inhibitors (NARTIs or NRTIs) compose the first class of antiretroviral drugs developed. In order to be incorporated into the viral DNA, NRTIs must be activated in the cell by the addition of three
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Non-nucleoside reverse-transcriptase inhibitors (NNRTIs) are the third class of antiretroviral drugs that were developed. In all cases, patents remain in force until beyond 2007. This class of drugs was first described at the
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Maeda, Y; Venzon, DJ; Mitsuya, H (1998). "Altered drug sensitivity, fitness, and evolution of human immunodeficiency virus type 1 with pol gene mutations conferring multi-dideoxynucleoside resistance".
218:, also called FTC, has the trade name Emtriva (formerly Coviracil). Structurally similar to lamivudine, it is approved for the treatment of HIV and undergoing clinical trials for hepatitis B. 290:
step, but host enzymes must still phosphorylate the phosphonate nucleotide analogue to the phosphonate-diphosphate state for anti-viral activity. These molecules were first synthesized by
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Hsiou, Y; Ding, J; Das, K; Clark Jr, AD; Boyer, PL; Lewi, P; Janssen, PA; Kleim, JP; et al. (2001). "The Lys103Asn mutation of HIV-1 RT: a novel mechanism of drug resistance".
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Ren, J; Esnouf, R; Garman, E; Somers, D; Ross, C; Kirby, I; Keeling, J; Darby, G; et al. (1995). "High resolution structures of HIV-1 RT from four RT-inhibitor complexes".
2187: 2192: 230:, made of emtricitabine and tenofovir disoproxil fumarate, is used to treat and prevent HIV. It is approved for HIV prevention in the US and manufactured by Gilead. 2138: 182:, also called AZT, ZDV, and azidothymidine, has the trade name Retrovir. Zidovudine was the first antiretroviral drug approved by the FDA for the treatment of HIV. 1610: 2577: 1774: 440: 2144: 2202: 2122: 744:
Hachiya, A; Kodama, EN; Schuckmann, MM; Kirby, KA; Michailidis, E; Sakagami, Y; Oka, S; Singh, K; Sarafianos, SG (2011). Ambrose, Zandrea (ed.).
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While often listed in chronological order, NRTIs/NtRTIs are nucleoside/nucleotide analogues of cytidine, guanosine, thymidine and adenosine:
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Researchers have designed molecules which dually inhibit both reverse transcriptase (RT) and integrase (IN). These drugs are a type of "
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enzymes. NRTIs can induce mitochondrial impairment that leads to a number of adverse events, including symptomatic lactic acidosis.
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bond needed to extend the DNA chain. Thus, when an NRTI or NtRTI is incorporated, viral DNA synthesis is halted, a process known as
2616: 2449: 567:"Bench-to-bedside review: Severe lactic acidosis in HIV patients treated with nucleoside analogue reverse transcriptase inhibitors" 224:, also called ETV, is a guanosine analog used for hepatitis B under the trade name Baraclude. It is not approved for HIV treatment. 2093: 689:
Derbalah, Abdallah; Karpick, Hayley Christine; Maize, Holly; Skersick, Preston; Cottrell, Mackenzie; Rao, Gauri G. (2022-07-01).
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in 2017 and is currently used on its own or in fixed-dose combination with tenofovir disoproxil and emtricitabine (Elpida Combi).
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De Clercq, E (1998). "The role of non-nucleoside reverse transcriptase inhibitors (NNRTIs) in the therapy of HIV-1 infection".
3150: 2548: 2439: 1102:"A mechanism of AZT resistance: an increase in nucleotide-dependent primer unblocking by mutant HIV-1 reverse transcriptase" 2197: 1534: 387: 3540: 3384: 3343: 2212: 206:, also called 3TC, has the trade name Zeffix and Epivir. It is approved for the treatment of both HIV and hepatitis B. 194:, also called ddC and dideoxycytidine, has the trade name Hivid. This drug has been discontinued by the manufacturer. 3492: 3309: 2676: 1768: 1549: 811:"Lamivudine (3TC) resistance in HIV-1 reverse transcriptase involves steric hindrance with beta-branched amino acids" 3501: 3167: 2565: 2222: 2106: 912:"Multidrug-resistant human immunodeficiency virus type 1 strains resulting from combination antiretroviral therapy" 1265:; Pillay, D; Schapiro, JM; Richman, DD (2009). "Update of the drug resistance mutations in HIV-1: December 2009". 3199: 2232: 2217: 3461: 3368: 2112: 3555: 3389: 2594: 1060:"The role of steric hindrance in 3TC resistance of human immunodeficiency virus type-1 reverse transcriptase" 1524: 3588: 3580: 2609: 1542: 3484: 3474: 3456: 3397: 3301: 2317: 450: 672:"Elpida Combi (tenofovir+elsulfavirine+emtricitabine) Film-Coated Tablets. Full Prescribing Information" 3338: 3280: 3243: 3192: 151: 3604: 3427: 295: 3293: 3560: 3422: 2649: 2389: 2299: 2280: 2167: 2128: 1528: 118:
incorporation of an NRTI or an NtRTI, the next incoming deoxynucleotide cannot form the next 5′–3β€²
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Iversen, AK; Shafer, RW; Wehrly, K; Winters, MA; Mullins, JI; Chesebro, B; Merigan, TC (1996).
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The second mechanism is the excision or the hydrolytic removal of the incorporated drug or
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of NRTIs and NtRTIs is essentially the same; they are analogues of the naturally occurring
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analog reverse-transcriptase inhibitors (NtARTIs or NtRTIs) directly obviates the initial
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Sarafianos, SG; Das, K; Clark Jr, AD; Ding, J; Boyer, PL; Hughes, SH; Arnold, E (1999).
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Discovery and development of nucleoside and nucleotide reverse-transcriptase inhibitors
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Claessens, Yann-Erick; Chiche, Jean-Daniel; Mira, Jean-Paul; Cariou, Alain (2003).
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It is orally available, long acting antiviral, being tested as ART against HIV-1.
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Matsumi, S; Kosalaraksa, P; Tsang, H; Kavlick, MF; Harada, S; Mitsuya, H (2003).
