Alja Prah1,2, Miha Purg3, Jernej Stare1, Robert Vianello4, Janez Mavri1. 1. Laboratory for Computational Biochemistry and Drug Design, National Institute of Chemistry, Ljubljana 1001, Slovenia. 2. Faculty of Pharmacy, University of Ljubljana, Ljubljana 1001, Slovenia. 3. Department of Cell and Molecular Biology, Uppsala University, Uppsala SE-751 24, Sweden. 4. Division of Organic Chemistry and Biochemistry, Rud̵er Bošković Institute, Zagreb 10002, Croatia.
Abstract
The enzyme-catalyzed degradation of the biogenic amine serotonin is an essential regulatory mechanism of its level in the human organism. In particular, monoamine oxidase A (MAO A) is an important flavoenzyme involved in the metabolism of monoamine neurotransmitters. Despite extensive research efforts, neither the catalytic nor the inhibition mechanisms of MAO enzymes are currently fully understood. In this article, we present the quantum mechanics/molecular mechanics simulation of the rate-limiting step for the serotonin decomposition, which consists of hydride transfer from the serotonin methylene group to the N5 atom of the flavin moiety. Free-energy profiles of the reaction were computed by the empirical valence bond method. Apart from the enzymatic environment, the reference reaction in the gas phase was also simulated, facilitating the estimation of the catalytic effect of the enzyme. The calculated barrier for the enzyme-catalyzed reaction of 14.82 ± 0.81 kcal mol-1 is in good agreement with the experimental value of 16.0 kcal mol-1, which provides strong evidence for the validity of the proposed hydride-transfer mechanism. Together with additional experimental and computational work, the results presented herein contribute to a deeper understanding of the catalytic mechanism of MAO A and flavoenzymes in general, and in the long run, they should pave the way toward applications in neuropsychiatry.
The enzyme-catalyzed degradation of the biogenic amineserotonin is an essential regulatory mechanism of its level in the human organism. In particular, monoamine oxidase A (MAO A) is an important flavoenzyme involved in the metabolism of monoamine neurotransmitters. Despite extensive research efforts, neither the catalytic nor the inhibition mechanisms of MAO enzymes are currently fully understood. In this article, we present the quantum mechanics/molecular mechanics simulation of the rate-limiting step for the serotonin decomposition, which consists of hydride transfer from the serotonin methylene group to the N5 atom of the flavin moiety. Free-energy profiles of the reaction were computed by the empirical valence bond method. Apart from the enzymatic environment, the reference reaction in the gas phase was also simulated, facilitating the estimation of the catalytic effect of the enzyme. The calculated barrier for the enzyme-catalyzed reaction of 14.82 ± 0.81 kcal mol-1 is in good agreement with the experimental value of 16.0 kcal mol-1, which provides strong evidence for the validity of the proposed hydride-transfer mechanism. Together with additional experimental and computational work, the results presented herein contribute to a deeper understanding of the catalytic mechanism of MAO A and flavoenzymes in general, and in the long run, they should pave the way toward applications in neuropsychiatry.
Serotonin or 5-hydroxytryptamine
is an essential monoamine neurotransmitter.
