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. • What Is the Contribution of aHydrogen Bond to the Strength of Protein–Ligand Interactions?

. Fig. 4.11 Fidarestat4.6(a) forms ahydrogen bond with its carbox-
amide group to the NH group of Leu 300. By exchanging leucine for proline, the H-bond can no longer be formed. This leads to a∆∆G
loss of 7.8 kJ/mol, which is essentially being paid for by an enthal-
Pro
pic price (∆∆H to aldose reductase via three H-bonds with its carboxylate group. If Tyr48 is exchanged for Phe48, a charge-assisted contact is lost at this site. The loss in ∆∆G ample. However, it partitions into a huge enthalpic loss and smaller entropic gain.(c) In this example, the ligand4.8 with a phenyl ring was modied into the benzamidine analogue4.9. Asalt bridge to Asp 189 in thrombin is additionally formed, resulting in astrong gain in
: 6.9 kJ/mol). The inhibitor IDD5944.7(b) binds
LeuPro
is slightly larger than in the rst ex-
Tyr⇨Phe
in the inventory. The proline mutant cannot establish awater-mediated contact with sorbinil due to the lack of an NH function. Therefore, the enthalpic gain due to the H-bond is missing. However, there is also no entropic
∆∆G In sorbinil 4.10(d), the carboxamide group is lacking compared to darestat4.6. Considering again the exchange LeuPro in aldose
Leu⇨-
reductase, this leaves the free binding energy ∆∆G changed. However, sorbinil binds to the wildtype enzyme (leucine) enthalpically more favorably and entropically less favorably than to the proline variant. An interstitial water molecule mediates an H-bond between sorbinil and Leu 300, yielding an enthalpy advantage of
−5.1 kJ/mol here. Simultaneously, however, the entrapment of awater molecule is entropically unfavorable (–T∆∆S virtually compensates the entire enthalpic advantage
. This is governed by an enthalpic gain; entropy is opposing.
4.84.9
LeuPro
: 5.9 kJ/mol) and
LeuPro
this charged amino acid in asalt bridge, 4.11 was termi­nally carboxylated to 4.12. Although the crystal structure shows that the proposed salt bridge is indeed formed, its contribution to the afnity increase of 4.12 over 4.11 is
loss because no water molecule is entrapped.
The three-dimensional structure has been determined for alarge number of protein–ligand complexes. Many of these complexes form hydrogen bonds between protein and ligand. The whole issue concerning the contribution of ahydrogen bond to binding afnity becomes evident in
. Fig.4.12. Here, for arandom selection of 80protein–
ligand complexes, the experimentally determined binding constants (logarithmic scale) are plotted against the num­ber of hydrogen bonds. For agiven number of hydrogen bonds, the measured binding constants cover aconsider­able range. Thus, the contribution of an H-bond is by no means constant, but varies considerably. Due to unfavor­able desolvation effects, the contribution of an H-bond can even decrease the binding afnity.
Afurther important contribution to acharge-assisted hydrogen bond is where it is formed in the protein com­plex. In . Fig.4.11c, asalt bridge makes alarge con­tribution to the transition from4.8 to4.9. Deep in the S1 pocket of thrombin, the benzamidine group of4.9 forms asalt bridge with the carboxylate group of Asp 189 (. Fig.4.13, left). In the enzyme tRNA-guanine transglycosylase (Sect.21.9), the binding mode of inhib- itor 4.11 was characterized (. Fig.4.13, right). It carries aterminal phenyl ring, but is spatially close to the amino acid Arg 286 as seen in the crystal structure. To involve
. Fig. 4.12 A logarithmic plot of the binding constant of 80 pro-
tein–ligand complexes studied crystallographically against the num­ber of hydrogen bonds formed between protein and ligand shows that there is no simple and direct correlation between the two properties
virtually un-
4
Chapter  • Protein–Ligand Interactions as the Basis for Drug Action
. Fig. 4.13 For the contribution of a salt bridge to binding afni-
ty, the environment in which this salt bridge is formed is crucial. In thrombin (left), the introduction of a benzamidine group 4.84.9 deeply buried in the S1 pocket leads to the formation of asalt bridge with Asp 189. The afnity gain is very large (see . Fig.4.11c). In the tRNA-guanine transglycosylase (right), the addition of acarboxylate group to the terminal phenyl ring 4.11⇨4.12 does not enhance the af­nity of the nanomolar binding inhibitor 4.11. The crystal structure proves that the salt bridge to Arg 286 is formed geometrically. Howev-
very small. The introduced salt bridge remains largely exposed to the surrounding solvent water, which reduces its impact on the afnity of the interaction.
