1. The subject of this review is the interact:ion between AZT (zidovud
ine) and mitochondria as described in papers dealing with AZT therapy
both in AIDS patients and in model systems-that is, in cultured cells
and in isolated mitochondria. 2. The structure and function of mitocho
ndria are briefly described with discussion of the theoretical frame f
or a detailed bioenergetic investigation. 3. Experimental work is repo
rted showing that mitochondria are cell AZT targets: changes in the st
ructure and function induced by long-term AZT therapy as investigated
both in AIDS patients and in model systems. 4. The AZT inhibition of e
nergy-supplying reactions is considered in detail in studies dealing w
ith long-term treatment and studies in which AZT was added to isolated
mitochondria. In particular, adenylate kinase, ADP/ATP translocase an
d DNA polymerase gamma are reported as molecular targets of AZT. 5. So
me perspectives of AZT therapy from the study of the effect of AZT on
mitochondrion biochemistry are briefly reported. (C) 1998 Elsevier Sci
ence Inc.