Abstract
AT1 antagonists (SARTANs) constitute one of the most successful classes of antihypertensive agents. These molecules interfere with the renin angiotensin system by preventing the vasoconstrictive hormone angiotensin II from binding onto the AT1 receptor. It is proposed that SARTANs exert their biological action by inserting into the lipid membrane and then diffuse to the active site of AT1 receptor. In this article, the conformational properties of telmisartan are analyzed both in solution and in the active site of the AT1 receptor using conformational analysis, molecular docking, Molecular Dynamics (MD) simulations, and in silico Ala-scanning mutagenesis studies. Combined results reveal telmisartan’s crucial structural characteristics and classify the importance of receptor’s amino acids for ligand binding. Since telmisartan is exerting its activity on a transmembrane receptor, Differential Scanning Calorimetry was applied to study the drug effects in lipid bilayers mimicking the biological membrane environment. Of paramount importance, is the finding that telmisartan exerted similarities but also significant differences with other AT1 antagonists on the basis of their interaction with lipid bilayers and subsequent docking into the active site. This could in part explain their similar mode of action and in parallel their distinct pharmacological profile.
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References
Bax A, Summers MF (1986) Proton and carbon-13 assignments from sensitivity-enhanced detection of heteronuclear multiple-bond connectivity by 2D multiple quantum NMR. J Am Chem Soc 108:2093–2094
Berendsen HJC, Postma JPM, van Gunsteren WF, DiNola A, Haak JR (1984) Molecular dynamics with coupling to an external bath. J Chem Phys 81:3684–3690
Bermel W, Wagner K, Griesinger C (1989) Proton-detected C, H correlation via long-range couplings with soft pulses; determination of coupling constants. J Magn Reson 83:223–232
Bodenhausen G, Ruben DJ (1980) Natural abundance nitrogen-15 NMR by enhanced heteronuclear spectroscopy. Chem Phys Lett 69:185–189
Bradbury RH, Allott CP, Dennis M, Fisher E, Major J, Masek BB, Oldham AA, Pearce RJ, Rankine N, Revill JM, Roberts DA, Russell ST (1992) New nonpeptide angiotensin II receptor antagonists. Part 2. Synthesis, biological properties, and structure-activity relationships of 2-alkyl-4-(biphenylylmethoxy)quinoline derivatives. J Med Chem 35:4027–4038
Burnier M, Brunner HR (2000) Angiotensin II receptor antagonists. Lancet 355:637–645
De Gasparo M, Catt KJ, Inagami T, Wright JW, Unger T (2000) The angiotensin II receptors. Pharmacol Rev 52:415–472
Dinnebier RE, Sieger P, Nar H, Shankland K, David WI (2000) Structural characterization of three crystalline modifications of telmisartan by single crystal and high-resolution X-ray powder diffraction. J Pharm Sci 89:1465–1479
Durdagi S, Papadopoulos MG, Zoumpoulakis PG, Koukoulitsa C, Mavromoustakos T (2010) A computational study on cannabinoid receptors and potent bioactive cannabinoid ligands: homology modeling, docking, de novo drug design and molecular dynamics analysis. Mol Divers 14:257–276
Durdagi S, Duff HJ, Noskov SY (2011) Combined receptor and ligand-based approach to the universal pharmacophore model development for studies of drug blockade to the hERG1 pore domain. J Chem Inf Model 51:463–474
Essmann U, Perera L, Berkowitz ML, Darden T, Lee H, Pedersen LG (1995) A smooth particle mesh Ewald method. J Chem Phys 103:8577–8593
Epik (2011) version 2.2, Schrödinger, LLC, New York
Fotakis C, Christodouleas D, Chatzigeorgiou P, Zervou M, Benetis NP, Viras K, Mavromoustakos T (2009) Development of a CP 31P NMR broadline simulation methodology for studying the interactions of antihypertensive AT1 antagonist losartan with phospholipid bilayers. Biophys J 96:2227–2236
Fotakis C, Christodouleas D, Zoumpoulakis P, Gili A, Kritsi E, Benetis NP, Zervou M, Reis H, Papadopoulos M, Mavromoustakos T (2011) Comparative biophysical studies of sartan class drug molecules losartan and candesartan (CV-11974) with membrane bilayers. J Chem Phys B 115:6180–6192