An impressive example of the importance of hy­drogen bonds is provided by the inhibitors 4.13 of the metalloprotease thermolysin, synthesized in the research group of Paul Bartlett. Aphosphonamide –PO2HN– was replaced by aphosphinate –PO2CH2– or aphosphonate –PO2O–. The results of these exchanges are summarized in . Table4.3. Although the X-ray structure shows that the NH group forms an H-bond to the carbonyl oxygen of Ala 113, it can be replaced by aCH2 group without loss of binding afnity. This result may be surprising at rst glance, but it can be understood by comparing the number of hydrogen bonds before and after ligand binding for the phosphonamide and phosphinate, anal­ogous to . Fig.4.6. The ligand forms an H-bond to water molecules via its NH function before binding to the protein in aqueous solution. The ligand has to aban-
er, since it remains largely exposed to the surrounding solvent, its con­tribution is only about one tenth of the buried salt bridge in thrombin. (7 https://sn.pub/BJz11h)
don this H-bond when it enters the binding pocket, but there it forms acomparably strong interaction with Ala 133(C=O). Thus, the ligand loses one hydrogen bond but gains another; hence, the inventory is balanced. In the phosphinate, the –CH2– group cannot form an H-bond in water prior to protein binding. No H-bond is formed in the binding pocket either. Again, the inventory is bal­anced. In both cases, the number of H-bonds remains the same. If the NH group is replaced by an oxygen atom, the binding afnity decreases by afactor of 1000. In water, the oxygen atom that replaces the NH group can form ahydrogen bond with the bulk water. In the protein–ligand complex of the phosphonate –PO2O–, the electronegative oxygen atom is exactly opposite the oxygen of the carbonyl group of Ala 113. Two accep­tor groups face each other. Ahydrogen bond cannot be formed here. The hydrogen bond inventory remains un- balanced. In addition, the two groups repel each other, resulting in weaker binding.
. • The Strength of Hydrophobic Protein–Ligand Interactions

. Table 4.3 Binding constants Ki for the thermolysin inhibi-
tors 4.13, which contain either aphosphonamide (X = –NH–), aphosphonate (X = –O–), or aphosphinate (X = –CH2–) group. The phosphonamide group –PO2NH– complexes the zinc ion and simultaneously forms an H-bond with Ala113
R Binding constant Ki in μM
X = –NH– –O– –CH
OH 0.76 660 1.4
Gly–OH 0.27 230 0.3
Phe–OH 0.08 53 0.07
Ala–OH 0.02 13 0.02
Leu–OH 0.01 9 0.01
2
Asimilar case is illustrated in . Table4.4. Here the
binding afnity of three thrombin inhibitors 4.14 that were synthesized at Eli Lilly are compared with each other. The amine (X = –NH–) can form an H-bond with Gly 219 and binds the most strongly. The ether (X = –O–) binds 5000-times weaker because of an elec­trostatic repulsion between the ether oxygen atom and the carbonyl group of the protein. The aliphatic com­pound (X = –CH2–) shows remarkable binding com­pared to X = –NH– that is merely reduced by afactor of eight (thrombin) and two (trypsin).
. Table 4.4 Binding of 4.14 to the serine proteases thrombin
and trypsin
Enzyme IC
Thrombin 0.009 52 0.07
Trypsin 0.009 43 0.018
values in mg/mL
50
X = –NH– –O– –CH
2
4.9 The Strength of Hydrophobic
Protein–Ligand Interactions
We have seen that the direct attractive forces between li­pophilic groups are much weaker than those between po­lar groups. Hydrophobic interactions are based on weak attractive forces in the immediate molecular environment (Sect.4.4). They are formed in the protein environment as well as in the aqueous milieu. Therefore, they contrib­ute little to the inventory. For hydrophobic interactions, however, it is mainly the displacement and rearrangement of the neighboring water molecules that counts. It has been shown in many experiments that their contribution to the binding afnity is, to arst approximation, pro­portional to the size of the lipophilic surface that is buried upon ligand binding and therefore no longer accessible to water. Typically, the contribution is found to be in the range of −50 to −200 J/mol per Å2 of lipophilic contact
. Fig. 4.14 The scaffold of the HIV protease inhibitor 4.15 was en-
larged during the course of a lead structure optimization by adding hydrophobic groups to the aromatic N-benzyl group. An unchanged
binding mode was evidenced crystallographically. The additional mo­lecular volume improved the binding afnity in alinear manner by about −65 J/molÅ
2
4
Chapter  • Protein–Ligand Interactions as the Basis for Drug Action
. Fig. 4.15 In analogy to . Fig.4.12, alogarithmic plot of the bind-
ing constants Ki of the 80crystallographically investigated protein–li­gand complexes against the buried hydrophobic surface area shows that there is no simple function for this measure either
area. An example of this is retinol. It binds to the reti­nol binding protein (. Fig.4.1) with abinding constant of 190 nM exclusively through lipophilic contacts. This corresponds to afree energy of −39.8 kJ/mol. As aresult of the binding, alipophilic area of 250 Å2 is buried. The contribution per Å2 is −39,800/250 = −159 J/molÅ2.
Six HIV protease inhibitors (Sect.24.6) are listed in
. Fig.4.14. During the course of alead structure optimi-
zation, the hydrophobic surface of 4.15 was enlarged by adding hydrophobic groups. It could be conrmed crys­tallographically that the binding mode did not change. If the variations in the molecular volume in this series are plotted against the afnity, alinear relationship is obtained. The binding afnity increases by −65 J/molÅ2.
