Protein Science (2004), 13:1108-1123.
Published by Cold Spring Harbor Laboratory Press. Copyright © 2004 The Protein Society
HIV-1 protease molecular dynamics of a wild-type and of the V82F/I84V mutant: Possible contributions to drug resistance and a potential new target site for drugs
Alexander L. Perryman1,2,
Jung-Hsin Lin4 and
J. Andrew McCammon1,3
1 Howard Hughes Medical Institute,
2 Department of Pharmacology, and
3 Department of Chemistry and Biochemistry, University of California at San Diego, La Jolla, California 92093-0365, USA
4 School of Pharmacy, National Taiwan University, Taipei, Taiwan
Reprint requests to: Alexander L. Perryman, University of California at San Diego, 9500 Gilman Drive, La Jolla, CA 92093-0365, USA; e-mail: aperryma{at}mccammon.ucsd.edu; fax: (858) 534-7042.
(RECEIVED October 1, 2003;
FINAL REVISION December 15, 2003;
ACCEPTED December 16, 2003)
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Abstract
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The protease from type 1 human immunodeficiency virus (HIV-1) is a critical drug target against which many therapeutically useful inhibitors have been developed; however, the set of viral strains in the population has been shifting to become more drug-resistant. Because indirect effects are contributing to drug resistance, an examination of the dynamic structures of a wild-type and a mutant could be insightful. Consequently, this study examined structural properties sampled during 22 nsec, all atom molecular dynamics (MD) simulations (in explicit water) of both a wild-type and the drug-resistant V82F/I84V mutant of HIV-1 protease. The V82F/I84V mutation significantly decreases the binding affinity of all HIV-1 protease inhibitors currently used clinically. Simulations have shown that the curling of the tips of the active site flaps immediately results in flap opening. In the 22-nsec MD simulations presented here, more frequent and more rapid curling of the mutants active site flap tips was observed. The mutant proteases flaps also opened farther than the wild-types flaps did and displayed more flexibility. This suggests that the effect of the mutations on the equilibrium between the semiopen and closed conformations could be one aspect of the mechanism of drug resistance for this mutant. In addition, correlated fluctuations in the active site and periphery were noted that point to a possible binding site for allosteric inhibitors.
Keywords: HIV-1 protease; V82F/I84V drug-resistant mutant; molecular dynamics; structure-based drug design; protein flexibility; ensemble of conformations; allosteric inhibitor; drug resistance
Supplemental material: See www.proteinscience.org
Article and publication are at http://www.proteinscience.org/cgi/doi/10.1110/ps.03468904.
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Introduction
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The development of resistance to the different drugs administered in the Highly Active Anti-Retroviral Therapy (HAART) cocktails is an ever-escalating problem. In a study of strains isolated from patients recently infected with HIV, the frequency of high-level resistance to one drug increased from 3.4% (19951998) to 12.4% (19992000), P = 0.002, and the frequency of resistance to multiple different drugs increased from 1.1% to 6.2% during those same few years, P = 0.01 (Little et al. 2002). Thus, the protease inhibitors currently available are becoming less effective, because the entire pool of viral strains within the United States is shifting to a more drug-resistant state.
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Importance of flap dynamics
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Examination of different ligand-bound conformations of HIV protease suggests that some mutations alter the equilibrium between the closed and open conformations of the protease (Rose et al. 1998). These differences, in turn, may alter the dissociation rates and affinities of drugs (Rose et al. 1998). Here, simulation data are presented that suggest that the V82F/I84V double mutation could be shifting that equilibrium between closed and semiopen forms in a manner that causes the mutant to favor the semiopen conformations more than the wild type prefers them.
There are published data indicating that certain active-site mutations affect the dynamics of conformational changes, causing the decreases in drug binding affinity. Kinetic experiments show that the decreased affinity of drugs for the L90M, G48V, and L90M/G48V mutants is caused by an increase in dissociation rates, which is due to increases in the flap opening rates, decreases in the flap closing rates, or both (Maschera et al. 1996). The association rates for the wild type and for those mutants were not significantly different (Maschera et al. 1996). MD simulations of a wild type and of an M46I mutant for 11 nsec performed by Rothlisbergers group (Piana et al. 2002b) indicated that although M46I does not significantly affect the global, average structure, it does induce subtle differences in the dynamics; specifically, M46I stabilized the flaps in the closed conformation. Previous MD simulations from Ericksons group (Collins et al. 1995) produced a similar conclusion: M46I increases the stability of the conformation with closed flaps, which decreases the flexibility of the flaps. Webers group, which crystallized several different mutants of HIV-1 protease with different peptide inhibitor analogs and also performed kinetic studies, reported that the K45I mutant has lower B-factors than the wild type, it has decreased mobility in its flaps (particularly residues 4252) compared to the wild type, and it has increased activity (Mahalingam et al. 2001, 2002).
