Abstract
SARS-CoV-2 virus has caused high-priority health concerns at a global level. Vaccines have stalled the proliferation of viruses to some extent. Yet, the emergence of newer, potentially more infectious, and dangerous mutants such as delta and omicron are among the major challenges in finding a more permanent solution for this pandemic. The effectiveness of antivirals Molnupiravir and Paxlovid, authorized for emergency use by the FDA, are yet to be assessed at larger populations. Patients with a high risk of disease progression or hospitalization have received treatment with a combination of antibodies (antibody-cocktail). Most of the mutations leading to the new lineage of SARS-CoV-2 are found in the spike protein of this virus that plays a key role in facilitating host entry. The current study has investigated how to modify a promising peptide-based inhibitor of spike protein, LCB3, against common mutations in the target protein so that it retains its efficacy against the spike protein. LCB3 being a prototype for protein-based inhibitors is an ideal testing system to learn about protein-based inhibitors. Two common mutations N501Y and K417N are considered in this work. Using a structure-based approach that considers free energy decomposition of residues, distance, and the interactions between amino acids, we propose the substitutions of amino acid residues of LCB3 inhibitors. Our binding free energy calculations suggest a possible improvement in the binding affinity of existing inhibitor LCB3 to the mutant forms of the S-protein using simple substitutions at specific positions of the inhibitor. This approach, being general, can be used in different inhibitors and other mutations and help in fighting against SARS-CoV-2.
1. Introduction
SARS-CoV-2 is a novel, positive-sense, single-stranded RNA virus, belonging to the family Coronaviridae that emerged at the tail end of 2019 1. It primarily affects the respiratory system ranging from mild to severe infection 2. This virus is highly infectious and can easily transmit from one person to another 3. This is responsible for the sudden outbreak of a pandemic that collapsed the global health care system and economy. At least 43 crores of people have been infected with SARS-CoV-2 and among them, more than 59 lakhs died (https://covid19.who.int/, data as of Feb 25, 2022). This crisis prompted scientists, doctors, manufacturers, and regulating authorities to race against time and develop treatments as well as vaccines.
SARS-CoV-2 consists of ~30 kb nucleotides which encode approximately 29 proteins including four structural proteins (spike, membrane, envelope and nucleoprotein) 4–5. The potential therapeutic targets of this virus include spike (S), envelope (E), membrane (M), nucleoprotein (N), replicase polyprotein (chymotrypsin-like protease (3CLpro), or main protease (Mpro), papain-like protease (PLpro), RNA dependent RNA polymerase (RdRp), and other non-structural proteins) and transmembrane serine protease 2 (TMPRSS2) 6–7 Strategies used to develop inhibitors against these potential therapeutic targets include i) drug repurposing 8 either by experiment-based high throughput screening or structure-based virtual screening, ii) fragment-based drug designing 9, or iii) de novo drug design 10. Spike protein and TMPRSS2 play a crucial role in the entry of viruses therefore the therapeutics designed against this protein can prevent the viral entry. Several peptide-based inhibitors were designed and tested against the S-protein of SARS-CoV-2 11–12. Hydrophilic compound, ‘Salvianolic acid C’ obtained from traditional Chinese medicine potently inhibits the membrane fusion of S-protein13. Antiviral ‘arbidol’ inhibits the trimerization of S-protein, however, no significant benefit of this molecule was observed in the clinical trial 14–17. Novel drug-like compounds DRI-C23041 and DRI-C91005 inhibited the interaction of hACE-2 with S-protein in cell-free ELISA assay 18. Chen et al. discovered six inhibitors against S-protein (Cepharanthine, abemacicilib, osimertinib, trimipramine, colforsin, and ingenol) that were tested against pseudotyped particles SARS-S and MERS-S 19. MM3122, camostat mesylate, nafamostat, MNP10 (marine natural product 10) are some of the potential inhibitors of TMPRSS2 20–27. The E-protein of SARS-CoV-2 consists of 75 residues that form a homopentameric cation channel and are involved in the viral assembly, budding formation of the