Abdelazim M A Abdelgawwad1, Antonio Monari2,3, Iñaki Tuñón1, Antonio Francés-Monerris1. 1. Departament de Química Física, Universitat de València, 46100 Burjassot, Spain. 2. Université Paris Cité, CNRS, ITODYS, F-75006 Paris, France. 3. Université de Lorraine and CNRS, UMR 7019 LPCT, F-5400 Nancy, France.
Abstract
DNA damage is ubiquitous in nature and is at the basis of emergent treatments such as photodynamic therapy, which is based on the activation of highly oxidative reactive oxygen species by photosensitizing O2. However, hypoxia observed in solid tumors imposes the necessity to devise oxygen-independent modes of action able to induce DNA damage under a low oxygen concentration. The complexity of these DNA damage mechanisms in realistic environments grows exponentially when taking into account light absorption and subsequent excited-state population, photochemical and (photo)-redox reactions, the multiple species involved in different electronic states, noncovalent interactions, multiple reaction steps, and the large number of DNA reactive sites. This work tackles all the intricate reactivity of a photosensitizer based on a nitroimidazole derivative reacting toward DNA in solution under UV light exposition. This is performed through a combination of ground- and excited-state quantum chemistry, classical molecular dynamics, and hybrid QM/MM simulations to rationalize in detail the formation of DNA interstrand cross-links (ICLs) exerted by the noncanonical noncovalent photosensitizer. Unprecedented spatial and temporal resolution of these phenomena is achieved, revealing that the ICL is sequence-specific and that the fastest reactions take place at AT, GC, and GT steps involving either the opposite nucleobases or adjacent Watson-Crick base pairs. The N7 and O6 positions of guanine, the N7 and N3 sites of adenine, the N4 position of cytosine, and the O2 atom of thymine are deemed as the most nucleophile sites and are positively identified to participate in the ICL productions. This work provides a multiscale computational protocol to study DNA reactivity with noncovalent photosensitizers, and contributes to the understanding of therapies based on photoinduced DNA damage at molecular and electronic levels. In addition, we believe the depth understanding of these processes should assist the design of new photosensitizers considering their molecular size, electronic properties, and the observed regioselectivity toward nucleic acids.
DNA damage is ubiquitous in nature and is at the basis of emergent treatments such as photodynamic therapy, which is based on the activation of highly oxidative reactive oxygen species by photosensitizing O2. However, hypoxia observed in solid tumors imposes the necessity to devise oxygen-independent modes of action able to induce DNA damage under a low oxygen concentration. The complexity of these DNA damage mechanisms in realistic environments grows exponentially when taking into account light absorption and subsequent excited-state population, photochemical and (photo)-redox reactions, the multiple species involved in different electronic states, noncovalent interactions, multiple reaction steps, and the large number of DNA reactive sites. This work tackles all the intricate reactivity of a photosensitizer based on a nitroimidazole derivative reacting toward DNA in solution under UV light exposition. This is performed through a combination of ground- and excited-state quantum chemistry, classical molecular dynamics, and hybrid QM/MM simulations to rationalize in detail the formation of DNA interstrand cross-links (ICLs) exerted by the noncanonical noncovalent photosensitizer. Unprecedented spatial and temporal resolution of these phenomena is achieved, revealing that the ICL is sequence-specific and that the fastest reactions take place at AT, GC, and GT steps involving either the opposite nucleobases or adjacent Watson-Crick base pairs. The N7 and O6 positions of guanine, the N7 and N3 sites of adenine, the N4 position of cytosine, and the O2 atom of thymine are deemed as the most nucleophile sites and are positively identified to participate in the ICL productions. This work provides a multiscale computational protocol to study DNA reactivity with noncovalent photosensitizers, and contributes to the understanding of therapies based on photoinduced DNA damage at molecular and electronic levels. In addition, we believe the depth understanding of these processes should assist the design of new photosensitizers considering their molecular size, electronic properties, and the observed regioselectivity toward nucleic acids.
DNA
damage is a crucial phenomenon in biology and medicine and
is naturally caused by several agents such as solar radiation or metabolic
oxidative stress.[1−6] Nevertheless, controlled DNA damage provides an opportunity for
treatment. Photodynamic therapy (PDT) is a strategy in which cellular
damage is selectively achieved through the application of light in
combination with a photosensitizer,[7] which
is innocuous in the dark.[8−10] Traditionally, the damage is
exerted through the generation of singlet oxygen (1O2), a highly oxidative species formed by Type II photosensitization
of triplet dioxygen.[11−14] This feature becomes, however, an important limitation when dealing
with cancerous tissues with marked hypoxia such as solid tumors, whose
vascularization can be aberrant.[15−17] Many types of photosensitizers
with very diverse chemical structures have been developed and tested
in the last years to overcome the hypoxia issue.[13,18−23] In this context, the induction of biological damages must operate,
at least partially, without the intervention of oxygen,[18,20] leading to complex mixtures of chemical and photochemical events
whose spatial and temporal disentanglement is challenging.Intra-
or interstrand DNA cross-linking induces oxygen-independent
covalent links in DNA strands.[24,25] In particular, DNA
interstrand cross-links (ICLs) join the two antiparallel DNA strands.
If unrepaired, ICLs block all biological processes that require DNA
strand separation (such as DNA transcription and replication), ultimately
inducing cell death.[24] As a matter of fact,
ICLs are at the basis of traditional chemotherapy such as in the case
of cisplatin.[26,27] Nevertheless, the lack of selectivity
of chemotherapy induces strong secondary effects severely limiting
the patients’ life quality and the drug acceptability. Controlling
the formation of ICLs through its coupling with light irradiation
adds the crucial selectivity needed to design anticancer therapies
with milder side effects.[24]The formation
of intra- and inter-DNA cross-links have been tackled
in the literature by using both static and dynamic computational methods.
