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RNA Virus(sect.4.7)
HIV Antiviral Drug Classes
| Question | Answer |
|---|---|
| Nucleoside analogs | (nukes) block reverse transcriptase. makes a DNA copy of the RNA genome |
| Non-nucleoside analogs | (non-nukes) block reverse transcriptase (in a different way) |
| Protease inhibitors | block viral protease |
| Integrase inhibitors | block viral intergrase, viral DNA is not inserted into chromosome; several in clinical trials, none currently FDA approved |
| Fusion inhibitors | T-20 prevents viral entry; latest drug, injected |
| How many Antiretroviral drugs are approved by the FDA | 19 |
| What is the average monthly cost | >1,200 |
| They must be taken on a | strict time schedule |
| Do they have any side effects | Yes, SEVERE |
| Do they work for everyone? | NO |
| What are the side effects of anitviral drugs | Liver damage/failure. Diabetes. Lipodystrophy, abnormal accumulation of fat in back and abdomen, and sunken in face. High fat concentration in blood. Bone loss and heart attacks. Hallucinations, vivid dreams and rashes |
| What are the obstacles to vaccine development | HIV constantly changes, HIV only infects humans; there is no animal model. Don't know what part of HIV to target. Don't know what an effective ammune response to HIV is and how to stimulate that. |