Cristina García-Iriepa1,2, Cécilia Hognon3, Antonio Francés-Monerris3,4, Isabel Iriepa2,5, Tom Miclot3,6, Giampaolo Barone6, Antonio Monari3, Marco Marazzi1,2. 1. Department of Analytical Chemistry, Physical Chemistry and Chemical Engineering, Universidad de Alcalá, Ctra. Madrid-Barcelona, Km 33,600, 28871 Alcalá de Henares, Madrid, Spain. 2. Chemical Research Institute "Andrés M. del Río" (IQAR), Universidad de Alcalá, 28871 Alcalá de Henares, Madrid, Spain. 3. Université de Lorraine and CNRS, LPCT UMR 7019, F-54000 Nancy, France. 4. Departament de Química Física, Universitat de València, 46100 Burjassot, Spain. 5. Department of Organic and Inorganic Chemistry, Universidad de Alcalá, Ctra. Madrid-Barcelona, Km 33,600, 28871 Alcalá de Henares, Madrid, Spain. 6. Department of Biological, Chemical and Pharmaceutical Sciences and Technologies, Università degli Studi di Palermo, Viale delle Scienze, 90128 Palermo, Italy.
Abstract
Since the end of 2019, the coronavirus SARS-CoV-2 has caused more than 1000000 deaths all over the world and still lacks a medical treatment despite the attention of the whole scientific community. Human angiotensin-converting enzyme 2 (ACE2) was recently recognized as the transmembrane protein that serves as the point of entry of SARS-CoV-2 into cells, thus constituting the first biomolecular event leading to COVID-19 disease. Here, by means of a state-of-the-art computational approach, we propose a rational evaluation of the molecular mechanisms behind the formation of the protein complex. Moreover, the free energy of binding between ACE2 and the active receptor binding domain of the SARS-CoV-2 spike protein is evaluated quantitatively, providing for the first time the thermodynamics of virus-receptor recognition. Furthermore, the action of different ACE2 ligands is also examined in particular in their capacity to disrupt SARS-CoV-2 recognition, also providing via a free energy profile the quantification of the ligand-induced decreased affinity. These results improve our knowledge on molecular grounds of the SARS-CoV-2 infection and allow us to suggest rationales that could be useful for the subsequent wise molecular design for the treatment of COVID-19 cases.
Since the end of 2019, the coronavirusSARS-CoV-2 has caused more than 1000000 deaths all over the world and still lacks a medical treatment despite the attention of the whole scientific community. Humanangiotensin-converting enzyme 2 (ACE2) was recently recognized as the transmembrane protein that serves as the point of entry of SARS-CoV-2 into cells, thus constituting the first biomolecular event leading to COVID-19 disease. Here, by means of a state-of-the-art computational approach, we propose a rational evaluation of the molecular mechanisms behind the formation of the protein complex. Moreover, the free energy of binding between ACE2 and the active receptor binding domain of the SARS-CoV-2spike protein is evaluated quantitatively, providing for the first time the thermodynamics of virus-receptor recognition. Furthermore, the action of different ACE2 ligands is also examined in particular in their capacity to disrupt SARS-CoV-2 recognition, also providing via a free energy profile the quantification of the ligand-induced decreased affinity. These results improve our knowledge on molecular grounds of the SARS-CoV-2 infection and allow us to suggest rationales that could be useful for the subsequent wise molecular design for the treatment of COVID-19 cases.
