Mechanistic information and structure-based design methods have been u
sed to design a series of nonpeptide cyclic ureas that are potent inhi
bitors of human immunodeficiency virus (HIV) protease and HIV replicat
ion. A fundamental feature of these inhibitors is the cyclic urea carb
onyl oxygen that mimics the hydrogen-bonding features of a key structu
ral water molecule. The success of the design in both displacing and m
imicking the structural water molecule was confirmed by x-ray crystall
ographic studies. Highly selective, preorganized inhibitors with relat
ively low molecular weight and high oral bioavailability were synthesi
zed.