Greenwood JR, Calkins D, Sullivan AP, Shelley JC (2010) Towards the comprehensive, rapid, and accurate prediction of the favorable tautomeric states of drug-like molecules in aqueous solution. J Comput Aided Mol Des 24:591–604
Hess B, Bekker H, Berendsen HJC, Fraaije GEMJ (1997) LINCS: a linear constraint solver for molecular simulations. J Comput Chem 18:1463–1472
Idris I (2010) FDA approves MICARDIS (R) (Telmisartan) as the first treatment in its class to reduce the risk of heart attack, stroke or death from cardiovascular causes in patients at high cardiovascular risk who are unable to take ACE inhibitors. Diabetes Obes Metab 12:88
Jeener J, Meier BH, Bachmann P, Ernst RR (1979) Investigation of exchange processes by two-dimensional NMR spectroscopy. J Chem Phys 71:4546–4553
Jones G, Willett P, Glen RC, Leach AR, Taylor R (1997) Development and validation of a genetic algorithm for flexible docking. J Mol Biol 267:727–748
Karttunen M (2007) DPPC membrane. SoftSimu-Software, simulation parameters, force fields, configurations. http://www.softsimu.net/downloads.shtml. Accessed 26 September 2012
Katsaras J, Tristram-Nagle S, Liu Y, Headrick RL, Fontes E, Mason PC, Nagle JF (2000) Clarification of the ripple phase of lecithin bilayers using fully hydrated, aligned samples. Phys Rev E 61:5668–5677
Koynova R, Caffrey M (1998) Phases and phase transitions of the phosphatidylcholines. Biochi Biophys Acta 1376:91–145
Maestro (2011) version 9.2, Schrödinger, LLC, New York
Matsoukas JM, Hondrelis J, Keramida M, Mavromoustakos T, Makriyannis A, Yamdagni R, Wu Q, Moore GJ (1994) Role of the NH2-terminal domain of angiotensin II (ANG II) and [Sar1] angiotensin II on conformation and activity. NMR evidence for aromatic ring clustering and peptide backbone folding compared with [des-1,2,3] angiotensin II. J Biol Chem 269:5303–5312
Matsoukas JM, Agelis G, Wahhab A, Hondrelis J, Panagiotopoulos D, Yamdagni R, Wu Q, Mavromoustakos T, Maia HL, Ganter R (1995) Differences in backbone structure between angiotensin II agonists and type I antagonists. J Med Chem 38:4660–4669
Mavromoustakos T, Kolocouris A, Zervou M, Roumelioti P, Matsoukas J, Weisemann R (1999) An effort to understand the molecular basis of hypertension through the study of conformational analysis of losartan and sarmesin using a combination of nuclear magnetic resonance spectroscopy and theoretical calculations. J Med Chem 42:1714–17220
Mavromoustakos T, Zervou M, Zoumpoulakis P, Kyrikou I, Benetis NP, Polevaya L, Roumelioti P, Giatas N, Zoga A, Minakakis PM, Kolocouris A, Vlahakos D, Grdadolnik SG, Matsoukas J (2004a) Conformation and bioactivity. Design and discovery of novel antihypertensive drugs. Curr Top Med Chem 4:385–401
Mavromoustakos T, Zoumpoulakis P, Kyrikou I, Zoga A, Siapi E, Zervou M, Daliani I, Dimitriou D, Pitsas A, Kamoutsis C, Laggner P (2004b) Efforts to understand the molecular basis of hypertension through drug:membrane interactions. Curr Top Med Chem 4:445–459
Mavromoustakos T, Moutevelis-Minakakis P, Kokotos CG, Kontogianni P, Politi A, Zoumpoulakis P, Findlay J, Cox A, Balmforth A, Zoga A, Iliodromitis E (2006) Synthesis, binding studies, and in vivo biological evaluation of novel non-peptide antihypertensive analogs. Bioorg Med Chem 14:4353–4360
Moutevelis-Minakakis P, Gianni M, Stougiannou H, Zoumpoulakis P, Zoga A, Vlahakos AD, Iliodromitis E, Mavromoustakos T (2003) Design and synthesis of novel antihypertensive drugs. Bioorg Med Chem Lett 13(10):1737–1740
Nixon RM, Muller E, Lowy A, Falvey H (2009) Valsartan vs. other angiotensin II receptor blockers in the treatment of hypertension: a meta-analytical approach. Int J Clin Pract 63:766–775
Ohno K, Amano Y, Kakuta H, Niimi T, Takakura S, Orita M, Miyata K, Sakashita H, Takeuchi M, Higaki J, Komuro I, Horiuchi M, Mitsuyama SK, Mori Y, Morishita R, Yamagishi SI (2011) Unique “delta lock” structure of telmisartan is involved in its strongest binding affinity to angiotensin II type 1 receptor. Biochem Biophys Res Commun 404:434–437