A novel strain of coronavirus inducing severe acute respiratory disease (SARS)
developed at the end of 2019 in mainland China and was later identified as
SARS-CoV-2. Since then, after readily diffusing in eastern countries, SARS-CoV-2
has been at the origin of the outbreak of a severe pandemic of coronavirus
disease-19 (COVID-19), at present widespread on all of the
continents.[1−4] Strict
social distancing and lock down measures have since been implemented to contain
the diffusion of COVID-19 and the pressure it exerts on public health systems, due
to the possible development of acute respiratory stress and bilateral pneumonia,
requiring appropriate intensive care treatment.[5−7] Indeed, although the mortality ratio of
COVID-19 is relatively low, compared to other related diseases, and usually
associated with other preexistent morbidity, the very high transmissibility ratio,
also due to a large number of asymptomatic patients, is related to the very fast
growing rate of infection.[8−10] When this paper was being prepared, COVID-19 had infected
more than 38.3 million persons worldwide, causing more than 1000000 deaths, and
after having severely affected Asia and Europe is rapidly spreading across the
whole world with the exception of Antarctica.[11] However, at
present no real definitive therapeutic strategy is available to counteract
SARS-CoV-2 infection.Due to the unprecedented severity of the sanitary crisis, and its strong impact on
both social and economic life, important scientific efforts have been devoted to
modeling and comprehending the action of the virus and the outcome of the
infection. In particular, the genome of the virus has been rapidly
sequenced,[12,13] and in parallel, the structure of its main protein
apparatus has been resolved,[14−16] especially using cryogenic electron microscopy (cryoEM)
techniques.[17] Molecular modeling and simulation studies
have also been performed to rationalize, at the atomistic level, the behavior of
the different involved proteins,[18] the pattern of interactions
between them and other biological structures such as nucleic acids,[19] and the inherent differences between the SARS-CoV-2 proteome
and those of other coronaviruses, such as SARS-CoV or the Middle East respiratory
syndrome (MERS) agents.[20]Among the varied protein apparatus of SARS-CoV-2, special attention has been devoted
to the spike protein. This large protein includes a transmembrane domain
protruding from the surface of the viral envelope, used by the virus to recognize
the host cell.[21] Indeed, after its binding to the human
receptors, via its specific receptor binding domain (RBD), the large
conformational changes that are induced allow the fusion of the viral and host
membranes, which represents the first step of the infection, i.e., the entry of
the viral material into healthy cells. High-resolution structures of the full
spike protein complex have been obtained, also resolving different conformational
states of RBD, namely the active open conformations, the semiactive state, and the
closed state.[17]The molecular target of the spike protein of coronaviruses in general and SARS-CoV-2
in particular, their entry gate, has been recognized in angiotensin-converting
enzyme 2 [ACE2 (Figure )].[22] ACE2 is largely present in the external membranes of cells
belonging to different human organs, such as the lungs, kidneys, and intestine,
and plays a fundamental role in regulating blood pressure.[23,24] In addition, it
plays a secondary role in regulating the membrane trafficking of neutral amino
acid transporters.[25] The interaction with ACE2, and
consequently the inhibition of its biological functions, has also been recognized
as one of the reasons for the high morbidity of SARS viruses.[26−28] In fact, ACE2 is regarded as a
favorable target of potential therapeutic agents counteracting SARS-CoV-2
infectivity, limiting its harmful effects. Consequently, high-resolution
structures of the complex between the RBD and the extramembrane domain of ACE2
(RBD/ACE2) have been obtained.[22] The main patterns of
interaction driving the formation of the RBD/ACE2 complex have also been pointed
out and rationalized, highlighting the crucial differences with other
coronaviruses. The hot spots assuring the efficient recognition by the RBD have
been identified in the so-called peptide domain (PD) of the ACE2 receptor (Figure ), consisting of an extended
α-helical region, and traced back to the formation of a dense hydrogen
bonding network with the RBD.
Figure 1
(a) Depiction of human angiotensin-converting enzyme 2 (ACE2) considering
possible interactions of its peptide domain (PD) with administered
drugs, which could in turn limit or prevent SARS-CoV-2 recognition
through its active receptor binding domain (RBD). (b) Structures of
the drugs being studied: aureolic acids, including plicamycin,
chromomycin A3, and UCH9, and flavonoids, including diosmin, rutin,
and naringin.
