2000
DOI: 10.2174/1381612003400687
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Design of Anti-HIV Compounds from Nucleoside to Nucleoside 5-Triphosphate Analogs. Problems and Perspectives

Abstract: To date, human immunodeficiency virus infection remains incurable although a variety of antiviral agents have been identified and characterized. Even though nucleoside analogs have been the most successful prodrugs, there remains the need to develop new compounds that exhibit a more favorable toxicity profile, less susceptible to cross-resistance, and greater efficacy. As prodrugs, the nucleoside analogs should be sequentially phosphorylated by cellular kinases to yield triphosphate form before they can inhibi… Show more

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Cited by 52 publications
(26 citation statements)
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References 54 publications
(82 reference statements)
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“…Most nucleoside prodrugs include advanced oral forms or hydrophobic derivatives with superior bio-availability [14][15][16]. However, successful applications of this approach using NTP only include covalent phospholipid conjugates of anti-HIV drug, 3′-azidothymidine (AZT) demonstrating a higher bioavailability and lower toxicity than AZT [17].…”
Section: The Active Form Of Nucleoside Analogs Is Nucleoside 5′-triphmentioning
confidence: 99%
“…Most nucleoside prodrugs include advanced oral forms or hydrophobic derivatives with superior bio-availability [14][15][16]. However, successful applications of this approach using NTP only include covalent phospholipid conjugates of anti-HIV drug, 3′-azidothymidine (AZT) demonstrating a higher bioavailability and lower toxicity than AZT [17].…”
Section: The Active Form Of Nucleoside Analogs Is Nucleoside 5′-triphmentioning
confidence: 99%
“…[1][2][3][4] Two main approaches have been envisaged requiring either structural modifications or introduction of transient groups. In the first case, a specific enzymatic system is needed to perform the bioconversion of the structurally modified phosphorylated precursor.…”
Section: Introductionmentioning
confidence: 99%
“…The best example is the reverse transcriptase from human immunodeficiency virus (5,22,23,28,47,49). In most cases, (deoxy)nucleoside analogs that enter the clinic exploit the relaxed fidelity of viral polymerases relative to those of related cellular polymerases (3,10,15,23,28,30,33,43,47).…”
mentioning
confidence: 99%