Further support for the importance of flap dynamics comes from NMR studies (Katoh et al. 2003), which suggested that the particular composition of the flap residues has little impact on substrate specificity, because most of the flap residues do not have unique interactions with the peptide/peptidomimetic substrates. This idea is supported by the fact that mutational studies involving the flap residues tend to produce mutants with near wild-type specificity (Katoh et al. 2003). If the particular sequence of most of the flap residues is not the major determinant of specificity, then this implies that flap dynamics could be a possible source of the specificity that surely does exist. NMR studies also suggest that association of substrates is controlled by a rare event, such as opening of the flaps (Katoh et al. 2003). Similarly, dissociation of products or release of the inhibitor would probably be significantly affected by the rate of flap opening as well. Thus, flap dynamics are likely involved in regulating both the association rates and the dissociation rates, both of which modulate the binding affinity of drugs.
Flap dynamics is also involved in the enzymatic mechanism itself. Ab initio quantum chemical calculations (i.e., ab initio MD) and classical MD simulations of the HIV-1 protease complex (Piana et al. 2002a) indicated that the activation free energy barrier of the enzymatic reaction is highly sensitive to the distance between the substrate and the catalytic aspartates, which is controlled by the flap dynamics. Similarly, conventional MD simulations (Piana et al. 2002b) indicated that the motion of the substrate towards the catalytic aspartates is tightly coupled to dynamics of the flap tips. Thus, the proteins structural dynamics includes the initial opening of the flaps that allows the substrate/drug to access the active site, the closing of the flaps and the positioning of the substrate to make the enzyme catalytically competent, and the subsequent reopening of the flaps that allows the products or inhibitor to escape the active site. Mutations could perturb any of these critical events in the enzymes catalytic cycle.
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Extent of flap motion possible on the nanosecond time scale
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The simulations from Schiffers group showed complete flap opening (starting with the semiopen conformation and reaching the fully open form) after 3 nsec of conventional, solvated MD on the apo protease (Scott and Schiffer 2000). A previous simulation performed by Ericksons group showed flap opening (from the closed to the semiopen conformation) within 140 psec, but in this case, the dynamics were perturbed by external forces that drove the protease core from a conformation seen in a closed structure to one seen in a semiopen structure (Collins et al. 1995).
NMR data from Torchias group indicate that the transition from the semiopen to the open conformation of the apo HIV-1 protease occurs on the 100-µsec time scale (Ishima et al. 1999). However, it was also observed that for the apo protease, the conformations with the semiopen flaps are the predominant form (Ishima et al. 1999), which is an observation supported by all NMR and crystallographic studies of apo HIV-1 protease. NMR and crystal structures of ligand-bound HIV-1 protease always produce the closed conformation. In addition, umbrella sampling MD calculations confirm that for apo protease the semiopen conformation is more stable than the closed conformation, due to differences in the entropy of the flap residues (Rick et al. 1998). The above data indicate that when HIV-1 protease is not bound by a ligand, it favors the semiopen conformation; thus, the transition from the semiopen form of apo protease to the fully open form of apo protease is at least a slightly unfavorable and rare occurrence that likely occurs in vitro on the microsecond time scale. By chance and/or because of features of the GROMOS force field, the flaps opened from the semiopen form to a fully open conformation during a published simulation of 10 nsec of conventional MD (Scott and Schiffer 2000). Torchias NMR studies indicated that fluctuations of the F53 ring are likely coupled to the motion of the entire flap backbone (Ishima et al. 1999). In the umbrella sampling MD calculations performed by Burts group, extensive flexibility was observed for the flap tip residues, and it was shown that the flaps tips curl in (residues 4852 undergo large changes in their
and
torsion values and fold back onto themselves to give a bent L structure) before they open (Rick et al. 1998). The notion of the curling behavior of the flap tips is consistent with the NMR data from Torchias group (Freedberg et al. 2002), which indicated that significant motion of the flap tip residues 4953 does occur on a subnanosecond time scale.
Although the transition from the semiopen form of the apo protease to the fully open form appears to be a somewhat unfavorable and rare event, the structural transition from the closed conformation of the apo protease to the semiopen conformation is quite favorable and should be expected to occur very rapidly. The simulations presented here began with the coordinates of the closed conformations of HIV-1 protease:inhibitor complexes. The inhibitors were deleted and then replaced with water before these MD simulations were initiated, and, as expected, large flap motions were observed. Most published simulations were performed on either the closed complex of HIV-1 protease still bound to a substrate/inhibitor (with very little flap motion during the simulations) or on the semiopen conformation of the apo protease (with substantial flap motion). One short simulation (400 psec, in pseudo vacuum) utilized an approach similar to the one presented here (Zoete et al. 2002). In that simulation (which was part of an exhaustive collection of many different MD simulations of HIV protease that were then used for normal mode analyses), the authors took the coordinates of an HIV-1 protease complex, deleted the inhibitor, and then performed MD on the closed conformation of the apo protease (Zoete et al. 2002). Their analyses (Zoete et al. 2002) indicated that the dynamic motion of the flaps was facilitated by deleting the ligand prior to initiating the MD simulation.
