Various poly(ethylene glycol)(PEG)-based prodrug con
jugates of the HIV-1 protease inhibitor (PI)saquinavir (SQV) were prepared using several types of chemical groups potentially capable of modifyingits pharmacokinetic properties. These prodrug con
jugates included SQV-cysteine-PEG3400, SQV-cysteine-PEG3400-biotin, SQV-cysteine(R.I.CK-Tat9) [a cationic retro-inverso-cysteine-lysine-Tatnonapeptide]-PEG3400,
and SQV-cysteine(R.I.CK(stearate)-Tat9)-PEG3400. SQV was linked tocysteine to form a releasable SQV-cysteine ester bond in all of the con
jugates. The amino group ofthe cysteine moiety provided an attachment site for a slower-degrading amide bond with
N-hydroxysuccinimide-activated forms of PEG-
and PEG-biotin. Disulfide bonds were used to attachthe cationic peptides, R.I.CK-Tat9
and R.I.CK(stearate)-Tat9 to the cysteine moiety in order to providecell-specific release. An assay was established
and validated for measuring the activity of SQV
andother protease inhibitors in biological samples. In this assay, cleavage of an internally quenchedfluorescent substrate, Arg-Glu(EDANS)-Ser-Gln-Asn-Tyr-Pro-Ile-Val-Gly-Lys(DABCYL)-Arg by HIV-1protease was inhibited by SQV in a dose-dependent manner at concentrations of 0.05-0.5
M. Allprodrug con
jugates were shown to be inactive in this assay until the ester bond was cleaved
andactive SQV was released. The prodrug reconversion half-lives in 0.1 N HCl, phosphate-buffered saline(PBS) at pH 7.4
and in spiked plasma at 37
C were 9, 14,
and 0.9 h, respectively. The anti-HIV-1activity (ED
50) of the PEG-based SQV prodrug con
jugates was evaluated in MT-2 cells using an MTTassay. The activity of con
jugated SQV was reduced (ED
50 = 900 nM) for the PEG only con
jugate, butrestored with the addition of biotin (ED
50 = 125 nM), R.I.CK-Tat9 (ED
50 = 15 nM),
and R.I.CK(stearate)-Tat9 (ED
50 = 62 nM) as compared to maximum achievable anti-HIV-1 activity (uncon
jugatedSQV, control, ED
50 = 15 nM), suggesting enhanced cellular uptake of con
jugates. Cytotoxicity (LD
50)was assessed for all prodrug con
jugates using non-HIV-1 infected cells
and was found to be in themicromolar range. The difference between the LD
50 and ED
50 suggests a favorable therapeutic indexfor the prodrug con
jugates. In conclusion, these promising initial results demonstrate that thereconversion of the con
jugate prodrugs was complete
and that active SQV was released. Since thema
jor delivery advantages of PEG prodrug con
jugates can only be observed in vivo, issues ofreconversion
and elimination half-lives in plasma will have to be further studied in an in vivo model.The current results also demonstrate that the protease inhibition assay is a simple yet effectivebioanalytical tool that can be used to assess the release
and anti-HIV-1 activity of HIV-1 PIs fromtheir prodrug forms.