(a) Depiction of humanangiotensin-converting enzyme 2 (ACE2) considering
possible interactions of its peptide domain (PD) with administered
drugs, which could in turn limit or prevent SARS-CoV-2 recognition
through its active receptor binding domain (RBD). (b) Structures of
the drugs being studied: aureolic acids, including plicamycin,
chromomycin A3, and UCH9, and flavonoids, including diosmin, rutin,
and naringin.Different therapeutic strategies could be envisaged. On one hand, drugs could bind to
the RBD, as is the case for small peptides[29−31] and neutralizing monoclonal
antibodies.[32] Nevertheless, possible mutations of the RBD
may decrease the efficiency of a treatment based on this
approach.[33,34] On the other hand, an efficient therapeutic strategy could
rely on the inhibition, by putative drugs, of the ACE2 PD to prevent the
formation, or at least strongly destabilize, the RBD/ACE2 complex to reduce the
virus infecting potential as schematized in Figure . ACE2 is known to act as a glycoprotein developing
favorable interactions with sugar moieties,[35] which could also
favorably compete with the RBD in establishing hydrogen bonds with the PD
site.In this work, we aim to provide a comprehensive analysis of the molecular bases
allowing the favorable interaction between the SARS-CoV-2RBD and the ACE2
receptor, hence allowing its easy entrance into the cell, by using extended
all-atom molecular dynamics (MD) simulations. This will also include the
calculation of the binding free energy for the formation of the protein complex,
hence providing, for the first time, an assessment of the thermodynamics of
SARS-CoV-2 recognition. Furthermore, the possible interaction of glycosylated
potential therapeutic agents with ACE2 and their inhibition capacity over the PD
will also be analyzed. Indeed, both spike and ACE2 proteins do have glycosylation
sites but do not interfere with the ACE2/RBD interaction
area,[22,36−38] and most probably are mainly related to
protein folding and stabilization.[39]To investigate the possible binding modes of the proposed drugs, a blind docking
study considering the whole ACE2 geometry was performed using Autodock Vina
software.[40] Prior to virtual screening, the
three-dimensional geometry of each drug was built with Discovery Studio 2.1. The
same program was used to add hydrogen atoms and assign bond orders, hybridization,
and charges to ACE2, extracted from Protein Data Bank (PDB) entry 6M17.[22] The
rotatable bonds of all drugs were allowed to rotate freely, as it was previously
found to be a proper approach in SARS-CoV-2-related studies[41−43] and in other fields[44] (see the Supporting Information for details). For each drug, 50
independent calculations including the 20 lowest binding energies (1000 structures
in total) were scrutinized for statistical analysis of the binding pockets and to
select representative geometries to run the following molecular dynamics
simulations.The structure of the RBD/ACE2 complex was extracted from PDB entry 6M17, adding the previously
selected drug geometry (from docking) and deleting the ACE2 C-terminal
α-helix to diminish the computational expenses while not hampering the
proper description of any ACE2 functional domain. In greater detail, the control
simulation (i.e., the RBD/ACE2 complex without the drug) was run by taking the
structure directly from the PDB. For the other simulations, including a drug at
the RBD/ACE2 interface, the same PDB was initially considered. In some cases, the
drug structure (taken from docking with ACE2) did not interfere with the complex,
and therefore, MD equilibration was performed as for the control simulation; in
other cases, the contact of the drug with the RBD surface was too close, hence
requiring an initial minimal displacement of the RBD crystal structure toward the
solvent before MD equilibration. In all cases, the initial ACE2/drug dispositions
correspond to the most relevant docking poses (see Figure ). After the solvation with water molecules to
build a cubic box and addition of the corresponding K+ counterions to
achieve neutrality, this procedure resulted in the setup of 10 systems, including
the RBD/ACE2 reference (without any drug) and three RBD/ACE2/drug starting
structures, corresponding to different ACE2/drug binding pockets, for each of the
three selected drugs. All of the 300 ns MD simulations reported herein were run
using the NAMD[45] code at 300 K and 1 atm, with the Amber99SB
force field[46−48] to
describe the proteins and TIP3P[49] water molecules. The force
field of each drug has been parametrized through the GAFF procedure.[50] VMD[51] was used for visualization,
inspection, and analysis.
