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Drug-Class Specific Impact of Antivirals on the Reproductive Capacity of HIV 英文参考文献
Drug-ClassSpecificImpactofAntiviralsonthe
ReproductiveCapacityofHIV
MaxvonKleist1,2*,StephanMenz2,WilhelmHuisinga1
1HamiltonInstitute,ComputationalPhysiologyGroup,NationalUniversityofIrelandMaynooth,Kildare,Ireland,2DepartmentofMathematicsandComputerScience,
FreieUniversita¨t Berlin,Berlin,Germany
Abstract
Predictivemarkerslinkingdrugefficacytoclinicaloutcomeareakeycomponentinthedrugdiscoveryanddevelopment
process.InHIVinfection,twodifferentmeasures,viralloaddecayandphenotypicassays,areusedtoassessdrugefficacyin
vivoandinvitro.Forthenewlyintroducedclassofintegraseinhibitors,ahugediscrepancybetweenthesetwomeasuresof
efficacywasobserved.Hence,athoroughunderstandingoftherelationbetweenthesetwomeasuresofdrugefficacyis
imperativeforguidingfuturedrugdiscoveryanddevelopmentactivitiesinHIV.Inthisarticle,wedevelopedanovelviral
dynamicsmodel,whichallowsforamechanisticintegrationofthemodeofactionofallapproveddrugsanddrugsinlate
clinical trials. Subsequently, we established a link between in vivo and in vitro measures of drug efficacy, and extract
importantdeterminantsofdrugefficacyinvivo.Theanalysisisbasedonanewquantity—thereproductivecapacity—that
representsinmathematicaltermstheinvivoanalogoftheread-outofaphenotypicassay.Ourresultssuggestadrug-class
specificimpactofantiviralsonthetotalamountofviralreplication.Moreover,weshowedthatthe(drug-)targethalflife,
dominated by immune-system related clearance processes, is a key characteristic that affects both the emergence of
resistance as well as the in vitro–in vivo correlation of efficacy measures in HIV treatment. We found that protease- and
maturation inhibitors, due to their target half-life, decrease the total amount of viral replication and the emergence of
resistancemostefficiently.
Citation:vonKleistM,MenzS,HuisingaW(2010)Drug-ClassSpecificImpactofAntiviralsontheReproductiveCapacityofHIV.PLoSComputBiol6(3):e1000720.
doi:10.1371/journal.pcbi.1000720
Editor:NikoBeerenwinkel,ETHZurich,Switzerland
ReceivedSeptember2,2009;Acc
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