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Ординатура / Хирургия / Библиотека им академика М.И. Перельмана / Книга_5884_Библиотеки_им_академика_М_И_Перельмана.pdf
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16 Computational Study of Conformational Changes in Nuclear Receptors... 471
enzalutamide is an AR competitive antagonist approved drug in 2009, patient resistance happens after months of treatment [53].
As mentioned earlier, EDCs are xenobiotic compounds interacting with NRs and by mimicking endogenous, causing a broad range of diseases. Epidemiological studies reported that exposure to xenoestrogens such as diethylstilbestrol (DES) during fetal development and exposure to dichlorodiphenyltrichloroethane (DDT) during puberty increases the risk of breast cancer [54]. Another study offers initial insight into the neural effects of human exposure to bisphenol (BPA). The results propose that when expectant mothers are exposed to BPA during prenatal stages, it may cause modications in the microstructure of white matter in preschool-aged children and these changes in white matter can mediate the connection between early-life exposure to BPA and the emergence of internalizing problems [55]. Sim­ilarly, a rising number of cancerous testicular or malformations of the male genital tract also could be attributed to exposure to EDCs [56]). A study has revealed the relationship between the level of plasma polychlorinated biphenyls (PCBs), a per­sistent and lipophilic aromatic chemical, and reduced semen quality, particularly reduced sperm motility [57].
Class II of NR has been also the target of therapeutics. Among them, PXR, CAR, and FXR and their heterodimerization partner RXR are of substantial interest and, therefore, introduced shortly in the next sections.
3 Computational Approaches to Evaluate NRs Protein
Dynamics
This chapter focuses on the protein dynamics induced by ligand binding and are not discussing purely ligand-based approaches used to understand NR-binding, such as machine learning and classical QSAR studies. Starting from the most classical structure-based approaches, molecular docking has been large ly used to study NRs (as reviewed by [45]). For more information about molecular docking approaches and their limitations, readers are referred to chapter (see Chap. 7). Despite the several advantages of docking, as a fast and rational method, this approach is unable to capture NRscharacteristic exibility and the role of explicit solvent [45, 5860]. In addition, multiple binding modes for congener ligands are not unheard of for NRs. Some examples, such as the nonanoic acid binding to PPARγ, even displ ay multiple binding modes for the same ligand [61]. This could be even further illustrated by PXRs or CARs large ligand binding pocket, which allows such freedom for ligand movement (see their respective sessions below).
These observations prompted us to hypothesize that small molecules or fragments (such as EDs and lipids) might adopt multip le binding modes suggesting that a single static model for the NR-ED interaction would be insufcient to accurately describe/ predict their outcomes. We identied this as an inherent limitation of the docking and subsequently proceeded with MD simulations (please, see Chap. 8 for more
472 A. Rashidian et al.
methodological details) to assess the ligand stability within NRsLBP, besides capturing the NRs conformational dynamic, in many of the illustrative examples below.
In this sense, MD simulations are a relevant and underused tool to elucidate NR conformational rearrangement upon ligand binding and can also be used to discover the ligand entry/exit pathways [62, 63 ]. Historically, steered MD simulations were used to identify two distinct pathways on the retinoic acid recept or (150 ns), one for ligand binding and another for unbinding [64]. In addition, random expulsion MDs suggested that the retinoic acid may exit the binding site through exible regions close to the H1–H3 loop and β-sheets, without displacing H12 from its agonist position [65]. It is important to highlight that both studies applied forces to propel the ligand outside the pocket, even if the selection of the expulsion was unbiased. The lack of a signicant number of replicas suggests that even more interesting confor­mational changes could be observed in a modern setup.
Despite that, their observation is consistent with recent crystal structures where the end of H1 and H2 can assume a highly exible loop-like folding in some receptors. Consistently, studies performed on TR- and ER-LBDs indicated that ligand unbinding does not require the H12 displacement [66, 67]. Up to four different unbinding routes were identied on ER-LBD, with half relying on the H12 dislocation and the other half on the H8 and H11 separation , with this last being potentially inuenced by dimerization [66, 67].
