Pharmacological advances in anti‐retroviral therapy for human immunodeficiency virus‐1 infection: A comprehensive review

Author:

Azzman Nursyuhada12ORCID,Gill Muhammad Shoaib Ali3,Hassan Sharifah Syed4,Christ Frauke5,Debyser Zeger5,Mohamed Wan Ahmad Syazani6,Ahemad Nafees1

Affiliation:

1. School of Pharmacy Monash University Malaysia Bandar Sunway Selangor Malaysia

2. Faculty of Pharmacy Universiti Teknologi MARA Cawangan Pulau Pinang Kampus Bertam Permatang Pauh Pulau Pinang Malaysia

3. Institute of Pharmaceutical Sciences University of Veterinary and Animal Sciences Lahore Pakistan

4. Jeffrey Cheah School of Medicine and Health Sciences Monash University Malaysia Bandar Sunway Selangor Malaysia

5. Laboratory for Molecular Virology and Gene Therapy Department of Pharmaceutical and Pharmacological Sciences KU Leuven Leuven Belgium

6. Nutrition Unit Nutrition, Metabolism and Cardiovascular Research Centre (NMCRC) Level 3 Block C Institute for Medical Research (IMR) National Institutes of Health (NIH) Complex Ministry of Health Malaysia (MOH) Shah Alam Selangor Malaysia

Abstract

AbstractThe discovery of anti‐retroviral (ARV) drugs over the past 36 years has introduced various classes, including nucleoside/nucleotide reverse transcriptase inhibitors, non‐nucleoside reverse transcriptase inhibitors, protease inhibitor, fusion, and integrase strand transfer inhibitors inhibitors. The introduction of combined highly active anti‐retroviral therapies in 1996 was later proven to combat further ARV drug resistance along with enhancing human immunodeficiency virus (HIV) suppression. As though the development of ARV therapies was continuously expanding, the variation of action caused by ARV drugs, along with its current updates, was not comprehensively discussed, particularly for HIV‐1 infection. Thus, a range of HIV‐1 ARV medications is covered in this review, including new developments in ARV therapy based on the drug's mechanism of action, the challenges related to HIV‐1, and the need for combination therapy. Optimistically, this article will consolidate the overall updates of HIV‐1 ARV treatments and conclude the significance of HIV‐1‐related pharmacotherapy research to combat the global threat of HIV infection.

Publisher

Wiley

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