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丙型肝炎病毒NS3-4A蛋白酶靶向抗病毒治疗及耐药研究进展 被引量:2
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作者 郭妍 惠长野 +1 位作者 熊伟 张文 《中华临床感染病杂志》 CAS 2014年第1期89-93,共5页
丙型肝炎病毒(HCV)基因组的高度变异性使得HCV感染易呈慢性化,并极大地增加了肝硬化和肝癌的发病风险.效仿HIV蛋白酶抑制剂临床应用中取得的巨大成功,NS34A丝氨酸蛋白酶成为抗HCV感染小分子药物研发的重要靶点.此文围绕HCV NS3-4A蛋... 丙型肝炎病毒(HCV)基因组的高度变异性使得HCV感染易呈慢性化,并极大地增加了肝硬化和肝癌的发病风险.效仿HIV蛋白酶抑制剂临床应用中取得的巨大成功,NS34A丝氨酸蛋白酶成为抗HCV感染小分子药物研发的重要靶点.此文围绕HCV NS3-4A蛋白酶抑制剂研发的最新进展、抗病毒活性、药代动力学特性、不良反应及抗药性突变进行了综述. 展开更多
关键词 肝炎病毒 丙型 丝氨酸蛋白酶抑制剂 ns3-4a蛋白酶 抗药性
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The interferon inducing pathways and the hepatitis C virus 被引量:8
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作者 Eliane F Meurs Adrien Breiman 《World Journal of Gastroenterology》 SCIE CAS CSCD 2007年第17期2446-2454,共9页
The innate immune response is triggered by a variety of pathogens, including viruses, and requires rapid induction of typeⅠ?interferons (IFN), such as IFNβ and IFNα. IFN induction occurs when specific pathogen moti... The innate immune response is triggered by a variety of pathogens, including viruses, and requires rapid induction of typeⅠ?interferons (IFN), such as IFNβ and IFNα. IFN induction occurs when specific pathogen motifs bind to specific cellular receptors. In non-professional immune, virally-infected cells, IFN induction is essentially initiated after the binding of dsRNA structures to TLR3 receptors or to intracytosolic RNA helicases, such as RIG-Ⅰ/MDA5. This leads to the recruitment of specific adaptors, such as TRIF for TLR3 and the mitochondrial-associated IPS-1/VISA/MAVS/CARDIF adapter protein for the RNA helicases, and the ultimate recruitment of kinases, such as MAPKs, the canonical IKK complex and the TBK1/IKKε kinases, which activate the transcription factors ATF-2/ c-jun, NF-κB and IRF3, respectively. The coordinated action of these transcription factors leads to induction of IFN and of pro-inflammatory cytokines and to the establishment of the innate immune response. HCV can cleave both the adapters TRIF and IPS-1/VISA/MAVS/ CARDIF through the action of its NS3/4A protease. This provokes abrogation of the induction of the IFN and cytokine pathways and favours viral propagation and presumably HCV chronic infection. 展开更多
关键词 Toll-like receptor RNA helicase Mitochondrialadapter Cardif TBK1/IKKepsilon Interferon induction HCV ns3A protease
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