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Изображение химической структуры
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??????? 4,4E?25 ???????? [1]
???????? ?????? C₁?H₁₃N?O₄ [1]
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Drugs.com Monograph

?????????? ( ZDV ), ??? ???? ???????????? (AZT), ?????????????? ????????? , ??? ???????????? ? ????/???? ???????????? ? ??????? ????? [2] ? ??? ??????????? ???????? ? ?????? ?????????? ??? ?????????????? ???????????? ??? [2] ? ?????????? ?????? ? ?????????? ????? ???????? ?????? ?????????? ???????? ?????? ??? ?????? ???????? ???????? ??????? [2] ? ??? ????? ? ???????? ????? ???????????? ??? ????? ????????? ?????? ??????????/?????????? ? ????????/??????????/?????????? [2] ? ?????? ? ???????? ????????? ??? ???????? ?????? ????????????? ??????? [2] ?

????? ???????? ???????? ???????????????? ?? ????????, ???????????? ? ?????????? [2] ? ????? ???????? ???????????????? ?? ?????? ????????? , ???????? ???????? ? ????? ??? ??????? ????? ????????? [2] ? ??? ?????? ? ?????????? ????????? ??????? ? ??????? ? ??????? ????? [2] ? ??????????? ????????? ? ?????????? ?????? ???????? ??????????????? ????????????? (NRTI) ?????? [2] ? ??? ???????? ?, ??????????? ???????? ????????????? ???????? , ??? ????-? ??????????? ? ???-? ????????????? ? ????, ???, ??????? ???????????? ????? [2] ?

??????????? ?????? ????? ?????????? ? 1964?.-?? [3] ? ??? ???-??? ????????? ?? 1987-?? ? ????-? ?????? ???????? ?? [2] [4] ? ??????????? ????????? ? ??????????????? ????????????? ??????????????? ???????? ?????? ?????? [5] ? ??? ???????? ? ??? ????? ??????? ??? [2] ? ??????? ???? ???????? ????? ????????? ??????? ??????? ? US$5.10-$25.60 [6] : 2015?.-? ?????????? ???-??? ??????? ????????? ????????? ???? ??????????? ?? $200-? [7] ?

???????? ???????????? [ ???????? | ???????? ???? ]

???? ??????? [ ???????? | ???????? ???? ]

????????????? ????????? ????????? ?? ?????? ????? ?????? ??? ?????????????? ???????????? ??????????? ??????? ??? ????????? ??????? ? ????? ??????????? ?????????????? ??????? (HAART) ? ???????????? ? ????????????? ????????? ???? ????????????????????? [8] [9] ?

???? ???????????? [ ???????? | ???????? ???? ]

AZT-? ???????????? ? ?????????????? ?????????????? (PEP) ?????, ?????????? ??? ?????????????? ??????????? ??????????? ???? ??? ??????? ?????? ???????? ?? ??????? ???? ???????? ????? ??????? ??? ???????? ???????? ??????? [10] ? ??????? AZT-? ?????????? ? ??? ???????????????????? ?????? ????????? PEP-? ?????????? ????? [11] ?

AZT-? ?????????? ????????? ? ?? ??????????????, ?? ??????????????? ????-? ???????????? ?????????? ??????????? ????????? ?????????? ?, ?? ??? ?????? ??? ???? ????????? ???????? ? ?????????? ????????? ? ???????? ????????? ??? [12] [13] ? ????? AZT-? ???? ?????? ??????? ????????? 10-15%-? ????????????? ??????? ?? ???????? [14] ? ??????? ????? ?? ????, ?? AZT-? ???????????? ?????????????? ????, ?????????????? ????????? ? ????????????????? ??? ????? ????, ???????? ? ???? ???????? ????? 8%-??? ??????????? ??????????????, ???????? ?? ?????????????? ?????? ????????? ??????????, ???????? ??????? , ????????? ????????? ??????, ?????? ?????????? ??????, ????????? ?????????? ???????????? ? ????????? ???????????? ??????????, ????????? ??? ???? -? ???????? ????? ??????? ? 1?2% [15] [16] [17] :

1994-1999??.-???? ????????? AZT-? ????? ???????? ?????? ???????? ???????????? ??????? ?????? ??? AZT ????????????? ???-??? ?????? ? 1000-?? ????? ??????????? ? ?????????? ??????? ???? [18] ? ?????????? ???-??? ???? ?????? ??????? ??????? AZT ????????? 076 ?????? ?, ??? ?? ??? ???????? ? ?????? 5 ????? ????? ?????????????? ??????? AZT-? ??????????? ??????????? [19] ? ??????? ??? ??????? ???????? ? ? ???? , ??? ???????? ?? ???????? ?? ????????, ????? ????? ???????? ????-? ?????????? ??? ????? ?? 1990-????????? ???????????? ?? ??????? ? ????? ???? ??????? ????? ????? ?????????? ??????? ???????? ????? [20] ? ??? ?????????? ?????? ??? ???? ???????? ???????? ?????? ?????????????? ?? ????????????? ?? ?????? ??, ??? ???-?? ???? ????????? ?? ??????? ????? ???????????? [20] ?