In many cases, the hydrophobic interactions are adominant contribution to the free energy of binding. In . Fig.4.15, the lipophilic surface area that is buried upon complex formation of the same 80protein–ligand complexes as in . Fig.4.12 are shown together with their experimentally determined binding constants. Here too, the values are scattered over abroad range.
4.10 Binding and Mobility: Compensation
of Enthalpy and Entropy
According to Eq.4.4, enthalpy and entropy have aclose physical relationship and their combined contributions give the Gibbs free energy of binding. Considering the formation of protein–ligand complexes, the ∆G of weakly binding millimolar complexes and strongly bind-
ing nanomolar complexes are in the range of about 35– 55 kJ/mol. Lead optimization (Chap.8) usually covers an even smaller range. Typically, the binding constants are improved by 5–6 orders of magnitude, corresponding to 25–30 kJ/mol. When functional groups are exchanged in alead structure, the change in enthalpy ∆H usually varies over amuch larger range. If the variation of ∆G is much smaller for this transformation, the change in enthalpy ∆H has to be compensated by achange in en­tropy −T∆S in opposite direction, simply because of nu­merical reasons. Only in this way can the large variations in the two properties lead to the result that ∆G remains in asmall window. This leads to an important question: Is there aconnection that causes the opposing enthalpy and entropy to partially compensate during optimization? If there is compensation, how can both quantities be optimized without canceling each other out, so that ∆G remains unchanged?
Entropic optimization is aimed at increasing the hy­drophobic surface area buried upon binding. This very descriptive quantity expresses that enlarged ligands dis­place an increasing number of water molecules upon binding. In particular, if these displaced water molecules were previously well xed in the binding pocket, an en­tropically favorable signal will result.
The entropic contribution to binding of aligand can be enhanced by synthesizing compounds that have re­duced degrees of freedom around bonds, while maintain­ing ageometry that ts into the protein binding pocket. For example, in the peptide-like thrombin inhibitor 4.16, asubstituted glycine residue in the center was exchanged for the more rigid proline to form 4.17. Crystallographi­cally, it was found that the binding mode of both ligands remained unchanged. The rigidized ligand4.17 is more potent by −10.8 kJ/mol (about two orders of magnitude in binding constant!), which can be attributed to afavor­able entropic binding contribution. Molecular dynamics simulations of both ligands in aqueous medium prior to protein binding show that the accessible conformational space of the proline derivative 4.17 is signicantly re­stricted compared to the open-chain glycine derivative
4.16. This has astrong impact on the number of degrees of freedom that are sacriced during binding.
The two thrombin inhibitors 4.18 and 4.19 were syn­thesized with the same goal. In their case, the rigidica­tion should be realized through an intramolecular hydro­gen bond to the hydroxymethylene and aminomethylene anchors on the phenyl ring, respectively. First, the two compounds were shown to adopt an identical binding mode in the thrombin binding pocket. The observed ge­ometry also corresponds to the binding mode adopted by inhibitors that completely lack the anchor. But to what can the increase in afnity from 4.18 to 4.19 then be attributed, since both compounds form the desired stabilizing H-bond in the binding pocket? The difference is to be found in the rigidication of the ligands in aque-
. • Binding and Mobility: Compensation of Enthalpy and Entropy

. Fig. 4.16 Effect of rigidication or “pre-organization” of inhib-
itors on protein binding. Left The peptide-like thrombin inhibitors
4.16 and 4.17 differ only in the exchange of acentral substituted gly­cine residue for proline. This conformationally restricts the molecu­lar scaffold of 4.17 to afew conformers that are also adopted at the binding site. 4.17 therefore sacrices fewer degrees of freedom upon binding than 4.16 and binds with adistinct entropic advantage. Right In thrombin inhibitors 4.18 and 4.19, an anchor was introduced to stabilize the ligands in the bound state by an intramolecular H-bond.
ous solution before binding to the protein. Whereas the aminomethylene derivative 4.19 is stable with an intra­molecular hydrogen bond even before protein binding, the H-bond in the hydroxymethylene analogue 4.18 is unstable. In the unbound state, there is hardly any for­mation of the conformation of this ligand taken up in the protein. Only if this is achieved does rigidication of aligand lead to the expected entropic gain in afnity (see . Fig.4.16).
In order to enthalpically increase the binding afnity of aligand to aprotein, it is necessary to introduce ad­ditional polar interactions. However, this usually comes at the cost of the additional polar groups having to shed their water shell. This contribution to ligand desolva- tion must be provided. . Fig.4.11c compares thrombin inhibitors4.8 and4.9. Here, the added amidino group in4.9 allows asignicant increase in afnity with alarge increase in enthalpy. However, the desolvation of the charged inhibitor must be overcompensated. The cost of desolvation can be very high, as shown by the compar­ison of thrombin inhibitors 4.20 and 4.21 (. Fig.4.17). Crystallographically, the same binding mode is found for both. However, the afnity of 4.21 with the charged pyridinium group is 11 kJ/mol lower than that of the un­charged isostere 4.20. This is due to the high enthalpic cost of shedding the solvate shell around the charged pyridinium derivative.
