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  <front>
    <journal-meta>
      <journal-id journal-id-type="publisher-id">89</journal-id>
      <journal-id journal-id-type="index">urn:lsid:arphahub.com:pub:CCBBD2E1-BDAF-5702-AE4B-0E4910A4C7D6</journal-id>
      <journal-title-group>
        <journal-title xml:lang="en">Pharmacia</journal-title>
        <abbrev-journal-title xml:lang="en">PHAR</abbrev-journal-title>
      </journal-title-group>
      <issn pub-type="ppub">0428-0296</issn>
      <issn pub-type="epub">2603-557X</issn>
      <publisher>
        <publisher-name>Bulgarian Pharmaceutical Scientific Society</publisher-name>
      </publisher>
    </journal-meta>
    <article-meta>
      <article-id pub-id-type="doi">10.3897/pharmacia.69.e96626</article-id>
      <article-id pub-id-type="publisher-id">96626</article-id>
      <article-categories>
        <subj-group subj-group-type="heading">
          <subject>Research Article</subject>
        </subj-group>
        <subj-group subj-group-type="scientific_subject">
          <subject>Pharmaceutics</subject>
        </subj-group>
      </article-categories>
      <title-group>
        <article-title><italic>In vitro</italic> effects and <italic>in silico</italic> analysis of newly synthetized pyrrole derivatives on the activity of different isoforms of Cytochrome P450: CYP1A2, CYP2D6 and CYP3A4</article-title>
      </title-group>
      <contrib-group content-type="authors">
        <contrib contrib-type="author" corresp="no">
          <name name-style="western">
            <surname>Angelov</surname>
            <given-names>Borislav</given-names>
          </name>
          <xref ref-type="aff" rid="A1">1</xref>
        </contrib>
        <contrib contrib-type="author" corresp="no">
          <name name-style="western">
            <surname>Mateev</surname>
            <given-names>Emilio</given-names>
          </name>
          <uri content-type="orcid">https://orcid.org/0000-0002-5885-7213</uri>
          <xref ref-type="aff" rid="A1">1</xref>
        </contrib>
        <contrib contrib-type="author" corresp="yes">
          <name name-style="western">
            <surname>Georgieva</surname>
            <given-names>Maya</given-names>
          </name>
          <email xlink:type="simple">maya.bg77@gmail.com</email>
          <xref ref-type="aff" rid="A1">1</xref>
        </contrib>
        <contrib contrib-type="author" corresp="no">
          <name name-style="western">
            <surname>Tzankova</surname>
            <given-names>Virginia</given-names>
          </name>
          <xref ref-type="aff" rid="A1">1</xref>
        </contrib>
        <contrib contrib-type="author" corresp="no">
          <name name-style="western">
            <surname>Kondeva-Burdina</surname>
            <given-names>Magdalena</given-names>
          </name>
          <xref ref-type="aff" rid="A1">1</xref>
        </contrib>
      </contrib-group>
      <aff id="A1">
        <label>1</label>
        <addr-line content-type="verbatim">Faculty of Pharmacy, Medical University – Sofia, Sofia, Bulgaria</addr-line>
        <institution>Medical University</institution>
        <addr-line content-type="city">Sofia</addr-line>
        <country>Bulgaria</country>
      </aff>
      <aff id="A2">
        <label>2</label>
        <addr-line content-type="verbatim">Department of Pharmaceutical chemistry, Faculty of Pharmacy, Medical University – Sofia, Sofia, Bulgaria</addr-line>
        <institution>Medical University</institution>
        <addr-line content-type="city">Sofia</addr-line>
        <country>Bulgaria</country>
      </aff>
      <author-notes>
        <fn fn-type="corresp">
          <p>Corresponding author: Maya Georgieva (<email xlink:type="simple">maya.bg77@gmail.com</email>)</p>
        </fn>
      </author-notes>
      <pub-date pub-type="collection">
        <year>2022</year>
      </pub-date>
      <pub-date pub-type="epub">
        <day>25</day>
        <month>11</month>
        <year>2022</year>
      </pub-date>
      <volume>69</volume>