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When HIV infects a cell, reverse transcriptase copies the viral single stranded
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Proceedings of the National Academy of Sciences of the United States of America
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Discovery and development of non-nucleoside reverse-transcriptase inhibitors
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Nucleotide analog reverse-transcriptase inhibitors (NtARTIs or NtRTIs)
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groups to their deoxyribose moiety, to form NRTI triphosphates. This
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has the trade name Edurant, and was approved by the FDA in May 2011.
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Nucleoside analog reverse-transcriptase inhibitors (NARTIs or NRTIs)
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Gao, HQ; Boyer, PL; Sarafianos, SG; Arnold, E; Hughes, SH (2000).
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has the trade name Intelence, and was approved by the FDA in 2008.
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Nucleoside reverse transcriptase translocation inhibitor (NRTTIs).
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being the first agent of this group. Islatravir was developed by
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Nucleoside reverse transcriptase translocation inhibitor (NRTTIs)
391: 316: 315:, also known as ADV or bis-POM PMPA, has trade names Preveon and 227: 150:
the process of DNA synthesis. NNRTIs are therefore classified as
271:) for both viral and host DNA, causing respectively the desired 3285: 2796: 2364: 2359: 691:"Role of islatravir in HIV treatment and prevention: an update" 172: 1008: 3570: 1674: 1100:
Meyer, PR; Matsuura, SE; Mian, AM; So, AG; Scott, WA (1999).
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Mechanisms of resistance to reverse transcriptase inhibitors
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Elvitegravir/cobicistat/emtricitabine/tenofovir alafenamide
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analog reverse-transcriptase inhibitors (NtARTIs or NtRTIs)
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Elvitegravir/cobicistat/emtricitabine/tenofovir disoproxil
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Boyer, PL; Sarafianos, SG; Arnold, E; Hughes, SH (2001).
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It was FDA-approved in August 2018. It is also used in a
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analog reverse-transcriptase inhibitors (NARTIs or NRTIs)
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Darunavir/cobicistat/emtricitabine/tenofovir alafenamide
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Non-nucleoside reverse-transcriptase inhibitors (NNRTIs)
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Non-nucleoside reverse-transcriptase inhibitors (NNRTIs)
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Johnson, VA; Brun-Vezinet, F; Clotet, B; Gunthard, HF;
413:, currently rarely used, has the trade name Rescriptor. 200:, also called d4T, has trade names Zerit and Zerit XR. 1478: 267:
analogs. The latter serve as poison building blocks (
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doravirine/lamivudine/tenofovir disoproxil fumarate
967: 798:from the original on Mar 17, 2022 – via PMC. 54:that is required for replication of HIV and other 957:from the original on Jul 3, 2024 – via PMC. 3621: 2145:Dolutegravir/emtricitabine/tenofovir alafenamide 2203:Emtricitabine/rilpivirine/tenofovir alafenamide 2123:Bictegravir/emtricitabine/tenofovir alafenamide 2208:Emtricitabine/rilpivirine/tenofovir disoproxil 1694:(Integrase strand transfer inhibitors (INSTI)) 462:This is a new class of antivirals, MK-8591 or 3200: 2610: 2156:Dolutegravir/lamivudine/tenofovir alafenamide 1550: 431:has the trade name Pifeltro, is developed by 138:for both. The former explains NRTIs'/NtRTIs' 2178:Efavirenz/emtricitabine/tenofovir disoproxil 2162:Dolutegravir/lamivudine/tenofovir disoproxil 3207: 3193: 2617: 2603: 2173:Doravirine/lamivudine/tenofovir disoproxil 1557: 1543: 449:, sold as Elpida, was approved by Russian 2183:Efavirenz/lamivudine/tenofovir disoproxil 1527:at the U.S. National Library of Medicine 1225: 1166: 1117: 1095: 1093: 1026: 937: 927: 846: 836: 826: 781: 771: 761: 615: 592: 582: 473: 126:. All NRTIs and NtRTIs are classified as 2450:Zinc finger protein transcription factor 401:has the trade names Sustiva and Stocrin. 