1 Introduction
World Health Organization reported that about 263 million of malaria cases in 2023 alone [
1]. The emergence of drug resistance against almost every front-line antimalarial drug is a major challenge. Novel mode of action is urgently needed to overcome drug resistance, for example, combinations of allosteric and orthosteric drugs [
2], known as dualsteric modulators [
3,
4]. Hitherto, mounting efforts have been made to combat drug resistance by binding pharmacophores at both orthosteric and allosteric sites of targeted protein [
5−
8], such as case studies on mechanistic target of rapamycin (mTOR) [
5], epidermal growth factor receptor (EGFR) [
6,
7], Breakpoint Cluster Region-Abelson1 (BCR-ABL1) kinase [
8], Androgen receptor (AR) [
9].
To circumvent the artemisinin-resistant malaria parasites, Jiang
et al. [
10,
11] designed carbohydrate derivatives as inhibitors by dual targeting orthosteric and allosteric pockets of
P. falciparum hexose transporter 1 PfHT1. Generally, two pharmacophores are needed to occupy the orthosteric site and the topologically distinct and distal allosteric site [
2]. This recent elegant strategy benefited from achieving synergistic efficacy with a single chemical entity, simultaneously reaching both high potency and selectivity [
10,
11].
In addition, the pharmaceutical effect of this dual-inhibitor over PfHT1 varies depending on their structures [
10,
11], namely, sugar moiety, tail group, and a flexible linker (CH
2)
n, illustrating the importance of chemical backbone of the inhibitor. In contrast, compounds with very distinct structural backbones acting on human glucose transporters (hGLUTs) have been demonstrated in both exofacial inhibitors (phloretin and SA47) of GLUT3 [
12] and endofacial inhibitors (Cytochalasin B and GLUT-i1) of GLUT1 [
13].
Inspired by the experimental finding [
10,
11], we carried out molecular dynamics (MD) simulations in a follow-up study to further rank the molecular determinants of dual inhibition of PfHT1. To explore the structure-activity relationships, we classified 10 dual-inhibitors into three groups (Fig.1 and Tab.1) with respect to the key features in experimental reference [
10,
11]. A systematic affinity profile of these inhibitors was created by integrating dynamics simulations, pocket volume analysis and energetics calculations. The simulations revealed that binding free energies showed a high correlation with experimental IC
50 data [
10,
11], validating the reliability of our analyses. We summarized and ranked the contributing of the key residues to the binding affinity in each of the three groups based on free energy decomposition. We further testified these observations using the mutation analysis. Glucose derivatives exhibited moderate and modest loss of binding affinity by mutation at allosteric or orthosteric sites. The outliers, fructose derivatives can be strongly sensitized by mutation at orthosteric sites due to changes of binding poses.
2 Methods and models
2.1 Calculation setup in molecular dynamics
Protein models were constructed by removing native ligands C3361 and glucose from PfHT1 complex crystal structures (PDB ID: 6M2L and 6M20 [
10]). 6M20 was used as a template to complete the missing areas of 6M2L by Modeller [
14]. PfHT1-inhibitor complex was then constructed using AutoDock Vina [
15,
16]. The optimized ligand-bound complex conformation from molecular docking was embedded into a 1-palmitoyl-2-oleoyl-sn-glycero-3-phosphocholine (POPC) lipid bilayer using the CHARMM-GUI Membrane Builder [
17], solvated with TIP3P water [
18] (22.5 Å thickness), and neutralized with 0.15 mol/L NaCl. The dimensions of final system were 92 Å × 92 Å × 120 Å. Simulations were performed under physiological conditions (pH 7.0, 303 K) using the CHARMM36m force field [
19] with WYF corrections [
20] for the protein and lipids, CHARMM General Force Field [
18] for ligands, respectively. Next, equilibration and production protocols were applied: (i) Energy minimization: 5000 steps of steepest descent (SD) optimization to eliminate steric clashes. (ii) Gradual restraint relaxation: Six-step equilibration under NVT/NPT ensembles with progressive reduction of positional restraints (initial values: 1000 kJ·mol
−1·nm
−2 for lipids, 2000 kJ·mol
−1·nm
−2 for protein−ligand; final values: 0/50 kJ·mol
−1·nm
−2 for lipids and protein−ligand). (iii) Production MD simulation: 100 ns production simulation under NPT conditions to obtain thermodynamically stable conformational ensembles.
