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HIV Antiretroviral Drug Therapy
Immunology
Hamid afkhami
› The most significant advance in the medical
management of HIV infection has been the treatment
of patients with antiviral drugs, which can suppress
HIV replication to undetectable levels.
› The drugs are distributed into six distinct classes based
on their molecular mechanism and resistance profiles.
ANTIRETROVIRAL THERAPY
Classes of antiviral drugs
1. nucleoside-analog reverse transcriptase inhibitors
(NRTIs)
2. non–nucleoside reverse transcriptase inhibitors
(NNRTIs)
3. integrase inhibitors
4. protease inhibitors (PIs)
5. fusion inhibitors *
6. coreceptor antagonists**
ENTRY INHIBITORS
Nucleoside/Nucleotide
-analog reverse transcriptase inhibitors (NRTIs)
› Emtricitabine (2013)
› tenofovir disoproxil
fumarate (2001)
› didanosine (2000)
› zidovudine (1987)
Ph
non–nucleoside reverse transcriptase inhibitors
(NNRTIs)
› Rilpivirine (2011)
› Etravirine (2011)
› Elvitegravir (2014)
› dolutegravir (2013)
Integrase inhibitors
co
› Darunavir (2006)
› Tipranavir (2005)
› Atazanavir (2003)
Protease inhibitors (PIs)
160
› Fusion inhibitors block HIV
from entering the CD4 cells
of the immune system by
attaching to gp41.
› Enfuvirtide (2003)
Fusion inhibitors
› Maraviroc works by attaching to
a protein on the surface of the
immune cells. The protein is
called the CCR5 co-receptor.
› Maraviroc (2007)
Coreceptor antagonists
› Pharmacokinetic enhancers are used in HIV treatment to
increase the effectiveness of an HIV medicine included in an HIV
regimen.(EX atazanavir or darunavir )
› When used with atazanavir or darunavir, cobicistat interferes
with the breakdown of the drugs in the body. In this way,
cobicistat increases the blood levels of atazanavir or darunavir,
making them more effective.
› cobicistat
Pharmacokinetic Enhancers
› Highly Active AntiRetroviral Therapy
› emtricitabine, rilpivirine, and tenofovir
alafenamide
› emtricitabine and tenofovir alafenamide
Combination HIV Medicines
› antibody 3BNC117
› enzyme
discoveries
› www.ncbi.nlm.nih.gov
› www.medscape.com
› www.aidsinfo.nih.gov
› www.Wikipedia.com
› Cellular & molecular Immunology
eight edition (Abul k.Abass)
› Google image
Source
Have a nice day

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Immunology.hiv drugs

  • 1. HIV Antiretroviral Drug Therapy Immunology Hamid afkhami
  • 2. › The most significant advance in the medical management of HIV infection has been the treatment of patients with antiviral drugs, which can suppress HIV replication to undetectable levels. › The drugs are distributed into six distinct classes based on their molecular mechanism and resistance profiles. ANTIRETROVIRAL THERAPY
  • 3. Classes of antiviral drugs 1. nucleoside-analog reverse transcriptase inhibitors (NRTIs) 2. non–nucleoside reverse transcriptase inhibitors (NNRTIs) 3. integrase inhibitors 4. protease inhibitors (PIs) 5. fusion inhibitors * 6. coreceptor antagonists** ENTRY INHIBITORS
  • 4. Nucleoside/Nucleotide -analog reverse transcriptase inhibitors (NRTIs) › Emtricitabine (2013) › tenofovir disoproxil fumarate (2001) › didanosine (2000) › zidovudine (1987) Ph
  • 5.
  • 6. non–nucleoside reverse transcriptase inhibitors (NNRTIs) › Rilpivirine (2011) › Etravirine (2011)
  • 7. › Elvitegravir (2014) › dolutegravir (2013) Integrase inhibitors co
  • 8. › Darunavir (2006) › Tipranavir (2005) › Atazanavir (2003) Protease inhibitors (PIs) 160
  • 9. › Fusion inhibitors block HIV from entering the CD4 cells of the immune system by attaching to gp41. › Enfuvirtide (2003) Fusion inhibitors
  • 10. › Maraviroc works by attaching to a protein on the surface of the immune cells. The protein is called the CCR5 co-receptor. › Maraviroc (2007) Coreceptor antagonists
  • 11. › Pharmacokinetic enhancers are used in HIV treatment to increase the effectiveness of an HIV medicine included in an HIV regimen.(EX atazanavir or darunavir ) › When used with atazanavir or darunavir, cobicistat interferes with the breakdown of the drugs in the body. In this way, cobicistat increases the blood levels of atazanavir or darunavir, making them more effective. › cobicistat Pharmacokinetic Enhancers
  • 12. › Highly Active AntiRetroviral Therapy › emtricitabine, rilpivirine, and tenofovir alafenamide › emtricitabine and tenofovir alafenamide Combination HIV Medicines
  • 13. › antibody 3BNC117 › enzyme discoveries
  • 14. › www.ncbi.nlm.nih.gov › www.medscape.com › www.aidsinfo.nih.gov › www.Wikipedia.com › Cellular & molecular Immunology eight edition (Abul k.Abass) › Google image Source
  • 15. Have a nice day