1004: 1002: 1000: 3622: 1090: 618:"Elsulfavirine: First Global Approval" 78:referred to as polymerase inhibitors. 61: 3188: 2598: 1538: 997: 616:Al-Salama, Zaina T. (October 2017). 558: 70:genome into a double-stranded viral 2198:Emtricitabine/tenofovir alafenamide 676:Russian State Register of Medicines 510: 388:Rega Institute for Medical Research 13: 2213:Emtricitabine/tenofovir disoproxil 971:The Journal of Infectious Diseases 877:The Journal of Infectious Diseases 494: 142:, while the latter explains their 14: 3641: 1518: 3630:Reverse transcriptase inhibitors 2586:. Formerly or rarely used agent. 2223:Lamivudine/nevirapine/zidovudine 2107:Abacavir/dolutegravir/lamivudine 1525:Reverse+Transcriptase+Inhibitors 1159:10.1128/JVI.75.10.4832-4842.2001 1028:10.1097/00002030-200305230-00003 171:step is carried out by cellular 128:competitive substrate inhibitors 20:Reverse-transcriptase inhibitors 2390:Epigallocatechin gallate (EGCG) 2233:Lamivudine/tenofovir disoproxil 2218:Lamivudine/nevirapine/stavudine 1472: 1436: 1400: 1364: 1321: 1285: 1254: 1219: 1183: 1134: 1051: 961: 929:10.1128/JVI.70.2.1086-1090.1996 695:Current Opinion in HIV and AIDS 256:As described above, host cells 2113:Abacavir/lamivudine/zidovudine 903: 863: 802: 737: 682: 664: 609: 547: 1: 1240:10.1016/S0166-3542(98)00025-4 1119:10.1016/S1097-2765(00)80185-9 541: 1446:Journal of Molecular Biology 1410:Journal of Molecular Biology 1374:Journal of Molecular Biology 1330:Journal of Molecular Biology 1064:Journal of Molecular Biology 773:10.1371/journal.pone.0016242 707:10.1097/COH.0000000000000740 407:has the trade name Viramune. 16:Class of antiretroviral drug 7: 1988:Tenofovir alafenamide (TAF) 519: 10: 3646: 3385:Dihydropteroate synthetase 3244:Non-competitive inhibition 1983:Tenofovir disoproxil (TDF) 277:drug toxicity/side effects 154:of reverse transcriptase. 152:non-competitive inhibitors 144:drug toxicity/side effects 3605:Steroidogenesis inhibitor 3597: 3569: 3445: 3352: 3269: 3262: 3226: 3145: 3111: 3088: 3067: 3060: 2984: 2957: 2933: 2902: 2850: 2830: 2746: 2685: 2675: 2666: 2657: 2648: 2543: 2458: 2352: 2334: 2316: 2298: 2279: 2272: 2251: 2092: 2039: 2013: 2004:Discovery and development 1996: 1879: 1867: 1830: 1784: 1775:Discovery and development 1767: 1739: 1689: 1611:Discovery and development 1603: 1585: 1481:Nature Structural Biology 1307:10.1016/j.jmb.2006.08.097 634:10.1007/s40265-017-0820-3 296:Czech Academy of Sciences 86:RTIs come in four forms: 3541:Matrix metalloproteinase 3344:Ribonucleotide reductase 3239:Uncompetitive inhibition 2300:Transcription inhibitors 2252:Pharmacokinetic boosters 2168:Dolutegravir/rilpivirine 2129:Cabotegravir/rilpivirine 1769:Protease Inhibitors (PI) 1529:Medical Subject Headings 889:10.1093/infdis/169.4.722 838:10.1073/pnas.96.18.10027 298:, and commercialized by 81: 3310:Dihydrofolate reductase 3068:Nucleic acid inhibitors 2584:initial regimen options 2150:Dolutegravir/lamivudine 1627:Enfuvirtide (ENF, T-20) 1605:Entry/fusion inhibitors 3406:Nucleotidyltransferase 3234:Competitive inhibition 2425:Portmanteau inhibitors 2318:Translation inhibitors 2228:Lamivudine/raltegravir 1998:Non-nucleoside (NNRTI) 1956:Islatravir (EFdA, ISL) 1458:10.1006/jmbi.1998.2171 1422:10.1006/jmbi.1996.0698 1386:10.1006/jmbi.2001.4988 1342:10.1006/jmbi.2001.4648 1267:Topics in HIV Medicine 1076:10.1006/jmbi.2000.3823 480:portmanteau inhibitors 474:Portmanteau inhibitors 3416:Reverse transcriptase 3103:Peginterferon alfa-2a 3052:Tenofovir alafenamide 2440:Synergistic enhancers 2238:Lamivudine/zidovudine 2118:Atazanavir/cobicistat 2094:Combined formulations 1931:Zidovudine (AZT, ZDV) 1869:Reverse-transcriptase 1741:Maturation inhibitors 364:Adenosine analogues: 353:Guanosine analogues: 338:Cytidine analogues: 327:Thymidine analogues: 48:reverse transcriptase 3462:Acetylcholinesterase 3369:Thymidylate synthase 3047:Tenofovir disoproxil 3033:Nucleotide analogues 2996:Nucleoside analogues 2281:Uncoating inhibitors 2134:Darunavir/cobicistat 1974:Nucleotide analogues 1892:Nucleoside analogues 