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1144U88 5'-triphosphate is the active intracellular metabolite of abacavir, a nucleoside reverse transcriptase inhibitor (NRTI) developed by Glaxo Wellcome (now GSK). It is a guanosine analog that, once formed, competes with natural nucleoside triphosphates and is incorporated into the nascent viral DNA strand. This incorporation leads to premature chain termination, thereby inhibiting the activity of HIV-1 reverse transcriptase and blocking viral replication. It is used in the treatment of HIV/AIDS as part of combination antiretroviral therapy.
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