問題詳情

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

參考答案

答案:B
難度:適中0.646809
統計:A(20),B(152),C(46),D(17),E(0)

用户評論

etrnya】評論

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]ResistanceResistance 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 syndro...

楊雯華】評論

經磷酸化才能發揮作用

陳育惠】評論

Acyclovir(Zoviraxâ)為非環狀鳥糞嘌呤核苷酸類似物,其被單純性疱疹病毒thymidine kinase轉變成acyclovir monophosphate,接下來細胞內之酵素再加上一個或二個磷酸根使之轉變形成 diphosphate 及triphosphate,而 acyclovir triphosphate即為活性型。Acyclovir triphosphate會干擾單純疱疹病毒的DNA polymerase,因而阻斷病毒的複製,同時增長的 DNA 鏈可能也被病毒的DNA polymerase 介入,因此終止了進一步的增長