Antivirals Flashcards
Different types of viruses that are nucleic acid coated in proteins.
DNA viruses, RNA viruses and retroviruses
DNA viruses (e.g., smallpox, herpes), translate the DNA into the mRNA of host
RNA viruses (e.g., COVID, influenza, measles) insert RNA, which acts as mRNA in the host
Retroviruses (e.g., HIV) DNA copy is made of the RNA by viral reverse transcriptase, and then the DNA is integrated into the hosts DNA.
mechanism of viral infections
The virus encodes a number of proteins that complete specific tasks that hijack the host, to improve replication of the virus.
Protiens include reverse transcriptases, proteases, integrases (integrate genetic material into host genome), and inhibitor proteins (of DNA repair/immune system).
HIV mechanism
9 genes that encode 20 proteins.
Enters into the cell using CD4 and CCR5/CXCR4 receptors.
Makes copy of DNA from RNA using viral reverse transcriptase, and then it is integrated into host DNA
Drugs classes targeting HIV and their mechanisms
inhibiting entry:
CD4 inhibitors (enfuvirtide and fostemasavir) inhibit entry of HIV into cell.
CCR5/CXCR4 inhibitors (antibodies against it or block it) ex: maraviroc
fusion inhibitors
inhibiting functions in cell:
HIV reverse transcriptase inhibitors (e.g., nucleotides, nucleosides, and non-nucleosides) inhibit the production of the viral DNA from its RNA
HIV integrase inhibitors (e.g., raltegravir, dolutegravir, elvitegravir) inhibit the integration of the viral DNA into the host DNA
HIV protease inhibitors (e.g., ritonavir, lopinavir) inhibits the protein processing following transcription that is necessary for the HIV-encoded proteins to hijack the host
Antivirals for COVID
Sotrovimab is a monoclonal antibody vaccine (no-longer used)
paxlovid is a protease inhibitor of protease for the translation of the proteins in the virus. Ritonavir has also been used
molnupiravir inhibits the replication of the proteins.
How do nucleotides-looking compounds treat viruses
They can integrate into the RNA, inhibiting the proof reading of the RNA-replication enzyme. Inhibits transcription.
Remdesivir is a broad spectrum antiviral that utilises this mechanism.