envelope and pathogenesis 28–29. Amantadine, Rimantadine, Hexamethylene amiloride (HMA) and several flavonoids act as potent inhibitors against E-protein 28, 30. Several known inhibitors (e.g. nelfinavir, lopinavir, ritonavir) have been tested and show high binding affinity against the 3CLpro or Mpro that play a crucial role in the proteolytic processing of replicase polyprotein 31–34. Being involved in the replication and transcription of the SARS-CoV-2 genome, RdRp is a potential drug target for SARS-CoV-2 35. Nucleotide analog Remdisivir and favipiravir bind efficiently with RdRp 36–38. PLpro is a proteolytic enzyme and also affects the host antiviral immune response that leads to the viral spread 39–40. GRL0617 is a promising inhibitor against PLpro41. Emergency use authorization has been given to several vaccines, monoclonal antibodies as well as antiviral drugs developed by various pharmaceutical companies to save lives during the pandemic 42–45. As a result, more than 10 billion doses of vaccine have been already administered to curb the progress of COVID-19 (https://covid19.who.int/). Remdesivir, an antiviral drug, was used widely but did not show significant clinical benefit against COVID-19 46. Monoclonal antibodies ‘sotrovimab’ as well as the antibody cocktail - a combination of ‘casirivimab’ and ‘imdevimab’ have shown clinical benefits and reduced the hospitalization rate in patients with COVID-19 (https://www.covid19treatmentguidelines.nih.gov/) 45, 47-48. However, none of these has offered a real cure against this disease yet. People are also getting infected, post-vaccination, with new variants though showing milder infection 49. Recently, FDA authorized two COVID-19 antiviral pills: ‘Molnupiravir’ (Merck, USA) and, ‘Paxlovid’ (Pfizer, USA) for emergency use in patients who are at high risk 50–52. Though these pills worked well in clinical trials, the real-world efficacies of these pills are yet to be assessed.
One of the major challenges of treating COVID-19 is the appearance of different mutant strains of the virus. The mutation frequency of SARS-CoV-2 to form newer strains such as alpha, beta, a more aggressive delta, and the most recent omicron, is a major challenge in developing a treatment for COVID53-56. It also includes the question, of whether the treatments developed for SARS-CoV-2 will work on its existing and upcoming variants57–59. The majority of the mutations reported are in the spike (S) glycoprotein, which is responsible for the entry of the virus inside the human host via human receptor protein Angiotensin Converting Enzyme-2 (ACE-2)60–62. In this work, we want to check if existing inhibitors can be modified in such a way that these retain their efficacy for the mutant forms. For a proof-of-principle study, we have taken a designed mini-protein inhibitor, LCB3, a prototype for protein-based inhibitors including antibodies 12 (Figure 1). LCB3 is a 64 amino-acid-long, stable, potent miniprotein inhibitor that competes with ACE-2 and binds tighter with the S-protein 12. It has the potential to be used as a therapeutic and may open options for direct delivery to the nasal passage or other parts of the respiratory system. However, several studies have shown mutations induced alteration in the binding affinity of S-protein to ACE-2 receptor63-66. SN501Y (Spike protein of SARS-CoV-2 with N501Y mutation) binds to ACE-2 receptor with 7-fold higher affinity than the WT whereas SK417N (Spike protein of SARS-CoV-2 with K417N mutation) binds with 4-fold lower affinity 67. This reflects the possibility of alteration in the binding affinity of the LCB3 inhibitors against the mutated S-protein and needs further investigation. Two common mutations, N501Y and K417N are present at the binding interface of the protein (Figure 1) were tested. We have investigated the effect of these two mutations on the binding affinity between LCB3 and S-protein and how to improve the binding affinity by modifying the inhibitors. N501Y mutation is found in various lineages including B.1.1.7 (alpha), B.1.351 (beta), and P.1 (gamma) variants first detected in the U.K., South Africa and Brazil respectively 68. K417N mutation is present in (beta) lineage B.1.351 and B.1.617.2 (delta plus-a sub-lineage of delta variant) 69. Both of these mutations (N510Y and K417N) were also reported in the newly detected variant of concern, lineage B.1.1.529 (omicron) 70. These mutations have immune evasion properties71–73.