Figure 2
Different domains of ACE2: the peptide domain (PD) (yellow) formed by an
N-terminal α-helix and a two-strand β-sheet, forming the
potential interface region with the RBD; the loop at the side of the
interface region (orange); and the glove domain bridging the interface
region and the catalytic site (dark red), near the C-terminus. For
each drug, the binding sites are shown together with the range of
binding energy affinities in kilocalories per mole, which resulted
from the docking study.
Different domains of ACE2: the peptide domain (PD) (yellow) formed by an
N-terminal α-helix and a two-strand β-sheet, forming the
potential interface region with the RBD; the loop at the side of the
interface region (orange); and the glove domain bridging the interface
region and the catalytic site (dark red), near the C-terminus. For
each drug, the binding sites are shown together with the range of
binding energy affinities in kilocalories per mole, which resulted
from the docking study.The potential of mean force (PMF) free energy profile was calculated by applying a
recently developed combination of metadynamics[52] and adaptive
biased force (eABF),[53] resulting in the
meta-eABF[54,55] method implemented in the NAMD code.[45]
As detailed below, it was applied, for the purpose of comparison, to the RBD/ACE2
reference and to the same system including plicamycin in the interface-β
binding pocket, necessitating a 1 μs simulation to properly sample the
defined distance between ACE2 and the RBD.For the purpose of comparison, the ACE2/drug binding free energy was also estimated
from the equilibrium MD simulations by applying the MM/GBSA methodology (i.e.,
molecular mechanics combined with the generalized Born surface area continuum
solvation method), as implemented in the Amber interface.[56]In particular, as illustrated in Figure b,
we considered two classes of widely available compounds and already used in
clinical applications: antibiotics based on aureolic acids (plicamycin,
chromomycin A3, and UCH9) and flavonoids (diosmin, rutin, and naringin). This
specific selection was guided, on one hand, by the medical necessity of proposing
drugs that are available and already used in clinical applications, thus avoiding
timely and economically expensive tests on eventually newly designed drugs in the
quest for COVID-19 solutions. On the other hand, from a chemical point of view, we
looked for glycosylated potential drugs, being sensitive to ACE2, to produce
interactions with glycans. Moreover, because the ACE2/RBD interaction is mainly
driven by hydrogen bonds and other polar interactions,[20] we
looked for structures maximizing the number of -OH and -C=O groups. At the
same time, the presence of aromatic polycycles (where such groups are anchored) is
usually considered to be beneficial for interacting with biological membranes,
because these aromatic polycycles are essential for the drug to bind to the
target.[57,58]Our multiscale methods include the use of molecular docking studies to assess the
presence of suitable binding poses leading to possible PD inhibition, extended MD
simulations to assess the effects of the binding of the drug on the stability and
dynamics of the RBD/ACE2 complex, and the use of free energy methods to unravel
the effects of the drug in destabilizing the RBD/ACE2 complex as compared to the
native situation.The results of the flexible drug docking are reported in Figure
and more extensively in Figure S1. All of the chosen compounds are previewed to form
stable aggregates with ACE2, although slight differences in the binding energies
are evidenced. Importantly, four main interaction hot spots are identified
encompassing different regions of the enzyme (Figure ). The results of the docking indicate that the
four regions are generally competitive for all of the compounds being studied.
Three of them are significant in terms of RBD/ACE2 inhibition, whereas only one
site is clearly out of reach of the RBD interaction area and is instead situated
close to the ACE2 catalytic region[21] (Figure
, dark gray). For obvious structural reasons,
this interacting site is most unlikely to significantly perturb the binding with
the RBD and hence is not considered in the following.On the other hand, the three residual interacting sites lie close to the RBD binding
region. The glove site (light gray in Figure ) constitutes a slightly buried pocket formed by ACE2
α-helices positioned just on top of the PD. The loop domain (orange in Figure ) consists mainly of an
unstructured loop lying close to the RBD upon the formation of the complex.
