Submitted:
28 May 2026
Posted:
29 May 2026
You are already at the latest version
Abstract
Keywords:
1. Introduction
2. Results and Discussion
2.1. Generative Design, QSAR Validation, and Applicability Domain Triage
2.2. Structural Basis of Spatial Binding: Docking and Non-Covalent Interaction
2.3. Molecular Dynamics (MD) Simulations: Kinetic Screening and Stability
2.3.1. Conformational Trajectories and Comparative Kinetic Screening (RMSD Profiling)
2.3.2. Per-Atom Ligand Fluctuation and Ensemble Rigidity Mapping (RMSF)
2.4. Post-MD Ensemble Validation: Conformational Landscapes and Structural Integrity
2.4.1. Free Energy Landscape (FEL) Analysis: Topology of the Resilience Basin
2.4.2. Macromolecular Secondary Structure Validation and Temporal Residue Stresses
2.5. Comparative Metadynamics and the Thermodynamic Basis of Resilience
2.5.1. Native Wild-Type Equilibrium and Synchronized Dual-Site Anchoring
2.5.2. Catalytic Anchor Knockout: Solvation Rescue and the Broadened Metastable Well
2.5.3. Peripheral Site Knockout: Thermodynamic Collapse and Mid-Gorge Fracturing
2.6. Binding Free Energy Analysis and the Energetics of Mutational Resilience
2.6.1. Global Thermodynamic Stability and Mutational Neutrality
2.6.2. The Electrostatic-Solvation “See-Saw” (Solvation Rescue)
2.6.3. Residue-Level Load Shifting and Compensatory Anchoring Networks
2.6.4. Structural Manifestations of Energetic Adaptation
2.7. Dynamic Cross-Correlation: Mechanical Rewiring and Allosteric Resilience
3. Materials and Methods
3.1. Dataset Curation, Physicochemical Filtering, and Structural Standardization
3.2. QSAR Classification Modeling, Applicability Domain, and Topographical Diversity Triage
3.3. Structure-Based Ensemble Docking and Non-Covalent Interaction Profiling
3.3.1. Target Preparation and Grid Generation
3.3.2. Docking Protocol and Empirical Scoring
3.3.3. Automated Interaction Fingerprinting
3.4. Molecular Dynamics (MD) Simulations and Statistical Robustness
3.4.1. Solvation Environment Setup and Multi-Stage Relaxation
3.4.2. Production Trajectories and High-Performance Integration Integration
3.4.3. Trajectory Processing and Statistical Equilibrium Metrics
3.4.4. Dynamic Cross-Correlation Matrix (DCCM) Mechanics
3.5. Post MD Analysis
3.5.1. Free Energy Landscape (FEL) Construction
3.5.2. Structural Validation and Ramachandran Plots
3.6. Molecular Mechanics/Generalized Born Surface Area (MM/GBSA) Calculations
4. Conclusions
Supplementary Materials
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
- Xiaopeng, Z.; Jing, Y.; Xia, L.; Xingsheng, W.; Juan, D.; Yan, L.; Baoshan, L. Global Burden of Alzheimer’s disease and other dementias in adults aged 65 years and older, 1991–2021: Population-based study. Front. Public Health 2025, 13, 1585711. [Google Scholar] [CrossRef]
- Cummings, J.; Zhou, Y.; Lee, G.; Zhong, K.; Fonseca, J.; Cheng, F. Alzheimer’s disease drug development pipeline: 2023. Alzheimer’s Dement. Erratum in Alzheimer’s Dement 2023, 9, e12407. https://doi.org/10.1002/trc2.12385.. 2023, 9, e12385. [Google Scholar] [CrossRef] [PubMed]
- Alzheimer’s Disease International. Dementia Statistics. Available online: https://www.alzint.org/about/dementia-factsfigures/dementia-statistics/ (accessed on 21 February 2026).
- World Population Review. Alzheimer’s Rates by Country 2026. Available online: https://worldpopulationreview.com/countryrankings/alzheimers-rates-by-country (accessed on 21 February 2026).