A large range of structures cocrystalized with (partial-) agonists and antagonists are available for some NRs [6871] highlighting changes in the H12 position. However, other receptors lack such diversity. The work from Alvarez et al. [72]in GR aimed to ll this structural gap by exploring the correlation between ligand identity and GRs H12 behavior using (steered and classical) MD simulations. They generated relevant GR-LBD models in the so-called agonist and nonagonist states, simulating those systems in the presence of an agonist (dexamethasone) or an antagonist ligand (RU-486), in a combinatorial fashion. Their description of the H12 as a dynamic ensemble of conformations is inuenced by the interacting ligand. On one hand, simulations of GR-dexamethasone display a deep minimum potential energy surface favoring specic conformation. On the other hand, RU-486 bound systems would favor a wider H12 conformational amplitude, consistent with a atter potential landscape.
Additionally, their steered dynamics trajectories on GR [72] oriented by the Cαs RMSD of H3, H11, and H12 as collective variables, showed conserved secondary structure elements changing conformation among themselves without deformation. Interestingly, the high-resolution structure of progesterone receptor (PR) complexed with RU-486 shows high exibility of the H12 [73], but not full displacement. Given the crystallization procedure, starting from an agonist-bound starting structure that was later soaked with RU-486, one can postulate that the antagonist binding is a dynamic equilibrium process.
Of note, H12 of several LBDs are described as a stable but exible helix in the apostate, which could be located away from the LBDs helix bundle [74, 75]. How­ever, time-resolved
uorescence anisotropy experiments showed that, despite H12
16 Computational Study of Conformational Changes in Nuclear Receptors... 473
exibility and conformation diversity, the LBD retained its globularity in the apostate [76].
3.1 Retinoid X Receptor and the Role of Allosteric in the NRs
Dynamics
Retinoid X receptor (RXR) is a type II NRs and forms heterodimers with approx­imately one-third of the other NRs [77]. In humans there are three isoforms of RXR; α, mainly found in the liver, kidney, and intestine; β, found in most human tissue; and γ, which mainly exists in the brain and muscles [78]. Malfunctioning of these isoforms has been linked to various health issues [11, 7981].
RXR activati on can be categorized into two groups: permissive and nonpermissive heterodimer. In the permissive heterodimers [82], activation can be induced by binding the agonist to either RXR or NR partner or both receptors. Examples of this group are RXR/FXR, RXR/LXR and RXR/PPAR. In the case of the nonpermissive heterodimer, only agonist binding to the RXR partn er triggers activation, but RXR can still bind to the agonist, releasing the corepressor and recruiting coactivator. Examples of this are RXR/TR and RXR/VDR. In this case, RXR can also bind to the agonist and lead to synergistic action in the presence of a heterodimer ligand [82, 83].
The main small molecule compound binding to RXR is 9-cis -Retinoic acid (9cRA). It belongs to a retinoid family and has a critical role in cell growth, development, differentiation, and apoptosis. Other RXR ligands are 9cRA-related compounds and indenoisoquinolines. Remarkably, the work from Bexarotene and Diarylamines [25] employed X-ray crystallography to describe the PPARγ and RXRα structure. They explained how these two receptors interact with DNA, highlighting the inuence of DNA in governing the interaction between the two receptor domains through specic rearrangements. They also revealed the coopera­tive nature of multiple domains of PPARs, which can modulate the properties of the PPARγ-RXRα complex. In this complex, the LBD of PPARγ tightly couples with RXRα domains. Accordingly, the conformational change induces a reposition of receptor domains responsible for DNA binding and optimizing their contact with DNA. They also examined the dynamic properties of structures using amide hydro­gen/deuterium exchange mass spectrometry (H/D-Ex). The result revealed that the helices H10/H11, involved in LBD-LBD heterodimerization, adopt a slightly shifted/curved conformation when the protein is contacted with DNA, facilitating optimal contact of the receptor with DNA [25].
3
3
474 A. Rashidian et al.
3.2 Pregnane X Receptors Dynamic Pocket Allows Binding
of Diverse Ligand Sets
Pregnane X receptor (PXR), also known as the steroid and xenobiotic sensing nuclear receptor (SXR) [84], is encoded by the NR1I2 (nuclear receptor subfamily1, group1, member 2) gene on chromosome 3 [85, 86]. PXR heter odimerizes with RXRα, β and γ (NR2B1–3) [8789] at H10/H11 region. Additionally, the PXR-LBD demonstrates a distinctive characteristic by homodimerizing at its β1interface. Homodimerization occurs through the conserved Trp223 and Tyr225 residues in each monomer (Fig. 16.3)[90]. These amino acid residues involved in the interface exhibit high conservation among various species, including humans, rhesus mon­keys, rabbits, mice, rats, pigs, and dogs. However, in the canine PXR, Trp223 is replaced by Gln223 [90]. Noble et al. (2006) showed mutation of Trp223 and Tyr225 does not interfere with DNA, RXR, or ligand binding, rather it disrupts the homodimerization, reducing the recruitment of the coactivator SRC-1 and transcrip­tional activity [90].