???????? ??????????????? [ ???????? | ???????? ???? ]

????? ???????? ???????? ???????????????? ?? ??????????, ???????, ??????? ?????????? , ????????, ???????? ???????? ????? ???????? ?????????? (????????), ??? ????? ? ???????? ????????? ?? ????? ???????? ???????? ???????????????? ?? ????? ? ???? ??????? ?????????? ???????? ????? ????????????, ????????????? ????????????, ??????? ? ?????? ?????????? ?????? ? ??????????? ??????? ? ????? ????????????? ??????? ??????????? ???????? ?? [21] ?

????? ????????? AZT-? ????? ???????? ?????????? ?????????? ?? ?? ???? ???????? ?????????????????, ????? ???????? ????? ?? ?????? ???????????? ????????? ??? ???????? ???????????????? ??? ??????? , ???????????? , ???????????????????? , ??????????????? ? ????????? ? ?????????? ???? ??????, ?? ??? ?????????? ?????? ? ????????? ??????????? AZT-? ??????????? ??? ????????? ??????????? ??? ?? ???? ???????? ???????, ????????? ????????????? ??? -? ??????????? ??????????, ???? ???????? ????????????????? γ-??? ???????????? ??????????????? [22] , ??????? ??????????? ????????, ????????? ?????? , ?????????? L -????????? ???????? ??? ???????? ???????? ???????? [23] ? AZT-?? ???????? ??????? ????????? ???????? ? ?????????????? ????????????? ????????????? ????????????? ? ????? ?????? ???????? ?????????? [24] [25] ? ??????, ????? ?????????? ?? ??????? ?????????????????? , ???????? ?? ???????????? , ??????????? , ??????????????????? (???????) ? ???????????? , ?????????? ?? ?????????? ??????????? ? ??????????? ?? ??? ????????? ???? [26] ? ?????????? AZT-? ???? ???????? ?????????? ???????? ? ???????? ???????????????? ???????? ?????????? [27] ? ???????? ???????? ?????????? ?????????? ?????????????? (IARC) ??????? ???????? ???????, ??? ??????? ??????, ????? ???????? ??????????? ??? ??????????? ?????????? ?? ?????????? ?, ?? ??????????? ????? ? ?????????? ????? ???????? ????? (Group 2B) [28] :

?????????? ???????????????????? [ ???????? | ???????? ???? ]

???????? ???????? ????? ??????????? ???????? AZT-? ???????? ? ????? ??? ?????? ????? ???? ??????????????? ??? ????? ? ????? ??????????? ??????? ??????????? ? ???????????? ??????????? AZT-? ???????? ???????? ????? ? ????? ????-? ??????????????????? ????????? ???? ??????? ???????? ??????????????? ??????????? [29] [30] ? ??????????????????? ?????????? ????????????? ????????? ????????? ???????? ?? ????? AZT-? ?????????? ??? ???????? ??????????????? ????????????? ? ??? ??????? ???????? ??? ??????????????????? ???????????? (???????? ?????????????, ?? ?????????????? ???????? ??????????????? ??????????, ????????? ??????????) ??? ???????????? ??????? ??? ?????? ??????? ? ????? ??????????? ??????????????????? ??????? (HAART):

??????????? ???????? [ ???????? | ???????? ???? ]

AZT-? ?????????, ????????????? ? ?????????? ????????? ????????????:

AZT-? ??????? ?????? ?? ????????????? ???????? ? ??????????? ??????????? ???????? ????????????? ????????, ??? ?????????? ??????????? ?? ????? ??? -?? ??? -? ????????? ????????? ?????? ???????? ?????????????? ????????? ? ????-? ???-? ??????? ???????? ????????? ?????, ??? ?????????? ???? ? ???????? ???????? ???? ??????????? ?????? ??? (??? ??????? ????? ????????? ?) [31] [32] [33] ?