To investigate the potential change in the binding affinity, associated with the mutations N501Y and K417N of S-protein with LCB3 and to improve the LCB3 inhibitor to make it effective against WT as well as mutants, we have used binding free energy calculation with the well-known Molecular Mechanics Poisson-Boltzmann Surface Area (MM-PBSA) method. We have decomposed the results of the binding affinity per residue of the inhibitor to see which residues contribute most to the binding. Then residues of LCB3 that are responsible for less binding affinity are changed to other residues based on the type of interaction and binding site geometry. This simple procedure increases the binding affinity of modified LCB3 with the two mutant forms of the proteins. This procedure is general and can be used to optimize other inhibitors against other mutations as well.
2. Materials and Methods
2.1 Structure Preparation
The coordinates of S-protein of SARS-CoV-2 with LCB3 inhibitor were retrieved from the protein data bank (PDB) with ID: 7JZM 12. This structure is used to model the N501Y and K417N mutant of the S-protein and variants of LCB3.
2.2 MD Simulation
ff14SB force field of AMBER 16 package was used to generate the parameters of the proteins74–75. All systems were solvated using TIP3P water molecules in a rectangular box using a minimum 10 Å distance between the edges of the box to the surface of the protein76–77. Special care was taken to preserve the disulfide bonds present between the cysteine residues present in PDB. Four pairs of Cysteines (C336-C361, C379-C432, C480-C488, C391-C525) of the S protein were involved in the disulfide bonding. Counter ions were added to neutralize the system and to maintain the 0.15M KCl salt concentration. 10000 steps of steepest descent followed by 10000 conjugant gradient minimization was used to remove the bad contacts in the solvated system 78–79. The systems were heated slowly up to 298 K for 50 ps followed by 50 ps density equilibration with the restraint weight of 2 kcal/mol/Å2 followed by and 500 ps equilibration run. After equilibration 10 independent simulations of all the complex, each of 10 ns was performed at NPT (by maintaining 300K temperature and 1 atmospheric pressure) to increase the sampling space (Table S1). For entropy calculations, separate long simulations (1 μs) of complex, receptor and ligands were performed (Table S2). Hydrogen bonds were constrained using a shake algorithm with 2 fs time integration80. The temperature was regulated by Langevin Dynamics with 2 ps of relaxation time81. 1 bar pressure was controlled by Berendesen’s barostat and periodic boundary conditions were applied for all the systems82. The particle mesh Ewald summation method was used for the calculation of the long-range electrostatic83. CPPTRAJ was used for further analysis of the trajectories obtained from simulation84.
2.3 Binding free Energy
MM-PBSA method was used to calculate the binding free energy of WT and mutants of S-protein with LCB3 and its variants. The single trajectory protocol for MM-PBSA was performed where the simulation with only the complex was performed, and from that simulation, properties of complex, receptor, and ligand are extracted. In this method, the standard free energy of binding (ΔG) can be defined by equation 1 which is implemented the in MMPBSA.py script of AMBER16 85.
Here, ΔGcomplex, ΔGreceptor, ΔGligand are the free energy of solvation for complex receptor, and ligand respectively. < > denotes the ensemble average.
ΔGbinding is calculated by equation 2:
ΔGgas is the change in the gaseous state. It is calculated by equation 5.
ΔEMM includes electrostatic (ele) and van der Waals (vdW) components. Another component - TΔS represents the entropic contribution where T represents the temperature in Kelvin and S is the solute entropy.
ΔGsolv of equation 2 constitutes the polar and nonpolar components, (equation 4).
ΔGpolar (ΔGPB) is obtained from the solution of the Poisson Boltzmann equation. ΔGnonpolar (ΔGnp) constitutes of cavitation and dispersion terms (equation 5), where cavitation energy is estimated using a linear relation to the surface of the molecule and the dispersion is calculated using solute-solvent interactions86.
The nonpolar component is calculated using equation 6.
The value of γ and β is 0.0378 kcal/mol-Å2 and −0.569 kcal/mol respectively as implemented in the AMBER package. The solvent-accessible surface area (SASA) is used to distinguish the exposed and buried area of the protein. For that, a probe sphere with vdW radii of ~1.4 Å is rolled along the surface and if the probe can cross the area it is considered as surface accessible else the region is considered as buried where the solvent cannot enter.
The 0.15M ionic concentration was used for MM-PBSA calculations. The dielectric constant of the solute is highly dependent on the characteristics of the investigated system 87–88. In this study, various dielectric constants of solute were tested and the selection was done based on the similarity with the available data (details given in supporting information, Table S3). The dielectric constant of solute was kept 8. The total binding energy was averaged using 1000 frames obtained from 10 independent trajectories, each of 10 ns, for all the systems.