When an agonist ligand binds to the PXR-RXRα heterodimer in the nucleus, it promotes coactivator binding and release of corepressor from AF-2 [92]. Subse­quently, this activated PXR complex induces the expression of the target gene. PXR structure, like other NRs, has a large hydrophobic LBD. The primary PXR isoform is composed of 434 amino acids, featuring a notable hydrophobic triad consisting of F288, W299, and Y306. Unlike other nuclear receptors (NRs), the PXR-LBD lacks the typical stable H2and H6 helices. Crystallographic structural data clearly illustrate the lack of stability in the H2region, which appears disordered in all publicly accessible PXR structures. These characteristics result in a more expansive and exible LBD for PXR, distinguishing it from other NRs [9395]. Consequently, the PXR-LBD can accommodate a diverse range of ligands. Presently, the Protein Data Bank (https://www.ebi.ac.uk/pdbe/, accessed on November 2023) repository contains 52 cryst al structures of human PXR in its active mode, complexed with the
αAF-2
α6
sheets
W22
Y225
Fig. 16.3 Crystal structure of PXR homodimer. The amino acids Trp223 and Tyr225, located on
β1, mediate the homodimerization. The interface is shown in pink. PDB ID: 1NRL [91]
coactivator
Y225
W22
β sheets
α11
α10/
α3
16 Computational Study of Conformational Changes in Nuclear Receptors... 475
coactivator protein SRC1. Among these structures, 44 exist in a homodimer assem­bly, while 8 are available in heterodimer form.
PXR is a ligand-dependent transcriptional factor involved in small molecule metabolism and regulation of diverse cellular processes including bile acid metab­olism, glucose homeostasis, cell proliferation as well and inamma tion. PXR mostly exist in the liver and intestine. It regulates the gene expression of enzymes and transporters that are responsible for the different pathways of endogenous and xenobiotic pharmacokinetics including absorption, distribution, metabolism, and excretion (ADME). Gene targets of PXR are cytochrome P450 genes (CYP2B, CYP2C, CYP3A) and efux and uptake transporters of the ATP-binding cassette [9699]. Besides endogeno us ligands, PXR is activated by a broad number of diverse small molecules, including drugs, environmental pollutants, and natural products. These various functions make PXR a potential therapeutic candidate. However, the activation of PXR can induce intestinal and hepatic rst-pass metab­olism and drug efux transport [100] which in turn may lead to drug–drug interac­tions (DDI), adverse drug reactions or therapeutic failure of drugs [101103]. To exemplify, one can consider the report about the reduced effect of rifampicin on midazolam or contraceptives due to the increased expression of CYP3A4 when these medicines are coadministrated [104], or isavuconazonium which activates the expression of CYP2B6 through PXR-mediated induction and decrease the exposure of bupropion [96 , 105]. These observations raised the interest in designing PXR antagonists along with the attempt to limit the activation of PXR in the presence of xenobiotics. As of 2002, several azolecompounds have been identied as PXR inhibitors, such as ketoconazole, enilconazole, FLB-12, and SPA70, although it is less known about the structural trigger of PXR-bound antagonists.
For instance, SPA70 and SJB7 are close analogues [106] where SPA70 act as an antagonist of PXR but SJB7 is a PXR agonist which highlights the promiscuity of PXR-LBD. Several approaches from experiment al methods to computational tech­niques such as pharmacophore, quantitative structural-activity relationship (QSAR), machine learning (please see Chaps. 4 and 6, respectively), and structure-based methods have been utilized to investigate PXR activation upon ligand binding [96]. Notably, due to the lack of crystal structures of PXR in complexes with antagonist ligands, likely attributed to the complexity and high exibility of the system, computational studies play a crucial role in unraveling the conformational dynamics of the PXR-antagonist complex.