- Nilewar, S.S.; Chavan, A.D.; Pradhan, A.R.; Tripathy, A.A.; Bandaru, N.; Dudhe, P.B.; Kumar, P.K.; Lodha, S.; Muteeb, G.; Peredo-Valderrama, I.; et al. Dual-Site Acetylcholinesterase Inhibition and Multiscale Stability of Fused Quinoline Sulfonamides: A Chemoinformatic GA-MLR and Molecular Dynamics Study. Int. J. Mol. Sci. 2026, 27, 3286. [Google Scholar] [CrossRef]
- Yiannopoulou, K.G.; Anastasiou, A.I.; Zachariou, V.; Pelidou, S.-H. Reasons for Failed Trials of Disease-Modifying Treatments for Alzheimer Disease and Their Contribution in Recent Research. Biomedicines 2019, 7, 97. [Google Scholar] [CrossRef] [PubMed]
- Mahase, E. FDA approves controversial Alzheimer’s drug despite uncertainty over effectiveness. BMJ 2021, 373, n1462. [Google Scholar] [CrossRef] [PubMed]
- Alexander, G.C.; Emerson, S.; Kesselheim, A.S. Evaluation of aducanumab for Alzheimer disease: Scientific evidence and regulatory review involving efficacy, safety and futility. JAMA 2021, 325, 1717–1718. [Google Scholar] [CrossRef]
- Hampel, H.; Elhage, A.; Cho, M.; Apostolova, L.G.; Nicoll, J.A.R.; Atri, A. Amyloid-related imaging abnormalities (ARIA): Radiological, biological and clinical characteristics. Brain 2023, 146, 4414–4424. [Google Scholar] [CrossRef] [PubMed]
- Greenberg, S.M.; Bax; F. van Veluw, S.J. Amyloid-related imaging abnormalities: Manifestations, metrics and mechanisms. Nat. Rev. Neurol. 2025, 21, 193–203. [Google Scholar] [CrossRef]
- Gomm, W.; von Holt, K.; Thomé, F.; Broich, K.; Maier, W.; Fink, A.; Doblhammer, G.; Haenisch, B. Association of Proton Pump Inhibitors With Risk of Dementia: A Pharmacoepidemiological Claims Data Analysis. JAMA Neurol. 2016, 73, 410–416. [Google Scholar] [CrossRef]
- Wu, B.; Hu, Q.; Tian, F.; Wu, F.; Li, Y.; Xu, T. A pharmacovigilance study of association between proton pump inhibitor and dementia event based on FDA adverse event reporting system data. Sci. Rep. 2021, 11, 10709. [Google Scholar] [CrossRef]
- Grabowska, W.; Bijak, M.; Szelenberger, R.; Gorniak, L.; Podogrocki, M.; Harmata, P.; Cichon, N. Acetylcholinesterase as a Multifunctional Target in Amyloid-Driven Neurodegeneration: From Dual-Site Inhibitors to Anti-Agregation Strategies. Int. J. Mol. Sci. 2025, 26, 8726. [Google Scholar] [CrossRef]
- Saeed, R.; Tariq, H.Z.; Althobaiti, A.; Sadeghian, N.; Taslimi, P.; Al-Rashida, M.; Islam, T.; Thabet, H.K.; Aftab, H.; Şenol, H.; Ameen, M.; Li, J.; Shafiq, Z. Design, synthesis, and multi-target evaluation of 4-phenyl quinoline-8-sulfonate thiosemicarbazones as potential anti-Alzheimer agents. Sci. Rep. 2025, 15, 44212. [Google Scholar] [CrossRef] [PubMed]
- Marucci, G.; Buccioni, M.; Ben, D. D.; Lambertucci, C.; Volpini, R.; Amenta, F. Efficacy of acetylcholinesterase inhibitors in Alzheimer’s disease. Neuropharmacology 2021, 190, 108352. [Google Scholar] [CrossRef] [PubMed]
- Cheng, S.; Song, W.; Yuan, X.; Xu, Y. Gorge Motions of Acetylcholinesterase Revealed by Microsecond Molecular Dynamics Simulations. Sci. Rep. 2017, 7, 3219. [Google Scholar] [CrossRef]