For instance, previous studies unravelled the reactivity that leads
to the formation of inter- and intrastrand cross-links through a static
quantum mechanics (QM) approach in model systems.[28−31] Other works, explicitly accounting
for the biological environments[32] through
classical molecular dynamics (MD)[33−37] and quantum mechanics/molecular mechanics (QM/MM)
methods,[38−40] have assessed the impact of the cross-links on the
DNA double strand helix dynamics. This is for instance relevant to
find correlations between structural properties and difficulties in
the cellular repair of the DNA lesions.[36] Bignon et al. related the binding preferences of several polyamines
with the propensity to form ICLs at specific DNA sites.[35] On the contrary, studies dealing with reactivity
in biological environments are much scarcer and are usually limited
to the covalent linking between internal DNA nucleobases.[41]The photoinduced ICL formation by a noncovalent
photosensitizer
requires the participation of several species in different electronic
states, sometimes of different spin multiplicity, and involves the
competition of multiple reaction channels. These facts, in conjunction
with the intrinsic complexity of biological macromolecules, make the
characterization of the mechanism a very intricate task that requires
the combination of several theoretical methodologies. To the best
of our knowledge, the spatial and temporal characterization of the
sequence of events that take place from light absorption to the ultimate
formation of the DNA ICLs has not been achieved until now. In the
present work this is accomplished by employing a combination of ab initio and density functional theory (DFT)-based QM methods
and classical and hybrid QM/MM MD simulations.We have chosen
a noncanonical photosensitizer based on a binitroimidazole
backbone 1 (see Scheme ) reported by Peng and co-workers.[42] This selection is based on the following reasons:
Scheme 1
Chemical Structure of 1 and of the Different Derivatives
G = guanine.
It is activated by light. Therefore,
the systemic side
effects associated with traditional chemotherapy are avoided.It has a dual action. Upon irradiation, 1 has a double mode of action: on the one hand, it generates
free
radicals able to react with DNA, and, on the other hand, it releases
mechlorethamine (a nitrogenous mustard), which acts as a strong DNA
alkylating agent.[42] The observed lesions
are DNA double strand breaks (DSB),[43] i.e.
the cleavage of the double strand, and DNA ICLs.[6,25,27,44]Oxygen is not involved in DNA damage.
Chemical Structure of 1 and of the Different Derivatives
G = guanine.Han et al.[42] quantified the ICL yield
to about ∼10% after the incubation of 1 and DNA
for 2 h under irradiation at λ = 350 nm through nuclear magnetic
resonance (NMR), high-resolution mass spectrometry, and liquid chromatography
mass spectrometry. The photorelease of the nitrogenous mustard and
the formation of reactive radicals was confirmed. Evidence for the
occurrence of ICLs through the intervention of mechlorethamine was
provided by analysis of the ICL stability and through experiments
in the dark.[42]This work characterizes,
at an atomistic and electronic level,
the dynamics of the DNA ICL formation mediated by free radicals and/or
cations derived from 1, i.e. 2 and 4 (Scheme ). As shall be discussed in the following, this multiscale methodology
allows the identification of the involved (excited) electronic states,
the full characterization of the interaction between 1, 2, and 4 and DNA, and the satisfactory
understanding of the regioselectivity (minor/major groove reactivity)
and of the time scale of the ICL formation, providing a full and systematic
assessment of the photoinduced DNA damage. Thus, the present work
establishes a state-of-the-art computational approach to study photoinduced
ICL formation exerted by noncovalent photosensitizers that accounts
for the environmental effects and explicitly considers the kinetics
of the processes, far beyond the static description of chromophore
models. The current results offer insights into the process of ICL
formation that could be extrapolated to other photosensitizers.[45−49]
Results and Discussion
For the sake of readability, this
section is organized in subsections
according to the sequence of events that take place from the incubation
of 1 with DNA to the formation of ICLs (Schemes and 2). In all our simulations, we considered a model DNA oligomer with
the sequence shown in Figure that contains the central 21 steps of the DNA used in the
experiments.[42]
Scheme 2
Mechanism for the Formation of the
DNA ICL Product 7 between G8 and C35
R = DNA.
Figure 1
DNA sequence and nucleotide
numbering.
DNA sequence and nucleotide
numbering.
Mechanism for the Formation of the
DNA ICL Product 7 between G8 and C35
R = DNA.
Optical Properties and C–N Cleavage
Mechanism
The first DNA damage event entails the absorption
of light followed
by the (photo)release of mechlorethamine and the generation of the
species 2 and 4. These processes are studied
by means of static time-dependent (TD)-DFT and complete-active-space
second-order perturbation theory (CASPT2) calculations. Figure S2a shows the absorption spectrum of 1 determined with TD-B3LYP/6-31G*, a method validated with
a CASPT2 benchmark (see the Computational Methodology section). The absorption maximum is located ca. 300 nm, in very
good agreement with the experimental recording of 298 nm for neutral
4-nitroimidazole.[50] At the experimentally
irradiation wavelength (350 nm), the absorption is weak and is mainly
caused by a small shoulder overlapping the main band tail. Analysis
of the nature of the excited states at the Franck–Condon geometry
(Figure S2b) reveal that the bright state
is of π,π* character, as confirmed by CASPT2 (Tables S1–S3 and Figure S1). The low spin–orbit
coupling values (<0.5 cm–1) confirm that the
implication of triplet states in the photochemistry of 1 is negligible. A dark nNO2,π* state involving the
transition from the oxygen lone pairs of the NO2 groups
to the corresponding π* orbitals lies at ∼345 nm. Thus,
the shoulder at ∼350 nm observed in the spectrum of Figure a will be mainly
because of symmetry-forbidden n,π* absorptions. On the other
hand, 4 shows two absorption bands. The lowest-energy
one is significantly red-shifted as compared to the spectrum of 1, possibly allowing its detection via nanosecond or microsecond
time-resolved spectroscopy.On the S1 surface, the
cleavage of the C–N bond of 1 to release mechlorethamine
and produce 2 involves an energetic penalty of ∼0.58
eV (∼13.4 kcal/mol), as shown in Figure . The energy barrier height is sufficiently
small to justify the C–N cleavage in the excited state that
takes place during the very long experimental irradiation times (2
h).[42] The energy barrier for the mechlorethamine
release on the S1 surface is smaller compared to the one
on the ground state, justifying chemical stability in the dark. This
different feature may be easily appreciated considering that the π*
orbital localized on the nitroimidazole ring has antibonding character
on the C–N bond (Figure ).
Figure 2
Relaxed scan of one C–N bond of 1 to yield 2 optimizing the S1 surface by using the TD-B3LYP/6-31G*
method in implicit water solvation (PCM). The profile starts from
the S1 equilibrium geometry. The NTO[51,52] couples that represent the nNO2,π* excitations
are shown at different C–N distances.
