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中华实验和临床感染病杂志(电子版) ›› 2016, Vol. 10 ›› Issue (05) : 534 -540. doi: 10.3877/cma.j.issn.1674-1358.2016.05.005

综述

抗HCV新型直接抗病毒药物相关耐药位点研究进展
孙丹辉1, 颜学兵1,()   
  1. 1. 221002 徐州市,徐州医学院附属医院感染性疾病科
  • 收稿日期:2015-06-27 出版日期:2016-10-15
  • 通信作者: 颜学兵
  • 基金资助:
    江苏省"科教兴卫"医学重点人才培养基金(No. RC2011117); 江苏省"六大人才高峰"项目(No. 2011-WS-068)

Research progress of the related resistance mutations of direct-acting antiviral agents for HCV infection treatment

Danhui Sun1, Xuebing Yan1,()   

  1. 1. Department of Infectious Diseases, Affiliated Hospital of Xuzhou Medical College, Xuzhou 221002, China
  • Received:2015-06-27 Published:2016-10-15
  • Corresponding author: Xuebing Yan
引用本文:

孙丹辉, 颜学兵. 抗HCV新型直接抗病毒药物相关耐药位点研究进展[J/OL]. 中华实验和临床感染病杂志(电子版), 2016, 10(05): 534-540.

Danhui Sun, Xuebing Yan. Research progress of the related resistance mutations of direct-acting antiviral agents for HCV infection treatment[J/OL]. Chinese Journal of Experimental and Clinical Infectious Diseases(Electronic Edition), 2016, 10(05): 534-540.

近年来,新型直接抗病毒药物(DAAs)药物研发取得了突破性进展,使其在抗HCV过程中具备高SVR率、广泛基因型谱、治疗周期短以及耐药率低等优点。但随着新型抗病毒药物在临床中的广泛应用,已发现多个相关耐药位点直接影响抗HCV的疗效,本文针对新型DAAs药物(包括NS3/4A蛋白酶抑制剂、NS5A蛋白抑制剂及NS5B聚合酶抑制)及其相关耐药位点进行总结。

In recent years, the development of direct-acting antiviral agents (DAAs) has made a breakthrough and had a variety of advantages of a high SVR rate, a wide genotype spectrum, a short treatment cycle and a low resistance rate in the treatment for HCV infection process. With the development of new antiviral drugs in clinical application, it has been found that the efficacy of treatment for HCV infection was directly affected by some related resistance loci. In this paper, the new DAAs drugs (including NS3/4A protease inhibitors, NS5A inhibitors and NS5B polymerase inhibition) and the related drug resistance loci were summarized.

表1 HCV NS3/4A蛋白酶相关耐药位点
表2 NS5A蛋白抑制剂变异位点及EC50增加倍数
图1 NS5A区常见耐药位点核苷序列与氨基酸对照图
表3 NS5B聚合酶抑制剂变异位点及EC50增加倍数
图2 上市Sofosbuvir的结构图
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