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Research Article Potential Retinoid X Receptor Agonists for Treating Alzheimer’s Disease from Traditional Chinese Medicine Kuan-Chung Chen, 1 Yu-Cheng Liu, 2 Cheng-Chun Lee, 2 and Calvin Yu-Chian Chen 2,3 1 School of Pharmacy, China Medical University, Taichung 40402, Taiwan 2 School of Medicine, College of Medicine, China Medical University, Taichung 40402, Taiwan 3 Department of Biomedical Informatics, Asia University, Taichung 41354, Taiwan Correspondence should be addressed to Cheng-Chun Lee; [email protected] and Calvin Yu-Chian Chen; [email protected] Received 4 December 2013; Accepted 4 January 2014; Published 30 April 2014 Academic Editor: Fuu-Jen Tsai Copyright © 2014 Kuan-Chung Chen et al. is is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Alzheimer’s disease is neurodegenerative disorder due to the accumulation of amyloid- in the brain and causes dementia with ageing. Some researches indicate that the RXR agonist, Targretin, has also been used for treatment of Alzheimer’s disease in mouse models. We investigate the potent candidates as RXR agonists from the vast repertoire of TCM compounds in TCM Database@Taiwan. e potential TCM compounds, -lipoic acid and sulfanilic acid, had higher potent binding affinities than both 9-cis-retinoic acid and Targretin in docking simulation and have stable H-bonds with residues Arg316 and some equivalent hydrophobic contacts with residues Ala272, Gln275, Leu309, Phe313, Val342, Ile345, and Cys432 as Targretin. e carboxyl or sulfonyl hydroxide group can form a H-bond with key residue Arg316 in the docking pose, and the phenyl group next to the carboxyl or sulfonyl hydroxide group can form a interaction with residue Phe313. Moreover, -lipoic acid and sulfanilic acid have stable H-bonds with residue Gln275, Ser313, and residue Ala327, respectively, which may strengthen and stabilize TCM candidates inside the binding domain of RXR protein. Hence, we propose -lipoic acid and sulfanilic acid as potential lead compounds for further study in drug development process with the RXR protein against Alzheimer’s disease. 1. Introduction Alzheimer’s disease is serious problem which will cause huge cost for taking care of the patient. It is neurodegenerative disorder due to the accumulation of amyloid- in the brain and causes dementia with ageing [1, 2]. e cholesterol transport protein apolipoprotein E plays the important role in the clearance of amyloid- from the brain [3]. In addition, the transcription of apolipoprotein E expression is also regulated by the heterodimers of RXR with PPAR- and LXRs [4, 5]. e RXR agonist, Targretin, has also been used for treatment of Alzheimer’s disease in mouse models [6]. e retinoic X receptors (RXRs) belong to a super- family of eukaryotic transcription factors. ey are ligand- dependent nuclear receptors involved in the processes of retinoid signaling in normal hematopoiesis [7, 8] and cell development such as cell patterning, organogenesis, prolifer- ation, and differentiation [9, 10]. RXRs have three different isoforms (, , and ) which form heterodimers with other nuclear receptors, such as retinoid acid receptor (RAR), peroxisome proliferator-activated receptor (PPAR), farnesoid X receptor (FXR), liver X receptor (LXR), thyroid hormone receptor (TR), and vitamin D receptor (VDR) as coregulators [1117]. e transcription of RXRs is activated by endogenous 9-cis-retinoic acid, which is a vitamin A derivative for reg- ulation of growth and morphogenesis [1821]. e selective synthetic ligands for the RXRs have been also indicated as therapeutic agents to treat cancer and dermatological diseases [2227]. Nowadays, more and more mechanisms of diseases had been determined to detect the useful target protein against diseases [2833]. Previously to in silico drug discovery Hindawi Publishing Corporation Evidence-Based Complementary and Alternative Medicine Volume 2014, Article ID 278493, 13 pages http://dx.doi.org/10.1155/2014/278493