Relaxed scan of one C–N bond of 1 to yield 2 optimizing the S1 surface by using the TD-B3LYP/6-31G*
method in implicit water solvation (PCM). The profile starts from
the S1 equilibrium geometry. The NTO[51,52] couples that represent the nNO2,π* excitations
are shown at different C–N distances.An alternative bond breaking mechanism involves the one-electron
reduction of 1 to yield 3, an unstable species
that spontaneously decomposes into mechlorethamine and 4 (Scheme ). The C–N
cleavage and mechlorethamine release in 3 is exothermic
by −0.97 eV (−22.38 kcal/mol), as shown in the minimum
energy path (MEP) displayed in Figure S3. Han et al.[42] proposed that guanine,
the DNA nucleobase with the lowest ionization potential (IP),[53] could act as the electron donor. To justify
this assumption, we may consider data collected in Table , which summarizes the thermodynamic
parameters for some relevant one-electron redox and photoredox reactions.
While the electron transfer from neutral guanine to 1 to produce 4 and the corresponding cationic guanine
(G+) in the ground state is highly unfavorable (>50
kcal/mol),
the photoreduction of 1* in its lowest S1 excited
state is clearly exothermic (−21.74 kcal/mol). Even though
no kinetic information is available about this process, it is reasonable
to assume that this event will be operative in irradiated DNA + 1 mixtures, competing with the direct photocleavage of 1 shown in Figure . It is important to remark that the photoreduction of 1 is a bimolecular process and thus requires spatial proximity
between 1* and a guanine, while the photorelease of 1 is a unimolecular process. Experimental observations detected 4 in the reaction medium in the presence of the (2,2,6,6-tetramethylpiperidin-1-yl)oxyl
(TEMPO) radical quencher,[42] indicating
that the electron transfer between DNA and 1 actually
takes place. After the photoreduction of 1 and the subsequent
C–N scission (Figure S3), 4 can be oxidized to give rise to 2. Two electron
acceptors have been considered to mediate this process, namely neutral
thymine (the DNA nucleobase with the highest electron affinity)[54,55] and the positive cation of guanine, G+, formed in the
previous reduction of 1*. Not surprisingly, G+ is the best electron acceptor, hence the self-repair of G+ is the most thermodynamically favorable channel leading to the carbocation 2:
Table 1
Thermodynamics (ΔE) for Some
Redox and Photoredox Reactionsa
reaction
ΔE (kcal/mol)
1 + G → 4 + G+
51.75
1* + G → 4 + G+
–21.74
4 + T → 2 + T–
92.80
4 + G+ → 2 + G
–2.44
Asterisks denote
that the species
is considered in the lowest-lying singlet or doublet state (S1 for 1 and D2 for 4),
at its corresponding equilibrium geometry. The magnitudes have been
computed with the M06-2X/6-31++G(d,p) method according to previous
works on related systems.[56,57]
Asterisks denote
that the species
is considered in the lowest-lying singlet or doublet state (S1 for 1 and D2 for 4),
at its corresponding equilibrium geometry. The magnitudes have been
computed with the M06-2X/6-31++G(d,p) method according to previous
works on related systems.[56,57]Thus, both the photorelease and
the photoreduction/oxidation processes
compete to produce 2. While the former is a unimolecular
process and fast enough to occur in the experimental time scale, the
latter is bimolecular and, although thermodynamically favorable, requires
spatial proximity between 1* and guanine.
DNA-PS Noncovalent
Interactions
The noncovalent interactions
of 1, 2, and 4 (Scheme ) with DNA were studied by
using all-atom classical MD. DNA-photosentitizer close contacts are
a prerequisite for the reactivity that induces DNA damage, and therefore
they must be properly characterized. The B-DNA double strand model
is a fragment of the longer oligonucleotide used in the experiments,
specifically containing the central 21 steps (5′-TTGCAATGCAAGTAATTAAAG-3′)
of the original sequence (Figure ). The stability of the MD trajectories was evaluated
by visual inspection and by analyzing the root-mean squared deviation
(RMSD) for the DNA oligomer along the simulation (Figure S4), evidencing only limited and smooth fluctuations.Several interaction modes have been identified in the multiple
MD trajectories spanning ∼1 μs each, as summarized in Table . Note that the long
time scales of these simulations are intended to maximize the sampling
of the noncovalent interaction space and hence do not have any direct
relation with the intermediate lifetimes. The single cations 1 and 4 show persistent interactions with the
terminal A42–T1 and G21–C22 base pairs through efficient
π-stacking between the two nitroimidazole and the nucleobase
rings (Figures S5 and S6). This interaction
is very favorable also because the molecular length of the photosensitizer
matches the span of a DNA base pair. However, even though these interactions
are expected to occur in model experiments with short oligonucleotides
in solution,[42] they are not biologically
relevant because DNA terminal regions are scarce in cells. Given the
proximity between the photosensitizer and the DNA, the persistence
of this interaction may facilitate the photoreduction of 1* and the subsequent oxidation of 4 to produce 2 as shown in Table . On the other hand, the manual intercalation of 4 between two DNA base pairs led to the spontaneous release of the
drug in few nanoseconds, hence confirming the lack of stability for
this mode.
Table 2
Interaction Modes of Species 1, 2, and 4 and Their Preponderance
over the Simulations
compound
run
interaction
mode
approximated interaction time (ns)a
1
#1
none
140
major groove
52
minor
groove
48
terminal A42–T1
580
terminal G21–C22
180
2
#1
none
64
major groove
212
minor groove
724
#2
major groove
80
minor
groove
920
4
#1
none
52
minor groove
6
terminal G21–C22
920
#2
none
52
major groove
48
minor groove
200
terminal A42–T1
600
#3
none
104
major groove
36
minor groove
20
terminal G21–C22
660
Refers to the approximated number
of frames that show a given interaction type, not necessarily in a
continuous time sequence. The total time per run is 1 μs.
Refers to the approximated number
of frames that show a given interaction type, not necessarily in a
continuous time sequence. The total time per run is 1 μs.In stark contrast to 1 and 4, 2 mostly interacts with DNA minor
and, to a lesser extent, major grooves
(Figure ). The minor
groove interaction can be very persistent. For instance, in run #2,
the minor groove interaction, involving nucleotides A18 and A19, lasts
for almost one microsecond (see Table ). The different behavior as compared to 1 and 4 possibly correlates with an optimal distribution
of the positive charges that maximizes the electrostatic interaction
with the negatively charged phosphate backbone. Bignon et al. found
a clear relationship between the protonation state (and hence positive
charges) of several polyamines and their corresponding interaction
modes with DNA.[35] Note that 1 and 4 also exhibit minor and major groove interaction
modes (Table ) albeit
with a persistence of a few tens of nanoseconds, because this mode
of action is not dominant.