      <issue>4</issue>
      <fpage>1013</fpage>
      <lpage>1017</lpage>
      <uri content-type="arpha" xlink:href="http://openbiodiv.net/76E9D1A4-64C5-5A56-8D0E-F7925B30FD6E">76E9D1A4-64C5-5A56-8D0E-F7925B30FD6E</uri>
      <history>
        <date date-type="received">
          <day>22</day>
          <month>10</month>
          <year>2022</year>
        </date>
        <date date-type="accepted">
          <day>01</day>
          <month>11</month>
          <year>2022</year>
        </date>
      </history>
      <permissions>
        <copyright-statement>Borislav Angelov, Emilio Mateev, Maya Georgieva, Virginia Tzankova, Magdalena Kondeva-Burdina</copyright-statement>
        <license license-type="creative-commons-attribution" xlink:href="http://creativecommons.org/licenses/by/4.0/" xlink:type="simple">
          <license-p>This is an open access article distributed under the terms of the Creative Commons Attribution License (CC BY 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.</license-p>
        </license>
      </permissions>
      <abstract>
        <label>Abstract</label>
        <p>Four pyrrole based hydazide-hydrazones with established low hepatotoxicity and promising antiproliferative activity were evaluated (at 1µM concentration) for possible inhibitory activity on human isoforms of Cytochrome P450 CYP1A2, CYP3A4 and CYP2D6. The compounds didn’t exert any statistically significant inhibitory effects on CYP1A2 and CYP2D6. However on CYP3A4 only <bold>12</bold> resulted in low statistically significant inhibitory effect decreasing the enzyme activity by 20%, compared to the control (pure CYP3A4). In addition the potential interactions of <bold>12</bold> and the evaluated CYP isoforms were displayed after molecular docking with Glide (Schrödinger). Induced-fit simulations and binding free energy (MM/GBSA) calculations were applied to elucidate the accessibility in each CYP isoform. The most active CYP3A4 inhibitor <bold>12</bold> demonstrated good binding affinity and was in close vicinity to the het Fe ion (2.88 Å). Overall, good correlation between the <italic>in vitro</italic> results and the free binding MM/GBSA recalculations were observed.</p>
      </abstract>
      <kwd-group>
        <label>Keywords</label>
        <kwd>CYP450</kwd>
        <kwd>pyrrole</kwd>
        <kwd>molecular docking</kwd>
        <kwd>MM/GBSA</kwd>
      </kwd-group>
    </article-meta>
    <notes>
      <sec sec-type="Citation" id="SECID0EXE">
        <title>Citation</title>
        <p>Angelov B, Mateev E, Georgieva M, Tzankova V, Kondeva-Burdina M (2022) <italic>In vitro</italic> effects and <italic>in silico</italic> analysis of newly synthetized pyrrole derivatives on the activity of different isoforms of Cytochrome P450: CYP1A2, CYP2D6 and CYP3A4. Pharmacia 69(4): 1013–1017. <ext-link xlink:href="10.3897/pharmacia.69.e96626" ext-link-type="doi" xlink:type="simple">https://doi.org/10.3897/pharmacia.69.e96626</ext-link></p>
      </sec>
    </notes>
  </front>
  <body>
    <sec sec-type="Introduction" id="SECID0EGF">
      <title>Introduction</title>
      <p>Normally all organisms are constantly exposed on different environmental xenobiotics (natural products or synthetic), which once entered in the body are subjected to elimination through biotransformation processes into non-toxic metabolites. Unfortunately some of these processes may be related to formation of reactive metabolites, with severe toxicity on some targets – cells, tissues or organs. Thus in order to assure the human safety, it’s necessary to have preliminary information about the origin of the toxicant, its mechanism of toxicity and its possible biological interactions.</p>
      <p><italic>In vitro</italic> metabolic investigations are important tool for the drug interactions prediction. Except investigations about enzyme induction and inhibition, it’s necessary to have information for the enzymes, responsible for the drug biotransformation (<xref ref-type="bibr" rid="B1">Blaauboer et al. 1994</xref>).</p>
