2015
DOI: 10.2217/fmb.15.106
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Resistance to Reverse Transcriptase Inhibitors Used in the Treatment and Prevention of HIV-1 Infection

Abstract: Inhibitors that target the retroviral enzyme reverse transcriptase (RT) have played an indispensable role in the treatment and prevention of HIV-1 infection. They can be grouped into two distinct therapeutic groups; namely the nucleoside and nucleotide RT inhibitors (NRTIs), and the nonnucleoside RT inhibitors (NNRTIs). NRTIs form the backbones of most first- and second-line antiretroviral therapy (ART) regimens formulated for the treatment of HIV-1 infection. They are also used to prevent mother-to-child tran… Show more

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Cited by 37 publications
(28 citation statements)
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“…The plasticity of HIV-1 quasispecies allows them to infect different cell targets [8], escape host immunity [9], and resist inhibition by ART [10]. A major challenge for the study of this high level of genetic diversity is the limited capacity of bulk PCR/sequencing techniques to capture the complexity of the viral quasispecies [11].…”
Section: Introductionmentioning
confidence: 99%
“…The plasticity of HIV-1 quasispecies allows them to infect different cell targets [8], escape host immunity [9], and resist inhibition by ART [10]. A major challenge for the study of this high level of genetic diversity is the limited capacity of bulk PCR/sequencing techniques to capture the complexity of the viral quasispecies [11].…”
Section: Introductionmentioning
confidence: 99%
“…Viral polymerases remain attractive drug targets for the development of selective antiviral therapies [35]. Generally, clinically-approved inhibitors that target these proteins fall into two broad classes [6,7]. The first class consists of nucleoside analogues that mimic the natural substrate of the enzyme.…”
Section: Introductionmentioning
confidence: 99%
“…The reverse transcriptase (RT) of the HIV-1 plays a pivotal role in the viral replication process, which makes it a crucial target for anti-HIV-1 inhibitors research (Jonckheere, Anné, De Clercq, 2000;Yisma et al, 2014). In spite of numerous RT inhibitors (including the nucleotide RT inhibitors (NRTIs) and non-nucleotide RT inhibitors (NNRTIs) have been discovered and developed, like other anti-HIV-1 inhibitors, effectiveness of currently approved NRTIs and NNRTIs have been hampered because of their severe side effects and the aggravation of viral variants resistant to HIV-1 drug (Boone, 2006;De Clercq, 2002;Sluis-Cremer, Wainberg, Schinazi, 2015;Yu et al, 2011). To circumvent this challenge, there is an urgent require to develop new, efficacy, selective and safe HIV-1 inhibitors having significant potency against drugresistant RT viral strains and less toxicity still remains a high priority for medical research (Huang et al, 2007;Polanski et al, 2006;Safakish et al, 2017).…”
Section: Introductionmentioning
confidence: 99%