摘要
背景:单纯疱疹病毒(HSV)是一种广泛传播,高度传染性的人类病原体。统计数据表明,全世界50-90%的成年人对这些病毒(主要是HSV-1和HSV-2)呈血清阳性。最初的感染导致皮肤,嘴唇,舌头,颊粘膜或生殖器上出现水疱(冷疮)。眼部感染是西方世界角膜失明的主要原因。一旦HSV病毒进入人体,就无法完全根除它,因为HSV病毒能够转变成可以在治疗后存活的潜伏形式。病毒体位于宿主的三叉神经节中,在整个生命周期中都容易复发。 HSV的神经营养和神经侵袭特性可导致神经退行性疾病,例如阿尔茨海默氏病。作为病毒DNA复制抑制剂的阿昔洛韦及其类似物,是唯一被批准用于HSV感染治疗的药物。 目的:本论文介绍了阿昔洛韦,其类似物及其递送系统的重要药理学特征的最新概况,包括作用机理,给药途径,吸收和代谢以及该疗法的副作用。 结论:阿昔洛韦仍然是治疗疱疹病毒感染的金标准,这主要是由于新的递送系统的出现大大改善了其生物利用度。具有显着更高的生物利用度和安全性的阿昔洛韦类似物,尤其是其酯,可能会在选定的应用中逐渐取代阿昔洛韦。
关键词: 阿昔洛韦,单纯疱疹病毒,阿昔洛韦类似物,阿昔洛韦酯,给药系统,给药途径,作用机理。
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