H I V protease inhibitor design. Compound A is one of a series that were
designed to be potent inhibitors of HIV protease.
Compound A was tested by using two assays: (1) direct inhibition of HIV
protease in vitro and (2) inhibition of viral \(\mathrm{RNA}\) production in HIV
infected cells, a measure of viral replication. The results of these assays
are shown here. The HIV protease activity is measured with a substrate peptide
present at a concentration equal to its \(K_{\mathrm{M}}\) value.
$$\begin{array}{cc}\begin{array}{c}\text { Compound A } \\\\\text { (nM)
}\end{array} & \begin{array}{c}\text { HIV protease activity } \\\\\text {
(arbitrary units) }\end{array} \\\\\hline 0 & 11.2 \\\0.2 & 99 \\\0.4 & 7.4
\\\0.6 & 5.6 \\\0.8 & 4.8 \\\1 & 4.0 \\\2 & 0.9 \\\10 & 0.9 \\\100 & 0.2
\\\\\hline\end{array}$$
$$\begin{array}{lc}\begin{array}{l}\text { Compound A } \\\\\text { (mM)
}\end{array} & \begin{array}{c}\text { Viral RNA production } \\\\\text {
(arbitrary units) }\end{array} \\\\\hline 0 & 760 \\\1.0 & 740 \\\2.0 & 380
\\\3.0 & 280 \\\4.0 & 180 \\\5.0 & 100 \\\10 & 30 \\\50 & 20
\\\\\hline\end{array}$$
Estimate the values for the \(K_{1}\) of compound \(A\) in the protease activity
assay and for its IC \(_{50}\) in the viral RNA production assay.
Treating rats with the relatively high oral dose of \(20 \mathrm{mg}
\mathrm{kg}^{-1}\) results in a maximum concentration of compound A of \(0.4 \mu
\mathrm{M}\) On the basis of this value, do you expect compound A to be
effective in preventing HIV replication when taken orally?