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Page 1: Research Article Potential Retinoid X Receptor Agonists ...downloads.hindawi.com/journals/ecam/2014/278493.pdf · To improve drug discovery from TCM compounds, we aim to investigate

Research ArticlePotential Retinoid X Receptor Agonists for Treating Alzheimer’sDisease from Traditional Chinese Medicine

Kuan-Chung Chen,1 Yu-Cheng Liu,2 Cheng-Chun Lee,2 and Calvin Yu-Chian Chen2,3

1 School of Pharmacy, China Medical University, Taichung 40402, Taiwan2 School of Medicine, College of Medicine, China Medical University, Taichung 40402, Taiwan3Department of Biomedical Informatics, Asia University, Taichung 41354, Taiwan

Correspondence should be addressed to Cheng-Chun Lee; [email protected] and Calvin Yu-Chian Chen; [email protected]

Received 4 December 2013; Accepted 4 January 2014; Published 30 April 2014

Academic Editor: Fuu-Jen Tsai

Copyright © 2014 Kuan-Chung Chen et al. This is an open access article distributed under the Creative Commons AttributionLicense, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properlycited.

Alzheimer’s disease is neurodegenerative disorder due to the accumulation of amyloid-𝛽 in the brain and causes dementia withageing. Some researches indicate that the RXR agonist, Targretin, has also been used for treatment of Alzheimer’s disease inmouse models. We investigate the potent candidates as RXR agonists from the vast repertoire of TCM compounds in TCMDatabase@Taiwan. The potential TCM compounds, 𝛽-lipoic acid and sulfanilic acid, had higher potent binding affinities thanboth 9-cis-retinoic acid and Targretin in docking simulation and have stable H-bonds with residues Arg316 and some equivalenthydrophobic contacts with residues Ala272, Gln275, Leu309, Phe313, Val342, Ile345, and Cys432 as Targretin. The carboxyl orsulfonyl hydroxide group can form a H-bond with key residue Arg316 in the docking pose, and the phenyl group next to thecarboxyl or sulfonyl hydroxide group can form a 𝜋 interaction with residue Phe313. Moreover, 𝛽-lipoic acid and sulfanilic acid havestable H-bonds with residue Gln275, Ser313, and residue Ala327, respectively, which may strengthen and stabilize TCM candidatesinside the binding domain of RXR protein. Hence, we propose 𝛽-lipoic acid and sulfanilic acid as potential lead compounds forfurther study in drug development process with the RXR protein against Alzheimer’s disease.

1. Introduction

Alzheimer’s disease is serious problem which will cause hugecost for taking care of the patient. It is neurodegenerativedisorder due to the accumulation of amyloid-𝛽 in the brainand causes dementia with ageing [1, 2]. The cholesteroltransport protein apolipoprotein E plays the important role inthe clearance of amyloid-𝛽 from the brain [3]. In addition, thetranscription of apolipoprotein E expression is also regulatedby the heterodimers of RXR with PPAR-𝛾 and LXRs [4, 5].The RXR agonist, Targretin, has also been used for treatmentof Alzheimer’s disease in mouse models [6].

The retinoic X receptors (RXRs) belong to a super-family of eukaryotic transcription factors. They are ligand-dependent nuclear receptors involved in the processes ofretinoid signaling in normal hematopoiesis [7, 8] and cell

development such as cell patterning, organogenesis, prolifer-ation, and differentiation [9, 10]. RXRs have three differentisoforms (𝛼, 𝛽, and 𝛾) which form heterodimers with othernuclear receptors, such as retinoid acid receptor (RAR),peroxisome proliferator-activated receptor (PPAR), farnesoidX receptor (FXR), liver X receptor (LXR), thyroid hormonereceptor (TR), and vitamin D receptor (VDR) as coregulators[11–17].The transcription of RXRs is activated by endogenous9-cis-retinoic acid, which is a vitamin A derivative for reg-ulation of growth and morphogenesis [18–21]. The selectivesynthetic ligands for the RXRs have been also indicated astherapeutic agents to treat cancer and dermatological diseases[22–27].

