Antiviral Drugs for HIV Infection

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Questions and Answers

Which of the following describes the role of Interferons in the immune response against viral infections?

  • Interferons directly kill virus-infected cells.
  • Interferons inhibit cell division to prevent virus spread.
  • Interferons only stimulate B cells to produce antibodies.
  • Interferons activate signaling pathways leading to the production of cytokines. (correct)

What is the primary action of Nucleoside Reverse Transcriptase Inhibitors (NRTIs) in HIV treatment?

  • They inhibit the enzyme HIV protease.
  • They enhance the immune response to HIV.
  • They promote the integration of viral DNA into the host genome.
  • They block the reverse transcription of viral RNA into DNA. (correct)

What occurs after the recruitment of STAT proteins in the interferon signaling process?

  • Inhibition of viral replication.
  • Formation of new viral particles.
  • Increased production of antibodies.
  • Phosphorylation of STAT proteins. (correct)

Which type of antiviral drug does not directly inhibit reverse transcriptase activity?

<p>Interferons (A)</p> Signup and view all the answers

What is the significance of interferons binding to specific cell surface receptors?

<p>It triggers a cascade of cellular responses including the transcription of interferon-stimulated genes. (D)</p> Signup and view all the answers

Which of the following actions are associated with interferons?

<p>Inhibit viral mRNA synthesis (B)</p> Signup and view all the answers

What is the role of 2',5'-Oligoadenylate synthetase (OAS) in the antiviral response?

<p>Activates protein kinase R (PKR) (D)</p> Signup and view all the answers

Which adverse effect is NOT commonly associated with interferon therapy?

<p>Elevated blood pressure (B)</p> Signup and view all the answers

What is the mechanism of action for NRTIs in treating HIV?

<p>Inhibit viral reverse transcriptase (A)</p> Signup and view all the answers

Which of the following drugs is categorized as a Non-Nucleoside Reverse Transcriptase Inhibitor (NNRTI)?

<p>Nevirapine (C)</p> Signup and view all the answers

What is a significant side effect of Zidovudine therapy?

<p>Neutropenia (B)</p> Signup and view all the answers

What distinguishes Non-Nucleoside Reverse Transcriptase Inhibitors from NRTIs?

<p>Bind directly to the viral RT catalytic site (B)</p> Signup and view all the answers

Which statement accurately describes the effects of Tenofovir?

<p>It is effective against HIV-1 and HIV-2 (D)</p> Signup and view all the answers

What is one of the primary actions of protease inhibitors in HIV treatment?

<p>Inhibit the cleavage of viral polyproteins (A)</p> Signup and view all the answers

Which condition is NOT typically treated with IFN-α-2b?

<p>Acute bacterial infections (C)</p> Signup and view all the answers

Which class of anti-HIV drugs is known for requiring activation into triphosphate metabolites?

<p>Nucleoside Reverse Transcriptase Inhibitors (A)</p> Signup and view all the answers

Which condition is associated with the adverse effect of lactic acidosis in anti-HIV drug therapy?

<p>Use of NRTIs (A)</p> Signup and view all the answers

What is a major concern regarding resistance in NNRTIs for HIV therapy?

<p>Resistance can occur due to mutations in reverse transcriptase (C)</p> Signup and view all the answers

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Study Notes

Antiviral Drugs – For HIV infection

  • Interferons are signaling proteins produced by host cells in response to pathogens.
  • Interferons bind to specific cell surface receptors and affect viral replication.
  • Antiviral drugs for HIV infection fall into several categories: NRTIs, NNRTIs, NtRTIs, Protease inhibitors, Entry/fusion inhibitors, CCR5 inhibitors, Integrase inhibitors, and Newer antiviral drugs.
  • NRTIs are activated into triphosphate metabolites by host cell kinase.
  • The triphosphate form of NRTIs competes with viral nucleoside triphosphate for viral RT.
  • NRTIs lack a 3’OH group or have –N3 in place of 3’ OH, which terminates DNA chain elongation.
  • Zidovudine is a thymidine analogue used for palliative treatment for HIV 1, 2 and HTLV I and II.
  • NNRTIs do not require activation through phosphorylation, binding directly to the catalytic site of viral RT and inactivating the enzyme to inhibit viral DNA synthesis.
  • Tenofovir, a nucleotide reverse transcriptase inhibitor (NtRTI), competitively inhibits HIV- RT enzyme.
  • Tenofovir is a prodrug hydrolysed in the liver to tenofovir and then phosphorylated to active tenofovir diphosphate.

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