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Research Article
Treating Diabetes Mellitus: Pharmacophore Based Designing of
Potential Drugs from Gymnema sylvestre against Insulin
Receptor Protein
Copyright © 2016 Mohammad Uzzal Hossain et al. This is an open access article distributed under the Creative Commons
Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is
properly cited.
Diabetes mellitus (DM) is one of the most prevalent metabolic disorders which can affect the quality of life severely. Injectable
insulin is currently being used to treat DM which is mainly associated with patient inconvenience. Small molecules that can act
as insulin receptor (IR) agonist would be better alternatives to insulin injection. Herein, ten bioactive small compounds derived
from Gymnema sylvestre (G. sylvestre) were chosen to determine their IR binding affinity and ADMET properties using a combined
approach of molecular docking study and computational pharmacokinetic elucidation. Designing structural analogues were also
performed for the compounds associated with toxicity and less IR affinity. Among the ten parent compounds, six were found to have
significant pharmacokinetic properties with considerable binding affinity towards IR while four compounds were associated with
toxicity and less IR affinity. Among the forty structural analogues, four compounds demonstrated considerably increased binding
affinity towards IR and less toxicity compared with parent compounds. Finally, molecular interaction analysis revealed that six
parent compounds and four analogues interact with the active site amino acids of IR. So this study would be a way to identify new
therapeutics and alternatives to insulin for diabetic patients.
reveals that as much as 35% of them have T2DM and 45% GS4, plays a very significant role in the regulation of both type
have metabolic complications [5]. 1 and type 2 diabetes [24, 25].
Chronic hyperglycemia in DM leads to the damage Very few studies have been conducted on plant derived
of kidneys, nervous system, eyes, heart, and blood vessels compounds with pharmacoinformatics elucidation for the
[6]. Acute myocardial infarction and fatal reinfarction are identification of novel therapeutics against diabetes [26, 27].
common with diabetic patients in the acute phase and during In this study, we have considered antidiabetic compounds
the first year of follow-up [7–11]. However, to compensate from G. sylvestre and their analogues as possible drug candi-
the lower level of insulin in blood, administration of insulin dates for insulin receptor. Various computational tools have
injection followed by intensive treatment with multidose been used to perform pharmacoinformatics validations of
subcutaneous insulin can reduce up to 30% of mortality in these compounds as well as to investigate their structural
diabetic patients with acute myocardial infarction [12–14]. (similar and different) analogues [28–36]. Also, Computer
Insulin, secreted from the pancreatic 𝛽-cells, is the most Aided Drug Design (CADD) tools have been used for the
studied peptide hormone for its importance to control glu- structural property as well as identification of interaction
cose homeostasis. This 51-aa hormone binds to its transmem- between insulin receptor and candidate drugs [28, 32–35, 37–
brane 𝛼2 𝛽2 glycoprotein insulin receptor (IR). Intracellular 40]. Finally, AutoDock tools were utilized for the assessment
tyrosine kinase domain of IR is activated by insulin binding of ligand-protein interaction [38, 39]. This inclusive in silico
and triggers cascade of intracellular signaling pathways which analysis may provide insights into the understanding of drug-
eventually enhance cellular uptake of glucose from circu- protein interaction and to design effective antidiabetic drugs.
lation [15, 16]. Diabetes mellitus (DM) is the complication
caused either by the poor tissue responsiveness to insulin or
by the metabolic malfunction of insulin production. Type 1
2. Materials and Methods
DM is an autoimmune disorder where pancreatic 𝛽-cell is The outline of this study was shown in Figure 1.
destroyed by the immune system which causes insufficient
insulin secretion, whereas type 2 DM is caused by resistance
2.1. Preparation of Target Protein and Selection of Novel Drugs.
of body tissue towards insulin [17, 18]. In both cases, insulin
The 3D (three-dimensional) crystal structure of insulin
injection is necessary to maintain glucose homeostasis.