For a more thorough dissuasion regarding the capability of MD simulations in capturing the dynamic of NRs, we refer to the study conducted by Chandran et al [107] They studied the dynamic behavior of PXR-LBD apo structure comparing it to the agonist-bound state, through short MD simulations that last for 100 ns [107]. Although their short simulations would not allow sidechain and loop reorga­nization, yet, it was able to identify several conformational states for apo PXR-LBD showing different pockets volume, while with agonist binding (SR12813), the compound restricted both LBD conformation and binding pockets size and shape. Alternatively, Motta et al. employed a different strategy by sim ulating the entry of SR12813 into PXRs LBP utilizing the MD-binding method. Their result suggested
476 A. Rashidian et al.
that the ligand accessed the LBP through a channel between H2 and H6 helices [62]. To enhance the sample of the SR12813-bond conformations, they utilized scaled MD simulations with a total of 2 μs). Remarkably, their nding conrmed that the SR12813 binding mode observed in the crystal structure (PDB ID: 1NRL [93]) is indeed the most stable through simulations.
In a comparative study, Huber et al. performed 200 ns MD simulations of wild­type PXR-LBD and Trp299Ala mutant, without ligand and with TO90131713 (agonist), SPA70, and SJB7 [108]. They suggested that the extra space conferred by the Trp299Ala is the reason for the observed antagonist-to-agonist switch with this mutant for SPA70. This extra space lets SPA70 reside deeper in the pocket, preventing the αAF-2 dislocation and maintaining PXR active. In our work [109], we used MD simulations starting from a PXR-apo structure, which has a similar conformation with an agonist complex (SR12813, PDB ID: 1NRL). The long MD calculations could decipher ligand-specicinfluence on conformations of different PXR-LBD regions and could also be useful to guide how to alleviate PXR agonism. Interestingly, even if star ting with the same conformation, long MDs can discrim­inate the dynamic behavior of the agonist versus the antagonist.
More recently, our group employed an in silico screen and experimental cellular reporter assay to identify small molecule kinase inhibitors from an in-house com­pound library, the Tübingen kinase inhibitor collection (TüKIC) compound library, which act also as a PXR inhibitor. In the experimental work [110] we describe the identication of the C-100 compound and the biochemical binding and cellular protein interacti on assays which categorize the novel compounds as mixed compet­itive/noncompetitive, passive antagonists by disrupting PXR coregulatory binding [110]. This work was supported by structure-based virtual screening and molecular dynamics (MD) simulations which reveal the ligand-specic conformational rearrangements of PXR-LBD including H6 region, αAF-2, H1–H2, β1′–H3 and β1–β1loop [109] (Fig. 16.4).
PXR-LBDs exibility and promiscuity enable it to bind to a wide range of ligands with different sizes and shapes. However, no considerable changes in interaction patterns are associ ated with PXR conformational rearrangement. Ngan et al. (2009) investigated the structural foundations of PXRs promiscuity using computational solvent mapping [111], specically, they used servers such as FTMap to dock small molecule probe fragments, which were followed by binding energy calculation. This technique is designed to identify and characterize hot spot regions within protein binding sites, those regions represent relevant residues/surface regions that play a pivotal role in determining the binding free energy. Their result shows that one of the most important regions for binding the different PXR ligands is the hydrophobic cage (Fig. 16.5b). This subpocket is formed by a triad of Phe288, Trp299 and Tyr306 where pi–pi interaction and edge-to-face interaction are observed for ligand stability. In addition, the polar residues His407, Gln285, Ser247, and Thr248 form hydrogen to bind with ligands either directly or mediated with a water molecule [109]. Phe429, which is located on H11, and αAF-2 known as the hydrophobic side participating in ligand binding [111]. However, the study conducted by Delfosse et al. (2021) on the synergistic activation of the endocrine
t
αAαA
F-F-22
16 Computational Study of Conformational Changes in Nuclear Receptors... 477
A
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β1-β1'
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PXR agonist­binding conformation
B
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Shift in conformational dynamics
β1-β1' loop
AntagonistAgonist
β1-β1' loop
PXR antagonist­binding conformation
α6 region
α2'
α6
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PXR-Ag
PXR-AntAg
-An
Fig. 16.4 Ligand binding effect on PXR-LBD conformation. (a) Agonist-bound and antagonist­bound PXR-LBD conformation. MD simulations revealed the shifts in PXR-LBD conformational dynamics. The PXR-LBD regions undergoing the most extensive conformation are labeled. (b) Markov state modeling result for the PXR-LBD bound to compound 100. The subregions with extensive motions are shown individually, with a reference conformation from an agonist-bound crystal structure (PDB ID: 1NRL) in transparent illustrated as follows: H1–H2loop, grey dashed line; β–β1loop, white; H6 region, transparent light green located in the vicinity of H2(white helix); β1′–H3 loop, transparent dark green; αAF-2, transparent dark brown located in the vicinity of H3-helix (cyan helix). (For interpretation of the references to color in this gure legend, refer to Fig. 16.3, modied from [109])
PXR-Ag
PXR-AntAg
PXR-AntAg
PXR-Ag
PXR­AntAg
α3
PXR-Ag
disruptor mixtures on PXR-RXR heterodimer revealed that the PXR activation does not necessarily occur due to the engagem ent of AF-2 region in ligand binding [87]. Moreover, our in silico study also provided insight into the interaction prole of PXR-LBD bound to full agonist and our identied competitive antagonist con­sistent with the already known interacting subregion of PXR-LBD for agonis t. However, in the presence of an antagonist our MD simulations revealed that His407 is not directly involved with Ligand binding rather it preferred to be engaged with His404 through H-bond which might be one of the local triggers for inducing PXR-LBD conformational rearrangement [109].