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The significance of the curling of the flap tips
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The early "activated" MD simulations by Burts group (in which the flaps opened from the closed conformation to the semiopen conformation; Rick et al. 1998) and the recent conventional MD simulations by Schiffers group (in which the flaps opened from the semiopen conformation to the fully open form; Scott and Schiffer 2000) both displayed curling behavior of the tips of the active site flaps (residues G48G49I50G51G52), and both studies indicated that the curling of the flap tips preceded flap opening. Scott and Schiffer (2000) stated that after 3 nsec of the MD simulation, the curling of the tips of the active site flaps quickly resulted in the flaps opening up to the fully open conformation (i.e., the curling behavior of the flap tips facilitated opening of the entire flaps from the semiopen form to a distance large enough to allow substrates to access the active site).
Such motions of the flap tip residues are consistent with NMR data. Torchias group observed rapid motion on a << 10 nsec time scale for residues G49, I50, G51, and G52 (Ishima et al. 1999). In more recent NMR experiments, it was shown that the flap tip residues 4953 experience significant subnanosecond time scale motion (Freedberg et al. 2002). Torchias group also noticed that fluctuations of F53 are likely coupled to motion of the entire flap backbone (Ishima et al. 1999). Thus, NMR studies indicate both that flap tip motion does actually occur in vitro on a subnanosecond time scale, and that the motion of the flap tip is likely coupled to motion of the entire flap backbone.
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The importance of studying the V82F/I84V double mutant
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The V82F/I84V double mutation impedes the binding of all of the inhibitors currently used clinically (including Amprenavir) by making the inhibitors affinity for the mutant from 11-fold to 2000-fold worse than its affinity for the wild-type HIV-1 protease (Ala et al. 1997; Klabe et al. 1998; Ohtaka et al. 2002). For example, the V82F/I84V double mutant has a 700-fold increase in Ki for ritonavir, a 79-fold increase in Ki for indinavir, an 86-fold increase in Ki for nelfinavir, and a 1000-fold increase in Ki for DMP323 and DMP450 (Ala et al. 1997; Klabe et al. 1998). Even though the V82F/I84V mutation has a large effect on drug binding affinity, the structures of the backbones of the wild type (1KZK
[PDB]
.pdb; Reiling et al. 2002) and of the mutant (1D4S
[PDB]
.pdb; Thaisrivongs et al. 1996) are nearly identical (the RMSD between all backbone atoms of the crystal structures = 0.76 Å; see Fig. 1
). Because the V82F/I84V double mutation deleteriously affects the affinities of all of the clinically used HIV-1 protease active site inhibitors (which includes inhibitors of several different classes), this suggests that the V82F/I84V mutant is likely displaying some of the indirect effects that are involved in drug resistance, which makes this a good system to study when trying to learn about those effects. (Note: If residue B has a hydrogen bond with a drug, that is an example of a direct effect on the drug; however, if residue X has interactions that affect the position of that residue B, then residue X has an indirect effect on the drug.)

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Figure 1. Topology of HIV protease: The mutant side chains 82F and 84V are displayed in red stick mode, while all other side chains are not displayed. The cyan ribbon depicts the backbone of the mutant 1D4S
[PDB]
.pdb, while the purple ribbon displays the backbone of the wild-type 1KZK
[PDB]
.pdb (backbone RMSD = 0.76 Å). A possible new convention for the terminology of the topology of HIV protease is proposed that involves the following: Flap (4358), Ear (3542), Cheek (Cheek Turn = 1122 and Cheek Sheet = 5975), Eye (2330), and Nose (610). Unlike the current convention, this new terminology is independent of any particular hypothesis of the mechanism of flap motion.
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The current convention for the terminology of the topology of HIV protease is heavily based upon one particular hypothesis of the mechanism governing flap motion. A possible new convention for the terminology of the topology of HIV protease that is independent of all mechanistic hypotheses is as follows: The Flap = residues 4358 (the active site flaps will retain their name), the Ear or Ear Flap = 3542 (currently called the Elbow of the Flap), the Cheek Turn = 1122 (i.e., the Fulcrum), the Cheek Sheet = 5975 (currently called the Cantilever), the Eye = 2330 (it contains the catalytic Asp that "sees" the drug), and the Nose = 610 (which contains the R8 that blocks the front entrance to the active site). Similarly, the Whiskers (15 and 9599) would refer to the termini involved in forming the dimerization interface, residues 8690 form the helix, and 7984 form the Wall Turn (the turn composing the active sites wall). This new convention also seems much easier for people from many different disciplines to remember: Almost every depiction of HIV protease shows the same view, which looks like the head of a fat cat or a bulldog.