Figure 3
Representative snapshots of the interaction
modes of 2 with minor (a and c panels) and major (b and
d panels) grooves.
Representative snapshots of the interaction
modes of 2 with minor (a and c panels) and major (b and
d panels) grooves.The noncovalent interaction
energies between 1 and
the DNA nucleotides (Figure S7), at the
nucleotide level, correlate very well with the distances between the
centers of mass of 1 and the nucleotides, i.e. the closer
the distance, the stronger the interaction energy (Figure S8). These data quantify the aforementioned interaction
behavior for each species. The corresponding distribution of distances
evidence that 1 mostly interacts with the terminal A42–T1
base pair, while 4 mostly stays close to the terminal
G21–C22 pair (Figure S10). Product 2 interacts mostly with nucleotides #10–12, #26–28
and, more persistently, with #18 and #19, as mentioned (Figure S9). The noncovalent interactions include
electrostatic interactions but also hydrogen bonding, as evidenced
in Figure S11.In the case of 2, no clear preference for any nucleobase
has been found, indicating that the interactions are rather sequence
independent, as expected for groove-driven structures.
Intrinsic Reactivity
with DNA Nucleobases
The dynamics
of the reaction between the species 2 and 4 and DNA will be mostly driven by the shape of the potential energy
surfaces (PESs) associated with the formation of the covalent bonds
at the different atom positions (Chart ), given the sequence-independent modes of DNA interaction.
Chart 1
Atom Numbering of the Four DNA Nucleobasesa
The molecular regions exposed
either toward the minor or major DNA grooves are also shown.Before explicitly treating the role of the environment,
we have
modeled the addition of 4 to the C5 and C6 positions
of thymine to (i) choose a suitable QM model size for the photosensitizer
and (ii) to validate an appropriate DFT method to describe the reactions.
The benchmark analysis of the size of the QM partition (Figure S12 and Table S4) and of different DFT
functionals (Table S5) can be found in
the Supporting Information. The M06-2X
functional provided the best description of the energy barriers and
therefore will be subsequently used to model the reactivity of 2 and 4 with the four DNA nucleobases, in agreement
with previous works on related reactions such as the OH radical addition
to DNA nucleobases.[58−61]Tables and S7 list the thermodynamics (ΔG) and kinetics (ΔG‡) for
the reactions of 2 and 4, respectively,
with all DNA nucleobases. Whereas most of the reactions of 2 are highly exergonic and barrierless or almost barrierless (Table and Figure S13), the reactivity of 4 is clearly slower
and thermodynamically less favorable (Table S7). Greenberg and co-workers found similar results for the radical/carbocation
localized in thymine.[62]
Table 3
Gibbs Energy Difference (kcal/mol)
between Reactants and Products (ΔG) for the
Addition Reaction of 2 to the Most Relevant Positions
of the Four DNA Nucleobasesa
reaction channel
ΔG
thymine
O2
–15.20
cytosine
O2
–30.61
N3
–37.51
guanine
N3
–25.77
O6
–24.50
N7
–39.43
adenine
N1
–36.38
N3
–36.47
N6
–23.05
N7
–30.24
This table is a summary of Table S6.
This table is a summary of Table S6.The most exergonic routes are the additions of 2 to
adenine (N1, N3, and N7 positions), guanine (N3, O6, and N7 positions),
and cytosine (N3 and O2 positions). In general, the carbon sites are
less favorable, while the reactivity tendency of thymine is, globally,
less pronounced. From these static, and implicit solvent-based results,
as well as the absence of a pronounced selectivity for the formation
of the noncovalent aggregates between 2 and DNA (see
previous subsection), the most exergonic routes should drive the regioselectivity
of the reaction of 2 toward DNA in solution. This hypothesis
is tested in the next subsections, in conjunction with the influence
of the temperature and the anisotropic set of forces present in the
complex environment, which must be taken explicitly into account.
Reactivity in Biological Media: Covalent Linking to DNA
The kinetics of the reaction of 2 with DNA will be influenced
not only by the shape of the electronic PESs but also by environmental
effects such as the accessibility to the nucleobase positions, the
electrostatic anisotropy, solvation/desolvation processes, and the
collective influence of the temperature and the surrounding forces.
To account for all these factors, the dynamics of the reaction of 2 with DNA nucleobases has been studied by means of hybrid
QM/MM simulations, in which the QM partition spans the small model
shown in Figure S12, i.e. the nitroimidazole
ring of 2 and the DNA nucleobase. The reactivity of each
nucleobase position is quantified by statistical analyses of multiple
QM/MM trajectories.Initial structures and atom velocities were
extracted from major and minor groove interactions taking place in
the classical MD simulations (summarized in Table ) with relatively short distances between 2 and the target nucleobases (Figure ). Each QM/MM run was propagated for 10 ps
except in the case of earlier reaction. In that case, the simulation
was stopped after the irreversible formation of the covalent bond.
Figure 4
Representative
snapshots of the reactivity of 2 toward
DNA. (a) Initial frame (t = 0 ps) of one of the simulations
of 2 close to A18. C+–C5 and C+–C8 distances are shown. No reaction was observed in
10 ps. (b) Initial frame (t = 0 ps) of one of the
simulations of 2 close to G8. C+–O6
distance is shown. (c) Snapshot at t = 0.25 ps for
one of the simulations of 2 close to G8. C+–O6 distance is shown. All distances are in Å.
Representative
snapshots of the reactivity of 2 toward
DNA. (a) Initial frame (t = 0 ps) of one of the simulations
of 2 close to A18. C+–C5 and C+–C8 distances are shown. No reaction was observed in
10 ps. (b) Initial frame (t = 0 ps) of one of the
simulations of 2 close to G8. C+–O6
distance is shown. (c) Snapshot at t = 0.25 ps for
one of the simulations of 2 close to G8. C+–O6 distance is shown. All distances are in Å.Table summarizes
the results of the QM/MM simulations, which are much more detailed
in Tables S8–S11. The carbocation 2 reacts with both major and minor DNA grooves. The major
groove reactivity is dominated by the N7 and O6 positions of guanine
(12 reactions out of 16 runs, combining the runs on both G8 and G34
nucleobases), yielding the intermediate products 5a and 5b, respectively (Scheme ). Both reactions are competitive, even though considering
the larger number of reactive trajectories and the shorter average
reaction times, it seems that the reaction with O6 may be more favorable
than with N7 (Table ). The N4 position of cytosine (a primary amine) is also sufficiently
nucleophilic to react with the carbocation of 2 within
our simulation time scale, although to a lesser extent with respect
to the guanine sites (only three reactions out of 15 simulations).
