Zusammenfassung
Zunächst stellt sich die Frage, welche Eigenschaften eine ideale antiretrovirale Substanz aufweisen müßte. Die Antworten klingen einfach. Folgendes müßte gewährleistet sein: Eine effektive Hemmung der Virusreplikation, nicht nur in vitro, sondern auch in vivo; eine Toxizität, die auch in einer Langzeittherapie nicht limitierend ist; eine maximale therapeutische Breite; Fehlen von Resistenzentwicklung; günstige pharmakokinetische Eigenschaften bezüglich Passage der Blut-Hirn-Schranke, Plasmahalbwertszeit und Bioverfügbarkeit bei oraler Applikation. Nicht zuletzt ist hinsichtlich des Langzeiteinsatzes idealerweise eine kostengünstige Substanz wünschenswert [1].
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Bogner, J.R., Matuschke, A., Heinrich, B., Füessl, H.S., Goebel, FD. (1989). Interventionstherapiestudien bei HIV-Infektion. In: Landbeck, G., Marx, R. (eds) 19. Hämophilie-Symposion Hamburg 1988. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-75053-3_6
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