Nowadays, more and more mechanisms of diseases hadbeen determined to detect the useful target protein againstdiseases [28–33]. Previously to in silico drug discovery

Hindawi Publishing CorporationEvidence-Based Complementary and Alternative MedicineVolume 2014, Article ID 278493, 13 pageshttp://dx.doi.org/10.1155/2014/278493

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2 Evidence-Based Complementary and Alternative Medicine

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F TKH I CA I CGDR S S GKHYGVY S C EGCKG F F KR TVRKDL T Y TCRKH I CA I CGDR S S GKHYGVY S C EGCKG F F KR TVRKDL T Y TCR--

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DNKDC L I DKRQRNRCQYCR YQKC L AMGMKR E AVQE E RQRGKDRDNKDC L I DKRQRNRCQYCR YQKC L AMGMKR E AVQE E RQRGKDR

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RAGWNE L L I A S F S HR S I AVKDG I L L ATG LHVHRN S AH S AGVGARAGWNE L L I A S F S HR S I AVKDG I L L ATG LHVHRN S AH S AGVGA

I F DRV L T E L V S KMRDMQMDKT E L GC L RA I V L F NPD S KG L S NP AI F DRV L T E L V S KMRDMQMDKT E L GC L RA I V L F NPD S KG L S NP A

E V E A L R E KVYA S L E AYCKHKY P EQP GR F AK L L L R L P A L R S I G LE V E A L R E KVYA S L E AYCKHKY P EQP GR F AK L L L R L P A L R S I G L

KC L EHL F F F K L I GDT P I DT F LMEMLKC L EHL F F F K L I GDT P I DT F LMEML

E A PHQMT

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Figure 1: Disordered amino acids predicted by PONDR-Fit and sequence alignment with disordered residues (yellow regions) and residuesin the binding domain (magenta regions).

researches, many compounds extracted from traditionalChinese medicine (TCM) have been indicated as potentiallead compounds used for wide range of diseases, includ-ing metabolic syndrome [34–36], stroke [37–40], cancers[41–45], influenza [46–49], viral infection [50], diabetes[51], inflammation [52], and some other diseases [53, 54].To improve drug discovery from TCM compounds, weaim to investigate the potent candidates as RXR agonistsfrom the vast repertoire of TCM compounds in TCMDatabase@Taiwan. As the side effect and ligand bindingwith target protein may affect by the structural disorders ofresidues in the protein [55, 56], the prediction of disorderedamino acids of RXR protein was performed before virtualscreening. After virtual screening the TCM compounds,

the molecular dynamics (MD) simulations were then em-ployed to study protein dynamics and analyze the stability ofinteractions for each docking poses of TCM candidates.

2. Materials and Methods

2.1. Data Collection. The X-ray crystallography structure ofthe intact PPAR-𝛾-RXR-nuclear receptor complex on DNAwith 9-cis-retinoic acid was obtained from RCSB ProteinData Bank with PDB ID: 3DZY [57]. To protonate the struc-ture of protein with Chemistry at HARvard MacromolecularMechanics (CHARMM) force field [58] and remove crystalwater, the crystal structure of RXR protein was prepared by

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Evidence-Based Complementary and Alternative Medicine 3

Sulfanilic acid

tenera Kjellm. bursa-pastoris (L.) Medik

Targretin9-cis-Retinoic acid

O

OHOH

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O

O

Dock score = 61.149Dock score = 54.122

H2N

𝛽-lipoic acidDock score = 87.275 Dock score = 74.210

CapsellaPorphyra

Figure 2: Chemical scaffold of controls and two TCM candidates with their scoring function and sources.

Prepare Protein module in Discovery Studio 2.5 (DS2.5).Thebinding site for virtual screening was defined by the volumeand location of 9-cis-retinoic acid. A total of 9,029 nondu-plicate TCM compounds from TCM Database@Taiwan [59]were protonating the structure by Prepare Ligand modulein DS2.5 after filtering by Lipinski’s Rule of Five [60].The sequence of RXR protein from Swiss-Prot (UniProtKB:P19793) was employed to predict the disordered amino acidsusing PONDR-Fit [61].