The entropy of the complex, receptor and ligand were estimated using Quasi Harmonic (QH) approximation method using CPPTRAJ. A sufficient phase space sampling is required for the reliable estimation of entropic contributions 89. For that, an overall 11 μs simulation was performed (Table S2). To estimate the effects of mutation on the flexibility of the system, entropy change (TΔS) was calculated using 5 lakhs frames from the separate 1 μs simulation, of complex, receptor and ligand.
3. Results and Discussions
3.1. Binding Energy Difference between WT and Mutant of S-protein with LCB3 inhibitor
The binding free energies of SWT (wild-type S-protein), SN501Y (asparagine at 501 position of S-protein mutated with tyrosine) and SK417N (lysine at 417 position of S-protein mutated with asparagine) with LCB3 were determined using the MM-PBSA calculations and the values were compared. The binding affinity of SK417N and SN501Y mutants were reduced as compared with SWT by ~ +8 kcal/mol (Table 1).
The loss of +7.1 kcal/mol binding affinity of N501Y mutant of spike protein from WT to the mutant with LCB3 is reported by Williams et al. reflecting the correctness of our calculation protocol. 90 The SN501Y mutation results in a loss of binding due to nonpolar solvation interaction (+6.44 kcal/mol). There is also a loss of +2.95 kcal/mol in polar contributions accompanied by the gain in the van der Waals (vdW) component by −1.23 kcal/mol (Table 1).
The lower binding affinity of SK417N mutant is mainly due to the loss in polar interactions (+6.01 kcal/mol) and non-polar solvation (~+5.01 kcal/mol) with the slight gain of −2.80 kcal/mol of vdW interactions. It reflects that when the positively charged residue lysine was mutated with the uncharged polar asparagine residue, the polar interactions reduced.
3.2 Residue-Wise Free Energy Decomposition
The reduced binding affinity of LCB3 with SK417N and SN501Y mutants provided the scope to improve the LCB3 inhibitor further in such a way so that it can work potently and inhibit the WT as well as mutants. For that, residue-wise free energy decomposition was performed for the identification of important residues 91. Free energy contributions of each residue were decomposed into electrostatic, vdW, and polar solvation and the amino residues of LCB3 near the mutated residue of S-protein were analyzed (Table 2). D3 (aspartic acid at 3rd position) and E4 (glutamic acid at 4th position) of LCB3 are present near N501 (asparagine at position 501) of S-protein whereas T10 (threonine at 10th position) and D11 (aspartic acid at 11th position) of LCB3 present in the vicinity of K417 (lysine at 417 position) (Figure 2). There is the loss of+1.0 kcal/mol and +0.5 kcal/mol in the vdW component of D3 of LCB3 with SN501Y and SK417N respectively. These losses were compensated with the gain in the polar contributions, and the contribution of D3 was almost similar in SN501Y whereas slightly lesser (+0.3 kcal/mol) in SK417N (Table 2). However, the mutation (SN501Y or SK417N) leads to the overall loss of ~+8 kcal/mol (Table 1). The loss in the energy contributions of E4 (+1.3 kcal/mol in SN501Y and +0.5 kcal/mol in SK417N), T10 (+0.2 kcal/mol in SN501Y and +0.7 kcal/mol in SK417N) and D11 (+0.9 kcal/mol in SN501Y and +0.5 kcal/mol in SK417N) were observed in both SN501Y and SK417N (Table 2). It is likely that the interactions between these residues of LCB3 and neighboring residues of the S-protein have the maximum contribution to the loss in binding affinity.
3.3 Mutation Induced Conformational Changes in the Binding pattern of LCB3
Apart from the free energy contributions, it is also essential to understand the mutations induced conformational changes and interaction patterns to improve the binding affinity. In SWT the N1, D3, and E4 of LCB3 form polar interaction with Q498 and N501 of S-protein (Figure 2 and 3a). The replacement of polar asparagine by hydrophobic tyrosine (N501Y) disrupts the electrostatic contribution (Figure 3b) of asparagine which was reflected in Table 1. In the structure of S-protein with ACE2 receptor, the polar residues are surrounded by two tyrosine residues Y41 of ACE2 and Y505 of S-protein (Figure 3c) 92 which was lacking with LCB3 inhibitor.
