Insights into molecular mechanisms of drug metabolism dysfunction of human CYP2C9*30

PLoS One. 2018 May 10;13(5):e0197249. doi: 10.1371/journal.pone.0197249. eCollection 2018.

Abstract

Cytochrome P450 2C9 (CYP2C9) metabolizes about 15% of clinically administrated drugs. The allelic variant CYP2C9*30 (A477T) is associated to diminished response to the antihypertensive effects of the prodrug losartan and affected metabolism of other drugs. Here, we investigated molecular mechanisms involved in the functional consequences of this amino-acid substitution. Molecular dynamics (MD) simulations performed for the active species of the enzyme (heme in the Compound I state), in the apo or substrate-bound state, and binding energy analyses gave insights into altered protein structure and dynamics involved in the defective drug metabolism of human CYP2C9.30. Our data revealed an increased rigidity of the key Substrate Recognition Sites SRS1 and SRS5 and shifting of the β turn 4 of SRS6 toward the helix F in CYP2C9.30. Channel and binding substrate dynamics analyses showed altered substrate channel access and active site accommodation. These conformational and dynamic changes are believed to be involved in the governing mechanism of the reduced catalytic activity. An ensemble of representative conformations of the WT and A477T mutant properly accommodating drug substrates were identified, those structures can be used for prediction of new CYP2C9 and CYP2C9.30 substrates and drug-drug interactions.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Catalysis
  • Cytochrome P-450 CYP2C9 / genetics*
  • Cytochrome P-450 CYP2C9 / metabolism*
  • Humans
  • Metabolism, Inborn Errors / genetics
  • Metabolism, Inborn Errors / metabolism
  • Molecular Dynamics Simulation
  • Mutation
  • Pharmacogenomic Variants*
  • Protein Binding
  • Protein Conformation

Substances

  • CYP2C9 protein, human
  • Cytochrome P-450 CYP2C9

Grants and funding

This work was supported by Inserm, the University Paris Diderot, ANR ToxME (MAM), FAPESP (CMA), CNPq (PHM). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.