??????? ??????????? ??????????? ?? AZT-? ????? ??????? 5'-???????? ???? ?????????????????? ????? ?? ????, ?? ????-? ???-? ???????? ?????????? ???????? ?????? ? ??????????? ????????? ?????? ????????? ????????? [34] ?

AZT-? ????? ???????? ????? ?? ????????? ?????? ???????? ?????? ??????????? ??? ?????????? , ??? ???????????? ? ???? ???????? ???? ???????? ???-? ???????????? ?????? ?????? AZT-? ?????????, ??? ??? 100 ????? ????? ??????? ? ????-? ???????? ??????????????? ?????? [35] ? ??? ?????????????????? ????????? ? ??????, ?? AZT-?? ?????? ???????? ????? ?? ???????? ??????????? ????? ???-? ?????, ??????? ????-? ????? ??? ???????????? [36] ? ?????? AZT-? ?????????? ? ???? ???????????? ????? ????????? ???????? ???????? [31] ? ????????? ????? ???????? ??????? AZT-? ?????? ? ????????? ????????????????? ?????? ??????????? ??????? ??? ??????????? ??? ????? ????????? ? ????????????? ?????????????? ? ??, ????????? ? ????????? ???????? ??? ????? ??????? ????????????????, ??? ??????????? ????????? ? ?????? [37] [38] [39] [40] [41] ?

????? [ ???????? | ???????? ???? ]

AZT-? ??? ???????????? ????????? ?????? ??? ???????:

AZT-? ???????????? ? ????????? ???????????? ?????????? ??? ????, ??????????? ???????? ??????? ?????? ????????? ???????????? ????, ?????? H-N-O ???????? ??? ???????????????? ?????????????? ????????????????? ? ??????????? ??????????? ?????? ???? ???????? ????????????? ???? ?????????? ?????? ????? ??????????? ? 1988-?? ? 1987-?? [42] [43] ?

??????????? [ ???????? | ???????? ???? ]

1960-???????? ??? ???????, ??? ??? ??????????? ??? ???? ??????? ??????????? ?? ??????????? ??????????????? , ????????? ?????????? ??????????? ? ?????????????? ??? ??????? ??????? ?????? ??????? ???????? ?????????????? ???????? ?????? ? ?????? ????????? ???????????? ??????? [44] ? ???????????? ??????????? ??? ????, ?? ????? ????? ????? ??????????? ?????????? ?? ????? ????????????????, ?????? ???????????? ?????? ??????????????? ????? ?????? ????

???????? ????????????? ?????????, ?? ??? ???????????????, ????? ????????? ????? ?????????? ??? ????????????????? ???????, ??????????? ?? ?????? ????????????? ? ??????????????, ?????? ?? ??????????????? ????????? ??????? ???????????? ????????? ??? ???????? ?????????????? ???? ????????? ? ???????? ??????? ???????????????, ???? ????????? ??????????????? ????? 6-??????????????? ?????????? [45] ?

????? ??????? ? ??????? ??? ????????? ???????? ??????????? ? ?????? ??????? ??????????? ?????????? ???????????, 1964?.-?? ??? ??????????????? ??????? ????????????? (NIH) ?????? ??????? ?????? ????? ???????? AZT [46] [47] [48] : ???????????? ????????????, ??? ???????, ?? ??? ???????????? ????? ?? ?????? ???????? [46] [49] ? 1974-?? ??????? ?????????? ???? ?????? ???????????? ?????????? ????????????? ( ????????? , ???????? ), ??????????, ?? ????????????? ???????? ????? ? ??????????? Friend virus-? ????? (murine leukemia virus-? ?????) [50] ?

????????????? (AZT) ?????? ????? ????????? ? 1964?.-?? ???????? ???????? ?????????? ??????, ??? ???????? ??????? ?? ??????????????? ?????? ??????????????? ??? ???? ????????? ??????????? ? ??? ????????? ?????? ??????????????? 1974?.-?? ???? ?????? ?????????????? ??????? ????????? ????????? AZT-? ?????????????? ????????? Friend leukemia ??????? ??????????? (?????????????) ??????? ??????????? ???? ??? ???????? ?? ???? ?????? ??? ????????????? ????????????????, ???? ?? Friend leukemia ??????? ??????????? ?? ???????????, ? ??? ??????? ??? ?????? ???? ?????? ?????????????????, ????? ?????????? ??? ???????????????? [51] ?

