L1 - Antiviral chemotherapy Flashcards
What does a virus need from the host cell?
Raw materials for synthesis
cell machinery
transport
to live
enveloped viruses - need membranes
What are the ideal characteristics of antiviral drugs?
cell permeable
target critical stage of virus life cycle
no resistance
inhibition of virus protein
not active against cellular targets
How many different genotypes of HCV?
7 genotypes
how many individuals infected with HCV develop chronic liver disease?
85%
Is there a vaccine for HCV?
NO
but there are DAAs
What is the genome of HCV?
9.5Kb +sense RNA
How many open reading frames for HCV?
SINGLE ORF
What are components of the HCV genome?
single ORF
IRES
helices - unwinding
structural + non-structural sections
How is HCV studied?
subgeneric replicon - ONLY CONTAINS REPLICATION PROTEINS
not infectious - can work in BSL2 lab
What is a complete virus?
produces infectious particles
BLS3 lab
What are the important proteins in the subgeneric replicon of HCV?
NS3/NS4A
NS5A
NS5B
What is the 3rd generation inhibitor of NS3 (HCV)?
Voxilaprevir
What was the issue with the 2nd generation inhibitor of NS3 (HCV)?
Simeprevir doesn’t work against GT3
What was the issue with the 1st generation inhibitor of NS3 (HCV)?
Telaprevir, boceprevir
low barrier to resistance, side effects of skin reactions/anaemia
specific to genotype 1
What is the inhibitor of NS5B that is a nucleoside analogue?
SOFOSBUVIR