receptor protein 3LOH used in this study was retrieved from
Although recombinant insulin is now available and the
RCSB (Research Collaboratory for Structural Bioinformatics)
technology for insulin delivery has improved in the recent
past but the discomfort and inconveniency associated with Protein Data Bank (PDB) [28]. The ligands from PDB files
insulin injection cannot be denied. Additionally, long term of 3LOH were removed using Discovery Studio 4.0 client
insulin injection leads to the development of cutaneous (http://accelrys.com/products/discovery-studio/). The poly-
complications such as allergy, lipoatrophic area development, peptide chains (A, B, C, and D) of 3LOH were removed, and
and injection abscesses [19]. Therefore, the discovery of only E chain (insulin binding domain, ectodomain) of Homo
small molecules that are capable of mimicking insulin action sapiens was saved as PDB file format for further analysis
and can be administered orally would be better alternative (see Supplementary Figure S1 in Supplementary Material
therapies for the diabetic disorder. As of now very little work available online at http://dx.doi.org/10.1155/2016/3187647).
has been done to develop such kind of small molecules. More- After removal of the ligands and chains (A, B, C, and D), chain
over, the identified small molecules have several problems E of insulin receptor 3LOH was effectively used to screen and
such as poor IR specificity or bioavailability. For instance, find out novel molecules for the treatment of diabetes. For
arylalkylamine vanadium salts are strong IR activators but the selection of drugs, existing literatures and databases were
associated with questionable bioavailability, and demethy- searched for plants having antidiabetic properties supported
lasterriquinone B1 (DAQ B1) has insulin mimicking potential by laboratory study for itself and/or its compounds [23–25,
but associated with significant cytotoxicity [20, 21]. 41, 42]. Among many, Gymnema sylvestre, a plant common
Herein, we selected G. sylvestre derived small compounds in South Asia, were selected for the current study. A total
to check their significance to be assigned as potential candi- of ten compounds (Figure 2) were selected from Gymnema
date for IR activators designing. G. sylvestre is a commonly sylvestre based on the following criteria: (i) tested com-
seen herb in South Asian region (India, Sri Lanka, and pounds having antidiabetic (T2DM) effect (Gymnemoside
Bangladesh as well) which is considered as promising source B and Conduritol A) and their analogues (Gymnemoside
of antidiabetic compounds. G. sylvestre derived compounds A and Conduritol B tetraacetate, Conduritol C cis-epoxide
demonstrated considerable antidiabetic results in several analogue, Conduritol D, and Conduritol E tetranitro), (ii)
experiments [22]. Experimental trials have been conducted tested compounds with no antidiabetic effect (Gymnemic
in animal models with G. sylvestre active constituents of acid I, Gymnemic acid II), and (iii) one unique compound,
which insulin-like activity and mechanism of action of hypo- GS4, having antidiabetic effects against both types (T1DM
glycemic principles have been investigated in detail [23]. and T2DM) [24, 25]. The two-dimensional (2D) structure
Amid many, Gymnemic acids III, IV, V, and VII and Gym- of the selected active compounds of this plant was retrieved
nemoside B were recognized as antihyperglycemic active from Click2drug (http://www.click2drug.org/), zinc database
constituents while Conduritol A was found to have cataract- (http://zinc.docking.org/) and PubChem compound [29] as
suppressing effect [24]. Moreover, it has been reported that SDF (Structure Data File) format. Afterwards, the SDF format
another active ingredient from G. sylvestre leaves extract, of the compounds was converted to PDB file by using the
BioMed Research International 3
Toxic profile
assessment
Toxic
Nontoxic compounds
compounds
Docking simulation
analysis
Val 377,
Glu 438
Open Babel [30]. The 3D structure optimization of these (absorption, distribution, metabolism, excretion, and toxicity
compounds was done by the ACD/Chemsketch [31]. structure-activity relationship database) [35] and ACD/I-Lab
[36] handle existing ADMET-associated information from
2.2. Pharmacoinformatics Elucidation. Different computa- the available literature. Default parameters of these online
tional tools and web databases were exploited for the phar- servers are used for the pharmacoinformatics analysis.
