“…To date, no drug has cured HIV infection, but some that are the most successful in inhibiting the cytopathic effect of HIV and that are in clinical use are the dideoxynucleosides (ddNs): 2Ј,3Ј-dideoxyinosine (ddI), 2Ј,3Ј-dideoxycytidine (ddC), 2Ј,3Ј-didehydro-3Ј-deoxythymidine, and 3Ј-substituted dideoxynucleosides such as 3Ј-azido-3Ј-deoxythymidine (AZT) (3, 4, 13, 22, 48-50, 69, 81). Others such as the oxathiolane ddNs which show promise as potent anti-HIV compounds are also being developed (6,12,14,74,82). As prodrugs, these ddNs must be sequentially phosphorylated intracellularly to yield ddN 5Ј-triphosphates, thus becoming nucleotide analogs of the 2Ј-ddN 5Ј-triphosphates before they can act, at the reverse transcriptase level, as competitive inhibitors and/or alternate substrates (chain terminators) with respect to the natural deoxynucleotide substrates (1,15,16,19).…”