The ensembles of conformations generated for this V82F/ I84V mutant and for the wild type are currently being used for the implementation of the new Relaxed Complex method (Lin et al. 2002, 2003), which incorporates the flexibility of both the ligand and the target protein by using a docking algorithm that allows full ligand flexibility and by targeting a significant percentage of the entire ensemble of protein conformations in an automated fashion. When implementing the Relaxed Complex method, the drugs will be optimized by following the advice, which indicates the residues that should be targeted to evade resistance (Wang and Kollman 2001; Ohtaka et al. 2002), and the general strategies developed by the McCammon group (Hodge et al. 1997) will be utilized. Thus, this particular mutant was studied both for the basic information that it might provide about general features involved in drug resistance as well as for the direct applications involving the design of an inhibitor that is effective against that V82F/I84V mutant.
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Results
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Properties of the global structures
Conventional MD simulations were initiated using the closed conformations of the apo wild-type and the apo V82F/I84V mutant of HIV-1 protease, and the simulations were performed for 22 nsec on each system. Both systems began with nearly identical backbone structures (the RMSD of all backbone atoms between the two crystal structures = 0.76 Å; Fig. 1
), and both systems departed from their crystal structures to a similar extent during most of the simulations (Fig. 2
). However, the mutant did have a larger RMSD than the wild type during the last 8 nsec, which was likely due to the fact that the mutants flaps continued to open even further, while the wild-types flaps transiently closed and then began opening again during that interval (see Fig. 7
).

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Figure 2. Root-mean-square deviation of the backbone atoms (i.e., N, C, and carbonyl C) with respect to time. For qualitative comparisons, an RMSD of 1.75 Å was observed between certain semiopen and closed conformations in one published study.
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As can be seen in Figure 2
, the wild-type and the mutant HIV-1 protease systems departed from their crystallographic structures by an RMSD of approximately 1.75 to 2.25 Å. For a qualitative comparison, note that in the simulations from the Karplus group (Zoete et al. 2002) an RMSD of 1.75 Å (for all backbone atoms) was observed between the minimized forms of the closed and certain semiopen conformations. Thus, a qualitative examination of the RMSD trajectories from these simulations of the wild-type and mutant systems suggests that both protease molecules might have undergone enough flap opening to enable reaching the semiopen conformations. More direct measurements will be shown later to prove that opening of the flaps to the semiopen form did indeed occur in these simulations (for at least the mutant system).
Curling behavior of the flap tips
According to published simulations, the curling of the tips of the active site flaps triggers opening of the entire flaps (see the introduction). To investigate this flap tip behavior, the variability in certain "TriCa Angles" (i.e., the angle between three adjacent
carbons) was measured. Although it is certainly possible that other ways of measuring the curling behavior of the flap tips could be devised, any curling of the flap tips that does occur should involve changes in the TriCa Angles of the residues at or near the tips. The flaps and Ears were scanned using the TriCa Angle analysis in a sliding window approach that involved residues 3357 and 133157 (e.g., scans were done of residues 333435, 343536, 353637, etc.). This determined that for both wild-type and mutant systems, the exact same TriCa Angles for the tips of the active site flaps (angles G48G49I50 and G148G149I150) and for the tips of the Ear Flaps (angles L38P39G40, G40K41W42, L138P139G140, and G140K141W142) displayed the most variation among all the residues scanned (as judged by having much larger values of both the standard deviations and the ranges). An observation was made that a few of the TriCa Angles for those flap tip and Ear tip residues also displayed a distinct, bimodal distribution (angles G48G49I50 and G148G149I150 had the most well-separated bimodal distributions, but angles L38P39G40, G40K41W42, L138P139G140, G140K141W142, I47G48G49, and I147G148G149 also had bimodal distributions, although they were not as distinct). The particular TriCa angle for the flap tip residues G48G49I50 displayed the greatest differences between wild-type and mutant simulations, and its trajectory is shown in Figure 3
.

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Figure 3. Comparing the curling of the flap tips: The black line displays the curling behavior of wild-type monomer As flap tip, while the red line depicts the curling of the mutants flap tip. When a flap tip curls, its backbone geometry must change. To demonstrate curling behavior, the variability in the angle between the three Cs of G48G49I50 is shown.