- Sussman, J.L.; Harel, M.; Frolow, F.; Oefner, C.; Goldman, A.; Toker, L.; Silman, I. Atomic structure of acetylcholinesterase from Torpedo californica: a prototypic acetylcholine-binding protein. Science 1991, 253, 872–879. [Google Scholar] [CrossRef]
- Dvir, H.; Silman, I.; Harel, M.; Rosenberry, T.L.; Sussman, J.L. Acetylcholinesterase: from 3D structure to function. Chem.-Biol. Interact. 2010, 187, 10–22. [Google Scholar] [CrossRef]
- Cheung, J.; Rudolph, M.J.; Burshteyn, F.; Cassidy, M.S.; Gary, E.N.; Love, J.; Franklin, M.C.; Height, J.J. Structures of human acetylcholinesterase in complex with pharmacologically important ligands. J. med. Chem. 2012, 55, 10282–10286. [Google Scholar] [CrossRef]
- Inestrosa, N.C.; Alvarez, A.; Pérez, C.A.; Moreno, R.D.; Vicente, M.; Linker, C.; Casanueva, O.I.; Soto, C.; Garrido, J. Acetylcholinesterase accelerates assembly of amyloid-beta-peptides into Alzheimer’s fibrils: possible role of the peripheral site of the enzyme. Neuron 1996, 16, 881–891. [Google Scholar] [CrossRef] [PubMed]
- Alvarez, A.; Opazo, C.; Alarcón, R.; Garrido, J.; Inestrosa, N.C. Acetylcholinesterase promotes the aggregation of amyloid-beta-peptide fragments by forming a complex with the growing fibrils. J. Mol. Biol. 1997, 272, 348–361. [Google Scholar] [CrossRef]
- Johnson, G.; Moore, S.W. The peripheral anionic site of acetylcholinesterase: structure, functions and potential role in rational drug design. Curr. Pharm. Des. 2006, 12, 217–225. [Google Scholar] [CrossRef]
- Thakur, A.; Rana, M.; Vanjani, S.; Liou, K.C.; Taliyan, R.; Nepali, K.; Yang, C. H. Multi-Targeting Ligands as Prospective Therapeutics for Alzheimer’s Disease, a Prevalent Neurodegenerative Disorder: Mechanistic Insights, Emerging Targets and Drug Discovery Campaigns. Med. Res. Rev., (Online Version of Record before inclusion in an issue); 2026. [Google Scholar] [CrossRef] [PubMed]
- Qizilbash, N.; Birks, J.; Lopez Arrieta, J.; Lewington, S.; Szeto, S. Tacrine for Alzheimer’s disease. Cochrane Database Syst. Rev. 2000, 1, CD000202. [Google Scholar] [CrossRef] [PubMed]
- Pardridge, W. M. The blood-brain barrier: bottleneck in brain drug development. NeuroRX 2005, 2, 3–14. [Google Scholar] [CrossRef] [PubMed]
- Hung, L.W.; Sanbonmatsu, K.Y.; Williams, R.F.; Chen, J.C. Acetylcholinesterase: Structure, dynamics, and interactions with organophosphorus compounds. Protein Sci. 2025, 34, e70297. [Google Scholar] [CrossRef]
- Korshunova, M.; Huang, N.; Capuzzi, S.; Radchenko, D. S.; Savych, O.; Moroz, Y. S.; Wells, C. I.; Willson, T. M.; Tropsha, A.; Isayev, O. Generative and reinforcement learning approaches for the automated de novo design of bioactive compounds. Commun. Chem. 2022, 5, 129. [Google Scholar] [CrossRef]
- Béquignon, O.J.M.; Bongers, B.J.; Jespers, W.; IJzerman, A.P.; van der Water, B.; van Westen, G.J.P. Papyrus: A large scale curated dataset aimed at bioactivity predictions. J. Cheminform. 2023, 15, 3. [Google Scholar] [CrossRef]
- Landrum, G. RDKit: Open-source cheminformatics. Available online: http://www.rdkit.org (accessed on 21 February 2026).