It is found in the gastrointestinal tract, platelets, and the central
nervous system (CNS). In the gastrointestinal tract, it is involved
in the regulation of intestinal movements, while its important role
in platelets is to act as a vasoconstrictor and help regulate hemostasis
and blood clotting. In both cases, it is released from enterochromaffin
cells.[1] Only 10% of serotonin is located
in the CNS, where it has several functions that are only partially
understood. It is involved in the regulation of mood, sleep, appetite,
and cognition.[2] A depletion of serotonin
in the CNS is responsible for disorders such as obsessive–compulsive
disorders, depression, and anxiety,[3] while
its role in mediating inflammation and immunity responses[4] as well as its relevance for cardiac physiology
and pathology has also been proposed.[5] Increasing
serotonin levels is an important strategy in the pharmacological treatment
of depression, and typically, the levels are increased by inhibiting
the serotonin transporter or by inhibiting monoamine oxidase A (MAO
A), an enzyme that breaks down serotonin.[6] MAOs are flavoenzymes that catalyze the oxidative deamination of
biogenic amines, producing aldehyde and hydrogen peroxide. Both products
are responsible for both the formation of amyloid plaques and the
degradation of neuron membranes, accompanied by massive inflammation,
which manifests clinically as neurodegeneration, of which Alzheimer’s
and Parkinson’s disease are the most common examples.[7] As such, besides increasing monoamine levels,
the inhibition of MAOs also has the potential to have a neuroprotective
effect.Despite extensive research efforts in the field of MAOs,
the exact
catalytic steps are still difficult to determine. MAOs convert amines
into the corresponding imines by transferring two electrons and two
protons from the substrate to the enzyme flavin adenine dinucleotide
(FAD) cofactor, which converts the latter into its reduced FADH2 form. Although this fact is widely accepted, the rate-limiting
step of the mechanistic pathway is still under debate. Several computational
studies addressed this issue.[8−12] We have shown in a previous study that the transfer of a hydride
anion in the initial step has a much lower free activation energy
than alternative mechanistic proposals.[13] Until recently, all mechanistic proposals shared the common assumption
that MAO A and MAO B operate by the same mechanism. However, Orru
et al.[14] came up with an interesting proposal
that MAO A works via a polar nucleophilic mechanism involving proton
transfer in the rate-limiting step, while MAO B works via a hydride
mechanism. Kästner and co-workers conducted a quantum mechanics/molecular
mechanics (QM/MM) study of the MAO B-catalyzed decomposition of benzylamine
and proposed that the transfer of two electrons and a proton in the
rate-limiting step is concerted yet asynchronous, which is in accordance
with the polar nucleophilic mechanism,[15] although they could not provide the evidence for the initial substrate–flavin
complex originally postulated to facilitate the aforementioned proton
transfer.[16] One is tempted to conclude
that the absence of the complex formation in Kästner’s
study indirectly supports the hydride-transfer mechanism we proposed.[13] Akyüz and Erdem utilized QM/MM calculations
at the ONIOM level, taking into account the full dimensionality of
the enzyme, and confirmed the hydride mechanism for both MAOs but
proposed what they called a “slightly different hydride-transfer
mechanism” among the isoforms.[17] Soon after, the same group conducted a computational study on a
model system to convincingly demonstrate the predominant feasibility
of hydride-transfer versus proton-transfer reaction,[18] followed by the MAO B-catalyzed serotonin decomposition
at the ONIOM M06-2X/6-31+G(d,p):PM6 level, confirming that the rate-determining
step is a hybrid of hydride and proton transfer where the hydride
transfer dominates over the proton transfer.[19] The mechanism of the rate-limiting step of the MAO A-catalyzed serotonin
decomposition, involving hydride transfer proposed by us, is shown
in Figure .
Figure 1
Mechanism of
the rate-limiting step of MAO A-catalyzed serotonin
decomposition, involving hydride transfer from the serotonin methylene
group to the N5 atom of the FAD cofactor. Please note that the intermediate
formally consists of two ionic species and the reaction in this respect
is strongly dependent on the polar environment. It is worth to emphasize
that in the following reactions, which do not represent the rate-limiting
steps, the formed imine is deprotonated by FADH– and hydrolyzed, while the reduced flavin is reoxidized back to FAD.
Mechanism of
the rate-limiting step of MAO A-catalyzed serotonin
decomposition, involving hydride transfer from the serotonin methylene
group to the N5 atom of the FAD cofactor. Please note that the intermediate
formally consists of two ionic species and the reaction in this respect
is strongly dependent on the polar environment. It is worth to emphasize
that in the following reactions, which do not represent the rate-limiting
steps, the formed imine is deprotonated by FADH– and hydrolyzed, while the reduced flavin is reoxidized back to FAD.Enzyme catalysis is the speed up of the enzymatic
reaction compared
to the corresponding reaction in aqueous solution.[20] Warshel and co-workers clearly showed that the majority
of the catalytic power of enzymes originates from the electrostatic
preorganization of the active site.[21,22] Recently,
our group demonstrated the significant role of electrostatics in the
catalytic function of the MAO A enzyme.[23] Therefore, because of the long-range nature of the electrostatic
interactions, it is essential to include a large part of the enzyme
in the modeling of an enzymatic reaction, correctly assign the protonation
states of the ionizable residues, and obtain the converged free activation
energy through intensive thermal averaging. To evaluate the catalytic
effect of the enzymatic environment, it is also essential to consider
the reference reaction. From a practical point of view, a hierarchical
treatment of the reactive system at the QM/MM level should be used,
and computationally inexpensive quantum chemistry should allow for
converged free-energy calculations. The Empirical Valence Bond (EVB)
approach developed by Warshel is the method of choice for computational
enzymology because it is computationally inexpensive and elegantly
incorporates the parameters for the reference reaction.In this
article, we calculated the activation free energy for the
serotonin decomposition by MAO A. The calculations were performed
using the multiscale QM/MM approach, where the quantum subsystem was
described by the EVB methodology in conjunction with an all-atom classical
representation of the hydrated enzyme. In order to properly calibrate
the EVB treatment, the thermodynamic and kinetic parameters of the
reference reaction (in the aqueous solution or in the gas phase) need
to be evaluated. For the amine oxidation reaction studied herein,
experimental assessment of these parameters is not practical because
in the solution, the reaction proceeds at vanishingly slow rates.
