Antivirals Flashcards

1
Q

Name some viruses that cause acute infection

A

influenza, measles, mumps, hep A

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Why are some virus infections chronic?

A

If they’re DNA viruses (DNA can survive longer than RNA)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What are the 2 main features of a virus?

A

nucleic acid and protein coat

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is meant by obligate intracelliular parasites?

A

chemical structures that can only replicate inside cells

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What are the 8 stages of virus replication?

A
  1. virus attachment to cell
  2. cell entry
  3. virus uncoating
  4. early proteins produced
  5. replication
  6. late transcription/translation
  7. virus assemble
  8. virus release
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What are targets for antiviral activity@?

A

unique proteins

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Most anitvirals are based on what structure?

A

polymerases

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

what drug was found to inhibit HIV replication in 1985?

A

azidothymidine (AZT)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

By what action does AZT inhibit HIV replication?

A

nucleoside reverse transcriptase inhibitor (NRTI)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What was the problem with NRTIs initially?

A

resistance very rapidly developed and disease would return within a few weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Name 2 NRTIs that are active against HBV and HIV?

A

lamivudine and tenofovir

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Why are protease inhibitors not toxic?

A

Because viruses create their own unique proteases so these can be targeted, sparing the host

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

How must fusion inhibitors be administered?

A

IM

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What od chemokine receptor antagonists do?

A

prevents entry of virus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Why are as many as 3 drugs needed to overcome viruses?

A

Because they develop resistance so easily

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

When is HIV treatment started?

A

After CD4 falls (now evidence suggests should start straight away for everyone)

17
Q

Approximately how many nucleotides does a HIV genome contain?

A

about 9,000

18
Q

When will a strain become predominant?

A

If it has a selection advantage over fellow progeny

19
Q

M184C mutation results in resistance to what?

A

Lamivudine

20
Q

What are stem-cells reconstituted with?

A

HLA-matched but delta 32 homozygous allogeneic donor

21
Q

How are exisiting CD4 lymphocytes destroyed?

A

conditioning

22
Q

How do antivirals work?

A

by blocking a stage of viral replication