In SK417N, the replacement of a long side-chain residue lysine with asparagine weakens the interaction between SK417N and LCB3 inhibitor (Figure 2, 4a, and 4b). This conformational change leads to the overall loss of +8.22 kcal/mol in the binding affinity of SK417N with LCB3 inhibitor (Table 1).
3.4. Substitution in LCB3 inhibitor for the improvement of the binding affinity with the mutants of S-protein
Based on the free energy and geometric analysis described in the previous section, we aimed to improve the interaction of Y501 and N417 of SN501Y and SK417N respectively with LCB3 by doing minimal change in LCB3. For this, the residues of LCB3 around Y501 of SN501Y and K417 of SK417N were targeted.
D3 and E4 of LCB3 were selected for modifications in SN501Y. There is a maximum of 19 possible mutations at each position, instead of testing them all here, we first tested the change of D3 by F and Y with the probability of forming pi-pi interactions or hydrophobic clusters with Y501 and Y505 (Figure 5a). Further, it may also help in improving the vdW contribution of Y3 of LCB3 which was lost by +1.0 kcal/mol in SN501Y as compared to the SWT (Table 2). MM-PBSA calculations show that the binding affinity of SN501Y-LCB3D3F (−20.44 kcal/mol) and SN501Y-LCB3D3Y (−23.68 kcal/mol) has improved as compared to the SN501Y-LCB3 (−15.69 kcal/mol). The improvement was due to the contribution of non-polar solvation energy (Table 1, 3). The effect of substitution of glutamic acid by tyrosine at the 4th position of LCB3 was tested. The binding affinity of SN501Y-LCB3E4Y was −18.25 kcal/mol, higher than the SN501Y-LCB3 but lower than the D3F and D3Y substitutions. The binding affinity of SN501Y-LCB3D3Y (−23.68 kcal/mol) was similar to the SWT-LCB3 (−23.85 kcal/mol) therefore this modification can be successfully used against SN501Y. Further, we checked the binding affinity of LCB3D3Y with SWT. Interestingly, we found that LCB3D3Y has a higher affinity with SWT, −28.17 kcal/mol as compared to the LCB3 −23.85 kcal/mol (Table 1, 3). The increase in the affinity was due to the gain in vdW by −4.23 kcal/mol and polar contributions by −1.05 kcal/mol accompanied by loss of ~+1 kcal/mol in nonpolar components (Table 1, 3; Figure 5b).
To overcome the loss in the binding affinity of SK417N, two residues of LCB3: T10, and D11 were targeted for substitutions, based on the loss in the free energy contributions of the residues, and the distance from the mutated K417 (Table 2, Figure 2 and 4). Substitutions of the amino acid T10 of LCB3 by D, E and Q were tested with the possibility to improve polar interaction with N417 but none of these have enhanced the affinity (Table 3). D11 is closer to K417 than T10 (Figure 2), forms direct polar interaction with K417 (Figure 2b), and there is a loss of +0.5 kcal/mol in the free energy contributions of D11 in SK417N as compared to SWT (Table 2). Therefore, D11 was replaced with a bulky and long side-chain amino acid that can interact with N417. In this regard, two substitutions, D11R and D11H were tested. The binding affinity of the LCB3D11R with K417N is −17.35 kcal/mol, ~+6.5 kcal/mol lesser affinity than the SWT-LCB3 (Table 3). However, LCB3D11H showed a higher binding affinity (−23.38 kcal/mol) with SK417N (Table 3). Here, two different protonation states of histidine, at ND1 (HID) and HE2 (HIE) were tested. Histidine with protonation at HE2 (HIE) has shown higher binding affinity as compared to HID. ‘H’ refers to the ‘HIE’ protonation state in this paper. From the structure, it was found that the imidazole ring moves towards the binding interface and comes closer to N417 (Figure 6 a), and strengthens the binding by improving the nonpolar solvation component (Table 2). The binding affinity of LCB3D11H with SWT is −22.33 kcal/mol, slightly less than the binding affinity of LCB3. In SWT-LCB3D11H, K417 of S-protein repels the H11 slightly away from the binding interface (Figure 6b).