Finally, two sites are identified directly positioned on the N-terminal PD area
(yellow in Figure ) and named
interface-α and interface-β. Interestingly, while interface-α
can be observed for all of the docked compounds, interface-β is mainly
occupied by aureolic acids and plicamycin in particular. Obviously, these latter
sites clearly represent the most promising candidates for ACE2 inhibition because
they are susceptible to strong perturbation of the recognition and binding of the
RBD. Finally, it is important to point out that no specific interaction with the
ACE2 catalytic active site, composed of the amino acid triad of Arg708, Ser709,
and Arg710,[21] has been observed. This fact is extremely
important because, while blocking formation of the RBD/ACE2 complex is supposed to
be the most beneficial, the inhibition of the native catalytic activity of the
enzyme should be avoided to limit the possible side effects of the drug.The free energy of binding between the ACE2/RBD complex and the different drugs has
also been obtained by applying the MM/GBSA methodology, confirming the global
tendency sketched out by the docking results, i.e., the stable interaction between
ACE2 and the potential drugs (Figure S8). Note that plicamycin appears as the most favorable
binder but also shows the larger standard deviation when placed at
interface-α. This is due to the partial destabilization of the ACE2/RBD
complex as it will be detailed in the following.On the basis of the docking results, and to provide a reasonable sampling and
description of the effects produced by the different modes, we have chosen three
compounds to perform equilibrium MD simulations of the ACE2/RBD complex in the
presence of the drug, namely diosmin, rutin, and plicamycin. For each of these
compounds, three independent MD trajectories have been obtained, starting from
initial conditions corresponding to different binding poses: glove and loop sites,
interface-α, and interface-β. MD of the native RBD/ACE2 complex in the
absence of any ligand was also performed for comparison. In all cases, equilibrium
MD yielded stable and persistent aggregates between the RBD/ACE2 complex and the
drugs, as evidenced by the value of the root-mean-square deviation (RMSD) reported
in Figure S6, and by the fact that neither the macroscopic
disruption of the RBD/ACE2 complex nor the ejection of the drug was observed.
However, important differences can be observed depending on the individual drugs
and on the specific interaction site, as illustrated in Figure
.
Figure 3
Distribution function of the RBD/ACE2–PD distance in the presence
of (a) diosmin, (b) rutin, and (c) plicamycin at the different binding
modes. The results for the RBD/ACE2 complex in the absence of any drug
(reference) are also shown for comparison. (d) Representative snapshot
of plicamycin at interface-α. (e) Representative snapshots of
the two plicamycin conformations in equilibrium at
interface-β.
Distribution function of the RBD/ACE2–PD distance in the presence
of (a) diosmin, (b) rutin, and (c) plicamycin at the different binding
modes. The results for the RBD/ACE2 complex in the absence of any drug
(reference) are also shown for comparison. (d) Representative snapshot
of plicamycin at interface-α. (e) Representative snapshots of
the two plicamycin conformations in equilibrium at
interface-β.A most useful indicator for quantifying the effects of the drug on the RBD/ACE2
complex is the distribution of the distance between their centers of mass at the
interface area (see the Supporting Information for the full definition and Figure S2 for the corresponding time series), because this
distance increases when the protein–protein interactions are weakened.
Representative snapshots extracted from the different MD trajectories are also
provided in panels d and e of Figure
and Figure S5, giving a pictorial view of the induced
destabilization. In the case of diosmin (Figure a), both loop and glove sites have no noticeable effect in
destabilizing the complex, while the maximum of the distribution is even slightly
shifted to shorter distances compared to the reference. As expected, due to the
better exposition to the PD area, the interface-α interaction mode, instead,
presents a slight increase of ∼2 Å in the distribution maximum.