Parrinello M, Rahma A (1981) Polymorphic transitions in single crystals: a new molecular dynamics approach. J Appl Phys 52:7182–7190
Patra M, Karttunen M, Hyvonen M, Falck E, Lindqvist P, Vattulainen I (2003) Molecular dynamics simulations of lipid bilayers: major artifacts due to truncating electrostatic interactions. Biophys J 84:3636–3645
Patra M, Karttunen M, Hyvonen M, Falck E, Lindqvist P (2004) Lipid bilayers driven to a wrong lane in molecular dynamics simulations by subtle changes in long-range electrostatic interactions. J Am Chem Soc 108:4485–4494
Polevaya L, Mavromoustakos T, Zoumboulakis P, Golic Grdadolnik S, Roumelioti P, Giatas N, Mutule I, Keivish T, Vlahakos DV, Iliodromitis EK, Kremastinos DT, Matsoukas J (2001) Synthesis and study of a cyclic angiotensin II antagonist analogue reveals the role of pi*–pi* interactions in the C-terminal aromatic residue for agonist activity and its structure resemblance with AT(1) non-peptide antagonists. Bioorg Med Chem 9:1639–1647
Politi A, Durdagi S, Moutevelis-Minakakis P, Kokotos G, Mavromoustakos T (2010) Development of accurate binding affinity predictions of novel renin inhibitors through molecular docking studies. J Mol Graph Model 29:425–435
Potamitis C, Zervou M, Katsiaras V, Zoumpoulakis P, Durdagi S, Papadopoulos MG, Hayes JM, Grdadolnik SG, Kyrikou I, Argyropoulos D, Vatougia G, Mavromoustakos T (2009) Antihypertensive drug valsartan in solution and at the AT1 receptor: conformational analysis, dynamic NMR spectroscopy, in silico docking, and molecular dynamics simulations. J Chem Inf Model 49:726–739
Potamitis C, Chatzigeorgiou P, Siapi E, Mavromoustakos T, Hodzic A, Cacho Nerin F, Laggner P, Rappolt M (2011) Interactions of the AT1 antagonist valsartan with dipalmitoyl-phosphatidylcholine bilayers. Biochim Biophys Acta 1808:1753–1763
Preto MA, Melo A, Maia HL, Mavromoustakos T, Ramos MJ (2005) Molecular dynamics simulations of angiotensin II in aqueous and dimethyl sulfoxide environments. J Phys Chem B 109:17743–17751
QikProp (2011) version 3.4, Schrödinger, LLC, New York
Rance M, Sorensen OW, Bodenhausen G, Wagner G, Ernst RR, Wuthrich K (1983) Improved spectral resolution in cosy 1H NMR spectra of proteins via double quantum filtering. Biochem Biophys Res Commun 117:479–485
Rodgers JE, Patterson JH (2001) Angiotensin II-receptor blockers: clinical relevance and therapeutic role. Am J Health Syst Pharm 58:671–683
Rosenbaum DM, Cherezov V, Hanson MA, Rasmussen SGF, Thian FS, Kobilka TS, Choi HJ, Yao XJ, Weis WI, Stevens RC, Kobilka BK (2007) GPCR engineering yields high-resolution structural insights into beta(2)-adrenergic receptor function. Science 318:1266–1273
Roumelioti P, Tselios T, Alexopoulos K, Mavromoustakos T, Kolocouris A, Moore GJ, Matsoukas JM (2000) Structural comparison between type I and type II antagonists: possible implications in the drug design of AT1 antagonists. Bioorg Med Chem Lett 10:755–758
Roumelioti P, Polevaya L, Zoumpoulakis P, Giatas N, Mutule I, Keivish T, Zoga A, Vlahakos D, Iliodromitis E, Kremastinos D, Grdadolnik SG, Mavromoustakos T, Matsoukas J (2002) Design, synthesis and biological evaluation of cyclic angiotensin II analogues with 3,5 side-chain bridges. Role of C-terminal aromatic residue and ring cluster for activity and implications in the drug design of AT1 non-peptide antagonists. Bioorg Med Chem Lett 12:2627–2633
Schwocho LR, Masonson HN (2001) Pharmacokinetics of CS-866, a new angiotensin II receptor blocker, in healthy subjects. J Clin Pharmacol 41:515–527
Shelley JC, Cholleti A, Frye LL, Greenwood JR, Timlin MR, Uchiyama MJ (2007) Epik: a software program for pK (a) prediction and protonation state generation for drug-like molecules. J Comput Aided Mol Des 21:681–691
Takagi H, Umemoto T (2012) Telmisartan reduces triglyceride levels over other angiotensin II receptor blockers: a meta-analysis of randomized head-to-head trials. Int J Cardiol 157:403–407
Theodoropoulou E, Mavromoustakos T, Panagiotopoulos D, Matsoukas J, Smith J (1996) Superimposition of potent non-peptide AT1 receptor antagonists with angiotensin II. Lett Pept Sci 3:209–216