Therefore, the parameters of the reference reaction were obtained
by quantum calculations, which is standard practice. Presently, we
computed the reaction energy and barrier at the M06-2X/6-31+G(d,p)
level of theory in line with our previous reports.[24−27]
Materials
and Methods
Gas-Phase Calculations
At the initial
stage, the reference reaction in the gas phase was characterized by
density functional theory calculations employing the M06-2X functional
(developed by Zhao and Truhlar) that proved to be accurate for the
calculation of the barriers of organic reactions.[28] In conjunction with the M06-2X functional, the 6-31+G(d,p)
basis set was used for geometry optimization of the reacting moiety
in the state of reactants, in the transition state, and in the state
of products. Because in the gas phase, the FADH– anion and the serotonin cation form an adduct immediately upon the
hydride transfer, we approximated the products by selecting a structure
of the FADH– group that matches the geometry of
the gas-phase-optimized isolated FADH–. This approach
was applied and rationalized in our previous work.[24,27] All quantum computations were carried out by the Gaussian16 software package.[29] The gas-phase model
consisted of a serotonin molecule accompanied by lumiflavin, the latter
representing the FAD prosthetic group located in the active site of
MAO A. Vibrational analysis of the optimized species resulted in all
real harmonic frequency values for reactants and products and one
imaginary frequency value for the transition state (νimag = 1240i cm–1). Visualization
of the corresponding eigenvector revealed that the imaginary mode
mainly corresponds to the reactive C–H stretching motion. Using
the energies of the optimized species corrected for the vibrational
zero-point energy, the reaction energy and barrier were computed and
subsequently used in the calibration of the EVB protocol (see below),
which is standard practice.[30] The calculated
gas-phase barrier was ΔGgas⧧ = 30.90 kcal mol–1, and the reaction energy ΔGgasr = 22.93
kcal mol–1.
Free
Energy of Serotonin Deprotonation
Serotonin is a weak base
with an experimental pKa value of the
amino group of 10.02 in aqueous solution,[31] which indicates that the vast majority of serotonin
is protonated at a physiological pH of 7.4, yet our mechanistic proposal
(Figure ) requires
the metabolizing amine to be unionized in order to undergo MAO degradation.
Our previous research shows that protonated monoamines enter the reaction
with MAO enzymes extremely slowly, and therefore, the reaction channel
with protonated species does not contribute to the kinetics.[13] In this respect, it is a good strategy to calculate
the free energy for serotonin deprotonation and add this value to
the reaction barrier calculated for neutral serotonin.[24−27] In addition, based on our previous studies, we concluded that the
pKa value of dopamine does not change
during transfer from water to the MAO B active site.[32] Because the MAO A and MAO B active sites are very similar
in terms of structure and electric field,[33] we can safely assume that the serotonin pKa value would also not change significantly during transfer
from water to the MAO A active site.With this in mind, the
free energy for the deprotonation of a Brønsted acid with a particular
pKa value to a bulk solution with a certain
pH value is given aswhere kBT is 0.59 kcal
mol–1 at room temperature
and the value of ln(10) is 2.303.At a pKa value of 10.02 for serotonin
and a physiological pH of 7.4, we obtain the free energy for serotonin
deprotonation of 3.56 kcal mol–1. According to our
assumptions, this value is the same for the enzyme-catalyzed reaction
as well as for the reaction in water, while it is zero for the gas
phase.