1691:Integrase inhibitors 1570:antiretroviral drugs 38:, and in some cases 28:antiretroviral drugs 3556:Histone deacetylase 3390:Farnesyltransferase 2748:Pyrimidine analogue 2273:Experimental agents 2243:Lopinavir/ritonavir 2102:Abacavir/lamivudine 2076:Elsulfavirine (ESV) 1911:Emtricitabine (FTC) 1797:Fosamprenavir (FPV) 1493:10.1038/nsb0495-293 1147:Journal of Virology 916:Journal of Virology 828:1999PNAS...9610027S 763:2011PLoSO...616242H 531:Protease inhibitors 62:Mechanism of action 3589:Carbonic anhydrase 3581:Dopa decarboxylase 3249:Suicide inhibition 3172:Never to phase III 3098:Interferon alfa 2b 2570:Never to phase III 1716:Elvitegravir (EVG) 1711:Dolutegravir (DTG) 1706:Cabotegravir (CAB) 1228:Antiviral Research 505:pyrophosphorolysis 451:Ministry of Health 437:combination tablet 3617: 3616: 3613: 3612: 3485:Alpha-glucosidase 3475:Polygalacturonase 3457:Phosphodiesterase 3398:GABA transaminase 3302:Monoamine oxidase 3286:HMG-CoA reductase 3220:enzyme inhibition 3182: 3181: 3141: 3140: 2980: 2979: 2898: 2897: 2846: 2845: 2826: 2825: 2592: 2591: 2539: 2538: 2385:Diarylpyrimidines 2088: 2087: 2084: 2083: 2064:Rilpivirine (RPV) 2048:diarylpyrimidines 2031:Delavirdine (DLV) 1926:Zalcitabine (ddC) 1883:nucleotide (NRTI) 1863: 1862: 1721:Raltegravir (RAL) 1701:Bictegravir (BIC) 1680:Fostemsavir (FTR) 1595:Lenacapavir (LEN) 1587:Capsid inhibitors 1205:10.1021/bi981200e 875:gene mutations". 628:(16): 1811–1816. 269:chain terminators 136:chain terminators 124:chain termination 26:) are a class of 3637: 3339:Xanthine oxidase 3281:Aldose reductase 3267: 3266: 3254:Mixed inhibition 3209: 3202: 3195: 3186: 3185: 3112:Multiple/unknown 3065: 3064: 3061:Multiple/general 2831:Not TK activated 2683: 2682: 2673: 2672: 2664: 2663: 2655: 2654: 2619: 2612: 2605: 2596: 2595: 2410:Hydroxycarbamide 2277: 2276: 2071:Doravirine (DOR) 2059:Etravirine (ETR) 2054:Dapivirine (DPV) 2026:Nevirapine (NVP) 2011: 2010: 1916:Lamivudine (3TC) 1906:Didanosine (ddI) 1877: 1876: 1850:Tipranavir (TPV) 1838:Atazanavir (ATV) 1822:Saquinavir (SQV) 1812:Nelfinavir (NFV) 1792:Amprenavir (APV) 1782: 1781: 1664:Ibalizumab (IBA) 1559: 1552: 1545: 1536: 1535: 1513: 1512: 1476: 1470: 1469: 1440: 1434: 1433: 1404: 1398: 1397: 1368: 1362: 1361: 1325: 1319: 1318: 1289: 1283: 1282: 1258: 1252: 1251: 1223: 1217: 1216: 1199:(45): 15908–17. 1187: 1181: 1180: 1170: 1138: 1132: 1131: 1121: 1097: 1088: 1087: 1055: 1049: 1048: 1030: 1006: 995: 994: 965: 959: 958: 956: 941: 931: 907: 901: 900: 867: 861: 860: 850: 840: 830: 821:(18): 10027–32. 806: 800: 799: 785: 775: 765: 741: 735: 734: 686: 680: 679: 668: 662: 661: 613: 607: 606: 596: 586: 562: 556: 551: 511:NNRTI resistance 273:antiviral effect 140:antiviral effect 115:deoxynucleotides 111:antiviral effect 3645: 3644: 3640: 3639: 3638: 3636: 3635: 3634: 3620: 3619: 3618: 3609: 3593: 3565: 3441: 3428:Tyrosine kinase 3348: 3258: 3222: 3213: 3183: 3178: 3177: 3162:Clinical trials 3137: 3107: 3084: 3056: 2976: 2953: 2929: 2925:Podophyllotoxin 2894: 2842: 2822: 2742: 2687:Purine analogue 2668: 2644: 2623: 2593: 2588: 2587: 2575: 2560:Clinical trials 2535: 2486:Dexelvucitabine 2454: 2445:Tre recombinase 2348: 2330: 2312: 2308:Tat antagonists 2294: 2268: 2247: 2080: 2035: 2021:Efavirenz (EFV) 2000: 1992: 1921:Stavudine (d4T) 1882: 1870: 1859: 1844:Darunavir (DRV) 1826: 1817:Ritonavir (RTV) 1807:Lopinavir (LPV) 1802:Indinavir (IDV) 1771: 1763: 1735: 1693: 1685: 1639:Maraviroc (MVC) 1607: 1599: 1581: 1566:Antiviral drugs 1563: 1521: 1516: 1477: 1473: 1441: 1437: 1416:(5): 1085–100. 1405: 1401: 1369: 1365: 1326: 1322: 1290: 1286: 1259: 1255: 1224: 1220: 1188: 1184: 1153:(10): 4832–42. 1139: 1135: 1098: 1091: 1056: 1052: 1007: 998: 966: 962: 954: 908: 904: 868: 864: 807: 803: 742: 738: 687: 683: 670: 669: 665: 614: 610: 563: 559: 552: 548: 544: 522: 513: 497: 495:NRTI resistance 488: 476: 468:Merck & Co. 460: 433:Merck & Co. 383: 288:phosphorylation 254: 169:phosphorylation 160: 84: 64: 17: 12: 11: 5: 3643: 3633: 3632: 3615: 3614: 3611: 3610: 3608: 3607: 3601: 3599: 3595: 3594: 3592: 3591: 3584: 3583: 3576: 3574: 3567: 3566: 3564: 3563: 3561:Beta-lactamase 3558: 3551: 3550: 3549: 3548: 3543: 3538: 3528: 3527: 3526: 3521: 3511: 3510: 3509: 3504: 3488: 3487: 3482: 3477: 3470: 3469: 3464: 3459: 3452: 3450: 3443: 3442: 3440: 3439: 3438: 3437: 3436: 3435: 