Mechanism Of Action Of Antivirals Flashcards
What are the current uses of antiviral drugs?
Treatment of acute infection
Treatment of chronic infection
Post-exposure prophylaxis and preventing infection
Prophylaxis for reactivated infection
How does selective toxicity work?
Target protein in virus, not the infected cell
What are the modes of action of amantadine?
Blocks low pH endosome dependant on coating M2 protein
What are the modes of action of acyclovir, ganciclovir and ribavarin?
Inhibit nucleic acid polymerisation
What are the modes of action of ribavarin?
Guanine analogue RSV
What are the modes of action of AZT?
Blocks HIV reverse transcriptase to prevent formation of dsDNA proteins from the HIV RNA genome
What are the types of herpesvirus?
Herpes simplex
Varicella zoster virus
Cytomegalovirus
Epstein-Barr virus
What does acyclovir treat?
HSV, VZV treatment and prophylaxis
How does acyclovir work?
Activated by the viral enzyme thymidine kinase
- > adds phosphates which makes it look like a base so it is incorporated into the viral DNA
- > very selective
What does ganciclovir treat?
CMV
How does ganciclovir work?
Inhibits CMV DNA polymerase by inhibiting V19 kinase
What are the main mechanisms of antiviral resistance in herpes?
Thymidine kinase mutants
DNA polymerase mutants
What is the HIV membrane associated matrix protein?
Gag 17
What is the HIV Nucleocapsid protein?
Gag p24
What is the HIV envelope protein?
Gp120 with transmembrane gp41