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Figure 4<br />

Surface representation of the ALR2 holoenzyme in an orientation similar to Figure 3.<br />

The nicotinamide moiety that defines the active site of the enzyme is seen in the center.<br />

The groove that extends down from it is highly hydrophobic and was initially assumed<br />

to be the inhibitor binding site. Figure prepared using the GRASP program [49].<br />

IV. Aldose Reductase Complexed with Inhibitor<br />

Page 235<br />

While a large number of high-potency inhibitors for ALR2 have been developed [4], a structural<br />

understanding of the exact molecular features that foster this affinity have been only vaguely<br />

understood. Several general chemical motifs such as hydrophobic ring systems, a spirohydrantoin group<br />

or carboxylate group are seen repeatedly when examining a list of known inhibitors (Figure 2) but little<br />

was known about the specific role for each in inhibitor binding.<br />

The structure of the ALR2/NADPH/zopolrestat ternary complex [18] has provided some answers about<br />

the mode of binding of zopolrestat (Figure 2), a high-affinity, carboxylate-containing compound<br />

developed <strong>by</strong> Pfizer, Inc. [13]. While the overall structure was preserved, the inhibitor binding induced a<br />

conformational change of the enzyme. This change, which involved the movement of several loops in<br />

the active site of the molecule, was large enough to cause a change in crystal packing relative to the<br />

holoenzyme. As a consequence of the shifting of the active-site loops, a cavity is created inside the<br />

protein in which the benzothiazole ring is seated and the groove that was implicated in substrate and<br />

inhibitor binding <strong>by</strong> the holoenzyme structure vanishes. This illustrates the unpredictability of<br />

conformational changes within a protein in response to substrate or inhibitor binding. It also implies that<br />

modeling compounds<br />

http://legacy.netlibrary.com/nlreader/nlReader.dll?bookid=12640&filename=Page_235.html [4/5/2004 5:08:24 PM]

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