Table 4
Number of Reactions and Average Time
until the Reaction Occurs Between 2 and DNA as Obtained with QM/MM
Dynamicsa
nucleobase
groove
position
observed
reactions/total number of runs
average
reaction time (ps)
Gua 8
major
N7
1/7
9.25
O6
5/7
0.74
Gua 34
major
N7
3/9
4.77
O6
3/9
0.92
Cyt 9
major
N4
2/8
5.32
Cyt 35
major
N4
1/7
0.25
Ade 6
major
N7
0/3
NR
N6
0/3
NR
Ade 14
major
N7
0/1
NR
N6
0/1
NR
Thy
13
major
C5
0/9
NR
O4
1/9
0.85
Thy 25
major
C5
0/7
NR
O4
0/7
NR
observed
major groove reactions: 16/51
Thy 25
minor
O2
3/7
3.77
Gua 34
minor
N2
1/8
7.95
Cyt 35
minor
O2
1/7
9.15
Ade 10
minor
N3
5/8
3.14
Ade 18
minor
N3
5/8
7.29
observed minor groove
reactions: 15/54
NR stands for no reaction observed
in the 10 ps simulation. t = 0 corresponds to the
first frame of the run. This is a summary of Tables S8–S11. Note that the N7 and O6 positions of guanine
and the C5 and O4 positions of thymine are, spatially, very close
each other. Therefore, a single QM/MM run can show reaction with one
or another site.
NR stands for no reaction observed
in the 10 ps simulation. t = 0 corresponds to the
first frame of the run. This is a summary of Tables S8–S11. Note that the N7 and O6 positions of guanine
and the C5 and O4 positions of thymine are, spatially, very close
each other. Therefore, a single QM/MM run can show reaction with one
or another site.On the
other hand, the positions of thymine facing the major groove
(C5 and O4) are clearly the less reactive in biological media. Interestingly,
these sites are also the less exothermic paths in the QM model (Table S6), suggesting a probable correlation
between these two factors. The major groove reactivity on the N7 position
of adenine is expected to be similar to that of the N7 site of guanine. Table shows no reactivity
on the former most likely because of the low number of QM/MM runs.
The statistics could not be enlarged because only a few close contacts
between the reactive carbocation of 2 and the N7 atom
of adenine were found in the classical MD runs.The minor groove
reactivity is dominated by the N3 position of
adenine, which shows the largest number of reactive events (Table ) to give the intermediate
product 8 (Scheme ). The high exergonicity of this channel (Table ) reinforces the relationship
encountered between exergonicity in the QM system and QM/MM reactivity.
This correlation is most likely a consequence of the steeper electronic
PES derived from the much larger energy difference between product
and reactants.
Scheme 3
Formation of the DNA ICL Product 12 between
A10 and
T33
R = DNA.
Formation of the DNA ICL Product 12 between
A10 and
T33
R = DNA.In the minor groove, the N2 and O2 positions of guanine and cytosine,
respectively, are much less reactive (Table ). Only one reaction out of 7 or 8 simulations
is observed at each nucleobase. On the other hand, only a very few
contacts between the reactive carbocation of 2 and the
N3 position of guanine were found (none of them below 4 Å). This
fact, in combination with the less exergonicity of this channel as
compared to the N3 position of adenine (Table ), suggests that this site is not as relevant
as the N3 position of adenine. Therefore, it can be safely concluded
that the major groove reactivity takes place, in preference order,
at guanine, adenine, and cytosine, whereas the minor groove reactions
mostly occur at AT base pairs.Data listed in Table shows the occurrence of the
DNA lesions 5a, 5b, and 8,
among others (Schemes and 3). These are
stable intermediates in the formation of ICLs. It is therefore expected
that the remaining mechlorethamine unit is released from these species,
leading to reactive species analogous to 2 and 4 (Scheme ) even though this time covalently linked to DNA (species 6 and 9). The molecular mechanism is considered very
similar to the C–N photodissociation shown in Figure or to the photoreduction/oxidation
reactions shown in Table . However, given the covalent link between the nitroimidazole
derivative and DNA, assuring proximity with the DNA nucleobase, the
one-electron redox reactions are expected to be faster with respect
to the free photosensitizer 1.
Interstrand Cross-Link
Formation
In the case of 5a, a major groove
lesion, the product of the second mechlorethamine
release is 6 (Scheme ), a carbocation analogous to 2, which
is expected to react with a nearby guanine or cytosine to form the
final ICL product. This reactivity has been studied by means of additional
classical MD and QM/MM simulations, also with the aim to determine
the most accessible reaction hotspots in the surroundings.The
interactions with reactive hotspots over time have been studied by
building a model of 6 in which the modified nucleotide
lies at G8 position, as shown in Figure a. Note that the GC step composed by G8C9
is surrounded by AT base pairs, colored in gray. Analysis of the distances
between the nearby N and O reactive positions and the carbocation
of 6 (Figure b–e) indicate that the complementary base to G8, C35,
is accessible to form an ICL (product 7, Scheme ). This is not surprising considering
the length of the two nitroimidazole rings linked through the ethyl
bridge. The most accessible reactive positions however correspond
to the N7 and O6 positions of G34, as shown in Figure b,d, respectively. Reactions at these positions
lead to the ICL products 11 and 12, as illustrated
in Scheme . Considering
also that the reactions with these positions are kinetically fast,
as previously demonstrated in Table , the formation of the ICL between the two guanine
molecules in a GC step is deemed as one the most favorable reaction
channels in the DNA major groove.
Figure 5
(a) Snapshot extracted from the classical
MD simulation (10 ns)
for the modified DNA with species 6 on G8. Adenine and thymine nucleobases are shown in gray. The G8(6)C9 step is shown in detail at the right-hand side. C9 is
shown in light green, G34 in magenta, and C35 in violet. The O6 and
N7 positions of G34 and the N4 position of C35 are highlighted as
gray balls. Relevant atom–atom distances between the carbocation
of 6 and the surrounding bases G34, C35, and C9 are shown
in panels b–e. Horizontal red dashed bars placed at distances
of 4 Å highlight close atom–atom proximities.