Tian X, Pavlopoulos S, De-Ping Y, Makriyannis A (2011) The interaction of cannabinoid receptor agonists, CP55940 and WIN55212-2 with membranes using solid state 2H NMR. Biochim Biophys Acta 1808:2095–2101
Timmermans PB, Wong PC, Chiu AT, Herblin WF (1991) Nonpeptide angiotensin II receptor antagonists. Trends Pharmacol Sci 12:55–62
Tosco P, Rolando B, Fruttero R, Henchoz Y, Martel S, Carrupt P-A, Gasco A (2008) Physicochemical profiling of sartans: a detailed study of ionization constants and distribution coefficients. Helv Chim Acta 91:468–482
Tuccinardi T, Calderone V, Rapposelli S, Martinelli A (2006) Proposal of a new binding orientation for non-peptide AT1 antagonists: homology modeling, docking and three-dimensional quantitative structure–activity relationship analysis. J Med Chem 49:4305–4316
Van der Spoel D, Lindahl E, Hess B, Groenhof G, Mark AE, Berendsen HJ (2005) GROMACS: fast, flexible, and free. J Comput Chem 26:1701–1717
Van Gunsteren WF, Billeter SR, Eising AA, Hunenberger PH, Kruger P, Mark AE, Scott WRP, Tironi IG (1996) Biomolecular Simulation: the GROMOS96 Manual and User Guide. 1–1042
Verdonk ML, Cole JC, Hartshorn MJ, Murray CW, Taylor RD (2003) Improved protein-ligand docking using GOLD. Proteins 52:609–623
Vist MR, Davis JH (1990) Phase equilibria of cholesterol/dipalmitoylphosphatidylcholine mixtures: 2H nuclear magnetic resonance and differential scanning calorimetry. Biochemistry 29:451–464
Wacker D, Fenalti G, Brown MA, Katritch V, Abagyan R, Cherezov V, Stevens RC (2010) Conserved binding mode of human beta(2) adrenergic receptor inverse agonists and antagonist revealed by X-ray crystallography. J Am Chem Soc 132:11443–11445
White WB, Weber MA, Sica D, Bakris GL, Perez A, Cao C, Kupfer S (2011) Effects of the angiotensin receptor blocker azilsartan medoxomil versus olmesartan and valsartan on ambulatory and clinic blood pressure in patients with stages 1 and 2 hypertension. Hypertension 57:413–420
Wienen W, Schierok HJ (2001) Effects of telmisartan, hydrochlorothiazide and their combination on blood pressure and renal excretory parameters in spontaneously hypertensive rats. J Renin Angiotensin Aldosterone Syst 2:123–128
Yamagishi S, Takeuchi M (2005) Telmisartan is a promising cardiometabolic sartan due to its unique PPAR-gamma-inducing property. Med Hypotheses 64:476–478
Zoumpoulakis P, Grdadolnik SG, Matsoukas J, Mavromoustakos T (2002) Structure elucidation and conformational properties of eprosartan, a non peptide angiotensin II AT1 antagonist. J Pharm Biomed Anal 28:125–135
Zoumpoulakis P, Daliani I, Zervou M, Kyrikou I, Siapi E, Lamprinidis G, Mikros E, Mavromoustakos T (2003a) Losartan’s molecular basis of interaction with membranes and AT1 receptor. Chem Phys Lipids 125:1
Zoumpoulakis P, Zoga A, Roumelioti P, Giatas N, Grdadolnik SG, Iliodromitis E, Vlahakos D, Kremastinos D, Matsoukas JM, Mavromoustakos T (2003b) Conformational and biological studies for a pair of novel synthetic AT1 antagonists: stereoelectronic requirements for antihypertensive efficacy. J Pharm Biomed Anal 31:833–844
Zoumpoulakis P, Politi A, Grdadolnik SG, Matsoukas J, Mavromoustakos T (2006) Structure elucidation and conformational study of V8: a novel synthetic non peptide AT(1) antagonist. J Pharm Biomed Anal 40:1097–1104
Acknowledgments
We acknowledge (a) the State Scholarships Foundation of Greece; (b) Boehringer Ingelheim pharmaceuticals for the kind donation of telmisartan; and (c) European Union’s Seventh Framework Programme (FP7-REGPOT-2009-1) under Grant agreement no. 245866. Finally, SGG acknowledges the support from EN-FIST Centre of Excellence and Slovenian Research Agency.
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Kritsi, E., Potamitis, C., Durdagi, S. et al. Molecular insights into the AT1 antagonism based on biophysical and in silico studies of telmisartan. Med Chem Res 22, 4842–4857 (2013). https://doi.org/10.1007/s00044-012-0464-5
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DOI: https://doi.org/10.1007/s00044-012-0464-5