PMID- 35855326 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220907 IS - 1040-0400 (Print) IS - 1572-9001 (Electronic) IS - 1040-0400 (Linking) VI - 33 IP - 5 DP - 2022 TI - A computational evaluation of FDA medicines' ability to inhibit hypoxia-inducible factor prolyl hydroxylase-2 (PHD-2) for acute respiratory distress syndrome. PG - 1391-1407 LID - 10.1007/s11224-022-02012-z [doi] AB - COVID-19 infection is associated with a significant fatality rate in individuals suffering from severe acute respiratory distress syndrome (ARDS). Among the several possibilities, inhibition of hypoxia-inducible factor prolyl hydroxylase-2 or prolyl hydroxylase domain-containing protein 2 (PHD2) in a hypoxia-independent way is a prospective therapeutic target for the treatment of ARDS. Vadadustat, Roxadustat, Daprodustat, Desidustat, and Enarudustat are the available clinical trial inhibitors. This study is proposed to focus on the repurposing of FDA-approved drugs as effective PHD2 inhibitors. This computational study utilises e-pharmacophore hypothesis generation from the native ligand-protein complex (PDB ID: 5OX6) based on XP visualiser information. The hypothesis containing five essential features (AAANR) was incorporated for FDA database screening, followed by Glide XP molecular docking and Prime MM-GBSA binding free energy calculations. Top scored ligands were investigated and Fenbufen was identified as an effective PHD-2 inhibitor by comparing with the native co-crystal ligand (Vadadustat). The manual lead optimisation of the Fenbufen structure was adopted to improve inhibitory potency, by increasing the binding affinity and protein-ligand stability. The newly designed compounds B and C showed additional binding interactions, excellent docking scores, binding free energy, and an acceptable range of ADME properties. Also, Fenbufen and compound C owned preferable protein-ligand stability during MD simulation when compared with the co-crystallised clinical trial ligand. Based on our findings, we deduce that Fenbufen can be proposed as an effective repurposable candidate as its structural modification showed a remarkable improvement in PHD2 inhibition. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s11224-022-02012-z. CI - (c) The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2022. FAU - Chandrasekaran, Jaikanth AU - Chandrasekaran J AUID- ORCID: 0000-0002-5088-9683 AD - Department of Pharmacology, School of Pharmacy & Technology Management, SVKM'S NMIMS University, Polepally SEZ, TSIIC, Plot no. B4, Green Industrial Park, Jadcherla, Hyderabad Telangana 509 301 India. FAU - Balasubramaniam, Jayasudha AU - Balasubramaniam J AD - Department of Pharmacology, PSG College of Pharmacy, Coimbatore, India. GRID: grid.418789.b. ISNI: 0000 0004 1767 5602 LA - eng PT - Journal Article DEP - 20220709 PL - United States TA - Struct Chem JT - Structural chemistry JID - 101582397 PMC - PMC9282623 OTO - NOTNLM OT - ADME prediction OT - Acute respiratory distress syndrome (ARDS) OT - COVID-19 OT - Fenbufen OT - Hypoxia-inducible factor prolyl hydroxylase-2 (PHD-2) inhibitors OT - MD simulations OT - Prime MM-GBSA OT - e-Pharmacophore modelling COIS- Conflict of interestThe authors declare no competing interests. EDAT- 2022/07/21 06:00 MHDA- 2022/07/21 06:01 PMCR- 2022/07/14 CRDT- 2022/07/20 02:14 PHST- 2022/05/02 00:00 [received] PHST- 2022/06/30 00:00 [accepted] PHST- 2022/07/21 06:00 [pubmed] PHST- 2022/07/21 06:01 [medline] PHST- 2022/07/20 02:14 [entrez] PHST- 2022/07/14 00:00 [pmc-release] AID - 2012 [pii] AID - 10.1007/s11224-022-02012-z [doi] PST - ppublish SO - Struct Chem. 2022;33(5):1391-1407. doi: 10.1007/s11224-022-02012-z. Epub 2022 Jul 9.