macoinformatics elucidation of active compounds that might
have the potentiality to exhibit insulin-like activity by inter- 2.3. Design New Drugs. To improve the antidiabetic activity
acting with the insulin receptor protein. The pharma- of the four tested drugs, novel compounds were designed by
cophoric library screening, ADMET (absorption, distribu- generating their analogues (Supplementary Figure S2). ACD/
tion, metabolism, excretion, and toxicity) and QSAR (quan- Chemsketch [31], Discovery Studio 4.0 clients, and Open
titative structural-activity relationship) properties were car- Babel [30] were employed to accomplish the task.
ried out by Osiris property explorer [32], Molinspiration
[33], AcTor [34], admetSAR [35], and ACD/I-Lab [36]. 2.4. Energy Minimization of Designed Molecules. In designed
Briefly, Osiris property explorer [32] computes various drug structures, an accurate alignment of the side chains is an
related properties like tumorigenicity, mutagenicity, irrita- indispensable requirement in order to link the structural gap
tion, reproductive effect, drug likeness, and drug-score pre- and encompass loop rearrangements, secondary structure
diction based on chemical structure. Molinspiration offers elements, repacking of core residues, and so forth. Here, We
broad range of cheminformatics software tools that support have calculated the free relative binding energies for these
molecule manipulation and fragmentation, calculation of complexes using the YASARA (Yet Another Scientific Artifi-
various molecular properties such as QSAR, molecular mod- cial Reality Application) force field [38]. YASARA uses a full
eling, and drug design [37]. The ACToR (Aggregated Com- atomic description of designed molecules, whose parameters
putational Toxicology Resource) database, that locates many have been optimized to minimize the damage done to
types and sources of data, has information about in vitro designing procedure. The YASARA energy function includes
bioassays and in vivo toxicology assays on chemical structure terms that have been found to be important for molecules
derived from more than 150 sources [34]. The admetSAR stability [39, 40, 43].
4 BioMed Research International
O O
OH
OH O O OH N N
O O
HO
HO OH O O O O
HO OH
O
O O
O O HO O N N O
HO O O OH HO O O
(a) Conduritol A (b) Conduritol B tetraacetate (c) Conduritol C cis- (d) Conduritol D (e) Conduritol E tetranitro
epoxide
OH
O OH
HO OH
O OH
HS HO O SH H
O OH HO O O H H OH
O
HO O OH
O HO O HO
O OH HO OH
HO S
O
HO OH O
(f) GS4 (g) Gymnemic acid I
HO OH OH
OH O OH
HO O OH O OH
H
H
O O OH
HO O
O O
HO O HO OH
HO O
(h) Gymnemic acid II (i) Gymnemoside A
OH
O OH
O OH
H
O H H OH
O
O HO OH
OH
O
O
(j) Gymnemoside B
Figure 2: Two-dimensional structures of the ten candidate drugs from Gymnema sylvestre.
2.5. Active Site Analysis. For the identification of the active protein and prepared as PDBQT files in AutoDock tools [45].
site and determination of pocket of the insulin receptor, To prepare for the ligand-protein interaction analysis, the
Computed Atlas of Surface Topography of proteins (CASTp) torsional bonds were set free from the ligands and saved
(http://sts.bioe.uic.edu/castp/calculation.php) server was used. as PDBQT file format. The prepared crystal structure of
This server provides an online resource for locating, delineat- 3LOH E was covered with grid box parameter for observing
ing, and measuring concave surface regions on three-dimen- its interaction with drug molecules. For this, a grid box
sional structures of proteins including pockets located on encompassing each ligand was set with the dimension (𝑋 =
protein surfaces and voids buried in the interior of proteins 98, 𝑌 = 98, and 𝑍 = 98) and center (𝑋 = 10.303, 𝑌 =
[44]. 107.879, and 𝑍 = 38.693) as well as grid box spacing 1.0 Å for
blind docking analysis. All the docking calculations were then
2.6. Molecular Docking Analysis. Before initiating the dock- performed with the set parameters by using AutoDock Vina
ing simulations, polar hydrogen was added to insulin receptor [46] which is an automated procedure for predicting the
BioMed Research International 5
O O
Br Br N
O O HO O
O O
HO OH O HO O
Br Br
O O HO
HO O O OH HO
(a) (b) (c) (d)
Figure 3: New designed analogues of Conduritol A (a), Conduritol B tetraacetate (b), Conduritol C cis-epoxide (c), and Conduritol D (d). To
increase their binding affinity, analogues have been generated by adding benzene, Br− , NO2 − , and O2 − into their 2D structures, respectively.