3423:Protein kinase 3420: 3419: 3418: 3413: 3401: 3400: 3393: 3392: 3387: 3380: 3379: 3372: 3371: 3366: 3359: 3357: 3350: 3349: 3347: 3346: 3341: 3334: 3333: 3328: 3321: 3320: 3313: 3312: 3305: 3304: 3297: 3296: 3289: 3288: 3283: 3276: 3274: 3271:Oxidoreductase 3264: 3260: 3259: 3257: 3256: 3251: 3246: 3241: 3236: 3230: 3228: 3224: 3223: 3212: 3211: 3204: 3197: 3189: 3180: 3179: 3176: 3175: 3174: 3173: 3170: 3159: 3153: 3147: 3146: 3143: 3142: 3139: 3138: 3136: 3135: 3130: 3121: 3115: 3113: 3109: 3108: 3106: 3105: 3100: 3094: 3092: 3086: 3085: 3083: 3082: 3077: 3071: 3069: 3062: 3058: 3057: 3055: 3054: 3049: 3044: 3028: 3027: 3022: 3017: 3012: 3007: 2991: 2989: 2982: 2981: 2978: 2977: 2975: 2974: 2969: 2963: 2961: 2955: 2954: 2952: 2951: 2939: 2937: 2931: 2930: 2928: 2927: 2922: 2912: 2910: 2900: 2899: 2896: 2895: 2893: 2892: 2887: 2875: 2870: 2865: 2860: 2854: 2852: 2848: 2847: 2844: 2843: 2841: 2840: 2834: 2832: 2828: 2827: 2824: 2823: 2821: 2820: 2807: 2806: 2805: 2804: 2799: 2794: 2781: 2780: 2774: 2764: 2752: 2750: 2744: 2743: 2741: 2740: 2727: 2726: 2716: 2714:Valganciclovir 2707: 2691: 2689: 2680: 2670: 2661: 2652: 2646: 2645: 2622: 2621: 2614: 2607: 2599: 2590: 2589: 2574: 2573: 2572: 2571: 2568: 2557: 2551: 2545: 2544: 2541: 2540: 2537: 2536: 2534: 2533: 2528: 2523: 2518: 2513: 2508: 2503: 2498: 2493: 2488: 2483: 2478: 2473: 2468: 2462: 2460: 2456: 2455: 2453: 2452: 2447: 2442: 2437: 2432: 2427: 2422: 2417: 2412: 2407: 2402: 2397: 2392: 2387: 2382: 2377: 2372: 2367: 2362: 2356: 2354: 2350: 2349: 2347: 2346: 2340: 2338: 2332: 2331: 2329: 2328: 2322: 2320: 2314: 2313: 2311: 2310: 2304: 2302: 2296: 2295: 2293: 2292: 2285: 2283: 2274: 2270: 2269: 2267: 2266: 2261: 2259:Cobicistat (c) 2255: 2253: 2249: 2248: 2246: 2245: 2240: 2235: 2230: 2225: 2220: 2215: 2210: 2205: 2200: 2195: 2190: 2185: 2180: 2175: 2170: 2165: 2159: 2153: 2147: 2142: 2136: 2131: 2126: 2120: 2115: 2110: 2104: 2098: 2096: 2090: 2089: 2086: 2085: 2082: 2081: 2079: 2078: 2073: 2068: 2067: 2066: 2061: 2056: 2043: 2041: 2037: 2036: 2034: 2033: 2028: 2023: 2017: 2015: 2008: 1994: 1993: 1991: 1990: 1985: 1969: 1968: 1963: 1958: 1953: 1948: 1943: 1938: 1933: 1928: 1923: 1918: 1913: 1908: 1903: 1901:Abacavir (ABC) 1887: 1885: 1881:Nucleoside and 1874: 1865: 1864: 1861: 1860: 1858: 1857: 1852: 1847: 1841: 1834: 1832: 1828: 1827: 1825: 1824: 1819: 1814: 1809: 1804: 1799: 1794: 1788: 1786: 1779: 1765: 1764: 1762: 1761: 1756: 1751: 1745: 1743: 1737: 1736: 1734: 1733: 1728: 1723: 1718: 1713: 1708: 1703: 1697: 1695: 1687: 1686: 1684: 1683: 1671: 1655: 1641: 1630: 1617: 1615: 1601: 1600: 1598: 1597: 1591: 1589: 1583: 1582: 1562: 1561: 1554: 1547: 1539: 1533: 1532: 1520: 1519:External links 1517: 1515: 1514: 1487:(4): 293–302. 1471: 1435: 1399: 1380:(4): 795–805. 1363: 1320: 1284: 1253: 1218: 1182: 1133: 1106:Molecular Cell 1089: 1050: 1021:(8): 1127–37. 996: 983:10.1086/515282 977:(5): 1207–13. 960: 922:(2): 1086–90. 902: 862: 801: 736: 701:(4): 240–246. 681: 663: 608: 584:10.1186/cc2162 577:(3): 226–232. 557: 545: 543: 540: 539: 538: 533: 528: 521: 518: 512: 509: 496: 493: 487: 484: 475: 472: 459: 456: 455: 454: 444: 426: 420: 414: 408: 402: 382: 379: 378: 377: 362: 351: 336: 321: 320: 310: 253: 250: 249: 248: 231: 225: 219: 213: 207: 201: 195: 189: 183: 159: 156: 120:phosphodiester 107: 106: 103: 100: 94: 83: 80: 63: 60: 52:DNA polymerase 30:used to treat 15: 9: 6: 4: 3: 2: 3642: 3631: 3628: 3627: 3625: 3606: 3603: 3602: 3600: 3598:Miscellaneous 3596: 3590: 3586: 3585: 3582: 3578: 3577: 3575: 3572: 3568: 3562: 3559: 3557: 3553: 3552: 3547: 3544: 3542: 3539: 3537: 3536:Enkephalinase 3534: 3533: 3532: 3529: 3525: 3522: 3520: 3517: 3516: 3515: 3514:Endopeptidase 3512: 3508: 3505: 3503: 3500: 3499: 3498: 3494: 3490: 3489: 3486: 3483: 3481: 3480:Neuraminidase 3478: 3476: 3472: 3471: 3468: 3465: 3463: 3460: 3458: 3454: 3453: 3451: 3448: 3444: 3434: 3431: 3430: 3429: 3426: 3425: 3424: 3421: 3417: 3414: 3412: 3409: 3408: 3407: 3403: 3402: 3399: 3395: 3394: 3391: 3388: 3386: 3382: 3381: 3378: 3374: 3373: 3370: 3367: 3365: 3361: 3360: 3358: 3355: 3351: 3345: 3342: 3340: 3336: 3335: 3332: 3329: 3327: 3323: 3322: 3319: 3315: 3314: 3311: 3307: 3306: 3303: 3299: 3298: 3295: 3291: 3290: 3287: 3284: 3282: 3278: 3277: 3275: 3272: 3268: 3265: 3261: 3255: 3252: 3250: 3247: 3245: 3242: 3240: 3237: 3235: 3232: 