However, the global efficiency of diosmin as a valuable ACE2 inhibitor appears to
be quite limited.Conversely, rutin (Figure b) shows clearly
improved properties as identified by the fact that all three interaction modes
(loop, glove, and interface-α) induce a considerable increase in the
distance between the centers of mass and hence are indicative of the weakening of
the protein–protein interactions. Interestingly, the distribution for the
interface-α presents a secondary maximum at a larger distance, which points
to the emergence of a conformational equilibrium and hence an even more evident
destabilization. Thus, this fact also confirms the peculiar role played by
interface-α binders as opposed to the other sites.Finally, plicamycin (Figure c) definitively
appears as the most promising compound. In fact, it presents a novel interaction
mode, interface-β, that is directly facing the RBD interaction area, and
that can also be achieved by the sliding of the ligand from the less efficient and
spatially close loop site. All of the interaction modes are correlated to a
noticeable increase in the protein–protein distance. As far as the novel
interface-β mode is concerned, we observe not only a larger shift in the
distribution maximum (>3 Å) but also and especially the emergence of a
strong asymmetry in the distribution with a tail extending noticeably in the
longer distance region (>5 Å from the reference). The effects of
plicamycin on the RBD/ACE2 complex can also be appreciated by the analysis of
representative snapshots for interface-α (Figure d), which clearly show the positioning of the drug
at the interface between the two proteins, and for interface-β (Figure e), in which the presence of an
even more open form already visualizes a partial disruption of the RBD/ACE2
complex (see also the Supporting Information video).To better understand those global effects, we also perform a detailed analysis of the
specific RBD/ACE2 interactions that are perturbed by the presence of the drugs, in
particular the favorable polar interactions that ensure protein/protein binding.
The equilibrium MD of the native RBD/ACE2 complex has allowed us to confirm the
amino acids interacting between the two proteins, as shown in Figure . Unsurprisingly, the most important amino
acids assuring the interactions are placed at interface-α and -β and
are mostly acting through hydrogen bonding, as confirmed by different independent
studies.[15,22] Panels a–c of Figure report the difference in the average number of
hydrogen bonds per ACE2 amino acid in the presence or absence of the drug.
Globally, these parameters confirm the tendency already evidenced in Figure , and indeed, diosmin, especially
in glove and loop sites, is producing a less important perturbation compared to
the other ligands, even increasing the strength of the hydrogen bonds mediated by
Glu37 (glove) and Asp38 (loop) while the number of hydrogen bonds weakened by
diosmin at the interface-α, and especially in the N-terminal region of the
PD, is clearly more important (see Table S1 for more details). The behavior of rutin is similar;
however, the weakening of interactions takes place mainly in the N-terminal area
(see Table S2 for more details). In contrast, once again, a different
behavior is observed for plicamycin, especially at interface-β. In this
case, hydrogen bonds encompassing the whole PD region are significantly weakened.
In particular, for this specific binding site, one should point out the almost
total disruption of the Asp355···Thr500 and
Lys353···Gly502hydrogen bonds, although in this latter case the
strong interaction with Gly502 is replaced by several weak hydrogen bonds with
other amino acids (see Table S3). In addition, we observe that the drug also weakens
indirect hydrogen bonds, i.e., formed through a bridging water molecule, albeit to
a lower extent with respect to direct hydrogen bonds (see Figure S3). It should be remarked that, independent of the
binding site, the drug interacts mainly with ACE2 and not with the RBD, through
different types of noncovalent interactions as evidenced in Figure S4. This confirms our strategy based on blocking solely
the domain of ACE2 susceptible to RBD recognition.
Figure 4
Histogram showing the increase (positive values) or decrease (negative
values) in the number of direct H-bonds between ACE2-(PD) and the RBD
for (a) diosmin, (b) rutin, and (c) plicamycin, averaged along each
trajectory. (d) ACE2 (PD) amino acids involved in the formation of
direct H-bonds. Color code: red for negatively charged, blue for
positively charged, green for polar, and cyan for neutral His
ε-protonated. (e) H-Bonding network at the interface-β
(left) and interface-α (right) sites of the untreated
ACE2-(PD)/RBD reference system. RBD amino acid side chains are colored
gray. (f) Same as panel e, but including plicamycin (visualized in
surface representation) interacting at interface-β.