2.2. Docking Simulation. The TCM compounds were vir-tually screened by LigandFit protocol [62] in DS2.5. TheLigandFit docking procedure was performed by five majorsteps. Firstly, it generates candidate ligand conformationsusing Monte Carlo for docking.Then it positions each ligandconformation in the binding site by multiple orientation orpermutation sampling of the ligand principal moments withthe principal moments of the site. The docking poses werethen optionally minimized with CHARMM force field [58]and calculated the score using the dock score energy functionas follows:

Dock Score = − (ligand receptor interaction energy

+ ligand internal energy) .(1)

A pose-saving algorithm was employed to compare thecandidate poses and reject the similar poses.

2.3. Molecular Dynamics (MD) Simulation. Gromacs [63] isemployed to study protein dynamics using classicalmoleculardynamics theory.The global MD algorithm is defined by four

major parts. (1)We input the initial conditions with potentialinteraction (𝑉), position (𝑟), and velocities (V) for all atoms inthe system in this part. (2)The program computes the forceson each atom in the system as follows:

𝐹𝑖=𝜕𝑉

𝜕𝑟𝑖

, (2)

where 𝐹𝑖is obtained by calculating the forces between

nonbonded atom pairs, bonded interactions, and restrainingand external forces.

The potential and kinetic energies and the pressure tensorare also computed in this part. (3)TheMD program updatesthe configuration by simulating the movement of the atomsusing Newton’s equations of motion as follows:

𝜕𝑟𝑖

𝜕𝑡= V𝑖;𝜕V𝑖

𝜕𝑡=𝐹𝑖

𝑚𝑖

. (3)

(4) The MD program outputs the information of posi-tions, velocities, energies, temperature, pressure, and so forth.Finally, the MD program repeats the 2–4 parts for therequired number of steps.

The molecular dynamics simulations (MD) are per-formed by Gromacs. To obtain the initial conditions ofeach protein-ligand complex, the topology of RXR protein,including charmm27 force fields, was reprepared by Gro-macs. The topology and parameters of each ligand for usewith Gromacs were provided by SwissParam program [64].The program has employed a cubic box with a minimumdistance of 12 A from the molecules periphery and solvatedby a water model of TIP3P. Firstly, a maximum of 5,000 stepsenergy minimization were performed using Steepest Descent

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4 Evidence-Based Complementary and Alternative Medicine

Ser312Ala327

Arg316

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Pi

Pi

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Figure 3: Docking pose of RXR protein complexes with (a) 9-cis-retinoic acid, (b) Targretin, (c) 𝛽-lipoic acid, and (d) sulfanilic acid.

algorithm [65]. Then a single constant temperature (NVTensemble) equilibration was performed using Berendsenweak thermal coupling method.TheMD program repeats 2–4 parts in a time step unit of 2 fs under the particle meshEwald (PME) option to obtain a total of 20 ns productionsimulation. The 20 ns MD trajectories were analyzed by aseries of protocols in Gromacs.

3. Results and Discussion

3.1. Disordered Protein Prediction. The disordered aminoacids of RXR protein were predicted by PONDR-Fit withthe protein sequence from Swiss-Prot (UniProtKB: P19793).The sequence alignment and result of disordered aminoacids prediction were displayed in Figure 1. The residues in

the binding domain do not deposit in the disordered region.It has shown that the RXR proteinmay have a stable structureof binding domain in protein folding.

3.2. Docking Simulation. Figure 2 displays the chemical scaf-fold of 9-cis-retinoic acid, Targretin, and the top TCMcompounds ranked by dock score with their scoring functionand sources. The scoring function of dock score indicatesthat the TCM compounds 𝛽-lipoic acid and sulfanilic acidhave higher binding affinities than both 9-cis-retinoic acidand Targretin.The TCM compound 𝛽-lipoic acid is extractedfrom Porphyra tenera Kjellm., whereas sulfanilic acid isextracted from Capsella bursa-pastoris (L.) Medik.The dock-ing pose of RXR protein complexes with 9-cis-retinoic acid,Targretin, and two top TCM candidates was illustrated in

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Evidence-Based Complementary and Alternative Medicine 5

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Figure 4: Root-mean-square deviations in units of nmand total energies over 20 nsMDsimulation for RXRprotein complexeswithTargretin,𝛽-lipoic acid, and sulfanilic acid.

