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[2]。将复制子细胞保持在选择压力下,使用asunaprevir,浓度为EC50值的10倍和30倍(分别为50或150nM终浓度)。对于基因型1b抗性选择,复制子细胞在asunaprevir存在下维持EC50值的10或30倍(分别为30或90nM终浓度)[3]。 Asunaprevir以200至600毫克的单剂量或多剂量每日两次给药,通常耐受性良好,慢性感染基因1型HCV的受试者的HCV RNA水平迅速大幅下降[4]。",{"key":227,"value":228},"体内研究","Asunaprevir(ASV,3-15mg\u002Fkg,po)在几种动物物种中显示出嗜肝性处置(肝脏与血浆之比在物种间的40-359倍)。给药后24小时,所有受试物种的肝脏暴露均高于HCV基因型-1复制子观察到的抑制剂EC50 [110]。",{"key":230,"value":231},"细胞实验","通过将细胞（3,000至10,000个细胞\u002F孔）与连续稀释的测试化合物或DMSO孵育5天（MT-2细胞）或4天（所有其他细胞类型）来确定细胞毒性。使用针对MT-2的MTS测定或针对HEK-293，HuH-7，HepG2和MRC5细胞的细胞 - 滴度蓝试剂测定来定量细胞活力，并计算50％细胞毒性浓度（CC50）。对于HCV和BVDV复制子测定，从后来用于确定EC 50的相同孔中测定CC 50。",{"key":233,"value":234},"动物实验","小鼠（每组n = 9;快速过夜）通过口服强饲法（5mg \u002F kg; PEG-400-乙醇载体，9：1）接受Asunaprevir（ASV）。在给药后0.25,0.5,1,3,6,8和24小时通过眼眶后出血获得血样（~0.2mL）。在每组中，三只动物在0.25,3和24小时放血，三只在0.5和6小时放血，三只在1和8小时放血，产生复合药代动力学曲线。在末端采样点也从小鼠中取出肝脏和大脑。大鼠（每组n = 3;快速过夜）通过口服管饲（3,5,10和15mg \u002F kg）在PEG-400-乙醇（9：1）中接受ASV（无定形游离酸）。预先给药（0小时）和给药后0.25,0.5,0.75,1,2,4,6,8,24和48小时从颈静脉获得系列血液样品（~0.3mL）。为了评估组织暴露，给大鼠口服施用ASV（5或15mg \u002F kg，与上述相同的载体），并且从0.17,0.5,1,2,4获得来自两只大鼠\u002F组的血液，肝脏和心脏样品，给药后6,8,24,48和72小时。",{"key":236,"value":237},"参考文献","[1].\nPelosi LA, et al. Effect on HCV Replication by Combinations of Direct Acting Antivirals Including NS5A Inhibitor Daclatasvir.Antimicrob Agents Chemother. 2012 Jul 30.\n[2].\nMcPhee F, et al. Preclinical Profile and Characterization of the Hepatitis C Virus NS3 Protease Inhibitor Asunaprevir (BMS-650032).Antimicrob Agents Chemother. 2012 Aug 6.\n[3].\nMcPhee F, et al. Resistance analysis of the hepatitis C virus NS3 protease inhibitor asunaprevir.Antimicrob Agents Chemother. 2012 Jul;56(7):3670-81.\n[4].\nPasquinelli C, et al. Single- and multiple-ascending-dose studies of the NS3 protease inhibitor asunaprevir in subjects with or without chronic hepatitis C. 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