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During initial contact with the drug, the immune system is sensitized: antigen-specific lymphocytes of the T-type and B-type (antibody formation) proliferate in lymphatic tissue and some of them remain as socalled memory cells. Usually, these processes remain clinically silent. During the second contact, antibodies are already present and memory cells proliferate rapidly.
Drugs exchange freely between blood and interstitium in the liver, where endothelial cells exhibit large fenestrations (100 nm in diameter) facing Disse’s spaces (D) and where neither diaphragms nor basement membranes impede drug movement.

 

The proteins are used as “viral enzymes” catalyzing viral multiplication (e. g. , DNA polymerase and thymidine kinase), as capsomers, or as coat components, or are incorporated into the host cell membrane. (5) Individual components are assembled into new virus particles (maturation). (6) Release of daughter viruses results in spread of virus inside and outside the organism.
The active group of L, S, P, and F (or their metabolites) resembles that of the physiological substrate of the enzyme (A). L and S are lactones that are rapidly absorbed by the enteral route, subjected to extensive first-pass extraction in the liver, and there hydrolyzed into active metabolites.

 

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