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Figure 5: Variation of (a) total solvent accessible surface area, (b) hydrophobic surface area, and (c) hydrophilic surface area over 20 ns MDsimulation for RXR protein complexes with Targretin, 𝛽-lipoic acid, and sulfanilic acid.

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6 Evidence-Based Complementary and Alternative Medicine

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Figure 6: Distance matrices consisting of the mean smallest distance between residue pairs for RXR protein complexes with (a) Targretin,(b) 𝛽-lipoic acid, and (c) sulfanilic acid. Residues 1–110 in 𝑦-axis correspond to residues 132–241. Residues 111–302 in 𝑦-axis correspond toresidues 264–455.

Figure 3. All compounds have a hydrogen bond (H-bond)with key residue Arg316. Moreover, both TCM candidates,𝛽-lipoic acid and sulfanilic acid, has a H-bond with residueAla327. Both Targretin and sulfanilic acid, which have aphenyl group, have a 𝜋 interaction with residue Phe313.It shows that the carboxyl group or the group of sulfonylhydroxide can form a H-bond with key residue Arg316 in thedocking pose. The phenyl group next to the carboxyl groupor the group of sulfonyl hydroxide can form a 𝜋 interactionwith residue Phe313.

3.3. Molecular Dynamics Simulation. As the docking sim-ulations are perform in the condition of rigid body ofRXR protein, the molecular dynamics (MD) simulationswere then employed to study of protein dynamics andanalyze the stability of interactions for each docking poses.The root-mean-square deviations (RMSDs) and total ener-gies over 20 ns MD simulation for RXR protein complexes

with Targretin,𝛽-lipoic acid, and sulfanilic acid are illustratedin Figure 4. The complexes with Targretin, 𝛽-lipoic acid,and sulfanilic acid tend to be stable after 16 ns, 16.2 ns,and 17.4 ns MD simulation, respectively. The analysis ofsolvent accessible surface area for complexes under dynamicscondition in Figure 5 indicates that the RXR protein com-plexes with Targretin, 𝛽-lipoic acid, and sulfanilic acid havesimilar hydrophobic and hydrophilic surface area and theMD simulation tends to be stable. Figure 6 also shows thatthe RXR protein has similar mean smallest distance betweenresidue pairs for protein complex with Targretin and two topTCM compounds. They indicate that the protein structureof RXR protein complex with top two TCM compounds, 𝛽-lipoic acid and sulfanilic acid, may not cause the significantdifferences from docking with Targretin.

Root-mean-square deviation value and graphical depic-tion of the clusters with cutoff 0.11 nm for each RXR pro-tein complexes are employed to display the RMSD values

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Evidence-Based Complementary and Alternative Medicine 7

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Figure 7: (a) Root-mean-square deviation value (upper left half) and graphical depiction of the clusters with cutoff 0.11 nm (lower right half)for RXR protein complexes with Targretin. (b) Docking poses of middle RMSD structure in the major cluster for RXR protein complexeswith Targretin. (c) Distances of hydrogen bonds with common residues during 20 ns MD simulation.