EVB Calculations
A high-resolution
crystal structure of MAO A was obtained from the Protein Data Bank
(accession code 2Z5X). The protein chain and FAD cofactor were retained,
while the inhibitor and water molecules were removed from the crystal
structure. The serotonin molecule was built and manually docked into
the active site by utilizing the UCSF Chimera program package.[34] Special attention was paid to the protonation
states—the serotonin molecule was neutral and the protonation
states of the ionizable MAO A residues were selected based on their
pKa values,[33] calculated with the help of the PROPKA server.[35] The obtained protonation state of MAO A residues was the
same as that described in our previous studies.[36]Simulation of the enzyme-catalyzed reaction was based
on the EVB description of the reactive subsystem consisting of lumiflavin
and the neutral serotonin molecule embedded in the classically treated
solvated enzyme. Two EVB states were used: the first corresponding
to the reacting Michaelis complex and the second to the intermediate
state in which the hydride is already transferred to the N5 atom of
the lumiflavin moiety. The atomic charges for both EVB states were
calculated by fitting to the electrostatic potential calculated at
the HF/6-31G(d) level of theory according to the RESP scheme. The
enzyme–substrate complex was solvated in a spherical cell with
a radius of 30 Å, centered on the N5 atom of the flavin moiety,
encompassing 1649 water molecules in total, all described with the
OPLS-AA force field.[37] The structure of
MAO A with the serotonin molecule in the active site is shown in Figure .
Figure 2
Structure of MAO A with
serotonin in the active site. The flavin
and serotonin moieties are represented using colored sticks, serotonin
carbon atoms are depicted in green, and flavin carbon atoms are depicted
in black.
Structure of MAO A with
serotonin in the active site. The flavin
and serotonin moieties are represented using colored sticks, serotonincarbon atoms are depicted in green, and flavincarbon atoms are depicted
in black.All simulations and free-energy
calculations were performed with
the Q5(38) software package.
The system was first equilibrated by slowly raising the temperature
from 1 to 300 K while at the same time increasing the time step for
integration from 0.1 to 1 fs and gradually releasing the applied positional
restraints. The classical molecular dynamics (MD) trajectories for
the reaction step were obtained using a mapping potential[21,39,40] of the typewhere the force field of the reactants
(ε1) was gradually transformed into the force field
of the products
(ε2) via the coupling parameter λ. We simulated
a total of 10 replicas using 51 λ-frames, each 10 ps long, resulting
in 5.1 ns of MD. The same protocol was employed in our previous work.[26] The production runs were performed at a temperature
of 300 K, with a time step of 1 fs. A spherical cutoff of 10 Å
was used for protein–protein, protein–water, and water–water
interactions, and the local reaction field was applied for long-range
interactions beyond 10 Å. All interactions between the EVB region
(serotonin and FAD, truncated to the lumiflavin molecule LFN) and
the solvated protein were included. The structure of the MAO A active
site with the serotonin molecule (corresponding to the reactants,
transition state, and products) is shown in Figure , with a clear indication of the hydride
ion being transferred from the methylene group on serotonin to the
N5 atom of the FAD cofactor (Figure ).
Figure 3
Reactant (left), transition-state (middle), and product
(right)
structures of the MAO A active site with the reacting serotonin molecule.
The serotonin moiety is denoted by SRO and the flavin moiety by FAD.
Serotonin carbon atoms are depicted in green, and flavin carbon atoms
are depicted in black. Please note that in the transition state, the
transferring hydride ion is located about halfway between the reactive
carbon Cα atom of serotonin and the flavin N5 atom. The averaged
distances between the reactive carbon Cα atom and the flavin
N5 atom are 3.01, 2.67, and 3.21 Å for the reactants, transition
state, and products, respectively.
Reactant (left), transition-state (middle), and product
(right)
structures of the MAO A active site with the reacting serotonin molecule.
The serotonin moiety is denoted by SRO and the flavin moiety by FAD.