Scheme 4
Formation of the DNA ICL Products 8 and 9 between G8 and G34
R = DNA.
(a) Snapshot extracted from the classical
MD simulation (10 ns)
for the modified DNA with species 6 on G8. Adenine and thymine nucleobases are shown in gray. The G8(6)C9 step is shown in detail at the right-hand side. C9 is
shown in light green, G34 in magenta, and C35 in violet. The O6 and
N7 positions of G34 and the N4 position of C35 are highlighted as
gray balls. Relevant atom–atom distances between the carbocation
of 6 and the surrounding bases G34, C35, and C9 are shown
in panels b–e. Horizontal red dashed bars placed at distances
of 4 Å highlight close atom–atom proximities.Among the major groove positions either at adenine or thymine,
the N7 position of the former should be considered as the most reactive
site given its high exergonicity (Table and Figure S13). However, in the lesion 6 at G8, the N7 positions
of A10 and A36 are not accessible within the simulation time (10 ns),
whereas the opposite C35 and the contiguous G34 are readily available.
Note also that the π-stacked cytosine nucleobase to G8, i.e.
C9, is also less accessible (Figure e). This indicates that the formation of an intrastrand
cross-link is unlikely as compared to the reaction between the two
antiparallel DNA strands.In contrast to the major groove, the
minor groove reactivity is
dominated by adenine and thymine, because the N3 position of guanine
is less nucleophilic (Table ). The efficient minor groove interaction of 2, in conjunction with the highly exergonic reaction with the N3 position
of adenine (Tables and 4), make the formation of 8 (Scheme ) a very
favorable process. The subsequent photoinduced release of mechlorethamine
produces 9.Figure quantifies
the close contacts between the carbocation lesion 9 on
A10 and the most reactive positions of nearby nucleobases. The O2
positions of the opposite T33 and its adjacent T32 nucleobases are
clearly the most available sites (Figure c,d). The adjacent positions to the lesion,
i.e. C9 and A11, are much less available (Figure b,f). Only A11 exhibits certain close contact
with the carbocation, even though to a much less extent than the thymine
molecules. The N3 position of G34, besides being less reactive than
the O2 site of thymine, is not available (Figures e). These data strongly support that the
most probable reactions of 9 and DNA take place with
thymine to form, for example, 10 (Scheme ). It is therefore reasonable to conclude
that adenine and thymine dominate the DNA minor groove reactivity.
The O2 position of cytosine should exhibit a similar reactivity to
the O2 position of thymine (Table ); however, the complementarity between adenine and
thymine and the high reactivity of adenine decreases the relevance
of cytosine in the minor groove reactivity, although ICLs between
adenine and cytosine are probably sufficiently fast to occur.
Figure 6
(a) Snapshot
extracted from the classical MD simulation (10 ns)
for the modified DNA with species 9 on A10. Adenine and
thymine nucleobases are shown in gray. The C9A10(9)A11
steps are shown in detail at the right-hand side. Relevant atom–atom
distances between the carbocation of 9 and the surrounding
bases C9, A11, T32, T33, and G34 are shown in panels b–f. Horizontal
red dashed bars placed at distances of 4 Å highlight close atom–atom
proximities.
(a) Snapshot
extracted from the classical MD simulation (10 ns)
for the modified DNA with species 9 on A10. Adenine and
thymine nucleobases are shown in gray. The C9A10(9)A11
steps are shown in detail at the right-hand side. Relevant atom–atom
distances between the carbocation of 9 and the surrounding
bases C9, A11, T32, T33, and G34 are shown in panels b–f. Horizontal
red dashed bars placed at distances of 4 Å highlight close atom–atom
proximities.The reactivity between 6 (at G8) and 9 (at A10) and the available positions
in the DNA surroundings have
been explored by using the same QM/MM protocol used to study the reactivity
of 2 toward DNA in Table . ICLs between 6 at G8 and G34, both at
N7 and O6 positions of the latter nucleobase (species 11 and 12, respectively, Scheme ), have been observed at the picosecond scale,
as shown in Figure a,b. The reaction of 6 with its complementary Watson–Crick
base pair C35 at the N4 position, to yield the ICL product 7 (Scheme and Figure c), has been also
observed in the QM/MM simulations. Similarly, the reaction between 9 at A10 and the O2 position of T33 to yield 10 (Scheme ) occurred
after 9.55 ps (Figure d).
Figure 7
DNA ICL products formed with QM/MM dynamics among (a) G8 and G34
at N7 position (11), (b) G8 and G34 at N7 and O6 positions,
respectively (12), (c) G8 and C35 at N7 and N4 positions,
respectively (7), and (d) A10 and T33 at N3 and O2 positions,
respectively (10).
Formation of the DNA ICL Products 8 and 9 between G8 and G34
R = DNA.DNA ICL products formed with QM/MM dynamics among (a) G8 and G34
at N7 position (11), (b) G8 and G34 at N7 and O6 positions,
respectively (12), (c) G8 and C35 at N7 and N4 positions,
respectively (7), and (d) A10 and T33 at N3 and O2 positions,
respectively (10).Globally, these observations clearly imply that the limiting step
for the formation of the second DNA-photosensitizer covalent bond
is the mechlorethamine photorelease. Close interactions between 6 and G34 and between 8 and T32/T33 take place
in less than 1 ns (Figures and 6), while the subsequent reaction
kinetics are most probably barrierless and limited by diffusion, taking
place at the picosecond time scale, as observed in Figure . The formation of 7 is expected to be less favorable as compared to 11 and 12 because close interactions between 6 and the
susceptible N4 atom of C35 are less frequent (Figure c) and the N4 position of cytosine is far
less reactive than the N7 and O6 sites of guanine (Table S6).The preference for the N7 position of guanine
and adenine has been
traditionally ascribed to the Maxam and Gilbert reactions,[63−65] in which the ICLs at the N7 position of purines cleave upon treatment
with piperidine. The N7 position of guanine is also largely known
to be the preferred reaction site for nitrogen mustards such as mechlorethamine[66] and of traditional anticancer drugs such as cis-platin.[67] To the best of
our knowledge, the relevance of the O6 site of guanine has not been
documented until now.
