Receptor analogs Attachment of virion to cell receptors Rimantadine Uncoating Transcriptase inhibitors Primary transcription from viral genome Zidavudine AZP Reverse transcription Lentivirus tat inhibitors Regulation of transcription Ribavirin Processing of RNA transcripts Interferons Translation of viral RNA to protein Protease inhibitors Post translational cleavage of proteins Acycloguanocine (Acyclovir) Replication of viral DNA genome Replicase inhibitors Replication of viral RNA genome Viral mechanisms of avoidance and escape from host immune system Multicellular organisms possess very sophisticated defense mechanisms that are designed to effectively counter the continual microbial insult of the environment within the vertebrate host However, successful microbial pathogens have in turn evolved complex and efficient methods to overcome innate and adaptive immune mechanisms, which can result in disease or chronic infections. Although the various virulence strategies used by viral pathogens are numerous, there are several general mechanisms that are used to subvert and exploit immune systems that are shared between these diverse microbial pathogens. The success of each pathogen is directly dependant on its ability to mount an effective anti-immune response within the infected host, which can ultimately result in acute disease, chronic infection, or pathogen clearance. Some of the many molecular mechanisms that viral pathogens use to evade host immune defenses are as follows • virus infection induces the synthesis of inducible nitric oxide synthase (iNOS), which generates nitric oxide by the oxidation of L- arginine, whereas other viruses have evolved strategies to prevent iNOS induction. The iNOS gene is under the control of NFkB and STAT-1, which many viruses directly modulate as a component of their anti-interferon strategies For further readings: Anti-Immunology: Evasion of the Host Immune System by Bacterial and Viral Pathogens (B. Brett Finlay and Grant McFadden)