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DƯỢC LÍ Goodman & Gilman's The Pharmacological Basis of Therapeutics 12th, 2010

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A

attachment

release

1595

budding

B

uncoating

and transfer of

viral DNA to

host nucleus

viral

DNA

transcription

into viral

mRNA

synthesis

of viral

DNA

binding to

cell surface

HEMAGGLUTININ

endocytosis

protein

synthesis

by host cell

ribosome

inhibition of viral DNA polymerase

acyclovir, vidarabine, foscarnet, ganciclovir

zanamivir

oseltamivir

structural

proteins

viral

enzymes

regulatory

proteins

assembly

of virion

release

budding

CHAPTER 58

ANTIVIRAL AGENTS (NONRETROVIRAL)

endosome

H +

M2 protein

HEMAGGLUTININ

fusion

uncoating

M2

amantadine

rimantadine

vRNA

RNA replication

RNAp

cRNA

RNAp

ribavirin

RNAp

vRNA

mRNA

protein

synthesis

intracellular

transport

and assembly

structural

proteins

nonstructural

proteins

Figure 58–1. Replicative cycles of DNA (A) and RNA (B) viruses. The replicative cycles of herpesvirus (A) and influenza (B) are

examples of DNA-encoded and RNA-encoded viruses, respectively. Sites of action of antiviral agents also are shown. Key: mRNA =

messenger RNA; cDNA = complementary DNA; vRNA = viral RNA; DNAp = DNA polymerase; RNAp = RNA polymerase;

cRNA = complementary RNA. The symbol indicates a block to virus growth.

A. Replicative cycles of herpes simplex virus, a DNA virus, and the probable sites of action of antiviral agents. Herpesvirus replication

is a regulated multistep process. After infection, a small number of immediate-early genes are transcribed; these genes encode

proteins that regulate their own synthesis and are responsible for synthesis of early genes involved in genome replication, such as thymidine

kinases, DNA polymerases, etc. After DNA replication, the bulk of the herpesvirus genes (called late genes) are expressed and

encode proteins that either are incorporated into or aid in the assembly of progeny virions.

B. Replicative cycles of influenza, an RNA virus, and the loci for effects of antiviral agents. The mammalian cell shown is an airway

epithelial cell. The M2 protein of influenza virus allows an influx of hydrogen ions into the virion interior, which in turn promotes

dissociation of the RNP (ribonuclear protein) segments and release into the cytoplasm (uncoating). Influenza virus mRNA

synthesis requires a primer cleared from cellular mRNA and used by the viral RNAp complex. The neuraminidase inhibitors zanamivir

and oseltamivir specifically inhibit release of progeny virus. Small capitals indicate virus proteins.

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