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In Figure 3
it is apparent that the mutant switched between those two subsets of conformational space many more times than the wild type switched, especially during 08 nsec. The curled-in and curled-out states are displayed in Figure 4
. The qualitative residence times spent within each curled-in (~115°) or curled-out (~145°) state indicate that the mutants flap tip was actually curling faster than the wild-types flap tip (see Fig. 3
). Thus, the V82F/I84V mutants flap tip curled more rapidly and more frequently than the wild-types flap tip. The large flap displacements that were observed in the wild-type and mutant simulations frequently involved substantial curling behavior of the flap tips (see Fig. 5
). Because curling of the flap tip likely produces flap opening, the more rapid and more frequent curling behavior displayed by the V82F/I84V mutant in these simulations suggests that more flap opening should have been observed in the mutant system. This was indeed the case.

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Figure 5. Rapid curling behavior was displayed: The above seven ribbon diagrams depict a fast flap-opening event (3.0 Å displacement in 20 psec) that involved rapid curling behavior of the mutants flap tip. The snapshot from 4210 psec is colored orange, it has a I50 C D25 C distance of 13.8 Å, and it has a value of 147° for TriCa Angle 6 (G48G49I50, which is colored white). The time points, flapAsp distances, and TriCa Angle 6 values for the other images are as follows: 4214 psec in cyan, 14.9 Å, 120°; 4217 psec in light blue, 14.9 Å, 138°; 4225 psec in purple, 15.5 Å, 118°; 4226 psec in violet, 16.5 Å, 131°; 4227 psec in magenta, 15.5 Å, 114°; and 4228 psec in white, 14.9 Å, 135°. The displacement of flap A proceeded from 13.5 Å at 4206 psec to 16.5 Å at 4226 psec (see also Supplemental Material, Fig. 2 ).
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Extent of flap opening observed in these simulations
By several different ways of measuring flap opening, this drug-resistant mutants active site flaps opened more than the wild-types flaps during these simulations. The mutants flaps opened farther (i.e., they sampled much larger distance values), and the mutants flapcatalytic Asp distance values fluctuated much more erratically than the wild-types values. Although observing the same average dynamic properties for both of the flaps is expected (provided that the simulations were of sufficient duration), observing the same motions in both flaps at any one point in time should not be expected (see the Discussion). Because it is now known that the nature of the motions of the flaps at any given point in time is asymmetric, and because of the recent discovery of the importance of the curling behavior at the tips of the flaps, nontraditional distance measurements were selected to monitor flap motion. Instead of monitoring the I50I150 distance, which could be affected by both flap tip curling and by flap asymmetry, different distances between the tip of one flap and one of the catalytic Asps (and the corresponding distances in the other monomer) were measured (see Fig. 6
).
The distance values from the simulations were compared to those values measured from the 1HHP
[PDB]
.pdb crystal structure, which is a structure of apo HIV-1 protease in the semiopen form (Spinelli et al. 1991). Thus, any snapshot with a distance value greater than or equal to the value of that distance in the 1HHP
[PDB]
.pdb structure will be defined as a snapshot in the semiopen conformation. Choosing a particular definition of the "semiopen" conformations is a somewhat subjective process.
Figure 7
displays the trajectories of the data that are shown as histograms in Figure 6
. From these trajectories it is obvious that the mutants flap opened much more than the wild-types flap (i.e., the mutants flap sampled much larger flapAsp distance values, and the mutants flapAsp distance values fluctuated much more erratically than the wild-types values). Compare the flap-opening trajectory in Figure 7
to the flap tip curling behavior shown in Figure 3
. When that flap tip is curling frequently in both systems during 08 nsec, that flap is opening in both the wild-type and the mutant systems (i.e., the distances between the flaps and the catalytic aspartates are generally increasing). During 816 nsec, little to no flap tip curling is observed for the wild type, and its flap-to-Asp distance remains fairly consistent. Around the 17th nsec the flap tips curl frequently again in both systems, and that curling behavior is followed by further flap opening for the mutant and by transient flap closing and then flap opening for the wild type.
For visual depictions of the maximum flapAsp distances sampled in these simulations, see Figures 8
11

. The global maxima sampled for the distance between I50 and D25 in each simulation are compared to a space-filling view of the closed conformation of protease in Figure 8
. From Figure 8
it is readily apparent that the mutant simulation sampled much larger flapAsp distance values than the wild-type simulation. To indicate the relative size of the active site in the mutant snapshot that had the largest I50D25 distance, that maximum mutant snapshot is shown with a natural substrate in the space-filling representation (see Fig. 9
). That image was generated by using the backbone atoms of residues 630 and 106130 to superimpose the complex of the D25N mutant of HIV-1 protease with its natural substrate KARVLAEAM (1F7A
[PDB]
.pdb = Prabu-Jeyabakin et al. 2000) onto the snapshot from 18,282 psec of the mutant simulation. The protease molecule from the 1F7A
[PDB]
crystal structure was then hidden, leaving the natural substrate at a reasonable position within that mutant snapshots active site. Figure 10
displays the global maxima sampled for the I50D25 distance from each simulation superimposed (using the backbone atoms of residues 630 and 106130) onto a closed and onto a semiopen crystal structure. In Figure 10
it appears that only the wild-type monomer on the right reached the semiopen form; however, both monomers of the mutant clearly sampled flapAsp distance values greater than those observed in the semiopen crystal structure. Figure 11
indicates that the mutant simulation produced many different snapshots with flaps that are at least semiopen.