The binding mode adopted is similar to that present even in inhibitors that lack this anchor. However, in solution prior to binding, the intra­molecular H-bond to the aminomethylene group is stable, whereas it is not in the case with the hydroxymethylene group. Therefore, only 4.19 is correctly “pre-organized” for protein binding. Here, rigidication results in the desired entropic gain. For 4.18, this advantage is lacking as the compound adopts the required conformation only after accom­modation in the protein binding pocket
Afurther example of the importance of the con­tribution of the ligand dynamics of an interaction is demonstrated with the thrombin inhibitors 4.22 and
4.23 (. Fig.4.17). They differ only in the size of their terminal cycloalkyl residue, which was added to the par­ent scaffold to ll the hydrophobic S3/S4 pocket of the protein. Both inhibitors have virtually the same binding afnity for thrombin. However, their free binding energy decomposes very differently into contributions from en­thalpy and entropy. The compound with the cyclopentyl substituent has an enthalpic advantage and an entropic disadvantage compared to the six-membered ring deriv­ative.
What is the reason for this surprising effect of the shift in the enthalpy/entropy partitioning? The crystal structures of both derivatives with thrombin show an important dif­ference with respect to the terminal cycloalkyl substit­uent. While the ve-membered ring is well observed in the electron density (Sect.13.5), virtually no density can be detected in the region where the six-membered ring should be found. Such an observation in acrystal struc­ture indicates increased disorder of aparticular structural building block in aprotein–ligand complex. This disor­der may be purely static, in which case the six-membered ring is scattered over many arrangements. Alternatively, for dynamic reasons, it may have amuch higher residual mobility in the protein-bound state than the ve-mem-
4
Chapter  • Protein–Ligand Interactions as the Basis for Drug Action
. Fig. 4.17 Left Replacement of the meta-tolyl substituent in the
thrombin inhibitor 4.20 with an isosteric methylpyridium group in
4.21 results in asignicant loss of afnity, essentially at the price of enthalpy. The charged head group for the S1 pocket of thrombin re­quires avery high price of desolvation but does not allow additional favorable interactions in the enzyme. Right The homologous ligands
bered ring derivative. Molecular dynamics simulations (Sect.15.7) conrm this latter difference due to different residual mobility. In the case of the ve-membered ring compound, the cyclopentyl moiety remains in ahydro­phobic pocket and performs aso-called jump rotation from time to time. In this process, the planar ring swaps between two congurations, exchanging its top and bot­tom faces. But the overall position and occupancy of the ring in the pocket remains virtually unchanged. Li­gand4.22 does not form ahydrogen bond (Sect.23.4) to the carbonyl group of Gly 216. The six-membered ring derivative 4.23 behaves quite differently. Here, the cyclo­hexyl substituent moves out of the binding pocket during the course of the simulation and returns back to it after some time. At the same time, 4.23 forms an intermediate hydrogen bond to Gly 216. Thus, 4.23 has ahigh residual mobility in the bound state and scatters over several spa­tially distinct arrangements.
This difference in the dynamic behavior of 4.22 and
4.23 explains their deviating thermodynamic proles. The cyclopentyl derivative has an entropic disadvan tage because it binds more tightly in the binding pocket. However, the uniform orientation gives this ligand an ad­vantage in forming stable enthalpically favorable interac­tions with the protein. The situation is different for the six-membered ring derivative. Its reduced spatial xation in the binding pocket is accompanied by asmaller loss of degrees of freedom in complex formation. This implies an entropic advantage. Enthalpically, however, this behavior is disadvantageous. Due to the intermediate leaving of the ligand from the binding pocket, interactions with the protein can only be formed with reduced strength.
What can we learn from this example? Even if ligands
have avery similar chemical structure, their binding be-
4.22 and 4.23 bind equally strongly to thrombin, but the binding af­nities partition quite differently into enthalpic and entropic contri­butions. 4.23 has much higher residual mobility in the binding pocket than 4.22, giving this derivative an entropic advantage. But because of the poorer contacts to the protein on average, an enthalpic disadvan­tage results
havior can differ signicantly. Their residual mobility in the binding pocket can be decisive for the thermodynamic binding contributions. Obviously, amutual compensation of enthalpy and entropy leads to an almost unchanged free energy ∆G. This interplay between residual mobility in the binding pocket and the quality of the interactions formed clearly has consequences for the optimization process and is one explanation why enthalpy and entropy often compensate in optimization.
Medicinal chemists like to think in terms of stan­dardized group contributions that the exchange of cer- tain moieties and functional groups at agiven scaffold might provide to the binding afnity. Statistical analyses of such group contributions have been performed and can be used as aset of rules for optimization strategies. Mostly, these rules are considered as additive. How much is gained by combining aparticular group with another on amolecular scaffold to be optimized? However, care must be taken when applying such considerations. Small differences in binding behavior often cause these simple rules to break down.