- Liu, X.; Ye, K.; van Vlijmen, H.W.T.; IJzerman, A.P.; van Westen, G.J.P. DrugEx v3: scaffold-constrained drug design with graph transformer-based reinforcement learning. J. Cheminform. 2023, 15, 24. [Google Scholar] [CrossRef]
- Rogers, D.; Hahn, M. Extended-connectivity fingerprints. J. Chem. Inf. Model. 2010, 50, 742–754. [Google Scholar] [CrossRef]
- Butina, D. Unsupervised Data Base Clustering Based on Daylight’s Fingerprint and Tanimoto Similarity: A Fast and Automated Way To Cluster Small and Large Data Sets. J. Chem. Inf. Comput. Sci. 1999, 39, 747–750. [Google Scholar] [CrossRef]
- Berman, H.M.; Westbrook, J.; Feng, Z.; Gilliland, G.; Bhat, T.N.; Weissig, H.; Shindyalov, I.N.; Bourne, P.E. The Protein Data Bank. Nucleic Acids Res. 2000, 28, 235–242. [Google Scholar] [CrossRef]
- Cheung, J.; Rudolph, M.J.; Burshteyn, F.; Cassidy, M.S.; Gary, E.N.; Love, J.; Franklin, M.C.; Height, J.J. Structures of human acetylcholinesterase in complex with pharmacologically important ligands. J. Med. Chem. 2012, 55, 10282–10286. [Google Scholar] [CrossRef]
- Halgren, T.A. Merck molecular force field. I. Basis, form, scope, parameterization, and performance of MMFF94. J. Comput. Chem. 1996, 17, 490–519. [Google Scholar] [CrossRef]
- Guex, N.; Peitsch, M.C. SWISS-MODEL and the Swiss-PdbViewer: an environment for comparative protein modeling. Electrophoresis 1997, 18, 2714–2723. [Google Scholar] [CrossRef]
- Koes, D.R.; Baumgartner, M.P.; Camacho, C.J. Lessons learned in empirical scoring with smina from the CSAR 2011 benchmarking exercise. J. Chem. Inf. Model. 2013, 53, 1893–1904. [Google Scholar] [CrossRef]
- Kabier, M.; Gambacorta, N.; Trisciuzzi, D.; Kumar, S.; Nicolotti, O.; Mathew, B. MzDOCK: A free ready-to-use GUI-based pipeline for molecular docking simulations. J. Comput. Chem. 2024, 45*, 1980–1986. [Google Scholar] [CrossRef]
- Salentin, S.; Schreiber, S.; Haupt, V.J.; Adasme, M.F.; Schroeder, M. PLIP: fully automated protein–ligand interaction profiler. Nucleic Acids Res. 2015, 43, W443–W447. [Google Scholar] [CrossRef]
- Dassault Systèmes BIOVIA. Discovery Studio Visualizer (v21.1.0); Dassault Systèmes: San Diego, CA, USA, 2021. [Google Scholar]
- Bowers, K.J.; Chow, D.E.; Xu, H.; Dror, R.O.; Eastwood, M.P.; Gregersen, B.A.; Klepeis, J.L.; Kolossváry, I.; Moraes, M.A.; Sacerdoti, F.D.; Salmon, J.K.; Shan, Y.; Shaw, D.E. Scalable Algorithms for Molecular Dynamics Simulations on Commodity Clusters. In Proceedings of the 2006 ACM/IEEE Conference on Supercomputing (SC’06), Tampa, FL, USA, 11–17 November 2006; IEEE: Piscataway, NJ, USA, 2006; p. 43. [Google Scholar] [CrossRef]
- Berendsen, H.J.C.; Postma, J.P.M.; van Gunsteren, W.F.; Hermans, J. Interaction models for water in relation to protein hydration. In Intermolecular Forces; Pullman, B., Ed.; Reidel Publishing Company: Dordrecht, The Netherlands, 1981; pp. 331–342. [Google Scholar] [CrossRef]