      <p>The CYP450 superfamily of enzymes consists of more than 55 isoforms, which are involved in the metabolic pathways of various pharmacologically active compounds. The assessment of CYP450-mediated interactions is of major significance considering the role of the latter enzymes in undesirable drug-drug interactions. Thus, an initial assessment of the CYP450 activity for each active molecule is required in the process of drug development (<xref ref-type="bibr" rid="B6">Iizaka et al. 2021</xref>).</p>
      <p>Some of the most common representatives of CYP450 family are CYP1A2, CYP2D6, CYP3A4. Among them CYP1A2 is localized to the endoplasmic reticulum and its expression is induced by molecules containing aromatic hydrocarbon chain, along with some natural products like caffeine, aflatoxin B1 and some drugs, like paracetamol (<xref ref-type="bibr" rid="B10">Matetzky et al. 2004</xref>; <xref ref-type="bibr" rid="B2">Bliden et al. 2008</xref>). Another representative of CYP450 family is CYP2D6. This isoform is primarily expressed in the liver and highly expressed in areas of the central nervous system, including the <italic>substancia nigra</italic>. In particular this enzyme is related to the metabolic transformations and elimination of approximately 25% of clinically used drugs (<xref ref-type="bibr" rid="B14">Wang et al. 2009</xref>). It is also responsible for activation of some prodrugs (<xref ref-type="bibr" rid="B15">Wang et al. 2014</xref>).</p>
      <p>Cytochrome P450 enzymes are essential for the metabolism of many medicines and endogenous compounds. The CYP3A family is the most abundant subfamily of the CYP isoforms in the liver. There are at least four isoforms: 3A4, 3A5, 3A7 and 3A43 of which 3A4 is the most important (<xref ref-type="bibr" rid="B7">Ince et al. 2013</xref>). This isoform contributes to bile acid detoxification, termination of action of steroid hormones, and elimination of phytochemicals in food and the majority of medicines (<xref ref-type="bibr" rid="B8">Kacevska et al. 2008</xref>; Zanger and Schwab 2013). In general this enzyme is subjected to reversible and irreversible inhibition which is a reason for its inactivation (<xref ref-type="bibr" rid="B16">Zhou 2008</xref>).</p>
      <p>Recently, the reliability and robustness of the <italic>in silico</italic> methods for the assessment of CYP450 activities has increased substantially. Studies based on the implementation of web servers (Ekroos and Sjogren 2006) and molecular docking simulations (<xref ref-type="bibr" rid="B4">Chand et al. 2021</xref>) have displayed good correlation with the <italic>in vitro</italic> results.</p>
      <p>Consequently, the aim of the current work was to investigate the inhibition potency of four potent pyrrole-based compounds on human CYP1A2, CYP2D6, and CYP3A4 enzymes through <italic>in silico</italic> and <italic>in vitro</italic> studies. Molecular docking simulations demonstrated the possible conformations of the title compounds in the active sites of the three isoforms. Furthermore, induced-fit docking (<abbrev xlink:title="induced-fit docking" id="ABBRID0ELH">IFD</abbrev>) and MM/GBSA free energy recalculations were introduced to enhance the fidelity of the <italic>in silico</italic> results.</p>
    </sec>
    <sec sec-type="materials|methods" id="SECID0ERH">
      <title>Materials and methods</title>
      <sec sec-type="In vitro assay" id="SECID0EVH">
        <title><italic>In vitro</italic> assay</title>
        <p>The potential inhibitory activity of the compounds <bold>11</bold>, <bold>11l</bold>, <bold>12</bold> and <bold>12a</bold> on the evaluated Cytochrome P450 enzyme isoforms was measured using the corresponding specific fluorimetric screening kits CYP1A2 Inhibitor Screening Kit (Fluorometric) (Abcam) with 3-cyano-7-hydroxycoumarin (<abbrev xlink:title="3-cyano-7-hydroxycoumarin" id="ABBRID0EHAAC">3-CHC</abbrev>) applied as substrate and α-naphthoflavone used as an inhibitor. The CYP2D6 Inhibitor Screening Kit (Fluorometric) (Abcam) with 3-[2-(N,N-diethyl-N-methylammonium)ethyl]-7-methoxy-4-methylcoumarin applied as a substrate and quinidine as an inhibitor, and CYP3A4 Inhibitor Screening Kit (Fluorometric) (Abcam) with resorufin applied as a substrate and ketoconazole as an inhibitor. The fluorescence for the different isoforms was measured at Ex/Em = 406/468 nm for CYP1A2; Ex/Em = 535/587 nm for CYP3A4 and Ex/Em = 390/468 nm for CYP2D6, respectively.</p>