between MD trajectories and identify the middle RMSDstructure in the major cluster as the representative structuresof each protein-ligand complex after MD simulation. ForRXR protein complexes with Targretin, the docking poses ofmiddle RMSD structure in the major cluster after 16 ns MDsimulation are illustrated in Figure 7(b). Targretin has thesimilar docking pose as docking simulation and maintainsthe H-bond with key residue Arg316 and 𝜋 interaction withresidue Phe313. According to the occupancies of H-bonds forcommon residues of RXR protein listed in Table 1 and thefluctuation of distances for H-bonds displayed in Figure 7(c),they show that the carboxyl group of Targretin can form

stable interactions with residue Arg316. For RXR proteincomplexes with 𝛽-lipoic acid, the representative structuresof docking pose after MD simulation are illustrated inFigure 8(b). 𝛽-lipoic acid maintains the H-bond with keyresidue Arg316 and forms the other H-bonds with residueGln275 and Ser313, which can stabilize the docking pose inthe binding domain. From the occupancies of H-bonds forcommon residues of RXR protein listed in Table 1 and thefluctuation of distances for H-bonds displayed in Figure 8(c),they indicate that the H-bonds between 𝛽-lipoic acid andresidue Ala241 existing in the initial period ofMD simulationwere not stable. However, the carboxyl group of 𝛽-lipoic

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8 Evidence-Based Complementary and Alternative Medicine

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Figure 8: (a) Root-mean-square deviation value (upper left half) and graphical depiction of the clusters with cutoff 0.11 nm (lower right half)for RXR protein complexes with 𝛽-lipoic acid. (b) Docking poses of middle RMSD structure in the major cluster for RXR protein complexeswith 𝛽-lipoic acid. (c) Distances of hydrogen bonds with common residues during 20 ns MD simulation.

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Evidence-Based Complementary and Alternative Medicine 9

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Arg316:HH12/O11

Arg316:HH22/O9

Arg316:HH22/O10

Arg316:HH22/O11

(c)

Figure 9: (a) Root-mean-square deviation value (upper left half) and graphical depiction of the clusters with cutoff 0.11 nm (lower right half)for RXR protein complexes with sulfanilic acid. (b) Docking poses of middle RMSD structure in the major cluster for RXR protein complexeswith sulfanilic acid. (c) Distances of hydrogen bonds with common residues during 20 ns MD simulation.

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10 Evidence-Based Complementary and Alternative Medicine

Ligand bondNonligand bondHydrogen bond and its length

Nonligand residues involved in hydrophobic contact(s)Corresponding atoms involved in hydrophobic contact(s)Equivalent hydrophobic contact(s)

C4C5

C9

C10C11

C13 C15

C16

C18C19

C20

C21

C1C2C3

C6

C7

C8

C12C14

C17

C22

C23

C24O25O26

Targretin

Phe313

Ile268

Leu309

Gln275

Ile345Ala272

Val342

His435

Leu436

Cys269

Asn306

Ile310

Cys432

2.652.79

2.85

C1 S2S3

C4C5

C6C7

C8C9O10

C11O12

O13

NCA

CB

CGCDNE

CZNH1

NH2

CO

Arg316

NCA

CB

OG

CO

Ser312

Leu240

Gln275

Leu309

Ile345

Ala271

Ala272

3.14

3.0

2.65

C1C2C3

C4C5C6

N7

S8O9 O10

O11

Sulfanilic acid

NCA

CBC

O Ala327

NCA CB CG CD

NE

CZ

NH1

NH2

CO

Arg316

Phe313

Leu309

Leu326

Gln275

Val342

Cys432

𝛽-Lipoic acid

His 53

Figure 10: Docking poses of middle RMSD structure in the major cluster for RXR protein complexes drawn by LIGPLOT program.

acid has stable H-bonds with residues Arg316, Gln275, andSer313. From the representative structures of RXR proteincomplexwith sulfanilic acid afterMD simulation displayed inFigure 9(b), it is illustrated that the group of sulfonyl hydrox-ide of sulfanilic acidmaintains theH-bonds with key residuesArg316 and Ala327 and the phenyl group next to sulfonylhydroxide keeps the 𝜋 interaction with residue Phe313. Thefluctuation of distances for H-bonds displayed in Figure 9(c)indicates that sulfanilic acid had the H-bonds with residue

Gln275, but it misses those H-bonds when the system tendsto be stable after 18 ns MD simulation. Figure 10 displaysthe docking poses of the representative structures for RXRprotein complexeswithTargretin,𝛽-lipoic acid, and sulfanilicacid. It indicates that the TCM candidates, 𝛽-lipoic acid andsulfanilic acid, have some equivalent hydrophobic contactswith residues Ala272, Gln275, Leu309, Phe313, Val342, Ile345,andCys432 as Targretin.These hydrophobic contacts hold thecompounds in the binding domain.