3231: 3229: 3225: 3221: 3217: 3210: 3205: 3203: 3198: 3196: 3191: 3190: 3187: 3171: 3169: 3166: 3165: 3163: 3160: 3157: 3154: 3152: 3149: 3148: 3144: 3134: 3131: 3129: 3125: 3122: 3120: 3117: 3116: 3114: 3110: 3104: 3101: 3099: 3096: 3095: 3093: 3091: 3087: 3081: 3080:Brincidofovir 3078: 3076: 3073: 3072: 3070: 3066: 3063: 3059: 3053: 3050: 3048: 3045: 3043: 3040: 3038: 3034: 3030: 3029: 3026: 3023: 3021: 3018: 3016: 3013: 3011: 3008: 3006: 3003: 3001: 2997: 2993: 2992: 2990: 2987: 2983: 2973: 2970: 2968: 2965: 2964: 2962: 2960: 2956: 2950: 2947: 2945: 2941: 2940: 2938: 2936: 2932: 2926: 2923: 2921: 2917: 2914: 2913: 2911: 2909: 2905: 2901: 2891: 2888: 2885: 2881: 2880: 2879:early protein 2876: 2874: 2871: 2869: 2866: 2864: 2861: 2859: 2856: 2855: 2853: 2849: 2839: 2836: 2835: 2833: 2829: 2818: 2814: 2813: 2809: 2808: 2803: 2800: 2798: 2795: 2793: 2790: 2789: 2788: 2787: 2783: 2782: 2778: 2775: 2772: 2768: 2765: 2763: 2759: 2758: 2754: 2753: 2751: 2749: 2745: 2738: 2734: 2733: 2729: 2728: 2724: 2720: 2717: 2715: 2711: 2708: 2706: 2702: 2698: 2697: 2693: 2692: 2690: 2688: 2684: 2681: 2678: 2674: 2671: 2667:DNA-synthesis 2665: 2662: 2660: 2656: 2653: 2651: 2647: 2642: 2638: 2634: 2630: 2627: 2620: 2615: 2613: 2608: 2606: 2601: 2600: 2597: 2585: 2582: 2579: 2569: 2567: 2564: 2563: 2561: 2558: 2555: 2552: 2550: 2547: 2546: 2542: 2532: 2529: 2527: 2524: 2522: 2519: 2517: 2514: 2512: 2509: 2507: 2504: 2502: 2499: 2497: 2494: 2492: 2489: 2487: 2484: 2482: 2479: 2477: 2474: 2472: 2469: 2467: 2464: 2463: 2461: 2459:Failed agents 2457: 2451: 2448: 2446: 2443: 2441: 2438: 2436: 2433: 2431: 2428: 2426: 2423: 2421: 2418: 2416: 2413: 2411: 2408: 2406: 2403: 2401: 2398: 2396: 2393: 2391: 2388: 2386: 2383: 2381: 2378: 2376: 2373: 2371: 2368: 2366: 2363: 2361: 2358: 2357: 2355: 2351: 2345: 2342: 2341: 2339: 2337: 2333: 2327: 2326:Trichosanthin 2324: 2323: 2321: 2319: 2315: 2309: 2306: 2305: 2303: 2301: 2297: 2290: 2287: 2286: 2284: 2282: 2278: 2275: 2271: 2265: 2264:Ritonavir (r) 2262: 2260: 2257: 2256: 2254: 2250: 2244: 2241: 2239: 2236: 2234: 2231: 2229: 2226: 2224: 2221: 2219: 2216: 2214: 2211: 2209: 2206: 2204: 2201: 2199: 2196: 2194: 2191: 2189: 2186: 2184: 2181: 2179: 2176: 2174: 2171: 2169: 2166: 2163: 2160: 2157: 2154: 2151: 2148: 2146: 2143: 2140: 2137: 2135: 2132: 2130: 2127: 2124: 2121: 2119: 2116: 2114: 2111: 2108: 2105: 2103: 2100: 2099: 2097: 2095: 2091: 2077: 2074: 2072: 2069: 2065: 2062: 2060: 2057: 2055: 2052: 2051: 2050: 2049: 2045: 2044: 2042: 2038: 2032: 2029: 2027: 2024: 2022: 2019: 2018: 2016: 2012: 2009: 2007: 2005: 1999: 1995: 1989: 1986: 1984: 1981: 1979: 1975: 1971: 1970: 1967: 1964: 1962: 1959: 1957: 1954: 1952: 1949: 1947: 1944: 1942: 1939: 1937: 1934: 1932: 1929: 1927: 1924: 1922: 1919: 1917: 1914: 1912: 1909: 1907: 1904: 1902: 1899: 1897: 1893: 1889: 1888: 1886: 1884: 1878: 1875: 1872: 1866: 1856: 1853: 1851: 1848: 1845: 1842: 1839: 1836: 1835: 1833: 1829: 1823: 1820: 1818: 1815: 1813: 1810: 1808: 1805: 1803: 1800: 1798: 1795: 1793: 1790: 1789: 1787: 1783: 1780: 1778: 1776: 1770: 1766: 1760: 1757: 1755: 1752: 1750: 1747: 1746: 1744: 1742: 1738: 1732: 1729: 1727: 1724: 1722: 1719: 1717: 1714: 1712: 1709: 1707: 1704: 1702: 1699: 1698: 1696: 1692: 1688: 1681: 1677: 1676: 1672: 1669: 1665: 1661: 1660: 1656: 1653: 1649: 1645: 1642: 1640: 1636: 1635: 1631: 1628: 1624: 1623: 1619: 1618: 1616: 1614: 1612: 1606: 1602: 1596: 1593: 1592: 1590: 1588: 1584: 1579: 1575: 1572:used against 1571: 1567: 1560: 1555: 1553: 1548: 1546: 1541: 1540: 1537: 1530: 1526: 1523: 1522: 1510: 1506: 1502: 1498: 1494: 1490: 1486: 1482: 1475: 1467: 1463: 1459: 1455: 1452:(2): 313–23. 1451: 1447: 1444:resistance". 1439: 1431: 1427: 1423: 1419: 1415: 1411: 1403: 1395: 1391: 1387: 1383: 1379: 1375: 1367: 1359: 1355: 1351: 1347: 1343: 1339: 1336:(2): 437–45. 1335: 1331: 1324: 1316: 1312: 1308: 1304: 1300: 1296: 1288: 1280: 1276: 1273:(5): 138–45. 1272: 1268: 1264: 1263:Kuritzkes, DR 1257: 1249: 1245: 1241: 1237: 1234:(3): 153–79. 1233: 1229: 1222: 1214: 1210: 1206: 1202: 1198: 1194: 1186: 1178: 1174: 1169: 1164: 1160: 1156: 1152: 1148: 1144: 1137: 1129: 1125: 1120: 1115: 1111: 1107: 1103: 1096: 1094: 1085: 1081: 1077: 1073: 1070:(2): 403–18. 