Here, the V-rescale temperature coupling was used to maintain the temperature of the membrane and protein at an interval of 1 ps and the C-rescale was chosen for pressure coupling to maintain the system at one atmosphere at 5 ps interval. The electrostatic calculation of the system was based on Particle-Mesh Ewald. The cut-off distance of non-bond interaction was 1.2 nm, and the switching distance was set to 1.0 nm. The LINCS algorithm was used to constrain the bonds containing hydrogen atoms to achieve a reasonable time step of 2 fs. Three parallel simulations were performed for all cases, the timescale of each was 100 ns. All MD calculations were based on GROMACS 2023.2 [
21,
22].
Based on the 6M20 system, steered molecular dynamics (SMD) simulations were initiated from the final frame of production MD simulation. TM1e helix was pulled towards the inhibitor molecule at constant-velocity (0.1 nm/μs) by an umbrella potential in the NPT ensemble. The pull-groups were set to the Cα of Glu57 and the mass centers of TM10/TM12. In order to ensure the stability of the whole protein and avoid abnormal drift during the SMD simulations, the positional restraints of 100 kJ·mol
−1·nm
−2 was applied to the protein Cα atoms except TM1 helix. Next, the weighted histogram analysis method (WHAM) [
23] in GROMACS was used to compute the potential of mean force (PMF) [
24].
MM-GBSA calculations [
25] were performed to obtain the binding free energy (Δ
Gbinding) for evaluating molecular affinity [
26].
2.2 Classification of atomic models for inhibitor
In this work, we classified the inhibitors into three types based on size of tail group, linker length, and sugar moiety as shown in Fig.1(c) and Tab.1. The diversity of inhibitors in three components results in the structural complexity linked to their variances in biological activity.
3 Results and discussion
MD simulations and post analysis are performed to obtain a detailed molecular description of inhibitor-target interaction.
3.1 Key residues for the formation and stabilization of allosteric pocket in PfHT1
We take HTI9 (belongs to group II in Tab.1) as a model system to explore the molecular mechanism underlying the dynamic process of allosteric pocket formation based on static structural information from experiment work [
10,
11]. Aims at mimicking classical allosteric communication [
27], translocation of HTI9 through the tunnel is expected to trigger the formation of allosteric pocket before its sugar core reaches the orthosteric site. However, after extensive MD simulations, no allosteric pocket is found to form after HTI9 arrives at the orthosteric site. Thus, we further probe the dynamic molecular basis of allosteric activation by mimicking reversed allosteric communication [
28,
29], namely, the perturbations from ligand binding at orthosteric site facilitating the closure of allosteric pocket. In this way, we succeed to probe the allosteric pocket shown in Fig.2. We extracted the representative structure of different conformational states and identified the key residue Lys51 related to the formation of allosteric pocket whereas interaction between Lys51 and Asp447 correlated to the stabilization of the allosteric pocket (Fig.3). This is in line with the experimental findings [
10,
11]. PMF plot was utilized to evaluate the formation barrier and consequent stability of allosteric binding pocket [Fig.2(d)]. In general, wild-type system displayed overall lower PMF values than mutant ones, implying good efficacy for more competent allosteric binding pocket. Higher PMF values and larger pocket volumes [Fig.2(c)] in mutation systems indicated the impaired direct interaction between the residue Lys51 and HTI9 by Lys51Ala whereas Asp447Ala leading to the destabilization (opening and loosening) of the pocket.
3.2 Ranking the key residues for evaluating inhibitor affinity with orthosteric–allosteric dual-pocket in PfHT1
3.2.1 Linker length and allosteric pocket
The compounds in group I shared the same sugar core (glucose) and tail (quinine), with varied linker (CH
2)
n length for evaluating allosteric binding, which engaged less well-conserved regulatory motifs outside the orthosteric pocket. Thus, they displayed similar orthosteric pocket volume but varied allosteric ones [Fig.4(a) and (b)]. The calculated binding free energy Δ
Gbinding exhibited nonmonotonic relationship with various linker length [Fig.4(c)]. This result was consistent with the in vitro experiments [Fig.4(d)] [
10,
11]. The per-residue free energy decomposition (Fig.5 and Fig.6) unraveled that the contributions from Lys51, Val443 and Leu47 are the key determinants for binding affinity for this group. The binding affinity sum from these three residues [Fig. S1(d)] dominated the binding events at allosteric site which allowed repeating the experimental trend [Fig.4(d)].