- Nilewar, S.S.; Khanra, S.; Pandya, M.; Lodha, S.; Kumar, P.K.; Bandaru, N.; Naranjo-Redondo, A.J.; Pérez-Pastén-Borja, R.; Pawar, T.J. Exploiting the T790M Mutation: Sulfur-Anchoring as a New Paradigm for Non-Covalent EGFR Inhibition. Preprints 2026, 2026042046. [Google Scholar] [CrossRef]
- Lu, C.; Wu, C.; Ghoreishi, D.; Chen, W.; Wang, L.; Damm, W.; Ross, G.A.; Dahlgren, M.K.; Russell, E.; Von Bargen, C.D.; Abel, R.; Friesner, R.A.; Harder, E.D. OPLS4: Improving Force Field Accuracy on Challenging Regimes of Chemical Space. J. Chem. Theory Comput. 2021, 17, 4291–4300. [Google Scholar] [CrossRef] [PubMed]
- Essmann, U.; Perera, L.; Berkowitz, M.L.; Darden, T.; Lee, H.; Pedersen, L.G. A smooth particle mesh Ewald method. J. Chem. Phys. 1995, 103, 8577–8593. [Google Scholar] [CrossRef]
- Ryckaert, J.P.; Ciccotti, G.; Berendsen, H.J. Numerical integration of the cartesian equations of motion of a system with constraints: molecular dynamics of n-alkanes. J. Comput. Phys. 1977, 23, 327–341. [Google Scholar] [CrossRef]
- Schrödinger Release 2023: Maestro; Schrödinger, LLC: New York, NY, USA, 2023.
- Ichiye, T.; Karplus, M. Collective motions in proteins: A covariance analysis of atomic fluctuations in molecular dynamics and normal mode simulations. Proteins Struct. Funct. Bioinform. 1991, 11, 205–217. [Google Scholar] [CrossRef] [PubMed]
- Hünenberger, P.H.; Mark, A.E.; van Gunsteren, W.F. Fluctuation and cross-correlation analysis of protein motions observed in nanosecond molecular dynamics simulations. J. Mol. Biol. 1995, 252, 492–503. [Google Scholar] [CrossRef] [PubMed]
- Harris, C.R.; Millman, K.J.; van der Walt, S.J.; Gommers, R.; Virtanen, P.; Cournapeau, D.; Wieser, E.; Taylor, J.; Berg, R.; Smith, N.J.; Kern, R.; Picus, T.E.; Hoyer, S.; van Kerkwijk, M.H.; Brett, M.; Haldane, J.; del Río, J.F.; Wiebe, M.; Peterson, P.; Gérard-Marchant, P.; Sheppard, K.; Reddy, T.; Weckesser, W.; Abbasi, H.; Oliphant, T.E. Array programming with NumPy. Nature 2020, 585, 357–362. [Google Scholar] [CrossRef] [PubMed]
- Frauenfelder, H.; Sligar, S.G.; Wolynes, P.G. The energy landscapes and motions of proteins. Science 1991, 254, 1598–1603. [Google Scholar] [CrossRef]
- Virtanen, P.; Gommers, R.; Oliphant, T.E.; Haberland, M.; Reddy, T.; Cournapeau, D.; Burovski, E.; Peterson, P.; Weckesser, W.; Bright, J.; van der Walt, S.J.; Brett, M.; Wilson, J.; Millman, K.J.; Mayorov, N.; Nelson, A.R.J.; Jones, E.; Kern, R.; Larson, E.; Carey, C.J.; Polat, İ.; Feng, Y.; Moore, E.W.; VanderPlas, J.; Laxalde, D.; Perktold, J.; Cimrman, R.; Henriksen, I.; Quintero, E.A.; Harris, C.R.; Archibald, A.M.; Ribeiro, A.H.; Pedregosa, F.; van Mulbregt, P. SciPy 1.0 Contributors. SciPy 1.0: fundamental algorithms for scientific computing in Python. Nat. Methods 2020, 17, 261–272. [Google Scholar] [CrossRef]