Our studies provided insight into which conformational behavior of PXR-LBD can promote PXR antagonism. The discovery of drugs that can simultaneously inhibit both PXR and protein kinases could offer new possibilities in cancer treat­ment and the possibility of dual PXR, and kinase inhibitors could be benecial in cancer treatment. and h elp overcome drug resistance.
478 A. Rashidian et al.
PXR-LBD
6
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β1
Homodimerization
interface
α
1
α
α
3
α
10/11
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5
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H407
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8
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M243
Q285
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T248
L411
F281
M425
F251
T422
F429
coactivator
Fig. 16.5 Representative snapshot of the PXR-LBD displaying binding mode. The binding pocket is enclosed in a black rectangular box. Residues participating in binding are labeled. Hydrophobic subpacket surrounded by dashed circle. The ligand is shown in an obscured yellow surface. H3, H10/11, α-AF2 and Homodimerization interface colored in cyan, light brown, dark brown, and pink color, respectively. (Modied from [109])
Most known ligands bind to orthosteric PXR-LBP; however, allosteric sites can be an alternative region for the PXR modulator’s accommodation [112114]. Allo­steric sites are distant from orthosteric sites and accommodate structurally different ligands. So far, 202 allosteric modulators have been reported for nuclear receptors [115]. The proposed allosteric ligand binding sites are the AF-1 site, zinc ngers and response elements, LBP (synergistic effect), the AF-2 site, and the binding function 3 (BF-3 site) [115, 116]. The BF-3 region was originally described in the androgen receptor and is a hydrophobic cleft composed of the H1, the L:H3–H5 loop, and H9. Despite their amino acid and conformation conser vation, no ligands were found to bind in the PXR equivalent.
An example of an allosteric ligand binding pocket is reported by Delfosse et al. (2021) where the simultaneous binding of 17-α -ethinylestradiol (EE2) and transnanochlor (TNC) enhanced the CYP3A4 induction higher than the single binding of either of compounds when compared to potent agonist SR12813 [87]. Ketoconazole [117] is an example of a modulator binding to AF-2 and acts as a PXR inhibitor. To name, uconazole, enilconazole, pazopanib [103], metformin and leunomide [118], FLB-12 [117, 119], coumestrol [120, 121], sulforaphane [122], and campthotecin [123] are other AF-2 modulators.
In summary, while the adaptability of PXR-LBD has evolve d to safeguard humans from environmental factors through its involvement in xenobiotic metabo­lism, this characteristic poses challenges in certa in treatments, contributing to issues such as drug–drug interactions, and adverse and drug resistance. Advancements in computational technology, coupled with in vitro validation, can enhance the study of PXR and provide valuable insights.
16 Computational Study of Conformational Changes in Nuclear Receptors... 479
3.3 Constitutive Androstane Receptor and the Structural
Features for Constitutive Activity
Constitutive Androstane Receptor (CAR), encoded by the NR1I3 (nuclear receptor subfamily1, group1, member 3) gene belongs to class II NRs. CAR is predominantly expressed in the intestine and liver, [124, 125 ] heterodimerized with RXRα, β, γ (NR2B1–3), and like PXR plays a critical role in regulating genes involved in exogenous and endogenous metabolism. Alternative splicing generates multiple CAR isoforms in humans and other primates, but not in rodents [126, 127]. This mechanism, however, is not yet fully understood. Around 50% of transcripts encode the wild-type CAR1 that displays high basal activity, CAR2 and CAR3 isoforms (Fig. 16.6a–c) demonstrate ~10% and ~40%, respectively with low constitutive activity, likely due to their reduced interaction with RXR which results in weaker binding to DNA and coactivators [128, 129].