Further, the binding affinity of SK417N with LCB3D3Y was tested, which has already shown good affinity with SWT and SN501Y. The binding affinity of SK417N-LCB3D3Y was found −20.43 kcal/mol.
It showed that the LCB3D3Y can bind efficiently with the SWT (−28.17), SN501Y (−23.68 kcal/mol), and also with SK417N (−20.43 kcal/mol) when compared to the original LCB3 inhibitor. Further, SK417N has a stronger binding affinity with LCB3D11H (−23.38 kcal/mol) as compared to the LCB3D3Y (−20.43kcal/mol). However, LCB3D11H does not bind efficiently with SN501Y (−13.95 kcal/mol).
In the binding free energy calculations described so far, the entropy of solute is not considered, a common practice in MM-PBSA calculations. However, for the present problem, the calculation of solute entropy is important as changes in amino acids in either S-protein or LCB3 can change the flexibility of the system leading to a change in entropy. As the entropy calculations are computationally intensive, we have performed it for some important systems as mentioned in Table 4. The change in the entropy was calculated over separate 1μs trajectories complex, receptor and ligand. The entropy essentially converges for each system in 1μs MD simulation (Figure 7a to c). The negative of the change in entropy multiplied by temperature, T (the last term of equation (3), -TΔS) of LCB3 (+55.5 kcal/mol) and its two variants LCB3D3Y (+56.0 kcal/mol) and LCB3D11H (+56.2 kcal/mol) with SWT were almost similar with no significant differences between them (Figure 7d, Table S4). However, the significant differences in -TΔS were observed for SN501Y-LCB3D3Y (+49.4 kcal/mol) and SK417N-LCB3D11H (+24.4 kcal/mol). In both these cases, the entropy change on binding was significantly reduced. This reduction in the change of entropy will also help in improving the binding affinity of these variants of LCB3 with mutated S-protein (equation 3). It reflects that the binding affinity of SWT with the proposed variants of LCB3 is mainly enthalpy driven; however, in the mutated S-protein (SN501Y and SK417N) entropic changes played significant contributions in improving the binding affinity (Table 4).
To summarize, our calculation and analysis show that a judicious combination of free energy decomposition and geometric consideration can suggest ways to improve the inhibitor against specific mutations. Detailed binding affinity calculation that includes solute entropy shows that even a single amino acid change in LCB3 can make it a potent inhibitor to the S-protein and its mutants. In particular, LCB3D3Y and LCB3D11H were proposed as the variants of LCB3 that may inhibit the WT as well as mutants of S-protein. It is to be noted that LCB3 is taken as a prototype for more complex systems such as antibodies. Moreover, this methodology is general so that it can be applied to any inhibitor against different targets.
Our calculation methodology does have some caveats. First, as we wanted to develop a fast methodology, only the receptor-binding domain of the S-protein and the LCB inhibitor were considered. The ACE-2 protein is not considered in the calculation. Our choice of using a simpler system is similar to the work done by williams et al 90.
4. Conclusions
The fight against SARS-CoV-2 requires further development of vaccines and medicines. One of the main targets to develop a drug against this virus is the spike protein of the virus. Although there are promising drug candidates against the virus, the major issue is how to design/modify inhibitors against the various mutant strains of the virus. In this work, as a proof-of-principle study, we have considered a mini-protein inhibitor, LCB3 that binds to the spike protein of SARS-CoV-2. We have devised a computational protocol to modify LCB3 against the two most common mutations in the spike protein, namely, N501Y and K417N. Our computational methodology includes a free energy decomposition procedure in conjunction with a detailed analysis of the binding site. Our proposed modified LCB3 is shown to bind to the two mutant forms of the spike protein potently. The binding enthalpy showed that the single residue mutations LCB3D3Y work well against SWT as well as SN501Y and SK417N. Another modification LCB3D11H binds efficiently with SK417N and SWT but not with SN501Y. Further, the entropic contributions also favor the binding of LCB3D3Y with SN501Y, and LCB3D11H with SK417N respectively. The study found that LCB3D3Y and LCB3D11H were bound with a higher affinity with the WT as well as mutated S-protein. This strategy can be useful to redesign the peptide-based inhibitor against the target protein that undergoes frequent mutation.
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