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Figure 8. Global maxima for flap tip A-to-catalytic Asp 25 distances compared to a closed crystal structure: The cyan space-filling model depicts the mutants closed crystal structure (1D4S
[PDB]
.pdb, with the ligand not displayed), the red space-filling image shows the mutant snapshot that sampled the largest distance from I50 C to D25 C (i.e., snapshot 18,282 psec, distance = 25.2 Å), the small ligand colored by atom type is the substrate KARVLAEAM from the 1F7A
[PDB]
.pdb crystal structure of the D25N mutant of HIV-1 protease bound to that peptide, and the green CPK model displays the wild-type snapshot that sampled the largest flapAsp distance (i.e., snapshot 11,353 psec, distance = 18.1 Å).
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Figure 9. The most open snapshot from the mutants simulation: The red space-filling model displays snapshot 18,282 psec from the mutants simulation, which is the mutant snapshot that displayed the largest value for the distance between I50 and D25. The green space-filling model represents the substrate KARVLAEAM from the 1F7A
[PDB]
.pdb crystal structure of the D25N mutant of HIV-1 protease bound to that peptide. The backbone atoms of residues 630 and 106130 were used to superimpose the 1F7A
[PDB]
complex onto the snapshot from 18,282 psec, and then the protease molecule from the 1F7A
[PDB]
complex was hidden. This mutant snapshot has more than enough space to easily accommodate its natural substrate.
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Figure 11. The most open snapshots from the mutants simulation compared to the closed and semiopen crystallographic conformations: The solid ribbon in cyan represents the mutants crystal structure of the closed complex (1D4S
[PDB]
), while the monomer on the right with a solid orange ribbon shows the semiopen conformation of the 1HHP
[PDB]
crystal structure of the apo protease. The ribbons shown in line mode depict the local maxima for the distance between I50 and D25 in the mutants simulation. These maxima were the peaks from different flap opening events. The following snapshots are displayed: 18,282 = red (I50D25 distance was 25.2 Å), 20,210 = orange (24.4 Å), 18,821 = green (23.6 Å), 15,296 = light blue (23.0 Å), 12,066 = purple (22.9 Å), and 17,620 = magenta (22.9 Å). For the maxima from the wild-type simulation along this dimension, see Fig. 16 .
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Although it is best to measure one particular flap at a time when investigating the flaps flexibility and the extent of flap motion sampled, assessing the behavior of both flap tips with respect to the catalytic Asps can provide insight about the accessibility of the active site to drugs/substrates. Measurements involving the motion of the center of mass of the tips of both flaps relative to a catalytic Asp were thus collected (see Figs. 12
and 13
). No matter what distance was used to monitor flap motion, the conclusion was always the same. This drug-resistant mutants flaps opened more than the wild-types flaps during the same time period (i.e., the mutants flaps opened up to larger distances, and the mutants flapAsp distances fluctuated more erratically).
Possible relationship connecting motion of the flaps and the ears
The Ear Flaps (see Fig. 1
) are connected to the active site flaps in sequence, and likely in dynamic structurehalf of the Ear Flap is, in fact, the opposite end of one of the
-strands composing half of the active site flap. Because the same
-strand forms half of the Ear Flap and half of the active site flap, it makes sense that their motions would be connected in some way. The mutant ensemble displayed larger distances between the flaps and the catalytic Asps (i.e., the mutants flaps opened farther than the wild-types flaps; see Figs. 6
, 7
, 8
, 10
, 12
, and 13
); conversely, the mutant ensemble sampled smaller distances between the Ear Flaps and the Cheek region.
From Figure 14
it is apparent that the wild-type ensemble sampled larger Ear-to-Cheek distance values than the mutant. The ensemble that sampled larger Ear-to-Cheek values also displayed smaller flap-to-Asp values, and vice versa. The same relationship was observed for both monomers (i.e., the wild-type ensemble also sampled larger values for the P139G116 and the G140Q161 distances; see Supplemental Material, Fig. 4
). The opposite relationship that was observed in both ensembles between EarCheek distances and flapAsp distances prompted an investigation of these distance values with respect to time (and to each other).
