Antivirals Flashcards
What are the potential drug targets during viral replication?
- attachment of the viral particle to membrane
- penetration into the cytoplasm
- uncoating
- multiplication of genetic material
- protein synthesis
- assembly of new particle
- release
What is the most common veterinary use for antivirals?
ophthalmology to treat herpes in cats and horses
What is the most effective step of virus replication that an antiviral can inhibit?
viral attachment, as it stops the replication process before it has even started
How does amantadine work?
inhibits penetration and uncoating of influenza A virus
What is another use of amantadine?
analgesic, for animals that are unresponsive to others such as opiates
What antivirals target viral multiplication?
- idoxuridine
- acyclovir
- zidovudine/azidothymine
How does idoxuridine work?
- incorporated into viral DNA
- iodine prevents base pairing, so replication inhibited
Why is idoxuridine not given systemically?
because it also inhibits mammalian DNA replication
What is a veterinary use of idoxuridine?
herpetic keratitis in cats, topically given
How is acyclovir activated?
- phosphorylated 3 times
- first phosphorylation carried out by herpes thymidine kinase
- 2nd and 3rd carried out by host kinases
How does acyclovir work as an antivral?
inhibits DNA polymerase
What is acyclovir available as?
- ophthalmic ointment
- skin ointment
- tablet
- injection
What is acyclovir used for?
Herpes
What are the other forms of acyclovir?
gancyclovir and famcyclovir
What are the methods of acyclovir resistance?
- mutations in viral thymidine kinase, so acyclovir can’t be activated
- mutations in DNA polymerase