1983?.-?? ?????? ??????? ??????????? ????????????? ????????????? ?????????? ?????? ?????? ????????? ??????????????? ??????? (????), ??? ????????? ?? ???????? ??? ?????????? ????????? ??????????????? ?????????? (????) ?????????????? [52] [53] ? ?????? ??? ??????? ??? ??????? ??????? , ??????? ????????? ? ?????? ??????? ???-? ???????? ??????? ??????????? (NCI) ??????? ??????? ??????????? ????/????-? ????? ?????????? [54] ? ??????????? ????? ?????? ????????? CD4 + T ???????? ?????? ????? ????????? ??????????????, ??? ??????? ??????? ??? ????????, ?? ?????? ?????? ????? ?????????? ??? CD4 + T ???????? ????-? ???????????? ??????? ?????????? ?????? ???????????????? ????????????, NCI ????????????? ??????? ????????????? ?????? ???????????? ???????????????????? ???? ?????? ????? ??????? ??????????????? ???????? ?????? ???????? ??????????????? ?????????????, ????? ?????? ??????????? ?????????????? ?????????????? [31] ? ??? ??????????????? ????? ?? ????? ?? ????????????? ??????????????? ????-???? ?????????????, ?? ???????? ????? ?????? ????????????? ????? ???????? T ???????? ????

1984-? ???????? Burroughs-Wellcome ??????????????? ?????????? ????? ??. ?????? ????? ?????? ? ???????????? ?????, ???? ??????? ????-? ???????????? Burroughs-Wellcome ????????????????? ????? ???????????????, ??? ?????????? ??? ??????????? ???? ???????? , ???????? ??????? , ?????? ??????, ????? (???) ???????? ???????, ????? ????????, ????? ??. ??????, ????? ???????? , ?????? ??????? ? ????????? ????? ?????????????????? ??????? ??? ???????? ???????? ??????????????? , ???????????????? ???????? ?????????????? ????? ?, ??? ???????????????? ?????? ????-?, ??????????? ?? ?????????????? ?????? ?????????? ?????????????????? ?????????? Friend virus ??? ?????? ????????? ???????? ???????? ?????? ???? ??? ??????? Wellcome ?????? ?????? ???????? ???? ?????????????? ??????????????, ?????? ?????????? ??, ?? ????? ??????????????? ????? ??? ?????????? ??????? ????????????? ?????????????????? ??????????? ???????, ?? ????????????? ??????????? ? ??? ??????????? ????????? ??????????? ?? Friend virus-?, ?? ?????? ????????? ??????? ???? ???? ???, ??????????????? ????????? ???????? ?????????????????? ??????????? ????? ??? ?????, ?? ?????? ????? ??? ????????????? ???????? ?????? ???? ?????????? ?????????????????? ?????????????, ????? ???????? 11 ???????????????? ?????? ????????????? ? ???????? NCI ???? ?????????????? ?????????????????? ??????? ??????????? ????? [51] ?

1985?.-? ????????? NCI ???????????? ?????????????, ?? AZT-? in vitro ???? ????? ?????????????? [31] [46] ? ?? ???? ???? ???? NCI-? ? ????? ??????????? ?????? ?????? AZT-? ?????????? ?????????????????? ?????? ????? [32] [37] [55] ? ?????? ????? ?????????? ?????????????????? ??????? ???????????? ???????????? ??? ????? ??? ???????? ????????? ???????????????????, ??? ??????????????? ????????? ??????? ????-???? ???????????? ?? ?????????? AZT-? ??? ????????? ?????????????????? ????? ??????, ?? ??? ?????? ?????? ? ??? ????-?? ???????? ???????????? ???????????? CD4 ???????? ??????, ??????????? T ????????? ????????????? ??????????? ??? ????? ?????????? ?? ???????? ??????? ???????, ? ?????????????????? ????????? ???? ??????, ?? AZT-? ???? ????? ?????????? ??????????????? ?????? ????-?? ?????????? ??? ??????? ? ???? ????????????? ??????????????? ????? ???? ???, ?? in vitro ?????????????? ????? ???? AZT-? ????????????? ?????? ? ???????? ??????????? ??????? ??? ??? ????????? ??????, ? ?? ?????????? ???? ????????? ? ????? ???????? ?????? ????

