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An '''antiviral drug''', or '''antiviral agent''', is a compound that interfers with the [[viral replication cycle|replication cycle]] of [[virus|viruses]]. They can be divided into three non-exclusive categories: [[protease inhibitor]]s, [[anti-metabolite]]s and [[reverse transcriptase inhibitor]]s, based on the ways in which they disrupt viral replication cycles. While antiviral drugs are intended for systemic use by ingestion or injection of the drug, [[virucide]]s are used exclusively on objects and surfaces and, when possible, topically.
An '''antiviral drug''', or '''antiviral agent''', are "agents used in the prophylaxis or therapy of virus diseases. Some of the ways they may act include preventing viral replication by inhibiting viral DNA polymerase; binding to specific cell-surface receptors and inhibiting viral penetration or uncoating; inhibiting viral protein synthesis; or blocking late stages of virus assembly."<ref>{{MeSH}}</ref> While antiviral drugs are intended for systemic use by ingestion or injection of the drug, [[virucide]]s are used exclusively on objects and surfaces and, when possible, topically.  Antiviral drugs are used extensively to treat [[HIV]], [[hepatitis C]], [[herpes]] and other devastating viruses.  The protease inhibitor [[Atazanavir]], popularly known as AZT, was the first widely used treatment for HIV.


[[Protease inhibitor]]s, as the name suggests, inhibit the function of [[protease]] [[enzymes]] created by viruses.  The [[DNA]] or [[RNA]] in viruses are coded to produce large polyproteins, which need to be cleaved into smaller functional proteins by viral proteases before infectious, mature virus particles can be formed. For example, [[West Nile virus]] and [[Dengue|Dengue virus]] produce a single polyprotein that must be cleaved into ten separate proteins.
==Classification==
They can be divided into three non-exclusive categories: [[protease inhibitor]]s, [[anti-metabolite]]s and [[reverse transcriptase inhibitor]]s, based on the ways in which they disrupt viral replication cycles. In addition some antivirals bind to specific cell-surface receptors and inhibit viral penetration or uncoating.


[[Anti-metabolite]]s, which are often nucleoside analogs that disrupt the replication or translation of viral [[DNA]] or [[RNA]] upon their incorporation or [[reverse transcriptase inhibitors]] (RTIs).  Some drugs fit 2 or 3 of these categories.  More information about these drugs can be found in their respective article pages.
See [[catalog of antiviral drugs]].


== List of protease inhibitors ==
===Protease inhibitors===
[[Protease inhibitor]]s, as the name suggests, inhibit the function of [[protease]] [[enzymes]] created by viruses.  The [[DNA]] or [[RNA]] in viruses are coded to produce large polyproteins, which need to be cleaved into smaller functional proteins by viral proteases before infectious, mature virus particles can be formed.  For example, [[West Nile virus]] and the [[Dengue fever]] virus produce a single polyprotein that must be cleaved into ten separate proteins.  The antiviral drugs [[amprenavir]], [[atazanavir]], [[indinavir]], [[nelfinavir]], [[ritonavir]], [[saquinavir]] and [[tipranavir]] are protease inhibitors.


* [[Amprenavir]]
===Anti-metabolites===
[[Anti-metabolite]]s are chemicals that mimic natural biochemical building blocks, and most often are analogs of the nucleotides used to make DNA and RNA.  Anti-metabolites act as DNA or RNA chain terminators during the replication or translation of viral DNA or RNA.  Often, the drugs are missing one of the necessary linkage groups, such as a 3'- or 5'-hydroxyl group in the sugar, so that the drug gets incorporated into new viral RNA or DNA, but the next nucleotide base cannot be added because a linkage group is missing. Anti-metabolites also bind competitively with genuine metabolites in the active sites of the [[polymerases]] that create viral nucleic acids, and thus also slow down production of viral nucleic acids by clogging up the polymerases.


* [[Atazanavir]]
===Reverse transcriptase inhibitors===
Many of the anti-metabolites are also [[reverse transcriptase inhibitors]] (RTIs).  They inhibit the [[reverse transcriptase]] enzymes by binding to them either irreversibly by forming covalent linkages, or in competition with natural biochemicals.  This class of drugs stops the conversion of viral RNA into DNA.


* [[Indinavir]]
==References==
 
<references/>[[Category:Suggestion Bot Tag]]
* [[Nelfinavir]]
 
* [[Ritonavir]]
 
* [[Saquinavir]]
 
* [[Tipranavir]]
 
 
== antimetabolites and RT inhibitors ==
 
* [[Abacavir]] - a powerful nucleoside analog reverse transcriptase inhibitor used to treat HIV and AIDS.
 
* [[Adefovir Dipivoxil]] - nucleotide analog reverse transcriptase inhibitor (ntRTI) hepatitis B treatment.
 
* [[Cidofovir]] - an viral DNA synthase inhibitor treats  [[cytomegalovirus]] (CMV) [[retinitis]].
 
* [[Delavirdine]] - A non-nucleoside reverse transcriptase (RT) inhibitor active against HIV-1.
 
