The molecular mechanism of nitrogen-containing bisphosphonates as antiosteoporosis drugs
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- Teacher spread
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- Validation status
score_only:v0-immature-baseline· verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it
Abstract
Osteoporosis and low bone mass are currently estimated to be a major public health risk affecting >50% of the female population over the age of 50. Because of their bone-selective pharmacokinetics, nitrogen-containing bisphosphonates (N-BPs), currently used as clinical inhibitors of bone-resorption diseases, target osteoclast farnesyl pyrophosphate synthase (FPPS) and inhibit protein prenylation. FPPS, a key branchpoint of the mevalonate pathway, catalyzes the successive condensation of isopentenyl pyrophosphate with dimethylallyl pyrophosphate and geranyl pyrophosphate. To understand the molecular events involved in inhibition of FPPS by N-BPs, we used protein crystallography, enzyme kinetics, and isothermal titration calorimetry. We report here high-resolution x-ray structures of the human enzyme in complexes with risedronate and zoledronate, two of the leading N-BPs in clinical use. These agents bind to the dimethylallyl/geranyl pyrophosphate ligand pocket and induce a conformational change. The interactions of the N-BP cyclic nitrogen with Thr-201 and Lys-200 suggest that these inhibitors achieve potency by positioning their nitrogen in the proposed carbocation-binding site. Kinetic analyses reveal that inhibition is competitive with geranyl pyrophosphate and is of a slow, tight binding character, indicating that isomerization of an initial enzyme-inhibitor complex occurs with inhibitor binding. Isothermal titration calorimetry indicates that binding of N-BPs to the apoenzyme is entropy-driven, presumably through desolvation entropy effects. These experiments reveal the molecular binding characteristics of an important pharmacological target and provide a route for further optimization of these important drugs.
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The record
- Venue
- Proceedings of the National Academy of Sciences
- Topic
- Bone health and treatments
- Field
- Medicine
- Canadian institutions
- —
- Funders
- Knut och Alice Wallenbergs StiftelseKarolinska InstitutetCanadian Institutes of Health ResearchGenome CanadaOntario Innovation TrustWellcome TrustGlaxoSmithKline
- Keywords
- Isothermal titration calorimetryChemistryFarnesyl pyrophosphatePyrophosphateIsopentenyl pyrophosphateStereochemistryMevalonate pathwayUncompetitive inhibitorEnzymePopulationBiochemistryNon-competitive inhibitionATP synthaseBiosynthesisMedicine
- Has abstract in OpenAlex
- yes