A qualitative analysis of the two trajectories in Figure 15
indicates that in the wild-types simulation, the motion of the flapAsp distance was anticorrelated with the motion of the EarCheek distance (i.e., when the Ear-to-Cheek distance was generally decreasing, the flap to Asp distance was increasing). The same anticorrelated relationship was observed in the mutants simulation; however, the trend was not quite as clean due to the increased flexibility of the mutants flaps (see Supplemental Material, Figs. 5
and 6
).
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Discussion
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To examine the fundamental structural underpinnings affecting drug-resistance against HIV-1 protease inhibitors, 22 nsec of molecular dynamics (MD) were simulated on both a wild-type HIV-1 protease (1KZK
[PDB]
.pdb) and on the drug-resistant V82F/I84V mutant of HIV-1 protease (1D4S
[PDB]
.pdb) in all-atom mode with thousands of explicit waters present. The mutant structure 1D4S
[PDB]
.pdb is the Tipranavir-bound conformation, and it contains the V82F and I84V active site mutations that significantly decrease the affinities of all HIV-1 protease inhibitors currently used clinically. The wild-type structure 1KZK
[PDB]
.pdb is the JE-2147bound conformation of protease. These studies began with crystal structures of the protease : inhibitor complexes, but the inhibitors were deleted prior to initiating these MD simulations. Deletion of the inhibitors before performing these MD studies on the closed forms of the apo protease molecules facilitated the large flap motions that were observed, because the apo protease thermodynamically favors the semiopen form. Large displacements of the active site flaps were observed, which included the structural transition wherein the flaps opened from the closed conformation to a semiopen form.
Previous simulations in which flap opening was assessed often used the same definition to monitor flap behavior: the distance between the
Carbons of I50 and I150. However, the tip of each flap can curl in an independent and asymmetric fashion, and the full flaps also move asymmetrically. Even though the MD simulations performed by Schiffers group on the apo HIV-1 protease began with a perfectly symmetrical structure (the asymmetric unit of the semiopen crystal structure used was, in fact, a monomer rather than the dimer), the flaps behaved asymmetrically at any one point in time (Scott and Schiffer 2000). Similarly, in crystal structures of HIV-1 protease complexed with perfectly symmetrical inhibitors, differences of 0.2 to 0.6 Å were observed between the two monomers for flapdrug and for drugcatalytic Asp distances (Ala et al. 1997). Calculations (Kurt et al. 2003) using the Gaussian Network Model (GNM) to study the dynamics of HIV-1 protease also indicated asymmetric flap motion occurs: In calculations of apo HIV-1 protease, either one flap or the other had more mobility at different snapshots. It should be mentioned that those GNM calculations were performed using structures of snapshots from Schiffers conventional MD run (Kurt et al. 2003). Because the I50I150 distance value could be affected by both the asymmetric motion of the flaps and by the curling behavior of the flap tips, different distance measurements were used to analyze these trajectories (see Figs. 6
, 7
, 12
, and 13
).
As is apparent from Figures 6
, 7
, 8
, 10
, 12
, and 13
, the mutants flapAsp values always sampled significantly larger distances relative to the wild-types simulation. Thus, no matter how the motion of the flaps was monitored, all measurements indicated that this drug-resistant mutants flaps opened several Angstroms farther than the wild-types flaps during the same time period. However, by analyzing certain distance values, both the wild type and the mutant could be classified as having reached the semiopen conformations (see the graph on the left in Fig. 6
), while the use of other distance values to define the semiopen form caused the conclusion that only the mutant reached the semiopen conformations (see Figs. 12
and 13
, and the graph on the right in Fig. 6
). One possible explanation for that observation could be that perhaps the wild-types sampling behavior reflects transient fluctuations involved in trying to overcome whatever energetic or kinetic barriers impede reaching the semiopen conformations local energetic minimum, while the values of the mutants histogram peaks indicate that it did actually reach and begin sampling a local minimum encompassing some of the semiopen conformations. That is, the wild-types snapshots with large flapAsp distance values could mainly correspond to extreme fluctuations within the local minima describing the closed conformations and perhaps the first transition structure along the way to reaching the semiopen form, whereas the mutants simulation produced a significant number of snapshots that were clearly sampling the semiopen conformations. A simpler explanation for that observation (which is likely related to the aforementioned explanation) is that one of the wild-types flaps briefly sampled values corresponding to the semiopen conformations, while both of the mutants flaps extensively sampled the semiopen conformations (see Fig. 10
). Thus, the definitions of the semiopen form that involved only that one particular flap caused the conclusion that both the wild-type and mutant systems sampled semiopen conformations (see Fig. 6
), but the definitions that involved the other flap or that involved the center of mass of both flap tips caused the conclusion that the wild type did not reach the semiopen form (see Figs. 6
, 12
, and 13
), because one of the wild-types flaps did not quite open enough to sample semiopen distance values. The most significant point is that regardless of the particular distance that was used to define the semiopen form, this drug-resistant mutant ensemble always had significantly more snapshots in the semiopen conformations than the wild-type ensemble had.
