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Elderly males are prone to HIV infections with a high risk of HIV-associated fatality. Our findings support early prevention and critical care for elderly populations to control HIV infections.
An entry from the Cambridge Structural Database, the world’s repository for small molecule crystal structures. The entry contains experimental data from a crystal diffraction study. The deposited dataset for this entry is freely available from the CCDC and typically includes 3D coordinates, cell parameters, space group, experimental conditions and quality measures.
status: Published
Abstract Nucleoside analogues with a 1,4-dioxane, 1,4-oxathiane or 1,4-oxazine ring structure were prepared from the corresponding dimesylated seconucleosides.
Norcarbovir (1) and norabacavir (2), the desmethylene derivatives of anti-HIV agents carbovir and abacavir, were efficiently synthesized from a common intermediate . Their antitumor and antiviral activities were evaluated and the results indicate norabacavir showed comparable anti-HIV activity to that of abacavir.
With the recent approvalof Atripla™ by the US FDA for the treatment of AIDS as the first triple-drug combination one-a-day pill, it would appear appropriate to review both the origin and development of this anti-HIV medicine. Atripla consists of three active ingredients, a nucleotide reverse transcriptase inhibitor (NtRTI), a nucleoside reverse transcriptase inhibitor (NRTI) and non-nucleoside reverse transcriptase inhibitor (NNRTI). The cornerstone in Atripla is the NtRTI tenofovir disoproxil fumarate (Viread™) complemented by the NRTI emtricitabine (Emtriva™) and the NNRTI efavirenz (Sustiva™). This triple-drug combination offers a number of advantages compared with the single-drug regimens, such as synergistic mechanism of action, decreased risk of drug-resistance development and reduction of toxic side effects of the individual drugs, while increasing drug compliance (based on once-daily dosing). Since the first NtRTI, adefovir, was described as an antiretroviral agent, it has taken exactly 20 years to successfully develop its combination with emtricitabine and efavirenz as the ‘combo’ pill Atripla for the treatment of AIDS.