Serotonincarbon atoms are depicted in green, and flavincarbon atoms
are depicted in black. Please note that in the transition state, the
transferring hydride ion is located about halfway between the reactive
carbon Cα atom of serotonin and the flavin N5 atom. The averaged
distances between the reactive carbon Cα atom and the flavin
N5 atom are 3.01, 2.67, and 3.21 Å for the reactants, transition
state, and products, respectively.The corresponding free-energy profiles were then computed from
these simulations by using the well-established Free Energy Perturbation/Umbrella
Sampling approach,[21,39,40] as described in our previous work.[36,41]In addition
to the enzymatic environment, the same reaction was
also simulated in the gas phase and in the aqueous solution. The free-energy
profile in the gas phase was fitted to the quantum chemically calculated
barrier height of ΔGgas⧧ = 30.90 kcal mol–1 and the reaction energy of ΔGgasr = 22.93 kcal
mol–1. The mapping yielded calibrated EVB parameters,
namely, the off-diagonal matrix element Hij of 44.28 kcal mol–1 and the gas-phase shift α
of 103.94 kcal mol–1. By using identical values
of the parameters Hij and α, mapping
was performed for reactions in the enzyme and in water. Visualization
of the trajectories was performed with the VMD program.[42]
Results
The reaction
profiles for the reaction in the gas phase and in
the MAO A enzyme are shown in Figure .
Figure 4
Reaction profiles for the decomposition of neutral serotonin.
The
gas-phase profiles are depicted in black, while the MAO A-catalyzed
profiles are in red. The reaction coordinate is defined as the energy
difference between EVB states 2 and 1 and is commonly used in displaying
EVB free-energy profiles.
Reaction profiles for the decomposition of neutral serotonin.
The
gas-phase profiles are depicted in black, while the MAO A-catalyzed
profiles are in red. The reaction coordinate is defined as the energy
difference between EVB states 2 and 1 and is commonly used in displaying
EVB free-energy profiles.The calculated barrier for the neutral serotonin decomposition
of 11.26 ± 0.81 kcal mol–1 was subsequently
corrected for the free-energy cost of serotonin deprotonation of 3.56
kcal mol–1 at a pH value of 7.4, resulting in an
overall barrier of 14.82 ± 0.81 kcal mol–1,
which is in very good agreement with the experimental value of 16.0
kcal mol–1.[43] The error
of the calculated activation energy was estimated as the standard
deviation for the barrier obtained from 10 replicas. The reaction
free energy for the enzyme-catalyzed reaction is exergonic at −8.46
± 1.88 kcal mol–1. The experimental and calculated
kinetic parameters for the enzyme-catalyzed reaction are listed in Table .
Table 1
Experimental and Calculated Kinetic
Parameters for the MAO A-Catalyzed Decomposition of Serotonina
kexpcat (s–1)
ΔGexp⧧ (kcal mol–1)
ΔGcalc⧧ (kcal mol–1)
3.0
16.0
14.82 ± 0.81
Please note that
the experimental
barrier value ΔGexp⧧ was calculated from the experimental
rate constant kexpcat(43) by using the
Eyring–Polanyi equation.
Please note that
the experimental
barrier value ΔGexp⧧ was calculated from the experimental
rate constant kexpcat(43) by using the
Eyring–Polanyi equation.In the aqueous environment, the corresponding reaction barrier
is computed to be 18.53 ± 0.56 kcal mol–1,
resulting in a barrier value of 22.09 ± 0.56 kcal mol–1, after applying the correction for the free energy of serotonin
deprotonation (3.56 kcal mol–1). The reaction free
energy for the reaction in water is −5.27 ± 0.38 kcal
mol–1. Interestingly, this value is by 3.2 kcal
mol–1 less exergonic than that for the MAO A active
site, suggesting that the charged intermediates, following the hydride
ion transfer, are better stabilized within the enzyme than in the
aqueous solution. Comparison of the activation free energies between
the aqueous and enzymatic environments reveals that MAO A lowers the
barrier by 7.27 kcal mol–1 relative to water. By
employing the transition-state theory, the corresponding increase
in the reaction rate constant can therefore be estimated to be about
5 orders of magnitude at room temperature, implying that the reaction
in the enzymatic environment proceeds much faster as compared to the
reaction in the aqueous solution. In contrast to the aqueous and enzymatic
environments, the same reaction in the gas phase is much less favorable
both kinetically and thermodynamically, the latter being even highly
endergonic at ΔGgasr = 22.93 kcal mol–1, as demonstrated by quantum calculations. With the present results
at hand, it is interesting to observe that our earlier report for
the MAO B-catalyzed dopamine degradation[24] showed that the catalytic effect of this enzyme is 12.3 kcal mol–1, which analogously corresponds to 9 orders of magnitude
increase in the rate constant relative to the reference reaction in
the aqueous solution. This indicates a higher catalytic efficiency
of MAO B as compared to that of MAO A, likely hinting at its predominance
in the CNS, where a fast and efficient regulation and clearance of
the brain monoamines is of great importance.