- Papaleo, E.; Mereghetti, P.; Fantucci, P.; Grandori, R.; De Gioia, L. Free-energy landscape, principal component analysis, and structural clustering to identify representative conformations from molecular dynamics simulations: the myoglobin case. J. Mol. Graph. Model. 2009, 27, 889–899. [Google Scholar] [CrossRef]
- Hunter, J.D. Matplotlib: A 2D graphics environment. Comput. Sci. Eng. 2007, 9, 90–95. [Google Scholar] [CrossRef]
- Waskom, M.L. seaborn: statistical data visualization. J. Open Source Softw. 2021, 6, 3021. [Google Scholar] [CrossRef]
- Michaud-Agrawal, N.; Denning, E.J.; Woolf, T.B.; Beckstein, O. MDAnalysis: A toolkit for the analysis of molecular dynamics simulations. J. Comput. Chem. 2011, 32, 2319–2327. [Google Scholar] [CrossRef]
- Wang, M.; Bo, Z.; Xu, T.; Xu, B.; Wang, D.; Zheng, H. Uni-GBSA: an open-source and web-based automatic workflow to perform MM/GB(PB)SA calculations for virtual screening. Brief. Bioinform. 2023, 24, bbad218. [Google Scholar] [CrossRef]
- Maier, J.A.; Martinez, C.; Kasavajhala, K.; Wickstrom, L.; Hauser, K.E.; Simmerling, C. ff14SB: Improving the accuracy of protein side chain and backbone parameters from ff99SB. J. Chem. Theory Comput. 2015, 11, 3696–3713. [Google Scholar] [CrossRef]
- Wang, J.; Wolf, R.M.; Caldwell, J.W.; Kollman, P.A.; Case, D.A. Development and testing of a general amber force field. J. Comput. Chem. 2004, 25, 1157–1174. [Google Scholar] [CrossRef]
- Onufriev, A.; Bashford, D.; Case, D.A. Exploring protein native states and large-scale conformational changes with a modified generalized Born model. Proteins Struct. Funct. Bioinform. 2004, 55, 383–394. [Google Scholar] [CrossRef]







| Ligand | WT Affinity (ΔG, kcal/mol) |
W86A Affinity (ΔG, kcal/mol) | W86A Penalty (ΔΔG) | W286A Affinity (ΔG, kcal/mol) | W286A Penalty (ΔΔG) |
|---|---|---|---|---|---|
| 41 | -13.1 | -12.8 | 0.3 | -12.6 | 0.5 |
| 1631 | -13 | -11.9 | 1.1 | -12 | 1 |
| 1821 | -12.5 | -11.2 | 1.3 | -12.7 | 0 |
| 3191 | -12.9 | -12.4 | 0.5 | -11.1 | 1.8 |
| System | CV1 Global Min (Å) | Transition Barrier (kcal/mol) | Absolute Escape Barrier (kcal/mol) | Landscape Topography |
|---|---|---|---|---|
| Wild-Type | 7.87 | 4.92 | 11.37 | Singular Funnel |
| W86A | 11.9 | 1.23 | 12.54 | Broadened Metastable |
| W286A | 13.32 | 1.93* | 9.69 | Fractured Islands |
| System | ΔEvdw | ΔEelec | ΔGsolv | ΔGtotal | ΔΔGtotal |
|---|---|---|---|---|---|
| Wild Type | −55.01 ± 3.86 | −239.13 ± 26.15 | 249.87 ± 25.92 | −44.27 ± 5.53 | — |
| W86A | −52.30 ± 3.72 | −269.23 ± 18.54 | 278.85 ± 18.03 | −42.68 ± 5.81 | +1.59 |
| W286A | −53.00 ± 4.01 | −237.77 ± 17.82 | 245.57 ± 17.33 | −45.20 ± 6.21 | −0.93 |
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