1069: 1065: 1061: 1054: 1046: 1042: 1038: 1034: 1029: 1024: 1020: 1016: 1012: 1005: 1003: 1001: 992: 988: 984: 980: 976: 972: 964: 953: 949: 945: 940: 935: 930: 925: 921: 917: 913: 906: 898: 894: 890: 886: 882: 878: 874: 866: 858: 854: 849: 844: 839: 834: 829: 824: 820: 816: 812: 805: 797: 793: 789: 784: 779: 774: 769: 764: 759: 756:(1): e16242. 755: 751: 747: 740: 732: 728: 724: 720: 716: 712: 708: 704: 700: 696: 692: 685: 678:(in Russian). 677: 673: 667: 659: 655: 651: 647: 643: 639: 635: 631: 627: 623: 619: 612: 604: 600: 595: 590: 585: 580: 576: 572: 571:Critical Care 568: 561: 555: 550: 546: 537: 534: 532: 529: 527: 524: 523: 517: 508: 506: 501: 492: 483: 481: 471: 469: 465: 452: 448: 447:Elsulfavirine 445: 442: 438: 434: 430: 427: 424: 421: 418: 415: 412: 409: 406: 403: 400: 397: 396: 395: 393: 389: 375: 371: 367: 363: 360: 356: 352: 349: 348:emtricitabine 345: 341: 337: 334: 330: 326: 325: 324: 318: 314: 311: 308: 305: 304: 303: 301: 297: 293: 289: 285: 282: 278: 274: 270: 266: 262: 259: 258:phosphorylate 247: 243: 239: 235: 232: 229: 226: 223: 220: 217: 216:Emtricitabine 214: 211: 208: 205: 202: 199: 196: 193: 190: 187: 184: 181: 178: 177: 176: 174: 170: 166: 155: 153: 147: 145: 141: 137: 133: 132:DNA synthesis 129: 125: 121: 116: 112: 104: 101: 98: 95: 92: 89: 88: 87: 79: 75: 73: 69: 59: 57: 53: 49: 45: 41: 37: 34:infection or 33: 29: 25: 21: 3530: 3497:Exopeptidase 3467:Ribonuclease 3433:Janus kinase 3415: 3318:Lipoxygenase 3294:5Ξ±-Reductase 3216:Pharmacology 3119:Filociclovir 3031: 2994: 2942: 2890:Tromantadine 2877: 2810: 2784: 2767:Trifluridine 2755: 2730: 2705:Valaciclovir 2694: 2580: 2380:Cyanovirin-N 2370:Calanolide A 2046: 2040:2 generation 2014:1 generation 2001: 1972: 1951:Elvucitabine 1941:Apricitabine 1890: 1880: 1868: 1831:2 generation 1785:1 generation 1772: 1759:Fipravirimat 1673: 1668:Semzuvolimab 1657: 1648:Cenicriviroc 1632: 1620: 1608: 1484: 1480: 1474: 1449: 1445: 1438: 1413: 1409: 1402: 1377: 1373: 1366: 1333: 1329: 1323: 1301:(1): 77–89. 1298: 1294: 1287: 1270: 1266: 1256: 1231: 1227: 1221: 1196: 1193:Biochemistry 1192: 1185: 1150: 1146: 1136: 1112:(1): 35–43. 1109: 1105: 1067: 1063: 1053: 1018: 1014: 974: 970: 963: 919: 915: 905: 883:(4): 722–9. 880: 876: 872: 865: 818: 814: 804: 753: 749: 739: 698: 694: 684: 675: 666: 625: 621: 611: 574: 570: 560: 549: 514: 502: 498: 489: 477: 461: 443:(Delstrigo). 384: 322: 292:Antonin Holy 255: 161: 148: 134:, acting as 108: 85: 76: 65: 56:retroviruses 46:activity of 23: 19: 18: 3546:Oxytocinase 3354:Transferase 3158:from market 3128:Taribavirin 3020:Telbivudine 2986:Hepatitis B 2972:Tecovirimat 2967:Methisazone 2762:Idoxuridine 2723:Famciclovir 2719:Penciclovir 2710:Ganciclovir 2659:Herpesvirus 2650:Baltimore I 2631:(primarily 2581:recommended 2556:from market 2506:Lersivirine 2481:Capravirine 2420:Miltefosine 2405:Griffithsin 2400:Fosdevirine 1946:Censavudine 1576:(primarily 423:Rilpivirine 411:Delavirdine 372:(TDF), and 346:(3TC), and 340:zalcitabine 281:phosphonate 263:analogs to 242:hepatitis C 192:Zalcitabine 40:hepatitis B 3133:Moroxydine 3090:Interferon 3010:Lamivudine 2959:Poxviridae 2949:Rifampicin 2920:Resiquimod 2884:Fomivirsen 2868:Letermovir 2858:Amenamevir 2817:Cytarabine 2802:Sorivudine 2771:+tipiracil 2737:Vidarabine 2629:antivirals 2511:Lodenosine 2491:Droxinavir 2476:Brecanavir 2471:Atevirdine 2435:Seliciclib 2430:Scytovirin 2344:Elipovimab 2289:TRIM5alpha 1966:Stampidine 1871:inhibitors 1855:TMC-310911 1754:BMS-955176 1652:Leronlimab 1644:Vicriviroc 1295:J Mol Biol 554:Islatravir 542:References 464:Islatravir 429:Doravirine 417:Etravirine 405:Nevirapine 366:didanosine 357:(ABC) and 344:lamivudine 331:(AZT) and 329:zidovudine 284:nucleotide 265:nucleotide 261:nucleoside 246:SARS-CoV-2 204:Lamivudine 186:Didanosine 180:Zidovudine 97:Nucleotide 91:Nucleoside 50:, a viral 3447:Hydrolase 3411:Integrase 3326:Aromatase 3263:Substrate 3168:Phase III 3156:Withdrawn 3124:Ribavirin 3075:Cidofovir 3025:Clevudine 3015:Lobucavir 3005:Entecavir 2916:Imiquimod 2873:Maribavir 2863:Docosanol 2838:Foscarnet 2792:Brivudine 2777:Edoxudine 2701:Aciclovir 2679:activated 2669:inhibitor 2626:DNA virus 2566:Phase III 2554:Withdrawn 2531:Telinavir 2526:Palinavir 2521:Mozenavir 2501:Emivirine 2496:Lasinavir 2466:Aplaviroc 2395:Foscarnet 2375:Ceragenin 1936:Amdoxovir 1749:Bevirimat 1726:BI 224436 731:250078665 715:1746-6318 642:0012-6667 399:Efavirenz 370:tenofovir 359:entecavir 333:stavudine 307:Tenofovir 