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Editorial
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Volume 358:2170-2172 May 15, 2008 Number 20
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Initial Treatment for HIV Infection — An Embarrassment of Riches
Bernard Hirschel, M.D., and Alexandra Calmy, M.D.

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 by Riddler, S. A.
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Drugs that are used to treat patients with human immunodeficiency virus (HIV) infection are classified according to their target. The first ones to be developed were nucleoside reverse-transcriptase inhibitors (NRTIs), which lead to premature termination of the nascent DNA chain, and nonnucleoside reverse-transcriptase inhibitors (NNRTIs), which bind and inhibit reverse transcriptase. The viral protease inhibitors were next. NRTIs, NNRTIs, and protease inhibitors remain the staples of highly active antiretroviral therapy, but other targets, such as the CCR5 receptor, the fusion peptide, and viral integrase, have recently yielded promising molecules.

At this time, eradication of HIV is impossible. Rebound inevitably follows . . . [Full Text of this Article]


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From the Department of Infectious Diseases, Geneva University Hospital, Geneva.


Related Letters:

Initial Treatment of HIV-1 Infection
Schulz T. R., Street A. C., Nicastri E., Narciso P., Andreoni M., Riddler S. A., Haubrich R., Mellors J. W.
Extract | Full Text | PDF  
N Engl J Med 2008; 359:970-971, Aug 28, 2008. Correspondence

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