* [[Didanosine]] - a dideoxynucleoside prevents phosphodiester bonds; it is an inhibitor of HIV replication.
 
* [[Emtricitabine ]] - a [[cytidine]] analog, RT inhibitor for treatment of HIV.
 
* [[Entecavir]] - a guanosine analog for treatment of hepatitis B.
 
* [[Efavirenz]] - a non-nucleoside reverse transcriptase inhibitor (NNRTI)used to treat HIV.
 
* [[Famciclovir]] -  a guanine analogue, treats herpesviruses, mostly for [[herpes zoster|shingles]].
 
* [[Foscarnet]] - inorganic pyrophosphate analog treats CMV retinitis, herpesviruses, and HIV.
 
* [[Ganciclovir]] - an [[acyclovir]] analog inhibitor of Herpesviruses including cytomegalovirus.
 
* [[Idoxuridine]] - a deoxyuridine analog that inhibits viral DNA synthesis.
 
* [[Lamivudine]] - An RT inhibitor, zalcitabine analog used to treat HIV disease
 
* [[Nevirapine]] - a non-nucleoside reverse transcriptase inhibitor used to treate [[HIV]]/[[AIDS]]
 
* [[Oseltamivir]] (Tamaflu) - inhibits neuraminidase in the treatment of influenza infections.
 
* [[Penciclovir]] - a guanine analogue  used to treat various [[herpesvirus]]es
 
* [[Ribavirin]] - a nucleoside antimetabolite used against both RNA and DNA viruses.
 
* [[Rimantadine]] - a cyclic amine derivate of adamantane, inhibits replication of influenza A, but not B.
 
* [[Stavudine]] - A dideoxynucleoside analog, inhibits reverse transcriptase in HIV treatment.
 
* [[Tenofovir]] - a nucleoside analog, reverse transcriptase inhibitor (nRTI),
 
* [[Vidarabine]] - purine nucleoside analogue for the treatment of chickenpox (varicella) and herpes viruses
 
* [[Zalcitabine]] - a dideoxynucleoside, prevents phosphodiester bonds, a potent inhibitor of HIV replication.
 
* [[Zanamivir]] - a guanido-neuraminic acid used to inhibit neuraminidase, inhibits influenza.
 
* [[Zidovudine]] - A dideoxynucleoside, prevents phosphodiester bonds, a potent inhibitor of HIV replication.
 
== External Links ==
Drug Bank at http://www.drugbank.ca/cat_browse.htm#subC10

Latest revision as of 11:01, 11 July 2024

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An antiviral drug, or antiviral agent, are "agents used in the prophylaxis or therapy of virus diseases. Some of the ways they may act include preventing viral replication by inhibiting viral DNA polymerase; binding to specific cell-surface receptors and inhibiting viral penetration or uncoating; inhibiting viral protein synthesis; or blocking late stages of virus assembly."[1] While antiviral drugs are intended for systemic use by ingestion or injection of the drug, virucides are used exclusively on objects and surfaces and, when possible, topically. Antiviral drugs are used extensively to treat HIV, hepatitis C, herpes and other devastating viruses. The protease inhibitor Atazanavir, popularly known as AZT, was the first widely used treatment for HIV.

Classification

They can be divided into three non-exclusive categories: protease inhibitors, anti-metabolites and reverse transcriptase inhibitors, based on the ways in which they disrupt viral replication cycles. In addition some antivirals bind to specific cell-surface receptors and inhibit viral penetration or uncoating.

See catalog of antiviral drugs.

Protease inhibitors

Protease inhibitors, as the name suggests, inhibit the function of protease enzymes created by viruses. The DNA or RNA in viruses are coded to produce large polyproteins, which need to be cleaved into smaller functional proteins by viral proteases before infectious, mature virus particles can be formed. For example, West Nile virus and the Dengue fever virus produce a single polyprotein that must be cleaved into ten separate proteins. The antiviral drugs amprenavir, atazanavir, indinavir, nelfinavir, ritonavir, saquinavir and tipranavir are protease inhibitors.

Anti-metabolites

Anti-metabolites are chemicals that mimic natural biochemical building blocks, and most often are analogs of the nucleotides used to make DNA and RNA. Anti-metabolites act as DNA or RNA chain terminators during the replication or translation of viral DNA or RNA. Often, the drugs are missing one of the necessary linkage groups, such as a 3'- or 5'-hydroxyl group in the sugar, so that the drug gets incorporated into new viral RNA or DNA, but the next nucleotide base cannot be added because a linkage group is missing. Anti-metabolites also bind competitively with genuine metabolites in the active sites of the polymerases that create viral nucleic acids, and thus also slow down production of viral nucleic acids by clogging up the polymerases.

Reverse transcriptase inhibitors

Many of the anti-metabolites are also reverse transcriptase inhibitors (RTIs). They inhibit the reverse transcriptase enzymes by binding to them either irreversibly by forming covalent linkages, or in competition with natural biochemicals. This class of drugs stops the conversion of viral RNA into DNA.

References