­As an example, consider the optimization of thrombin
inhibitor 4.24 to 4.25 (. Fig.4.18). Two chemical modi­cations will be performed. In the rst step, the terminal hydrophobic substituent at one end of the parent scaffold is increased from an n-propyl to aphenylethyl substituent. This results in asignicant increase in the hydrophobic surface area of the molecule, but the binding afnity is only slightly improved by ∆∆G = −3.1 kJ/mol. As asecond subsequent optimization step, an amino group is intro­duced adjacent to the hydrophobic group to form ahy­drogen bond to Gly 216. This adds another −15.5 kJ/mol, so the two modications from 4.24 to 4.25 result in an afnity increase of ∆∆G = −18.6 kJ/mol. Does the addi-
. • Binding and Mobility: Compensation of Enthalpy and Entropy

. Fig. 4.18 Optimization of thrombin inhibitor 4.24 to 4.25 yields
an afnity increase of ∆∆G = −18.6 kJ/mol (diagonal arrow). This is achieved by increasing the hydrophobic side chain (red) from n-pro- pyl to aphenylethyl residue and adding an amino group (blue). The changes can also be performed stepwise. Increasing the hydrophobic surface area to 4.26 improves the afnity by only −3.1 kJ/mol (top ar- row). Amajor contribution of −15.5 kJ/mol is provided by the subse­quently introduced amino group (right arrow downwards). The ligand
tional amino group add that much to the afnity, and can we include this value in our list of rules for standardized group contributions? Of course, as avalidation, the two modications can be introduced in reverse order via inter­mediates 4.26 and 4.27, respectively. If the reverse route is followed and the amino group is introduced rst at 4.24 to
4.27, the gain in ∆∆G = −9.6 kJ/mol, asignicantly smaller contribution by this group than along the rst route. The subsequent increase of the hydrophobic surface from 4.27 to 4.25 now achieves an additional afnity gain of −9.0 kJ/ mol. This now asignicantly larger contribution for the hydrophobic group than along the rst synthesis path.
This example shows that simple additivity rules of standardized functional group contributions fail. Instead cooperativity matters. As in the example with the ve­and six-membered ring derivatives 4.22 and 4.23, the balance between residual mobility, partial solvation of the binding pocket and the quality of the interactions formed has adecisive inuence on the afnity increase. The interplay of partially compensating enthalpic and en- tropic binding contributions is responsible for this com­plex picture. The bulky phenylethyl substituent xes 4.26
forms acharge-assisted H-bond to the protein via this group. Revers­ing of the synthesis steps by adding the amino group rst to 4.27 yields
−9.6 kJ/mol (left arrow downwards), and the subsequent substitution of the hydrophobic portion enhances the afnity by afurther −9 kJ/ mol (bottom arrow). The reason why standardized group contributions cannot simply be added up here lies in the complex interplay of resid­ual mobility, desolvation, and strength of the enthalpic interactions that are formed
quite well in the binding pocket, whereby the ligand gains hydrophobic interactions and displaces water molecules from the protein pocket. However, it pays entropically for the loss of residual mobility compared to 4.24, so the gain in afnity due to the increased size of the hydropho­bic substituent is only moderate. However, once this price is paid, the additional charge-assisted H-bond of 4.26
4.25 provides alarge amount of afnity gain. Following the reverse optimization strategy, the H-bond introduced by 4.24 4.27 now has to pay part of the price for the reduced residual mobility. Therefore, the contribution of the H-bond is now much smaller. Once the ligand4.27 is spatially xed in the pocket, much more afnity can be gained by attaching the larger hydrophobic substituent to
4.25. The price of the entropic loss of degrees of freedom has already been paid.
This example illustrates the dilemma that medicinal chemists often face when optimizing lead structures, as expectations of success on the way to the planned end product, which are usually based on estimates from stan­dardized group contributions, can be disappointed al­ready after the rst synthesis steps. If we were to take the
Chapter  • Protein–Ligand Interactions as the Basis for Drug Action
4
path from 4.24 to 4.27, we would likely be much more op­timistic about achieving the optimization goal than if we were to go from 4.24 to 4.26, because the rst step in the latter synthesis route yields amuch smaller afnity gain.