Conclusions
In this article, we conducted a multiscale study of the catalytic
step of the serotonin decomposition catalyzed by MAO A by using the
state-of-the-art EVB treatment. By properly including a fully featured
enzymatic environment, well-converged free-energy profiles were obtained.
The calculated free activation energy of 14.82 ± 0.81 kcal mol–1 reasonably reproduces the experimental free activation
energy of 16.0 kcal mol–1, which gives very strong
evidence for the validity of Vianello’s hydride-transfer mechanism[13] for the MAO A-catalyzed serotonin decomposition
as well.By comparing the activation free energy between the
enzymatic and
aqueous environments, the catalytic effect (barrier lowering) provided
by MAO A is estimated to be 7.27 kcal mol–1, which
ranks MAO A among the enzymes with mid-range proficiency. According
to Warshel, the catalytic effect of enzymes is mainly attributed to
preorganized electrostatics,[30] whereas
other factors, including steric strain or dynamical effects, are less
relevant. The assumed decisive role of electrostatics can also be
devised for the presently studied reaction, that is, the reaction
involves the formation of two charged species as a result of the hydride
transfer from serotonin to lumiflavin—because of this, the
reaction profiles are strongly dependent on the environment. The water
environment significantly reduces the gas-phase barrier and enables
the reaction thermodynamically, while the preorganized enzyme electrostatics
provides an additional (and for physiological purposes probably decisive)
contribution to the barrier lowering.The present study represents
one of several attempts to elucidate
the catalytic effect of MAO enzymes. A number of open questions to
be addressed in future research remain, including consecutive steps
in the catalytic process, MAO A versus MAO B selectivity, and effects
of point mutations. Point mutations lead to altered enzyme activity
by changing the electrostatic stabilization of the reactants and the
transition state, which results in a changed free activation energy
and thus in a changed turnover rate. A particular challenge is the
application of the MAO A function to genomic medicine. MAO A activity
can be modulated by the level of its expression and by altered activities
of its mutants. The effects of point mutations can be studied experimentally
and theoretically (see ref (36)) and can be obtained relatively easily from the genomic
information, whereas the level of MAO A expression is not easily linked
to the genomic information. High MAO A activity, along with highly
active transporters for its reuptake (serotonin transporter—SERT),
leads to decreased serotonin and noradrenalin levels, typically followed
by pathologies such as depression, anxiety, and other mood disorders.[44−46] Low MAO A activity leads to increased serotonin and noradrenaline
levels, which have pathological effects on brain plasticity in the
process of prenatal neurogenesis. In psychiatry, the term “warrior
gene” is established for the gene that encodes a less active
MAO A. The Brunner syndrome is a well-established pathology that can
be caused by the complete absence of MAO A, truncation of the enzyme,
or point mutations, as shown in clinical studies and animal models.[47−50] Summarizing this, it remains a major challenge for the future to
develop a macroscopic model that combines genomic information, experimental
kinetic data from MAOs, and experimental data on monoamine transporters
(such as the serotonin or dopamine transporters) with molecular simulation
data to predict neuropsychiatric pathologies such as depression. The
method of choice in this case is a description of the synapse using
a system of ordinary differential equations, as we did in our recent
study concerning the effects of cocaine and amphetamines on dopamine
autoxidation and therewith associated induction of Parkinsonism.[51]
Authors: O Cases; I Seif; J Grimsby; P Gaspar; K Chen; S Pournin; U Müller; M Aguet; C Babinet; J C Shih Journal: Science Date: 1995-06-23 Impact factor: 47.728
Authors: Lisheng Du; Gabor Faludi; Miklos Palkovits; Peter Sotonyi; David Bakish; Pavel D Hrdina Journal: Neuroreport Date: 2002-07-02 Impact factor: 1.837
Authors: Luana Canzian Llanes; Nathalia Biazotto Sa; Arthur Ribeiro Cenci; Kerolain Faoro Teixeira; Igor Vinícius de França; Lidiane Meier; Aldo Sena de Oliveira Journal: RSC Med Chem Date: 2022-03-30