279:. Taking 222:Entecavir 198:Stavudine 165:phosphate 3624:Category 3493:Protease 3042:Adefovir 2944:assembly 2935:Vaccinia 2812:cytosine 2516:Loviride 1509:34618424 1394:11575933 1350:11371163 1315:17056061 1279:20068260 1177:11312355 1128:10445025 1084:10873473 1045:21484628 1037:12819513 952:Archived 857:10468556 796:Archived 792:21249155 750:PLOS ONE 723:35762379 658:25316512 650:28940154 603:12793872 520:See also 374:adefovir 355:abacavir 313:Adefovir 234:Azvudine 210:Abacavir 3519:Trypsin 2786:thymine 2757:uridine 2732:adenine 2696:guanine 2635:, also 2415:KP-1461 1961:Racivir 1731:MK-2048 1501:7540934 1466:9813120 1430:9000632 1358:3109889 1248:9754886 1213:9843396 991:9593005 948:8551567 897:8133086 823:Bibcode 783:3020970 758:Bibcode 392:Belgium 368:(ddI), 342:(ddC), 317:Hepsera 294:at the 228:Truvada 44:inhibit 42:. RTIs 3573:(EC 4) 3449:(EC 3) 3356:(EC 2) 3316:1.13 3273:(EC 1) 3151:WHO-EM 3037:NtRTIs 3000:NARTIs 2797:FV-100 2549:WHO-EM 2365:BIT225 2360:Abzyme 2291:(gene) 1978:NtRTIs 1873:(RTIs) 1531:(MeSH) 1507:  1499:  1464:  1428:  1392:  1356:  1348:  1313:  1277:  1246:  1211:  1175:  1168:114238 1165:  1126:  1082:  1043:  1035:  989:  946:  939:189915 936:  895:  855:  845:  790:  780:  729:  721:  713:  656:  648:  640:  601:  594:270672 591:  300:Gilead 244:, and 173:kinase 3571:Lyase 3531:Mixed 3524:Renin 3502:DPP-4 3337:1.17 3331:COX-2 3324:1.14 3227:Class 2988:(VII) 2851:Other 2641:D06BB 2637:S01AD 2353:Other 2336:BNAbs 1896:NRTIs 1675:gp120 1505:S2CID 1354:S2CID 1041:S2CID 955:(PDF) 848:17836 727:S2CID 654:S2CID 622:Drugs 376:(ADV) 361:(ETV) 350:(FTC) 335:(d4T) 82:Types 3587:4.2 3579:4.1 3554:3.5 3491:3.4 3473:3.2 3455:3.1 3404:2.7 3396:2.6 3383:2.5 3377:PARP 3375:2.4 3364:COMT 3362:2.1 3308:1.5 3300:1.4 3292:1.3 3279:1.1 2639:and 2578:DHHS 1634:CCR5 1622:gp41 1497:PMID 1462:PMID 1426:PMID 1390:PMID 1346:PMID 1311:PMID 1275:PMID 1244:PMID 1209:PMID 1173:PMID 1124:PMID 1080:PMID 1033:PMID 1015:AIDS 987:PMID 944:PMID 893:PMID 853:PMID 788:PMID 719:PMID 711:ISSN 646:PMID 638:ISSN 599:PMID 275:and 238:AIDS 109:The 36:AIDS 24:RTIs 3507:ACE 2904:HPV 2633:J05 1659:CD4 1578:J05 1574:HIV 1489:doi 1454:doi 1450:284 1418:doi 1414:264 1382:doi 1378:312 1338:doi 1334:309 1303:doi 1299:365 1236:doi 1201:doi 1163:PMC 1155:doi 1114:doi 1072:doi 1068:300 1023:doi 979:doi 975:177 934:PMC 924:doi 885:doi 881:169 873:pol 843:PMC 833:doi 778:PMC 768:doi 703:doi 630:doi 589:PMC 579:doi 482:". 439:as 394:). 72:DNA 68:RNA 32:HIV 3626:: 3495:: 3218:: 3164:: 2908:MC 2677:TK 2562:: 1666:, 1650:, 1646:, 1568:: 1503:. 1495:. 1483:. 1460:. 1448:. 1424:. 1412:. 1388:. 1376:. 1352:. 1344:. 1332:. 1309:. 1297:. 1271:17 1269:. 1242:. 1232:38 1230:. 1207:. 1197:37 1195:. 1171:. 1161:. 1151:75 1149:. 1145:. 1122:. 1108:. 1104:. 1092:^ 1078:. 1066:. 1062:. 1039:. 1031:. 1019:17 1017:. 1013:. 999:^ 985:. 973:. 950:. 942:. 932:. 920:70 918:. 914:. 891:. 879:. 851:. 841:. 831:. 819:96 817:. 813:. 794:. 786:. 776:. 766:. 752:. 748:. 725:. 717:. 709:. 699:17 697:. 693:. 674:. 652:. 644:. 636:. 626:77 624:. 620:. 597:. 587:. 573:. 569:. 302:. 240:, 146:. 58:. 3208:e 3201:t 3194:v 3126:/ 3039:: 3035:/ 3002:: 2998:/ 2946:: 2918:/ 2906:/ 2886:) 2882:( 2819:) 2815:( 2779:) 2773:) 2769:( 2760:( 2739:) 2735:( 2725:) 2721:/ 2712:/ 2703:/ 2699:( 2643:) 2618:e 2611:t 2604:v 2576:Β° 2164:Β° 2158:Β° 2152:Β° 2141:Β° 2125:Β° 2109:Β° 2006:) 2002:( 1980:: 1976:/ 1898:: 1894:/ 1846:Β° 1840:Β° 1777:) 1773:( 1682:) 1678:( 1670:) 1662:( 1654:) 1637:( 1629:) 1625:( 1613:) 1609:( 1580:) 1558:e 1551:t 1544:v 1511:. 1491:: 1485:2 1468:. 1456:: 1432:. 1420:: 1396:. 1384:: 1360:. 1340:: 1317:. 1305:: 1281:. 1250:. 1238:: 1215:. 1203:: 1179:. 1157:: 1130:. 1116:: 1110:4 1086:. 1074:: 1047:. 1025:: 993:. 981:: 926:: 899:. 887:: 859:. 835:: 825:: 770:: 760:: 754:6 733:. 705:: 660:. 632:: 605:. 581:: 575:7 390:( 22:(

Index

antiretroviral drugs
HIV
AIDS
hepatitis B
inhibit
reverse transcriptase
DNA polymerase
retroviruses
RNA
DNA
Nucleoside
Nucleotide
antiviral effect
deoxynucleotides
phosphodiester
chain termination
competitive substrate inhibitors
DNA synthesis
chain terminators
antiviral effect
drug toxicity/side effects
non-competitive inhibitors
phosphate
phosphorylation
kinase
Zidovudine
Didanosine
Zalcitabine
Stavudine
Lamivudine

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