59.下列對抗病毒藥物acyclovir的敘述,何者錯誤?
(A)可用來治療單純疱疹病毒
(B)其藥物需要經由病毒蛋白酶(protease)切割後才能發揮作用
(C)主要是抑制病毒DNA聚合酶(DNA polymerase)作用
(D)病毒的thymidine kinase基因突變可能會導致病毒對acyclovir產生抗藥性
統計: A(118), B(1103), C(305), D(166), E(0) #1381333
詳解 (共 5 筆)
Aciclovir is converted by viral thymidine kinase to aciclovir monophosphate, which is then converted by host cell kinases to aciclovir triphosphate (ACV-TP).[23] ACV-TP, in turn, competitively inhibits and inactivates HSV-specified DNA polymerases preventing further viral DNA synthesis without affecting the normal cellular processes.[23][33][34]
Resistance
Resistance to aciclovir is rare in people with healthy immune systems, but is more common (up to 10%) in people with immunodeficiencies on chronic antiviral prophylaxis (transplant recipients, people with acquired immunodeficiency syndrome due to HIV infection). Mechanisms of resistance in HSV include deficient viral thymidine kinase; and mutations to viral thymidine kinase or DNA polymerase, altering substrate sensitivity.