From Light Absorption to DNA Interstrand
Cross-Linking in Biological
Media: Spatial and Temporal Resolution of the Global Process
The global mechanism extracted from the present simulations is shown
in Figure . The bottlenecks
are the light induced releases of the two mechlorethamine leaving
groups through the unimolecular or bimolecular mechanisms. Both 2 and 4 species show favorable noncovalent major
and minor groove interactions with DNA (in a few nanoseconds or tens
of nanoseconds), while the reactivity of 2 is much faster
as compared to 4. In 10 ps, ca. 25% of 2 reacted with DNA, both in major or minor grooves (Table ). We have also identified the
most reactive nucleobases and the regioselectivity within a given
nucleobase. The N7 position of purines (and O6 of guanine) show the
kinetically fastest reactions in the major groove, whereas the minor
groove is governed by the N3 position of adenine. Bearing this in
mind and considering also the reactivity of pyrimidines and the spatial
reach of the two fused nitroimidazole rings, which spans the Watson–Crick
base pair with the covalent lesion (for instance 6 and 9) and the adjacent DNA step, GC, GT, and AT steps are identified
as the most relevant hotspots for ICL formation, independently from
the DNA sequence. Although other ICL products are possible, we highlight
here only the most kinetically competitive routes. For instance, GG
or CC tuples are deemed less reactive than GC, GT, or AT steps. In
GG and CC, the most reactive nucleobases (guanine) are stacked, therefore,
the corresponding ICL formation is slower as in GC, in which the two
guanine nucleobases are placed in opposite strands. The same conclusion
applies to TT or AA steps.
Figure 8
Schematic representation of the temporal and
spatial scales for
the DNA ICL mechanism revealed by the combination of QM, classical
MD, and hybrid QM/MM simulations performed in this work.
Schematic representation of the temporal and
spatial scales for
the DNA ICL mechanism revealed by the combination of QM, classical
MD, and hybrid QM/MM simulations performed in this work.
Conclusions
Extensive and detailed multiscale calculations
have rationalized
the spatial and temporal scales of the ICL formation in double stranded
B-DNA. The molecular mechanisms behind light absorption and C–N
cleavage of the photosensitizer have been delineated at the electronic
level by using quantum chemistry, the noncovalent interactions have
been fully characterized by using all-atom MD at the microsecond scale,
and the complex regioselectivity of covalent bonding with DNA has
been resolved through multiple QM/MM simulations. Among all events
considered in this work, the generation of the reactive carbocation 2 is the rate-limiting step, although the combination of persistent
interactions with DNA and the photoreduction/oxidation reactions mediated
by guanine likely facilitates this process. Once formed, 2 efficiently interacts with major and minor DNA grooves.The
fastest major groove reactions take place with the N7 and O6
positions of guanine, the N7 position of adenine, and the N4 position
of cytosine. These are barrierless or almost barrierless processes.
In the minor groove, adenine shows the fastest reactivity. As a result,
GC, GT, and AT steps have been identified as the most favorable hotspots
for ICL. This sequence effect and the high reactivity of the O6 position
of guanine, not reported until now, should be taken into account in
the design of new photosensitizers, for example, when deciding the
molecular length of the active species and when tuning the electrophilic
character of its reactive site. The molecular length is particularly
crucial, because it has been clearly demonstrated that the cross-linking
can take place involving several Watson–Crick base pairs. Subsequently,
longer and flexible agents will link distant nucleobases.The
DNA models studied in this work simulate the experiments with
short DNA sequences in solution performed by Han et al.[42] However, it shall be noted that in actual eukaryote
cells the DNA is packed around histones forming nucleosomes, a disposition
that will limit the accessibility of the photosensitizer to the coiled
DNA. A similar regioselectivity toward the different nucleobases is
nevertheless expected because the nucleophilicity is an intrinsic
property of each atomic position. Because a single unrepaired ICL
lesion is sufficient to arrest the DNA biological functioning,[24] a small portion of “free” DNA
or RNA reachable by the photosensitizer may be sufficient to deliver
DNA damage with the present approach. This is particularly true in
the replication cycle or in expressed genes, in which DNA is less
strictly packed to allow replication/translation. On the other hand,
well-known DNA–metal interactions[68−71] may influence the reactivity
of 2 with DNA. A thorough scrutiny of these environment
effects falls out of the scope of the present research and would deserve
an independent study.The present work provides a detailed and
innovative description
of DNA cross-linking, a crucial phenomenon in biology and medicine,
and settles a computational approach to study these important events
far beyond the static description of chromophore models.
Computational
Methodology
The different levels of theory adopted in each
subsection were
chosen according to the respective validations, because the nature
of the chemical processes studies in each subsection is diverse (light
absorption and photochemical reactivity, photoredox reactions, and
DNA reactivity) and have different methodological requirements.
Multiconfigurational
Calculations
The complete-active-space
self-consistent-field (CASSCF) method[72] as implemented in the OpenMolcas software[73] was used to build the multiconfigurational wave functions of 1. The Franck–Condon geometry was optimized using the
B3LYP/6-31G* method.[74,75] Here 12 singlet states and 10
triplet states were demanded in the respective state-average (SA)
procedures. The necessary electronic dynamic correlation was calculated
with the CASPT2 method[76,77] on top of the SA-CASSCF wave
functions. The IPEA shift[78,79] was set to 0.0 au (original
zeroth-order Hamiltonian), and an imaginary level shift of 0.2 au
was used to avoid the presence of intruder states. Oscillator strengths
and spin–orbit couplings were computed using the SA-CASSCF
wave functions and the CASPT2 energies, as described in previous works.[80−85] The ANO-S-VDZP basis set was used in all multiconfigurational determinations.
Coupled-Cluster Calculations
For benchmark purposes,
domain-based local pair-natural orbital coupled cluster singles, doubles,
and perturbative triples (DLPNO-CCSD(T)) calculations were performed
on top of the DFT/B3LYP optimized structures (see below) for the addition
of 4 to the C5 and C6 positions of thymine. The employed
basis set was 6-311+G(2df,2pd). All DLPNO-CCSD(T) calculations were
performed with the ORCA 5.0 software.[86]
DFT Calculations
The DFT/B3LYP functional in combination
with the 6-31G* basis set and its TD-DFT extension[87] was used to compute the absorption properties of 1 and 4, as validated by CASPT2 determinations.