3. Results
(b)
3.1. Pharmacophore Study of Drug Compounds and Their
Analogues. The pharmacophore and QSAR properties of the
compounds were analyzed for their drug likeness, drug score,
toxicity, structural polarity, and oral bioavailability by using (c)
various software mentioned in Section 2 and the results are
listed in Tables 1 and 2. Among the ADMET properties,
human intestinal absorption is highest for Conduritol B
(d)
tetraacetate (0.9899 out of 1.0) while Caco-2 permeability is
highest for Gymnemic acid I and Gymnemoside A (0.9223 Figure 4: Energy minimization structure of designed molecules.
out of 1). All the other compounds show moderate to very Here red sticks designate the designed molecules. Designed ana-
high human intestinal absorption (0.5133–0.9691) as well as logues of Conduritol A (a), Conduritol B tetraacetate (b), Conduritol
Caco-2 permeability (0.5225–0.9040). No drug seems to cross C cis-epoxide (c), and Conduritol D (d).
the blood brain barrier as revealed by their score ranging
from 0.5000 to 0.9473. Unbound fraction of the drugs in
plasma is also very high (48–100%) except for Conduritol E
tetranitro (11%) implying their well distribution among the The four drugs showing good ligand and ADMET prop-
tissues. As expected, blood brain distribution of the drugs is erties but some toxic effects and lower binding affinity for
less than zero except Conduritol E tetranitro (0.33). Very high the insulin receptor have been considered for further analysis
metabolic score (>0.8000) was observed for all the ten candi- with an aim of identification of novel drug candidates. As a
date drugs. However, out of ten candidate drugs, Conduritol consequence, ten structural analogues for each of the four
A, Conduritol B tetraacetate, Conduritol C cis-epoxide, and drugs were generated and analyzed for pharmacophore and
Conduritol D showed mutagenic, reproductive, irritating, QSAR properties (Supplementary Figure S2, Table 3). Among
and tumorigenic effect, respectively (Table 1). Ligand prop- the 40 designed analogues, best one for each drug, namely,
erties were found in acceptable range for all the tested drugs Conduritol A with benzene, Conduritol B tetraacetate with
(Table 2). However, the six compounds possess better ligand Br− , Conduritol C cis-epoxide with NO2 − , and Conduri-
properties in contrast to the four drugs (Conduritols A–D) tol D with O2 − side chain (Figure 3), was selected based
showing toxicity. The six compounds require less docking on their pharmacophore and QSAR properties (Table 3).
energy (−8.0 to −10.9 Kcal/mol) compared to the four toxic Remarkably, the newly designed four analogues showed all
(−5.2 to −5.7 Kcal/mol) compounds. With broader polar the pharmacophore and QSAR properties within acceptable
surface area (220–401) six compounds show stronger inter- range. Before the docking energy analysis, YASARA program
actions to the target by donating two times more (7.7 versus was used in refining physical realism, stereochemistry, and
3.5 on average) and accepting three times more (14.7 versus side-chain accurateness in designed molecules. This program
4.75) hydrogen ion than that of the four toxic compounds. In yields the energy (START versus END) that ensures accuracy
addition to this, oral bioavailability of the six drugs is more of designed molecules (Figure 4). The energy compari-
than 70% with one exception of Gymnemic acid I (30–70%). son among designed molecules from the START energy
Furthermore, the six compounds are more likely to be used (66.1 KJ/mol, 720.2 KJ/mol, 705.5 KJ/mol, and 205.5 KJ/mol)
as drugs as revealed by their drug likeness and drug score. to END energy (−51.4 KJ/mol, 200.0 KJ/mol, −38.3 KJ/mol,
6
Table 1: ADMET properties of Gymnema sylvestre compounds. Most data of ADMET properties were measured according to a measuring scale of 1.0.
