Document Detail


Pharmacological issues relating to viral resistance.
MedLine Citation:
PMID:  10885828     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Anti-HIV drug regimens can fail for a number of reasons including virological resistance, difficulties of adherence and poor tolerability. However, this brief review focuses on the development of "pharmacological" resistance as an area of great importance in drug failure. For nucleoside reverse transcriptase inhibitors (NRTIs) this is related to the possible down-regulation of the intracellular phosphorylation of an NRTI with time. For protease inhibitors the concern is cells expressing transmembrane energy-dependent transporters (such as p-glycoprotein, p-gp; or multi-drug resistance protein, MRP) which efflux drug (particularly protease inhibitors) out of the cell so that intracellular concentrations of drug are insufficient for antiviral effect.
Authors:
D J Back
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Infection     Volume:  27 Suppl 2     ISSN:  0300-8126     ISO Abbreviation:  Infection     Publication Date:  1999  
Date Detail:
Created Date:  2000-07-27     Completed Date:  2000-07-27     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  0365307     Medline TA:  Infection     Country:  GERMANY    
Other Details:
Languages:  eng     Pagination:  S42-4     Citation Subset:  IM; X    
Affiliation:
Dept. of Pharmacology and Therapeutics, University of Liverpool, UK.
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MeSH Terms
Descriptor/Qualifier:
Anti-HIV Agents / pharmacology*
Drug Resistance, Microbial / physiology*
HIV Infections / drug therapy
Humans
Phosphorylation / drug effects
Treatment Failure
Virus Physiological Phenomena / drug effects*
Viruses / drug effects*
Chemical
Reg. No./Substance:
0/Anti-HIV Agents

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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