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Evidence-Based Complementary and Alternative Medicine 11

Table 1: H-bond occupancy for key residues of RXR protein withTargretin and two candidates overall 20 ns molecular dynamicssimulation.

Name H-bond Interaction Occupancy

TargretinGln275:HE22/O25 1%Gln275:HE22/O26 1%Arg316:HH22/O25 17%

𝛽-lipoic acid

Ala241:HN/O10 10%Ala241:HN/O12 3%Gln275:HE22/O10 2%Gln275:HE22/O12 2%Ser312:HG1/O12 60%Arg316:HH22/O10 89%Arg316:HH22/O12 39%Arg316:HH12/O10 96%Arg316:HH12/O12 86%

Sulfanilic acid

Gln275:HE22/O9 1%Gln275:HE22/O10 1%Gln275:HE22/O11 2%Arg316:HH22/O9 53%Arg316:HH22/O10 45%Arg316:HH22/O11 49%Arg316:HH12/O9 25%Arg316:HH12/O10 23%Arg316:HH12/O11 16%Ala327:HN/O9 39%Ala327:HN/O10 24%Ala327:HN/O11 17%

H-bond occupancy cutoff: 0.3 nm.

4. Conclusion

The cholesterol transport protein apolipoprotein E plays theimportant role in the clearance of amyloid-𝛽 from the brain,and the transcription of apolipoprotein E expression is alsoregulated by the heterodimers of RXR with PPAR-𝛾 andLXRs. In this study, we aim to investigate the potent TCMcandidates of agonists for RXR protein, and the predictionof disordered amino acids of RXR protein was performedto discuss the stability of residues for RXR protein beforevirtual screening. The top TCM candidates, 𝛽-lipoic acidand sulfanilic acid, had higher potent binding affinities thanboth 9-cis-retinoic acid and Targretin. After optimizing theresult of docking simulation to validate the stability of H-bonds between each ligand and RXR protein under dynamicconditions, the top TCM compounds, 𝛽-lipoic acid andsulfanilic acid, have stable H-bonds with residues Arg316and some equivalent hydrophobic contacts with residuesAla272, Gln275, Leu309, Phe313, Val342, Ile345, and Cys432as Targretin. The carboxyl group or the group of sulfonylhydroxide can form a H-bond with key residue Arg316in the docking pose, and the phenyl group next to thecarboxyl group or the group of sulfonyl hydroxide can forma 𝜋 interaction with residue Phe313. In addition, 𝛽-lipoicacid has stable H-bonds with residues Gln275 and Ser313,

and sulfanilic acid has stable H-bonds with residue Ala327.These stable H-bonds may strengthen and stabilize TCMcandidates inside the binding domain of RXR protein. Hence,we propose 𝛽-lipoic acid and sulfanilic acid as potential leadcompounds for further study in drug development processwith the RXR protein against Alzheimer’s disease.

Conflict of Interests

The authors declare that there is no conflict of interestsregarding the publication of this paper.

Authors’ Contribution

Kuan-Chung Chen and Yu-Cheng Liu contributed equally tothis work.

Acknowledgments

The research was supported by Grants from the NationalScience Council of Taiwan (NSC102-2325-B039-001 andNSC102-2221-E-468-027-), Asia University (ASIA100-CMU-2, ASIA101-CMU-2, and 102-ASIA-07), and China Medi-cal University Hospital (DMR-103-058, DMR-103-001, andDMR-103-096).This study is also supported in part byTaiwanDepartment of Health Clinical Trial and Research Center ofExcellence (DOH102-TD-B-111-004) andTaiwanDepartmentofHealthCancer ResearchCenter of Excellence (MOHW103-TD-B-111-03).

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