Conduritol Conduritol B Conduritol C Conduritol Conduritol E Gymnemic Gymnemic Gymnemoside Gymnemoside
Properties GS4
A tetraacetate cis-epoxide D tetranitro acid I acid II A B
Absorption
Blood brain barrier 0.5000 0.9473 0.5337 0.5000 0.8859 0.5951 0.5396 0.5145 0.5396 0.5000
Human intestinal
0.9305 0.9899 0.6488 0.9305 0.9691 0.9375 0.5405 0.6906 0.5405 0.5133
absorption
Caco-2 permeability 0.5225 0.5742 0.6220 0.5225 0.5443 0.8205 0.9223 0.8955 0.9223 0.9040
Distribution
Blood brain distribution
−0.03 −0.01 −0.04 −0.03 0.33 −2.0 −0.48 −2 −0.46 −0.48
(LogBB)
Fraction unbound in
0.99 0.6 0.99 0.99 0.11 1 0.48 0.56 0.46 0.48
plasma
Volume of distribution
0.72 1.12 0.67 0.72 1.43 0.49 0.25 0.25 0.25 0.25
(𝑉𝑑 ) (L/kg)
Metabolism
CYP450 2C9 substrate 0.8335 0.8268 0.8081 0.8335 0.8564 0.8169 0.8585 0.8541 0.8585 0.8582
CYP450 2C9 inhibitor 0.8562 0.9772 0.9286 0.8562 0.7918 0.8666 0.8443 0.8549 0.8443 0.8346
Toxicity
Mutagenicity Yes No No No No No No No No No
Tumorigenicity No No No Yes No No No No No No
Irritating effects No No Yes No No No No No No No
Reproductive effects No Yes No No No No No No No No
BioMed Research International
BioMed Research International
and 58.6 KJ/mol) confirm the stability of the structural com- 3LOH E (Figure 6). The amino acid interactions of insulin
plexes of the designed molecules during the minimization receptor 3LOH E with these drugs were also identified (Fig-
of energy. The docking energy for the new analogues was ure 7). Amino acids that were unanimous to interact with at
found lower (−7.5 to −8.1 Kcal/mol) in comparison to their least five compounds were adopted as interacting amino acid.
parent compound (−5.2 to −5.7 Kcal/mol) as well as no toxic It was observed that Val 377, Arg 409, Lys 433, Cys 435, Glu
effect was associated with them. Finally, the four analogues 438, Glu 471, Leu 472, and Pro 511 exhibited strong binding
with improved drug likeness and drug score (Figure 5) also interactions with the six docked compounds (Figure 7).
claimed their position in the queue of the novel antidiabetic Among these, Val 377, Glu 438, and Leu 472 were common
drugs. in interactions between IR protein and all the six drugs. The
interactions that play significant role in the determination
3.2. Active Site and Molecular Docking Analysis. The active of binding energy and stability of these receptor-ligand
site area of the insulin receptor protein and the number of complexes were recognized as hydrogen bond and hydropho-
amino acid residues involved in it were determined with bic and electrostatic interactions. Evidently, all of the nine
the CASTp server. This provides a significant insight of the interacting amino acids are located in the active site pocket
docking simulation study to locate the active site cleft and
of the insulin receptor protein (Supplementary Figure S3).
the amino acid residues that interact with different ligands.