Natural transition orbitals (NTOs)[51,52] were computed
with the Chemissian software.[88] Solvent
effects (water) were considered using the polarizable continuum model
(PCM). As indicated in Table , the (photo)redox reactions were tackled with the M06-2X/6-31++G(d,p)
method since previous DNA-related works showed that this level of
theory properly describes these types of reactions, as compared to
experimental observations.[56,57] The B3LYP-PCM/6-31G*method
was initially chosen to calculate the activation energy and energy
difference between the reactants and products of the radical addition
of 4 to the C5 and C6 positions of thymine. Frequency
calculations were carried out on top of the converged minima and TSs
to check the absence of any negative eigenvalue of the Hessian or
the presence of only one, respectively. Intrinsic reaction coordinate
(IRC) paths confirmed the connectivity between reactants, TSs, and
products. According to the performed benchmarks, the reactivity of 4 (small QM model, see text) with the four DNA nucleobases
was described with M06-2X/6-31G* (Table S7). Gibbs free energies at 298 K and 1 atm at the stationary points
were computed at the same level of theory. The barrierless paths of
the reactivity of 2 were described through relaxed scans
of the reaction coordinates. The ΔG values
of Table were computed
using the isolated small model of 2 and the corresponding
nucleobases as a reference. The basis set superposition error (counterpoise
procedure) was computed for the product of 2 at the O2
position of thymine and cytosine and at the C5 position of guanine
and adenine, respectively. The same value was used to correct the
Gibbs energies of the rest of reaction products belonging to the same
nucleobase. All DFT and TD-DFT calculations were performed with the
Gaussian 16 software package.[89]
Classical
Molecular Dynamics
The initial structure
of the B-DNA double strand with sequence 5′-TTGCAATGCAAGTAATTAAAG-3′
(Figure ) was built
with the NAB utility[90] available in AmberTools.[91] The species 1, 2,
and 4 were randomly positioned next to the DNA strand,
in the majority of cases close to a nucleic acid major groove (see Figure S29). One run started with 4 intercalated between two base pairs, although this configuration
is highly unstable, as mentioned. The systems were later placed at
the center of a truncated octahedral box of TIP3P[92] water molecules in which the minimum distance between the
solutes and the edge of the box was 10 Å. The systems were neutralized
by adding Na+ cations, giving rise to a final [Na+] of ∼130 mM, only slightly above the 1–100 mM physiological
concentrations reported for Na+, K+, and Mg2+.[69] DNA was described using the
parm99 force field[93] including bsc1 corrections.[94] The force field parameters for the photosensitizers 1, 2, and 4 were obtained from GAFF
using standard protocols. Geometry optimizations were performed with
the B3LYP/6-311G(d) method. The restricted electrostatic potential
(RESP) method was used to calculate the atomic charges, obtained with
the Hartree–Fock (HF) method in conjunction with the 6-31G*
basis set. The modified nucleobases 6 and 9 were initially optimized also using the B3LYP/6-311G(d) level of
theory, whereas the electrostatic potential was computed with the
HF/6-31G* method. 6 and 9 were parametrized
based on the Amber force field using also the RESP method to calculate
the atomic charges. Structures and point charges of residues 1, 2, 4, 6, and 9 used for the parametrization can be found in the Supporting Information. The systems 1 + DNA, 2 + DNA, and 4 + DNA were minimized
through 6000 steps of the steepest descent algorithm followed by 6000
steps of the conjugated gradient algorithm. Thermalization at 300
K was performed in 200 ps in the NVT ensemble. Six microseconds of
production dynamics (6 trajectories of 1 μs each, see Table ) were carried out
in the NPT ensemble. Coordinates and velocities were written into
the trajectory files at time intervals of 40 ps. The pressure was
set to 1 atm and kept constant using the Monte Carlo barostat, while
temperature conservation was ensured by employing Langevin dynamics.
The same protocol was applied to the modified DNA systems 6 and 9, except the NPT production run, which was propagated
for 10 ns. One trajectory was run for 6 and another one
for 9. All MD simulations were performed under periodic
boundary conditions and using particle mesh-ewald (PME) with a cutoff
of 9.0 Å and a time step of 1 fs. All classical MD simulations
were performed with the Amber 20 software package.[91] Results were analyzed with the visual molecular dynamics
(VMD) program[95] and with the Cpptraj[96] tool included in the Amber 20 package. In summary,
three noncovalent DNA/photosensitizer (1, 2, and 4; one, two, and three replicas, respectively)
and two covalent DNA/photosensitizer (6 and 9, one replica each one) systems were simulated.
QM/MM Simulations
QM/MM molecular dynamics making use
of the electrostatic embedding were used to explore the reactivity
of 2 with DNA in a water box. Initial conditions (atom
coordinates and velocities) were extracted from the classical MD trajectories.
Newton’s equations of motion were solved with a time step of
1 fs. The QM partition was composed of the nitroimidazole ring (including
the carbocation) and the corresponding DNA nucleobase, i.e. the small
model in Figure S12, and was treated with
the M06-2X/6-31G* method as implemented in the ORCA 5.0 software.
The QM method validation is described. The dynamics were performed
using the Amber/ORCA QM/MM interface. A cutoff of 9.0 Å was employed
for all QM/MM interactions. The competition between the most reactive
pathways was assessed by extending the number of runs starting from
different initial conditions. Snapshots were selected from the classical
MD trajectories with sufficiently separated time intervals to avoid
the overrepresentation of a given conformation, as pointed out in
detail in Figures S14–S28. Note
that the frames of the classical MD trajectories are separated from
each other by 40 ps. The total QM/MM simulation time in this work
largely exceeds 500 ps.
Authors: Ana B Fraga-Timiraos; Antonio Francés-Monerris; Gemma M Rodríguez-Muñiz; Miriam Navarrete-Miguel; Miguel A Miranda; Daniel Roca-Sanjuán; Virginie Lhiaubet-Vallet Journal: Chemistry Date: 2018-09-11 Impact factor: 5.236
Authors: Ivan Ivani; Pablo D Dans; Agnes Noy; Alberto Pérez; Ignacio Faustino; Adam Hospital; Jürgen Walther; Pau Andrio; Ramon Goñi; Alexandra Balaceanu; Guillem Portella; Federica Battistini; Josep Lluis Gelpí; Carlos González; Michele Vendruscolo; Charles A Laughton; Sarah A Harris; David A Case; Modesto Orozco Journal: Nat Methods Date: 2015-11-16 Impact factor: 28.547