| Autor: |
Hitchcock, M. J. M., Jaffe, H. S., Martin, J. C., Stagg, R. J. |
| Zdroj: |
Antiviral Chemistry & Chemotherapy; June 1996, Vol. 7 Issue: 3 p115-127, 13p |
| Abstrakt: |
Cidofovir is a potent, broad spectrum antiviral agent with activity in vitroand in vivoagainst cytomegalovirus and other members of the herpesvirus family, as well as certain other DNA viruses. After uptake into cells it is converted enzymatically to cidofovir diphosphate, a structural analogue of deoxycytidine triphosphate, which selectively inhibits viral DNA polymerases relative to host cell polymerases. Cross-resistance to cidofovir is not usually seen with human cytomegalovirus isolates that are foscarnet-resistant, or isolates that are ganciclovir-resistant due to a deficiency in ganciclovir phosphorylation. Cross-resistance is seen, however, with isolates that are ganciclovir resistant due to polymerase mutations. A prolonged elimination phase seen in vivo, correlates with a long intracellular half-life seen in vitroand allows for efficacy in animal models of virus infection with infrequent dosing or prophylaxis. Clinical studies of intravenous cidofovir in cytomegalovirus retinitis in patients with AIDS are claimed to show delay of retinitis progression with maintenance doses given once every 2 weeks. |
| Databáze: |
Supplemental Index |
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