Acquired Immune Deficiency Syndrome (AIDS), an immuno-compromized condition, a sequel to untreated human immunodeficiency virus (HIV) infection, inviting several life-threatening diseases, has become one of the most fatal disorders in the recent past because of HIV strain variance due to mutations, passive latency and reservoirs helping in replenishing and reviving the HIV-1 proviral DNA. Scientific efforts have led to the discovery of several effective drugs against HIV and lowered the morbidity and mortality all over the world. However, despite availability of a good number of anti-HIV drugs, the problem, for the foreseeable reasons, stands out as the most chronic disease due to the less tolerability and low accessibility of drugs, life-long expensive treatment, and above all, the emergence of drug resistant viral strains. This review dwells upon HIV infection and its proliferation inside the host system, drug targets, different types of drugs, their structural features and mode of interaction with viral targets and drug regimens. It further focuses on topics of latest interest regarding drug development, fixed dose combinations (FDCs), the limitations of present day drugs with their structural features along with their pharmacodynamics, pharmacokinetics and pharmacogenomics and the challenges in finding a permanent cure for HIV/AIDS.
Rhodium(II) Acetate-Catalyzed Stereoselective Synthesis, SAR and anti-HIV Activity of Novel Oxindoles Bearing CyclopropaneRing. -Stereoselective cyclopropanation of diazolactams (I) leads to novel oxindoles whose structure is based upon docking studies. The major diastereoisomers are tested as probable NNRTIs against HIV-1. However, the compounds show very low anti-HIV activity under in vitro conditions. -(KUMARI, G.; NUTAN; MODI, M.; GUPTA, S. K.; SINGH*, R. K.; Eur.
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