??????????
(
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-?
???????
?????? ?? ????????????? ???????? ? ??????????? ??????????? ???????? ????????????? ????????, ??? ?????????? ??????????? ?? ?????
???
-??
???
-? ????????? ????????? ?????? ???????? ?????????????? ????????? ? ????-? ???-? ??????? ???????? ????????? ?????, ??? ?????????? ???? ? ???????? ????????
????
??????????? ?????? ??? (??? ??????? ????? ????????? ?)
[31]
[32]
[33]
?
??????? ??????????? ??????????? ?? AZT-? ????? ??????? 5'-???????? ???? ?????????????????? ????? ?? ????, ?? ????-? ???-? ???????? ?????????? ???????? ?????? ? ??????????? ????????? ?????? ????????? ?????????
[34]
?
AZT-? ????? ???????? ????? ?? ????????? ?????? ???????? ?????? ???????????
??? ??????????
, ??? ???????????? ?
???? ????????
???? ????????
???-? ????????????
?????? ?????? AZT-? ?????????, ??? ??? 100 ????? ????? ??????? ? ????-? ???????? ??????????????? ??????
[35]
? ??? ?????????????????? ????????? ? ??????, ?? AZT-?? ?????? ???????? ????? ?? ???????? ??????????? ????? ???-? ?????, ??????? ????-? ????? ??? ????????????
[36]
? ?????? AZT-? ?????????? ? ???? ???????????? ????? ????????? ???????? ????????
[31]
? ????????? ????? ???????? ??????? AZT-? ?????? ? ????????? ????????????????? ?????? ??????????? ??????? ??? ??????????? ??? ????? ????????? ? ????????????? ?????????????? ? ??,
?????????
?
????????? ????????
??? ????? ??????? ????????????????, ??? ??????????? ????????? ?
??????
[37]
[38]
[39]
[40]
[41]
?
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]
?
- ↑
1,0
1,1
zidovudine
- ↑
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-??
.
- ↑
Fischer, Janos; Ganellin, C. Robin (2006).
Analogue-based Drug Discovery
(????????). John Wiley & Sons. ?? 505.
ISBN
9783527607495
.
??????????
?????????? 2017 ?? ?????????? 8-??.
- ↑
Reeves, Jacqueline D.; Derdeyn, Cynthia A. (2007).
Entry Inhibitors in HIV Therapy
(????????). Springer Science & Business Media. ?? 179.
ISBN
9783764377830
.
- ↑
≪WHO Model List of Essential Medicines (19th List)≫
(PDF)
.
World Health Organization
. April 2015.
??????????
(PDF)
?????????? 2016 ?? ?????????? 13-??
. ??????? ? 2016 ?? ?????????? 8-??
.
- ↑
≪Zidovudine≫
.
International Drug Price Indicator Guide
. ??????? ? 2016 ?? ????????? 28-??
.
- ↑
Hamilton, Richart (2015).
Tarascon Pocket Pharmacopoeia 2015 Deluxe Lab-Coat Edition
. Jones & Bartlett Learning. ?? 67.
ISBN
9781284057560
.
- ↑
De Clercq E (1994). ≪HIV resistance to reverse transcriptase inhibitors≫.
Biochem Pharmacol
.
47
(2): 155?69.
doi
:
10.1016/0006-2952(94)90001-9
.
PMID
7508227
.
- ↑
Yarchoan R, Mitsuya H, Broder S (1988).
≪AIDS therapies≫
.
Sci Am
.
259
(4): 110?9.
Bibcode
:
1988SciAm.259d.110Y
.
doi
:
10.1038/scientificamerican1088-110
.
PMID
3072667
.
- ↑
≪Updated U.S. Public Health Service Guidelines for the Management of Occupational Exposures to HIV≫
.
??????????
?????????? 2006 ?? ????? 24-??
. ??????? ? 2006 ?? ????? 29-??
.
- ↑
≪UK guideline for the use of post-exposure prophylaxis for HIV following sexual exposure (2011)≫
.
??????????
?????????? 2014 ?? ?????? 8-??
. ??????? ? 2014 ?? ?????? 7-??
.
- ↑
PLOS Hub. Clinical Trials.
http://clinicaltrials.ploshubs.org/article/info%3Adoi%2F10.1371%2Fjournal.pctr.0020011
??????????
?????? 6, 2013
Wayback Machine
- ↑
≪Recommendations for Use of Antiretroviral Drugs in Pregnant HIV-1-Infected Women for Maternal Health≫
(PDF)
.
??????????
(PDF)
?????????? 2006 ?? ?????? 22-??
. ??????? ? 2006 ?? ????? 29-??
.
- ↑
Science Codex.
- ↑
CIDRZ. Prevention of AIDS Transmission (PMTCT).
≪Archived copy≫
. ?????????? ?
??????????
2012 ?? ???????? 14-??
. ??????? ? 2012 ?? ????? 31-??
.
{{
cite web
}}
: CS1 ????? ?????? ????????? ? ????? ???????? (
link
)
- ↑
Transmission of HIV from infants
≪Archived copy≫
. ?????????? ?
??????????
2013 ?? ?????????? 3-??
. ??????? ? 2012 ?? ???????? 3-??
.
{{
cite web
}}
: CS1 ????? ?????? ????????? ? ????? ???????? (
link
)
- ↑
Connor E, Sperling R, Gelber R, Kiselev P, Scott G, O'Sullivan M, VanDyke R, Bey M, Shearer W, Jacobson R (1994). ≪Reduction of maternal-infant transmission of human immunodeficiency virus type 1 with zidovudine treatment. Pediatric AIDS Clinical Trials Group Protocol 076 Study Group≫.
N Engl J Med
.
331
(18): 1173?80.
doi
:
10.1056/NEJM199411033311801
.
PMID
7935654
.
- ↑
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
.
- ↑
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
.
- ↑
20,0
20,1
Crane, Johanna (2010). ≪Adverse events and placebo effects: African scientists, HIV, and ethics in the 'global health sciences'
≫.
Social Studies of Science
.
40
(6): 843?870.
doi
:
10.1177/0306312710371145
.
PMID
21553555
.
- ↑
≪zidovudine, Retrovir≫
. Medicinenet.com. 2010 ?? ???????? 12.
??????????
?????????? 2010 ?? ?????????? 20-??
. ??????? ? 2010 ?? ?????????? 14-??
.
- ↑
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cite web
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cite news
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