At rst glance, enthalpy/entropy compensation appears to be an unavoidable curse that can easily thwart ame­dicinal chemist’s optimization efforts. However, decom­posing afnity as afree energy quantity into entropy and enthalpy provides deeper insight into the mechanisms that ultimately enable potency enhancement. However, it must never be forgotten that the entire process must be consid­ered! Everything has to be taken into account, from the ligand and protein in the aqueous solution before binding, including all the water molecules involved, to the formed complex with its newly created solvation shell. Elaborate microcalorimetric analyses condense this complex pro­cess from amultitude of steps to three numerical values. In the end, they represent the thermodynamic prole of the entire binding event. Whether the result is amore enthalpy- or entropy-driven binding is determined by the overall balance. Michael Gilson and his group coined the term enthalpy–entropy transduction to describe the conse- quences of local perturbations in protein–ligand binding that, for example, mask the enthalpic binding of aligand to its protein. The enthalpic signature of binding can be obscured by the thermodynamics of aglobal conforma­tional change during complex formation. If it is induced as aconsequence of the binding of the ligand, it may be accompanied by achange of the system under consider­ation to aconformational state of higher entropy. It is possible that such considerations help to explain why pro­les with pronounced enthalpy–entropy compensation are observed experimentally in so many binding events. This masking could produce amisleading picture of the actual driving forces of binding. This makes it all the more im­portant to always compare systems relative to each other by varying only one or afew parameters or properties.

4.11 Lessons for Drug Design

This chapter is not intended to leave the impression that protein–ligand interactions are too complicated for quantitative predictions of the strength of protein–ligand interactions. Rather, quantitative correlations can be es­tablished. All the more, some general rules or guidelines should be followed when optimizing alead structure:
Many strong protein–ligand interactions are char-
-
acterized by extensive lipophilic contacts. Increasing
the lipophilic contact area between the protein and
the ligand often leads to an improvement in binding
afnity largely as the result of entropic gains from the
release of ordered water molecules from the surfaces.
This means that the search for unoccupied lipophilic
pockets in the protein should be the rst step in the
design and optimization of new ligands. However,
this approach should not be taken too far, as alarge increase in the overall lipophilicity of amolecule will increasingly reduce its water solubility. The binding prole for the release of a water molecule
-
can range from dominantly entropic to dominantly enthalpic. The release of xed water molecules usually correlates with an entropic signature, while the release of highly dynamic water molecules correlates with an enthalpic signature. Most likely, the whole range from more entropic to more enthalpic dominated signature for ∆G can be found, but with the drawback that the contribution of water displacement to the binding free energy of ligand binding is increasingly offset by mu­tually compensating effects. This is particularly the case when the water displacement prole is character­ized by a balanced enthalpy/entropy signature. Neu­tron diffraction has shown that the residual mobility of water molecules involved in ligand binding may differ from ligand to ligand, making the estimation of the water signature even more complex. An increase in binding afnity due to additional
-
H-bonds is not guaranteed. For the overall afnity con­tribution, an H-bond will only have asignicant effect if the interactions of the H-bonded groups in the pro­tein–ligand complex will be stronger than in the aqueous environment with the surrounding water molecules. In general, such an H-bond provides amuch stronger af­nity contribution when it is shielded from solvation and formed in adeep binding pocket. This is especially true when the binding partners carry aformal charge and charge-assisted H-bonds are formed. An optimal situation can be expected when the involved functional groups undergo apKa shift due to mutual polarization, transforming groups that were uncharged in aqueous solution prior to binding into charged groups in the protein binding pocket. This requires asophisticated adjustment of pKa values in the designed molecules.
On the other hand, burial of polar atoms without sat-
-
urating them with an H-bond almost always results in aloss of binding afnity. Ligand design must ensure that polar ligand atoms nd binding partners in the protein when they are no longer accessible to water in the formed protein–ligand complex.
Aligand almost always displaces water molecules during
-
protein binding. There are protein binding pockets that are designed in such away that they cannot be opti­mally solvated by water for geometric reasons. In these cases, aligand may be able to form more H-bonds to the protein than water molecules can. The binding afnity of such ligands can be very high.
However, hydrophobic binding pockets can also be
-
lled with very few or even no water molecules in the uncomplexed state. In such pockets, hydrophobic groups achieve very strong enthalpic binding.
Rigid, properly “pre-organized” ligands can bind more
-
tightly than exible ligands because the loss of inter-
. • Synopsis

nal degrees of freedom is less for rigid ligands. It is
important to note that the “pre-organized” geometry
must already be conformationally populated in aque-
ous solution prior to binding.
When aligand occupies binding sites that are open
-
to the solvent, its substituents can contribute to the
new surface of the formed protein–ligand complex.
If they allow the formation of an optimally structured
solvent shell with fused H-bonded rings of water mol-
ecules covering the ligand portions oriented towards
the outside of the protein pocket, the ligand will gain
binding afnity. In contrast, polar groups in this in-
terface region can disrupt the solvation pattern and
remain insufciently solvated themselves. This will
result in aloss of afnity.
Placement of atitratable functional group of aligand
-
in aprotein binding pocket can result in local pKa
shifts of several log units. Ideally, this leads to the for-
mation of a charge-assisted H-bond to the protein,
whereas this group is previously uncharged in the
aqueous medium or during membrane passage. Its
desolvation is more favorable, and the charge-assisted
H-bond formed improves afnity. Charge-assisted
H-bonds make agreater contribution to afnity when
formed in deep pockets shielded from solvent access.
By clever design, ligands in the complex can adopt
-
abinding geometry in which they shield their charge-as-
sisted H-bonds to the protein themselves from the sur-
rounding solvent. This can greatly increase afnity.
