Antiviral drugs nucleoside analogues

Purine Nucleoside Derivatives. A number of purine nucleoside analogues are also found to be active against several DNA vimses (Fig. 3). The clinically active antiviral drug ara-A (9-P-D-arabinofuranosyladenine [5536-17-4] vidarabine, 23) is active against a number of DNA vimses in vivo and also inhibits certain RNA tumor vimses which repHcate through a DNA intermediate (43). Ara-A, was first synthesized in 1960 (44) and later... 

Antiviral Drugs. Figure 2 Mechanism of action of chain-terminating nucleoside analogues. 

OATs) non-steroidal anti-inflammatory drugs, antiviral nucleoside analogues... 

Dose adjustment for combination therapy with saquinavir For serious toxicities that may be associated with saquinavir mesylate, the drug should be interrupted. Saquinavir mesylate at doses less than 1,000 mg with ritonavir 100 mg twice daily are not recommended since lower doses have not shown antiviral activity. For recipients of combination therapy with saquinavir mesylate and ritonavir, dose adjustments may be necessary. These adjustments should be based on the known toxicity profile of the individual agent and the pharmacokinetic interaction between saquinavir and the coadministered drug. Health care providers should refer the complete monographs for these drugs for comprehensive dose adjustment recommendations and drug-associated adverse reactions of nucleoside analogues. 

A. Oseltamivir inhibits neuraminidase, an enzyme that cleaves neuraminic acid from oligosaccharides. Neuraminidase activity aids the movement of viral particles through neuraminic acid-rich respiratory secretions and is required for the release of progeny virions. Inhibition of viral DNA polymerase is the mechanism of action of nucleoside analogue antiviral drugs. Interferons do stimulate the JAK-STAT signaling pathway but do not stimulate proliferation of immune cells. Ribavirin inhibits GTP synthesis, and the antiretroviral protease inhibitors (e.g., ritonavir) inhibit HIV protease. 

Antiviral and antitumor properties of nucleoside analogues have given rise to a considerable number of smdies. These compounds are often inhibitors of the enzymes that are involved in the biosynthesis of nucleosides, in DNA replication and transcription phenomena, and in metabolic transformation (e.g., phosphorylation of a nucleoside). For these reasons, fluorinated analogues of nucleosides have been especially studied, and this phenomenon has increased due to the search for anti-HIV drugs. 

Marine life can also be a rich source of medicinal material. For example, C-nucleosides spongouridine and spongothymidine isolated from the Caribbean sponge Cryptotheca crypta possess antiviral activity. Synthetic analogues led to the development of cytosine arabinoside, a useful anticancer drug. Microbes also provide extremely useful medicines, the most famous case being penicillin... 

Because of indinavir s metabolism, a number of drug interactions are possible. Indinavir interacts with rifabutin or ketoconazole, leading to increased or decreased indinavir concentration, respectively, in the blood plasma. Administration of drug combinations of indinavir with antiviral nucleoside analogues, cimetidine, quinidine, trimethoprim/sulfamethoxazole, fluconazole, or isoniazid resulted in an increased activity of indinavir. Indinavir is ... 

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