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用于药物开发的阿尔茨海默病免疫疗法与模拟肽设计:聚焦阿杜卡努单抗与Aβ2-7结合亲和力的突变筛选、分子动力学及量子生物化学方法

Alzheimer's Disease Immunotherapy and Mimetic Peptide Design for Drug Development: Mutation Screening, Molecular Dynamics, and a Quantum Biochemistry Approach Focusing on Aducanumab::Aβ2-7 Binding Affinity.

作者信息

França Victor L B, Bezerra Eveline M, da Costa Roner F, Carvalho Hernandes F, Freire Valder N, Matos Geanne

机构信息

Department of Physiology and Pharmacology, Federal University of Ceará, 60430-270 Fortaleza, Ceará, Brazil.

Department of Sciences, Mathematics and Statistics, Federal Rural University of Semi-Arid (UFERSA), 59625-900 Mossoró, RN, Brazil.

出版信息

ACS Chem Neurosci. 2024 Oct 2;15(19):3543-3562. doi: 10.1021/acschemneuro.4c00453. Epub 2024 Sep 20.


DOI:10.1021/acschemneuro.4c00453
PMID:39302203
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11450751/
Abstract

Seven treatments are approved for Alzheimer's disease, but five of them only relieve symptoms and do not alter the course of the disease. Aducanumab (Adu) and lecanemab are novel disease-modifying antiamyloid-β (Aβ) human monoclonal antibodies that specifically target the pathophysiology of Alzheimer's disease (AD) and were recently approved for its treatment. However, their administration is associated with serious side effects, and their use is limited to early stages of the disease. Therefore, drug discovery remains of great importance in AD research. To gain new insights into the development of novel drugs for Alzheimer's disease, a combination of techniques was employed, including mutation screening, molecular dynamics, and quantum biochemistry. These were used to outline the interfacial interactions of the Aducanumab::Aβ complex. Our analysis identified critical stabilizing contacts, revealing up to 40% variation in the affinity of the Adu chains for Aβ depending on the conformation outlined. Remarkably, two complementarity determining regions (CDRs) of the Adu heavy chain (HCDR3 and HCDR2) and one CDR of the Adu light chain (LCDR3) accounted for approximately 77% of the affinity of Adu for Aβ, confirming their critical role in epitope recognition. A single mutation, originally reported to have the potential to increase the affinity of Adu for Aβ, was shown to decrease its structural stability without increasing the overall binding affinity. Mimetic peptides that have the potential to inhibit Aβ aggregation were designed by using computational outcomes. Our results support the use of these peptides as promising drugs with great potential as inhibitors of Aβ aggregation.

摘要

目前有七种治疗方法被批准用于治疗阿尔茨海默病,但其中五种仅能缓解症状,无法改变疾病进程。阿杜卡单抗(Adu)和乐卡奈单抗是新型的疾病修饰性抗淀粉样β蛋白(Aβ)人源单克隆抗体,它们特异性针对阿尔茨海默病(AD)的病理生理学,最近被批准用于该病的治疗。然而,它们的使用会带来严重的副作用,且其应用仅限于疾病的早期阶段。因此,药物研发在AD研究中仍然非常重要。为了深入了解新型阿尔茨海默病药物的开发,采用了多种技术相结合的方法,包括突变筛选、分子动力学和量子生物化学。这些技术被用于勾勒阿杜卡单抗::Aβ复合物的界面相互作用。我们的分析确定了关键的稳定接触点,发现根据所勾勒的构象不同,Adu链对Aβ的亲和力变化高达40%。值得注意的是,Adu重链的两个互补决定区(HCDR3和HCDR2)和轻链的一个互补决定区(LCDR3)约占Adu对Aβ亲和力的77%,证实了它们在表位识别中的关键作用。最初报道有可能增加Adu对Aβ亲和力的一个单突变,结果显示它在不增加整体结合亲和力的情况下降低了其结构稳定性。利用计算结果设计了有可能抑制Aβ聚集的模拟肽。我们的结果支持将这些肽作为有潜力的药物用于抑制Aβ聚集。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d6a1/11450751/a62d2388970f/cn4c00453_0010.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d6a1/11450751/2e41e1e89ab5/cn4c00453_0009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d6a1/11450751/a62d2388970f/cn4c00453_0010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d6a1/11450751/6e7ccea96150/cn4c00453_0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d6a1/11450751/56d6606b0d90/cn4c00453_0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d6a1/11450751/d670118311fe/cn4c00453_0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d6a1/11450751/c061c7c4b4d3/cn4c00453_0004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d6a1/11450751/c106d7590ff8/cn4c00453_0005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d6a1/11450751/890a9f644a09/cn4c00453_0006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d6a1/11450751/7110e8a4e6dc/cn4c00453_0007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d6a1/11450751/0044b1a25cef/cn4c00453_0008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d6a1/11450751/2e41e1e89ab5/cn4c00453_0009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d6a1/11450751/a62d2388970f/cn4c00453_0010.jpg

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[2]
Risk factors in developing amyloid related imaging abnormalities (ARIA) and clinical implications.

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[3]
Development of amyloid beta-directed antibodies against Alzheimer's disease: Twists and turns.

Drug Discov Ther. 2023

[4]
Cyclic Peptides for Drug Development.

Angew Chem Int Ed Engl. 2024-1-15

[5]
Donanemab: Not two without a third.

Adv Clin Exp Med. 2023-10

[6]
Clinical trials of new drugs for Alzheimer disease: a 2020-2023 update.

J Biomed Sci. 2023-10-2

[7]
Antibody-Mediated Clearance of Brain Amyloid-β: Mechanisms of Action, Effects of Natural and Monoclonal Anti-Aβ Antibodies, and Downstream Effects.

J Alzheimers Dis Rep. 2023-8-14

[8]
EnGens: a computational framework for generation and analysis of representative protein conformational ensembles.

Brief Bioinform. 2023-7-20

[9]
Implications of the Approval of Lecanemab for Alzheimer Disease Patient Care: Incremental Step or Paradigm Shift?

Neurology. 2023-10-3

[10]
Avoiding future controversies in the Alzheimer's disease space through understanding the aducanumab data and FDA review.

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