If two ligands that bind independently to the protein
-
can be successfully merged or fused into one molecule
without much perturbation of their binding modes,
astrong gain in afnity can be expected. Such con-
cepts can be applied especially in the early stages of
fragment-based lead discovery (Sect.7.9).
The relative contributions of changes in enthalpy and entropy to the binding afnity are of great importance. The combination of these terms results in ∆G which is the overall quantity that is optimized in adrug design project. This goal can be achieved by improving either the enthalpic or the entropic contribution. Ideally, both quantities are optimized simultaneously. However, this requires focusing on different parameters of the pro­tein–ligand interactions (Sect.8.8). An open question is whether a more enthalpically or entropically driven binding will provide advantages for the optimization of aparticular drug. The strategy to be pursued will depend on whether tolerance to rapidly emerging resistance mu­tations (Sects.24.5, 31.5, 32.5) is desired for the binding of the drug to be developed. In other cases, high target selectivity or broad binding promiscuity within aprotein family may be desired for an optimal therapeutic effect (Sects.25.6, 26.4, 27.5). Ultimately, these criteria deter­mine whether amore enthalpically or entropically driven binding is the better choice in agiven drug design project.

4.12 Synopsis

Emil Fisher introduced the “lock-and-key” principle
-
to describe the interaction of asmall-molecule sub­strate and amacromolecular receptor. More than 50years later, Koshland extended this picture by in­duced-t considerations that allow both binding part­ners to change conformations and mutually adapt to each other to optimally interact.
The cells are surrounded by alipid double-layer mem-
-
brane with polar head groups on the exterior and hydrophobic alkyl chains in the interior. This mem­brane is abarrier for polar substances, but sufciently lipophilic compounds can penetrate and even pass through the membrane.
The strength of protein–ligand interactions is mea-
-
sured by the binding constant, which quanties the stability of aprotein–ligand complex as adissociation constant according to the law of mass action for com­plex formation.
The binding constant is logarithmically related to the
-
change in Gibbs free energy of binding. The change in free energy is composed of an enthalpic and en­tropic contribution. The enthalpic part summarizes all terms that relate to the interaction energy of the binding partners. The entropic part considers the or­dering of the system and how its energy content is distributed over the degrees of freedom of the system.
Protein–ligand complexes usually form through non-
-
covalent interactions, predominantly through hydro­gen bonds. The strength of hydrogen bonds strongly depends on the distributions of charges among the interacting functional groups. Whether a group is charged or not depends on its protonation state, which is dened by the pKa value of the titratable groups involved in the protein–ligand interactions.
Depending on the local environment in a bind-
-
ing pocket, the pKa values of titratable groups can vary signicantly and can, by this, transform anor­mal H-bond into amuch stronger charge-assisted H-bond.
Hydrophobic interactions form through the close
-
proximity of nonpolar functional groups of the bind­ing partners. As direct interactions, they are rather weak. Nevertheless, they can afford asignicant con­tribution to binding afnity through the release of water molecules from either the lipophilic environ­ment of the binding pocket or from the ligand surface next to alipophilic surface patch.
The strength of protein–ligand interactions is
-
strongly inuenced by the water environment. Both the protein binding pocket and the ligand are solvated before complex formation and functional groups of the protein and ligand will form H-bonds to water molecules. The total balance of the hydrogen-bond
Chapter  • Protein–Ligand Interactions as the Basis for Drug Action
4
inventory before and after complex formation matters
for binding afnity considerations. Only if the num-
ber of newly formed hydrogen bonds in the complex
is increased in number and/or strength compared to
those previously formed in the bulk water phase will
anet afnity increase result.
The release of water molecules from hydrophobic sur-
-
faces can increase afnity by enthalpy and entropy.
Release of xed water molecules increases the de-
grees of freedom and boosts entropy. Replacement of
highly disordered water molecules into the bulk water
environment can contribute to an enthalpic gain.
Entropic contributions to binding arise from an in-
-
crease of the degrees of freedom of the protein–li-
gand–water system and, as arst approximation, cor-
relate with the size of the hydrophobic surface buried
in the formed complex.
At the end of complex formation, the ligand forms
-
anew surface with the protein which is solvated. If
optimal water networks can form around the exposed
parts of the ligand that participate in the shared sur-
face, the bound ligand gains additional afnity.
Correct rigidication (“pre-organization”) of aligand
-
into the conformation required at the binding site can
lead to asignicant increase in afnity for entropic
reasons. Importantly, however, the pre-organized
conformation must be populated in aqueous solution
prior to protein binding.
Change in free energy variations are observed over
-
a range of about 15–60 kJ/mol in protein–ligand
complexes. Variations in enthalpy (∆H) and entropy
(−T∆S) can be much larger. This results from exten-
sive enthalpy/entropy compensation. The entropy
increases if the number of degrees of freedom in the
system increases, previously xed water molecules will
be released from the binding pocket into the bulk wa-
ter phase, or ahigh residual mobility will remain in
the binding pocket. This usually has adetrimental
effect on an increase in enthalpy, since the formation
of strong interactions is then hardly possible in an
efcient manner.