3.2.2 Size of tail group and allosteric pocket
This group explored the tail size for evaluating allosteric binding. The varied allosteric pocket volume did not capture the trend of experimental IC50 trend [Fig.7(b) and (d)]. The exception of C3361 is contrary to the common scenario where enhanced pocket closure strengthens the binding affinity.
As shown in Fig.7(c), energetic analysis still showed good agreement with experimental reference [IC50 in Fig.7(d)]. Per-residue energy contribution (Fig.8, Fig.9 and S2) revealed that the hydrophobic bonding interactions between inhibitor and the critical residues Lys51, Leu47 and Val443 were responsible for the binding affinity in this group. The small allosteric pocket of C3361 did not imply strong affinity due to the reduced hydrophobic binding between Lys51, Leu47 and C3361 [Fig.8(d)].
3.2.3 Sugar moiety and orthosteric pocket
This group aimed at evaluating orthosteric binding. As shown in Fig.10(c), the glucose derivatives Glu-O3 and Glu-O2 showed an obviously higher binding potency than fructose one, Fru. The moderate and modest changes in dual pockets of this group could not account for this binding behavior [Fig.10(a) and (b)]. Free energy decomposition suggested that binding affinity at orthosteric site rather than at allosteric one played the dominant role to capture the experimental trend [Fig.10 (d) and (e)]. This reflected the binding specificity of sugar transport in PfHT1 [
30]. It is noted that the identified key residues for binding carbohydrate derivatives in Tab.2 partial mismatched the essential ones (Gln169, Gln305, Gln306, Asn311 and Asn341) at orthosteric site for uptaking of glucose and fructose by PfHT1 [
30].
3.3 Validation of the interactions between key residues of PfHT1 and inhibitor by single point mutation
3.3.1 Mutation at allosteric sites
We further testified the key residues for binding affinity using the mutation analysis. For group I and II focusing on allosteric sites, binding free energy calculations revealed that Lys51 contribute in a significant way to modulate the binding affinity (Fig.11). As unveiled in Section 3.1, Lys51 not only provided the internal interactions with the tail of inhibitor, but also the coupling with Asp447 to stabilize the allosteric pocket. It is unraveled that most mutations have only a moderate or modest effect on C3361 binding, whereas Asp447Ala can cause strong deactivation to this inhibitor [Fig.11(b)].
3.3.2 Mutation at orthosteric sites
Mutations at orthosteric site have a minor effect on the binding affinity of Glu-O3 with glucose as sugar core [Fig.12(b)]. As depicted in Fig.13(a), mutations generally disrupted the interaction between the key residues in the orthosteric pocket and Glu-O3. In contrast, mutations located at orthosteric site caused strong sensitization to fructose derivative, Fru, as shown in Fig.12(c). Previous work indicated mutations at conserved residues of orthosteric pocket impaired transport of fructose by PfHT1 [
30]. Our binding free energy Δ
Gbinding of fructose in wild type and mutant systems also verified this trend [Fig.12(a)]. To elucidate the outlier mutation effect in PfHT1-Fru complex, free energy decomposition was performed and suggested that other residues emerged as new binding sites [Fig.14(c)]. This is due to mutation will greatly change the binding pose of Fru [Fig.15(b)] whereas marginal effect on that of Glu-O3 [Fig.15(a)].
4 Conclusions
Encouraged by the good agreement between our calculated protein−inhibitor affinities (based on binding free energy) and experimental references (IC50 values), we rank the key molecular determinants for orthosteric–allosteric dual inhibition of PfHT1 based on systemic case studies covering the three essential building blocks of inhibitors (linker length, size of tail group, and sugar moiety). Further mutation analysis highlights the significance of deciphering the internal fine-tuning mechanism for the structure-based drug design. Mutations at orthosteric site could effectively improve the inhibitory potency of fructose derivative. The outlier case arises from its strong adjustment in binding pose.