PMID- 29867033 OWN - NLM STAT- MEDLINE DCOM- 20181017 LR - 20181114 IS - 1422-0067 (Electronic) IS - 1422-0067 (Linking) VI - 19 IP - 6 DP - 2018 Jun 4 TI - Interaction of Nevirapine with the Peptide Binding Groove of HLA-DRB1*01:01 and Its Effect on the Conformation of HLA-Peptide Complex. LID - 10.3390/ijms19061660 [doi] LID - 1660 AB - Human leukocyte antigen (HLA)-DRB1*01:01 has been shown to be involved in nevirapine-induced hepatic hypersensitivity reactions. In the present study, in silico docking simulations and molecular dynamics simulations were performed to predict the interaction mode of nevirapine with the peptide binding groove of HLA-DRB1*01:01 and its possible effect on the position and orientation of the ligand peptide derived from hemagglutinin (HA). In silico analyses suggested that nevirapine interacts with HLA-DRB1*01:01 around the P4 pocket within the peptide binding groove and the HA peptide stably binds on top of nevirapine at the groove. The analyses also showed that binding of nevirapine at the groove will significantly change the inter-helical distances of the groove. An in vitro competitive assay showed that nevirapine (1000 muM) increases the binding of the HA peptide to HLA-DRB1*01:01 in an allele-specific manner. These results indicate that nevirapine might interact directly with the P4 pocket and modifies its structure, which could change the orientation of loaded peptides and the conformation of HLA-DRB1*01:01; these changes could be distinctively recognized by T-cell receptors. Through this molecular mechanism, nevirapine might stimulate the immune system, resulting in hepatic hypersensitivity reactions. FAU - Hirasawa, Makoto AU - Hirasawa M AD - Drug Metabolism & Pharmacokinetics Research Laboratories, Daiichi Sankyo Co., Ltd., 1-2-58 Hiromachi, Shinagawa-ku, Tokyo 140-8710, Japan. hirasawa.makoto.n4@daiichisankyo.co.jp. FAU - Hagihara, Katsunobu AU - Hagihara K AUID- ORCID: 0000-0003-0094-2543 AD - Biomarker Department, Daiichi Sankyo Co., Ltd., 1-2-58 Hiromachi, Shinagawa-ku, Tokyo 140-8710, Japan. hagihara.katsunobu.fc@daiichisankyo.co.jp. FAU - Abe, Koji AU - Abe K AD - Drug Metabolism & Pharmacokinetics Research Laboratories, Daiichi Sankyo Co., Ltd., 1-2-58 Hiromachi, Shinagawa-ku, Tokyo 140-8710, Japan. abe.koji.ce@daiichisankyo.co.jp. FAU - Ando, Osamu AU - Ando O AD - Drug Metabolism & Pharmacokinetics Research Laboratories, Daiichi Sankyo Co., Ltd., 1-2-58 Hiromachi, Shinagawa-ku, Tokyo 140-8710, Japan. ando.osamu.jy@daiichisankyo.co.jp. FAU - Hirayama, Noriaki AU - Hirayama N AUID- ORCID: 0000-0003-0668-8486 AD - Institute of Advanced Biosciences, Tokai University, 4-1-1 Kitakaname, Hiratsuka-shi, Kanagawa 259-1292, Japan. hirayama@is.icc.u-tokai.ac.jp. LA - eng PT - Journal Article DEP - 20180604 PL - Switzerland TA - Int J Mol Sci JT - International journal of molecular sciences JID - 101092791 RN - 0 (HLA-DRB1 Chains) RN - 99DK7FVK1H (Nevirapine) SB - IM MH - HLA-DRB1 Chains/*chemistry/drug effects/metabolism MH - Humans MH - *Molecular Docking Simulation MH - *Molecular Dynamics Simulation MH - Nevirapine/*chemistry/pharmacology MH - Protein Conformation PMC - PMC6032195 OTO - NOTNLM OT - HLA (human leukocyte antigen) OT - MD (molecular dynamics) simulation OT - hepatic hypersensitivity reaction OT - idiosyncratic drug toxicity OT - nevirapine COIS- The authors declare no conflict of interest. EDAT- 2018/06/06 06:00 MHDA- 2018/10/18 06:00 PMCR- 2018/06/01 CRDT- 2018/06/06 06:00 PHST- 2018/05/14 00:00 [received] PHST- 2018/05/28 00:00 [revised] PHST- 2018/05/29 00:00 [accepted] PHST- 2018/06/06 06:00 [entrez] PHST- 2018/06/06 06:00 [pubmed] PHST- 2018/10/18 06:00 [medline] PHST- 2018/06/01 00:00 [pmc-release] AID - ijms19061660 [pii] AID - ijms-19-01660 [pii] AID - 10.3390/ijms19061660 [doi] PST - epublish SO - Int J Mol Sci. 2018 Jun 4;19(6):1660. doi: 10.3390/ijms19061660.