Histogram showing the increase (positive values) or decrease (negative
values) in the number of direct H-bonds between ACE2-(PD) and the RBD
for (a) diosmin, (b) rutin, and (c) plicamycin, averaged along each
trajectory. (d) ACE2 (PD) amino acids involved in the formation of
direct H-bonds. Color code: red for negatively charged, blue for
positively charged, green for polar, and cyan for neutral His
ε-protonated. (e) H-Bonding network at the interface-β
(left) and interface-α (right) sites of the untreated
ACE2-(PD)/RBD reference system. RBD amino acid side chains are colored
gray. (f) Same as panel e, but including plicamycin (visualized in
surface representation) interacting at interface-β.The fact that plicamycin is effectively acting over all of the ACE2/RBD interaction
region is essential in explaining the strong destabilization of the
protein/protein complex. This can be observed in panels e and f of Figure , in which we report the
comparison of a representative snapshot showing the hydrogen bond network for the
reference complex and plicamycin at interface-β. The breaking of the
interactions in both contact regions is evident and is certainly related to the
strong destabilization of the complex yielding an open conformation characterized
by a much larger protein/protein distance.The results presented offer a coherent, yet still qualitative, scenario. To better
quantify the effect of the best candidate, i.e., plicamycin at interface-β,
we determine the thermodynamic properties of the RBD/ACE2 complex. To do so, we
calculate the free energy profile along the distance between the center of mass of
the two proteins, in the presence and absence of plicamycin (Figure ). The free energy profile for the native
complex is characterized by a rather deep energy well accounting for a binding
free energy of ∼3.0 kcal/mol at a distance of 70 Å. We note that, due
to the application of harmonic walls in the e-ABF procedure and the inclusion of
some rotational constraints, the calculated difference in stability induced by the
presence of the drug should be considered from a relative, rather than absolute,
point of view. As expected, no energetic barrier is evidenced for the formation of
the complex, at least considering the RBD in its active conformation, confirming
the high affinity of the RBD for ACE2. Upon addition of plicamycin, we first note,
consistent with the equilibrium MD, an increase in the distance between the
centers of mass corresponding to the minimum free energy. More importantly, the
free energy profile becomes distinctly shallower and the binding energy decreases
to ∼2.1 kcal/mol at a distance of 70 Å, hence indicating a clear
destabilization of the RDB/ACE2 complex. Interestingly, a secondary, less stable
minimum at a shorter distance is also evidenced, justifying, together with the
shallow free energy profile, the two conformations observed by equilibrium MD and
the detection of a semidissociated conformation.
Figure 5
(a) Free energy profiles of the RBD/ACE2 complex in the absence and
presence of plicamycin at interface-β. (b) Snapshots of the
reference system at its free energy minimum, when detaching at
interface-β, and when completely separated. (c) Snapshots of the
complex in the presence of plicamycin at interface-β, at its
free energy minimum and separated.
(a) Free energy profiles of the RBD/ACE2 complex in the absence and
presence of plicamycin at interface-β. (b) Snapshots of the
reference system at its free energy minimum, when detaching at
interface-β, and when completely separated. (c) Snapshots of the
complex in the presence of plicamycin at interface-β, at its
free energy minimum and separated.In summary, the very favorable and strong interaction between the SARS-CoV-2spike
protein, through its active RBD, and ACE2 represents a peculiarity of this
coronavirus that should be correlated to its extremely high transmissibility rate,
and hence to its dangerousness, even as compared to the previous SARS-CoV.[17] By using extended equilibrium MD, we have confirmed that this
affinity is mostly due to the presence of an extended network of favorable
hydrogen bonds, encompassing the rather spread N-terminal PD of ACE2, as
coherently confirmed by our results and other independent
studies.[15,16,20,59] In
addition, we also provide the first estimation of the binding free energy of the
RBD/ACE2 complex that also points to very strong and favorable interactions.Understanding the molecular mechanism at the base of the strong interaction between
ACE2 and RBD is crucial to rationalizing the function and behavior of SARS-CoV-2,
because the former constitutes the entry point of the virus in human cells. As a