The pronounced interdependence of enthalpy and
-
entropy along with dynamic versus interaction–geo-
metric phenomena causes simple additive rules about
standardized functional group contributions to fail. In-
stead pronounced cooperative effects are in operation.

Bibliography and Further Reading

General Literature
T. E. Creighton, Proteins: Structures and Molecular properties, 2nd
Ed., W.H. Freeman, New York (1992) P. R. Andrews, Drug-Receptor Interactions, in H. Kubinyi, Ed.,
3D-QSAR in Drug Design. Theory, Methods and Applications,
Escom, Leiden, pp. 13–40 (1993)
Ajay and M. Murko, Computational Methods to Predict Binding
Free Energy in Ligand-Receptor Complexes, J. Med. Chem., 38, 4953–4967(1995)
P. R. Andrews, D.J. Craik and J.L. Martin, Functional Group Con-
tributions to Drug-Receptor Interactions, J. Med. Chem., 27, 1648–1657 (1984)
I. D. Kuntz, K. Chen, K. A. Sharp and P.A. Kollman, The Maximal
Afnity of Ligands, Proc. Natl. Acad. Sci. USA, 96, 9997–10002 (1999)
J. E. Ladbury, Just add water! The effect of water on the specicity of
protein-ligand binding sites and its potential application to drug design, Chem. Biol., 3, 973–980 (1996)
H. J. Böhm and G. Klebe, What Can We Learn from Molecular Rec-
ognition in Protein–Ligand Complexes for the Design of New Drugs?, Angew. Chem It. Ed. Engl., 35, 2588–2614 (1996)
H. Gohlke and G. Klebe, Approaches to the Description and Predic-
tion of the Binding Afnity of Small-Molecule Ligands to Macro­molecular Receptors, Angew. Chem. It. Ed. Engl., 41, 2644–2676 (2002)
H.-J. Böhm and G. Schneider, Eds., Protein-Ligand Interactions. From
Molecular Recognition to Drug Design (Vol. 19, Methods and Principles in Medicinal Chemistry, R. Mannhold, H. Kubinyi and G. Folkers, Eds.), Wiley-VCH, Weinheim (2003)
S. G. Krimmer and G. Klebe, Thermodynamics of protein–ligand in-
teractions as a reference for computational analysis: how to assess accuracy, reliability and relevance of experimental data, J. Comput. Aided Mol. Des., 29, 867–883 (2015)
J. E. Ladbury, G. Klebe, E. Freire, Adding Calorimetric Data to De-
cision Making in Drug Development: A Hot Tip! Nat. Rev. Drug Discov., 9, 23–27 (2010)
G. Klebe, Applying thermodynamic proling in lead nding and opti-
mization, Nat. Rev. Drug Discov., 14 95–110 (2015)
G. Klebe, Broad-scale analysis of thermodynamic signatures in medic-
inal chemistry: Are enthalpy-favored binders the better develop­ment option? Drug Discov. Today, 24, 943–948 (2019)
Special Literature
P. Ehrlich, Chemotherapeutics: Scientic Principles, Methods and Re-
sults. Lancet, 182, 445–451 (1913)
F. W. Lichtenthaler, 100 Years “Schlüssel-Schloss-Prinzip”: What Made
Emil Fischer Use this Analogy? Angew. Chem. Int. Ed. Engl., 33, 2353–2543 (1995)
R. P. Mason, D. G. Rhodes and L. G. Herbette, Reevaluating Equilib-
rium and Kinetic Binding Parameters for Lipophilic Drugs Based on a Structural Model for Drug Interaction with Biological Mem­branes, J. Med. Chem., 34, 869–877 (1991)
D. E. Koshland, Application of a Theory of Enzyme Specicity to
Protein Synthesis, Proc. Natl. Acad. Sci. USA, 44, 98–104 (1958)
K. Ngo etal., Protein-Induced Change in Ligand Protonation during
Trypsin and Thrombin Binding: Hint on Differences in Selectivity Determinants of Both Proteins? J. Med. Chem., 63, 3274–3289 (2020)
J. Schiebel etal., Intriguing role of water in protein-ligand binding
studied by neutron crystallography on trypsin complexes, Nature Comm., 9, 3559 (2018)
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gand Binds Most Entropy-Favored: Intriguing Impact of Ligand Flexibility and Solvation on Drug-Kinase Binding, J. Med. Chem., 61, 5922–5933 (2018)
S. G. Krimmer, J. Cramer, etal., Rational Design of Thermodynamic
and Kinetic Binding Proles by Optimizing Surface Water Net­works Coating Protein-Bound Ligands. J. Med. Chem., 59, 10530– 10548 (2016)
S. G. Krimmer, etal. How Nothing Boosts Afnity: Hydrophobic Li-
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Pocket of Thermolysin,
1
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