Besides these drugs, the docking results of the structural
The preeminent active site is found with 5311.9 area and a vol-
analogues of the remaining four drugs confirmed their strong
ume of 40219 amino acids (Supplementary Figure S3). The
molecular docking analysis performed with AutoDock Vina interactions with the insulin receptor protein (Figure 8). Val
for the six candidate drugs showing good pharmacophore 377, Arg 409, Lys 433, Cys 435, Glu 438, Ala 466, Ser 467,
and QSAR properties revealed variations in their binding Glu 471, and Leu 472 were found in binding interactions with
energies. AutoDock Vina produced nine possible binding the four designed analogues (Figure 8). But Val 377, Lys 433,
positions as output for each drug. Out of nine possible ligands Cys 435, Glu 438, and Ala 466 were common in interactions
binding positions the best one was chosen for each compound with all designed drugs and 3LOH E. Interestingly, these
based on the lowest docking energy. The results pointed out amino acids are also in the active site pocket of the insulin
that all the six compounds efficiently bind to insulin receptor receptor protein (Supplementary Figure S3). These amino
BioMed Research International 9
1
0.9
0.8
0.7 0.61 0.61
Drug score
0.6 0.52
0.5 0.447
0.4
0.3 0.265 0.265 0.265
0.21
0.2
0.101 0.101
0.1
0
GS4
Gymnemic acid I
Gymnemic acid II
Gymnemoside A
Gymnemoside B
Con. E tetranitro
Con. A analogue
Con. D analogue
Con. B tetraacetate analogue
Interacting cleft
Interacting drugs
(a)
(b)
Figure 6: Docking simulation of six compounds of Gymnema sylvestre with E chain of 3LOH. (a) Ribbon structure of 3LOH E showed the
binding affinity of all six drugs to the E chain. (b) Space filling model also showed the six drugs in active site cleft of E chain.
acid residues identified a binding site within the E chain of site (Figure 9). It is therefore to predict that amino acid
3LOH by blind docking analysis (Supplementary Figure S4). residues Val 377 and Glu 438 could play a crucial role for both
Interacting amino acids with docking analysis confirmed that plant derived drug compounds and designed drug molecules
all the drug molecules for this study bind in the same binding in mimicking the insulin activity.
10 BioMed Research International
Color (dot) (Interactions type) Color (dot) (Interactions type) Color (dot) (Interactions type)
Yellow Hydrogen bond Yellow Hydrogen bond Yellow Hydrogen bond
Red Electrostatic Red Electrostatic Red Electrostatic
Blue Hydrophobic Blue Hydrophobic Blue Hydrophobic
(a) (b) (c)
Color (dot) (Interactions type) Color (dot) (Interactions type) Color (dot) (Interactions type)
Yellow Hydrogen bond Yellow Hydrogen bond Yellow Hydrogen bond
Red Electrostatic Red Electrostatic Red Electrostatic
Blue Hydrophobic Blue Hydrophobic Blue Hydrophobic
(d) (e) (f)
Figure 7: Interaction between drugs (a–f) and active site amino acid residues of 3LOH E. (a) Conduritol E tetranitro, (b) GS4, (c) Gymnemic
acid I, (d) Gymnemic acid II, (e) Gymnemoside A, and (f) Gymnemoside B. Red stick represents the drug compounds. Yellow dots represent
the hydrogen bond interaction. Red dots represent the electrostatic interactions and blue dot also represents the hydrophobic interactions
with amino acid residues. The common interactions with amino acid residues among the six compounds are Val 377, Glu 438, and Leu 472.
(a)
(A) (B)
(C) (D)
(b)
Figure 8: Interaction between the four novel designed molecules and active site amino acid residues of 3LOH E. (a) Space filling model
of 3LOH E with four novel designed molecules in the active site cleft of E chain. (b) Designed drug compounds interactions with amino
acid residues of insulin receptor chain E. (A) Conduritol A analogue, (B) Conduritol B tetraacetate analogue, (C) Conduritol C cis-epoxide
analogue, and (D) Conduritol D analogue. Here, marine sticks designate the drug compounds. The interactions with most common amino
acid residues of these novel molecules are Val 377, Lys 433, Cys 435, Glu 438, and Ala 466.
active site could be shown which is the most desired binding license-agreed software. The pharmacokinetics and pharma-
sites for the suggested drug candidates (Supplementary Fig- cology for absorption, distribution, metabolism, elimination,
ure S4). and toxicity are assessed by the ADMET properties that
The pharmacophore properties of the selected molecules describe the disposition of a drug-like compound within the
were carried out by using the up-to-date online-based and body of an organism [50]. All the candidate drugs tested in
12 BioMed Research International
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