consequence, its inhibition and the further weakening of the formation of the
RBD/ACE2 complex represent a possible therapeutic strategy to be pursued. Suitable
ligands for performing such a task should form strong and specific interactions
with the PD region, while they should not interact with the catalytic domain of
ACE2 to avoid serious secondary effects. As shown by molecular docking, we propose
an ensemble of glycosylated drugs, already available, that present different modes
of interaction with ACE2. MD simulations have clearly shown that while almost all
of the chosen compounds have non-negligible effects in weakening the RBD/ACE2
interaction, as witnessed by the wide distribution of the distance between the
centers of mass of the proteins and by the analysis of the hydrogen bonding
network, their efficiency may vary considerably. In particular, the aureolic acidplicamycin clearly stands out as the lead compound. Its efficacy is due to its
capacity to perturb almost all of the PD region of ACE2, considerably disrupting
the hydrogen bonding network at both interfaces (α and β). Such an
efficiency is already evident at the equilibrium MD by the appearance of partially
dissociated conformations presenting a larger protein/protein distance, the
interaction through almost all of the PD being broken. This qualitative behavior
is also confirmed by the binding free energy profile that, when compared with that
of the native complex, yields an increased protein/protein distance corresponding
to the minimum free energy, while the complexation free energy is reduced by
∼30%. Our PMF for the native ACE2/RBD complex has also shown that unbinding
preferably starts from the detachment of interface-β, further suggesting the
suitability of plicamycin (Figure b,c)
that is occupying this binding mode.Hence, our results suggest that the antibiotic plicamycin, also known as mithramycin,
could be a promising agent for preventing viral infection and hence reducing the
virulence and morbidity of the SARS-CoV-2 pathogen. Tests of plicamycin, being
already commercially and clinically approved,[60] to confirm its
efficacy should be considered as a top priority, to be performed in vitro and in
vivo. This should also include the assessment of its side effects such as
hepatotoxicity,[61] which despite usually being transient
and asymptomatic could limit its therapeutic use in certain patients with limited
hepatic function. This is especially relevant in the context of emergency and
urgency caused by the 2020 COVID-19 pandemic outbreak. In addition, we mention
that related aureolic acid compounds such as durhamycin A[62] and
chromomycin[63] have already shown antiviral activity
against HIV.In addition to specifically pinpointed plicamycin, we also established on a firm
basis the interactions between the RBD and ACE2, evidencing the most important
amino acids that should be targeted to achieve an efficient weakening of the
formation of the RBD/ACE2 complex. Such knowledge improves our understanding of
the molecular bases leading to SARS-CoV-2viral infection and can be efficiently
used, in the long term, for rational molecular design procedures to enhance the
efficacy of novel or existing drugs and to contrast possible mutations that could
lead to resistant viral strains.From a more methodological point of view, we also developed and optimized an
efficient multiscale computational protocol, going from molecular docking to
enhanced sampling and free energy techniques, that allows us to assess and
quantify the fundamental interactions between viral and human proteins and the
effects of potential ligands in counteracting complex formation.In the future, we plan to further analyze the RBD, and more generally SARS-CoV-2spike structural and dynamical properties, as well as the possible alteration
induced by possible ligands. In this context, the conformational equilibrium
between the closed and open forms of RBD could be particularly attractive. The
possible synergic effects of different ligands occupying distinct binding domains
will also be taken into account in the computational protocol developed with this
study.
Authors: Mohammad Khedri; Reza Maleki; Mohammad Dahri; Mohammad Moein Sadeghi; Sima Rezvantalab; Hélder A Santos; Mohammad-Ali Shahbazi Journal: Drug Deliv Transl Res Date: 2021-09-03 Impact factor: 5.671
Authors: Yao Li; Tong Wang; Juanrong Zhang; Bin Shao; Haipeng Gong; Yusong Wang; Xinheng He; Siyuan Liu; Tie-Yan Liu Journal: Adv Theory Simul Date: 2021-09-02
Authors: Richard J Head; Eugenie R Lumbers; Bevyn Jarrott; Felix Tretter; Gary Smith; Kirsty G Pringle; Saiful Islam; Jennifer H Martin Journal: Pharmacol Res Perspect Date: 2022-02