?????????? Burroughs-Wellcome-? ?????? ???????????? ???? ??????? ?????, ??????? ??????????, ????????? ??????????????? ????? ????, ?? ????????????? ??????? ?????? ??????????? ? ????-?? ???????????? ?????? [56] ? Burroughs-Wellcome ????? AZT-? ????????? ????? 1985-??? ???-? ????? ? ???????????? ?????????? (Food and Drug Administration FDA) ????????????? ????????????? ??????? ???????? ????????????? ????????? ????? [57] ? 1987-? ????? 20-?? FDA-? ???????? AZT-? ????-?, ????-? ? ???? ?????? ????????? (AIDS Related Complex ARC, ???? ???? ????????????????? ??? ??????? ???????? ???????) ??? ???????????? ????? [58] ? ????????????? ?????? ????????????? ? ????????? ???? ????? ??????????????? 25 ???? ?? ?? ?????????? ??? ?????? ?????????? ????????? ????????? ???? ?????????????? ???

??????????, 1990?.-?? ????????????? ??????? ????????? ??????????? ??????????? ????? [59] ? ????????????? ????????? ?????????? ?? ????? ????? ?????????? ??? ???? (????????? 400?? ???? ???? ???? ??? ?? ?????????, ?? ??????)? ????????? ????/???? ???????????? ??? ?????????? ??????? ?????????? ?????????? ????

?????????????? ? ???????? [ ???????? | ???????? ???? ]

1991?.-?? ???????????? Public Citizen ?????? ??????? ???? ? ???????????? ???????, ?? ?????????? ????????? ??? ?????????? Barr Laboratories ? Novopharm Ltd. ???????? ???????????? ??????????? ?????? ????????? ??? ??????????? ???, ?? NCI (???????? ??????? ?????????) ??????????? ??????? ??????? , ??????? ????????? ? ?????? ??????? ???? ? ???????? ????? ????????????? ??? ????? ???????????????????? ??????? FDA-??? ??????? AZT-? ????? ??????? ?????????? ????? ???????? Burroughs Wellcome ????????????????? ??????? ???? ??????????? ??? ????? ???????????????????? ???? ??? ???????? ?????? ????????? ???????? ????? ?????? ? ????? Burroughs Wellcome ???????????????, ????????????? ??? ??????, ?? ?????? ????? ????? ???? ????????? ?????????? ????-? ???, ?????????? ??, ?? ??? ???????? ?????? ????? ?????????? ????????? NCI-? ?????????????? ??? ????? ??????????? ? ???-? ????????? ??????????, ?????? 1996?.-?? ????? ?????????? ??????????? ????? ????????? [60] ? Burroughs Wellcome Co.-? ????? ?????? Barr Laboratories-? ??? ??? ??????? ???-? ??????????????? ?????? ????????? ??? [61] ?

2002-?? ??? ??? ??????? ???? ??????????? ???? ??????????????? ?????????? ??????, ??? ??????????? ?? ??????????? ????? ????? GSK-? ????????????????? ????? ??? ?? [62] ? 2003?.-?? ??? ????? ?????? ? AHF-? ??????????? ??? ????? ???????????? ??????????? [62] ?

2005?.-?? GSK-? ????????????? ??????????? ??????? ???????? ? FDA-? 2005-? ??????????? ???????? ???? ??????? ?????? [63] ?

?????????????????? [ ???????? | ???????? ???? ]

  1. 1,0 1,1 zidovudine
  2. 2,00 2,01 2,02 2,03 2,04 2,05 2,06 2,07 2,08 2,09 2,10 2,11 ≪Zidovudine≫ . The American Society of Health-System Pharmacists. ?????????? ?????????? 2016 ?? ?????????? 21-?? . ??????? ? 2016 ?? ????????? 28-?? .
  3. Fischer, Janos; Ganellin, C. Robin (2006). Analogue-based Drug Discovery (????????). John Wiley & Sons. ?? 505. ISBN   9783527607495 . ?????????? ?????????? 2017 ?? ?????????? 8-??.
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  13. ≪Recommendations for Use of Antiretroviral Drugs in Pregnant HIV-1-Infected Women for Maternal Health≫ (PDF) . ?????????? (PDF) ?????????? 2006 ?? ?????? 22-?? . ??????? ? 2006 ?? ????? 29-?? .
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  18. Walensky RP, Paltiel AD, Losina E, ? ????: (July 2006). ≪The survival benefits of AIDS treatment in the United States≫. J. Infect. Dis . 194 (1): 11?9. doi : 10.1086/505147 . PMID   16741877 .
  19. Morris, K (Feb 1998). ≪Short course of AZT halves HIV-1 perinatal transmission≫. Lancet . 351 (9103): 651. doi : 10.1016/S0140-6736(05)78436-1 . PMID   9500334 .
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