The specific details of individual dynamic relationships were quite insightful, such as the differences observed in the curling behavior of the flap tips of the mutant compared to the wild type. In these simulations the mutant protease displayed more frequent and more rapid curling of its flap tips (see Fig. 3
). NMR studies by Torchias group (Ishima et al. 1999; Freedberg et al. 2002) showed that significant subnanosecond motion does indeed occur at the flap tips, and that fluctuations of F53 (which is at the flap tip) are likely coupled to motion of the entire flap backbone. Simulations from Schiffers group (Scott and Schiffer 2000) observed that the curling of the flap tips produces flap opening. Because this mutants flap tips experienced more rapid and more frequent curling behavior, it was expected that this mutants active site flaps would open more than the wild-types flaps. By all forms of measurement attempted, this mutants flaps did open significantly farther than the wild-types flaps, and the mutants flap displacements were much more erratic. This suggests that the fact that more flap opening was displayed in the mutants simulation than in the wild types might correspond to differences in equilibrium preferences.
Considering that the unfavorable enthalpic cost involved in ligand binding is due to closing and rearranging the flaps (Luque et al. 1998), if this mutant does actually prefer the semiopen conformations more than the wild type favors them, then that could be a general feature contributing to its drug resistance properties, because all of the drugs would have to pay a larger enthalpic cost to close the mutants flaps.
By comparing different active site distances to different peripheral distances in one ensemble or the other, an observation was made that compression of the Ear to Cheek region was correlated with opening of the flaps (see Fig. 15
). Rigorous quantitative analyses performed by other groups on the results of several different MD simulations provide support for the notion that the EarCheek and flapAsp displacements can display an anticorrelated relationship. From the Gaussian Network Model calculations performed on the apo HIV-1 protease, it appears that in the third and fourth slowest principal modes of motion, each active site flap was anticorrelated with the motion of the Ear Flap of the same monomer (Kurt et al. 2003). The normal mode analyses performed by the Karplus group on the plethora of MD simulations that were ran on different complexes of HIV-1 protease and on the closed form of the apo HIV-1 protease also support the notion of this anticorrelated relationship (Zoete et al. 2002). In Figure 17 of that paper, one normal mode calculated from the simulation of the closed form of apo HIV-1 protease shows that each Ear Flap displayed anticorrelated motion with respect to the active site flap to which it is connected (Zoete et al. 2002). In the raw data in Figures 19B, 20A and B, and 21A of that paper, the Dynamic Cross Correlation Maps (DCCMs) also indicate that the motion of each Ear Flap tip can be anticorrelated with respect to the motion of its adjacent active site flap tip (Zoete et al. 2002). In the simulations by Piana et al. (2002a), when harmonic constraints were applied to the CheekEar region that pushed apart the
Cs of residues 6839, 168139, 6940, and 169140 for a 0.35-nsec MD run, this caused a motion of the substrate towards the catalytic aspartates. When the EarCheek region was forced to expand, the flaps were pushed down towards the catalytic aspartates (Piana et al. 2002a). In Figure 16
it shows that a comparison of the extrema for that flapAsp distance from throughout the wild-type simulation supports that anticorrelated relationship as well. The wild-type snapshot with the smallest flapAsp distance shown also had the largest EarCheek distance. Similarly, Figure 17
indicates that the local extrema involved in that particular opening event also display this anticorrelated trend. In the opening event that reached the wild-types global maximum, the snapshot with the largest flapAsp distance had the most compressed EarCheek region. Thus, the rigorous quantitative analyses published by other groups and the qualitative analyses of the results of these simulations all support the notion that the motion of the tips of the Ear Flaps can be anticorrelated with respect to the motion of the active site flap tips.

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Figure 16. A comparison of the most open snapshots from the wild-types simulation to the most closed snapshot supports that anticorrelated relationship: The solid ribbon in cyan represents the wild-types snapshot that displayed the second smallest value for the I50D25 distance (cyan = 19,471 psec, value = 10.7 Å; the absolute minimum was snapshot 17,505, with a value of 10.6 Å), while the monomer on the left with a solid orange ribbon shows the semiopen conformation of the 1HHP
[PDB]
crystal structure of the apo protease. The ribbons shown in line mode depict the local maxima for the distance between I50 and D25 from the wild-types simulation. These maxima were the peaks from different flap opening events. The following snapshots are displayed: 11,353 = red (I50D25 distance was 18.1 Å = the global max.), 11,574 = magenta (17.3 Å), 8647 = blue (16.6 Å). For the corresponding maxima from the mutants simulation, see Fig. 11 . The snapshot with the smallest distance between its flap and Asp 25 (i.e., the cyan ribbon) has the largest distance between its Ear and Cheek regions.
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