The unique feature of CAR is its constitutive activation, distinguishing it from other nuclear receptors. Unlike other NRs, CAR does not require ligand binding for its transcriptional activity although ligand binding can modulate CAR activity as an agonist or inverse agonist. It can bind to a vast number of chemical compounds [130] and regulates multiple genes involved in xenobiotic detoxication, which might overlap with or be distinctive from PXR targe t genes.
CAR is primarily localized in the cytoplasm and forms a complex with heat shock proteins [131]. The majority of CAR ligands act as direct activators, such as 6-(4Chlorophenyl)imidazo[2,1-b][1,3]thiazole-5-carbaldehyde-O­(3,4-dichlorobenzyl) oxime (CITCO) [132] in human and TCPOBOP [133]in mouse. On the other hand, synthetic compounds like phenobarbital and acetamino­phen, as well as endogenous compound bilirubin, are examples of indirect CAR activators. It has been proposed that the Epidermal growth factor receptor (EGFR) signaling pathway is inhibited by phenobarbital, therefore acting as a repressor, leading to the dephosphoryl ation of CAR at Thr38 within the cytoplasm, which enables its translocation to the nucleus [17, 18]. Flavonoids have been reported to function as both direct and indirect activators depending on cellular context [134]. Androstane metabolite, PK11195 [135], TO901317 [136] and S07662 [137, 138] are examples of CAR inverse agonists (Fig. 16.6d). Inverse agonists can reduce the basal constitutive activity of CAR, acting as inhibitors/repressors. Moreover, certain CAR activators, such as phthalates, antivirals, and artemisinin derivatives display some isoform selectivity [128, 129, 139141]. In the nucleus, CAR plays a constitutive regulatory role in target genes, including CAR-preferentially responsive gene CYP2B6. To achieve this, CAR interacts with specic DNA motifs DR3, DR4, DR5, ER6, and ER8, located in the enhancer and promotor region of target genes [142].
Another feature of CAR, as a member of NRs, is its permissive activity when complexed with RXR. Several studies [137, 143, 144] have reported the synergistic and additive effect of multiple xenobiotic compounds. Dauwe et al. (2023) conducted their in vivo study with several pesticides
recognized as ligands of
480 A. Rashidian et al.
AB
α6
α7
α3
α2
αX
α5
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CAR1 CAR2
α11
α10/
αAF-2
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α9
L:α6-α7
SPTV
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α11
α10/
AF-2
α
α8
α4
α6
α3
α2
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α4
α1
D
Cl
Cl
Cl
CITCO
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H N
O
S07662
H N
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TO901317
F
OH
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F F
clotrimazole
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α2
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α3
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α5
α1
Cl
N
N
O
PK 11195
Cl
α11
α10/
L:α8-α9
αAF-2
APYLT
α8
α9
α4
Fig. 16.6 Structural overview of the CAR-ligand binding domains. (a) Featuring the CAR1-ligand binding domain (CAR1-LBD) (b) in CAR2-LBD and (c) CAR3-LBD. The insertion loops are highlighted within a grey circle (SPTV, L: H6–H7) for CAR2-LBD and in a blue circle (APYLT, L: H8–H9) for CAR3-LBD. Various regions of interest, including H3, H5, β-sheets, H10/H11, αX­helix, and αAF-2 (α12) are visualized with distinct colors for clarity. (d) The small molecule CAR ligands
CAR and Tri-butyl-tin (TBT) served the role of an RXR agonist. In mice subjects, the concurrent administration of dieldrin (pesticide) and TBT prompted a synergistic activation of CAR. Furthermore, combined effects were observed with propiconazole, bisphenol, boscalid, and bupirimate [145].
An initial study [146] aimed to identify the conformational rearrangement of CAR-LBP upon agonist binding by implementing short MD simulations (50 ns). Their ndings indicated that the activation helix retains its active conformation even in the ligands absence, through van der Waals interactions and hydrogen bonds. Additionally, their study revealed signicant conformational changes within the