      </sec>
      <sec sec-type="Statistical analysis" id="SECID0ELAAC">
        <title>Statistical analysis</title>
        <p>The different CYP450 isoform activity were normalized as percentage of the untreated control set as 100% and the results were expressed as mean values and standard deviation (±SD) (Graph Pad Prizm). Statistical analysis was performed by one-way analysis of variance (<abbrev xlink:title="analysis of variance" id="ABBRID0ERAAC">ANOVA</abbrev>) with post hoc multiple comparisons procedure (Dunnet’s test) to assess the statistical differences in case of normal distribution. Values of p &lt; 0.05 and p &lt; 0.001 were considered statistically significant.</p>
      </sec>
      <sec sec-type="Molecular docking" id="SECID0EVAAC">
        <title>Molecular docking</title>
        <sec sec-type="Selection and preparation of proteins" id="SECID0EZAAC">
          <title>
            <italic>Selection and preparation of proteins</italic>
          </title>
          <p>The crystallographic structures of the employed in this study CYP isoforms – CYP1A2 (<abbrev xlink:title="Protein Data Bank" id="ABBRID0ECBAC">PDB</abbrev> ID: <bold>2HI4</bold>) (<xref ref-type="bibr" rid="B9">Marechal et al. 2006</xref>), CYP2D6 (<abbrev xlink:title="Protein Data Bank" id="ABBRID0EMBAC">PDB</abbrev> ID: <bold>4WNU</bold>) (Olsen et al. 2015) and CYP3A4 (<abbrev xlink:title="Protein Data Bank" id="ABBRID0ESBAC">PDB</abbrev> ID: <bold>2V0M</bold>) (<xref ref-type="bibr" rid="B11">Pang et al. 2018</xref>), resolved with the co-crystallized ligands alpha-naphthoflavone, quinidine and ketoconazole, respectively, were retrieved from the Protein Data Bank (<abbrev xlink:title="Protein Data Bank" id="ABBRID0E3BAC">PDB</abbrev>). The Protein Preparation module in Maestro (Schrödinger Release 2021-3: Protein Preparation Wizard; Epik, Schrödinger, LLC, New York, NY, 2021.) was employed for the protein refinements. Hydrogen bonds and het states at pH 7.0 ± 2.0 were produced followed by the removal of non-active water molecules. Subsequently, the energies of the crystallographic structures were minimized with the OPLS2005 force field. The grid box was generated around each co-crystallized ligand with the Receptor Grid Generation module in Maestro.</p>
        </sec>
        <sec sec-type="Ligands preparation" id="SECID0EACAC">
          <title>
            <italic>Ligands preparation</italic>
          </title>
          <p>The chemical structures of the title compounds were drawn in the 2D sketcher module of Maestro, and converted to the corresponding 3D structures with Ligprep (Schrödinger Release 2021-3: LigPrep, Schrödinger, LLC, New York, NY, 2021.). Utilizing the latter module, hydrogen bonds, tautomers, and ionization states at pH 7.0 ± 2.0 were obtained. The charged groups were neutralized. Furthermore, the ligands’ energies were minimized with the OPLS2005 force field.</p>
        </sec>
        <sec sec-type="Docking protocol" id="SECID0EICAC">
          <title>
            <italic>Docking protocol</italic>
          </title>
          <p>The molecular docking was carried out with the licensed software Glide (Schrödinger Release 2021-3: Glide, Schrödinger, LLC, New York, NY, 2021.). The former implements an empirically based scoring algorithm, which includes three options: High-throughput screening (<abbrev xlink:title="High-throughput screening" id="ABBRID0ERCAC">HTS</abbrev>), Standard-Precision (<abbrev xlink:title="Standard-Precision" id="ABBRID0EVCAC">SP</abbrev>) and Extra-Precision (<abbrev xlink:title="Extra-Precision" id="ABBRID0EZCAC">XP</abbrev>) modes. For the current study the most precise docking mode – <abbrev xlink:title="Extra-Precision" id="ABBRID0E4CAC">XP</abbrev>, was utilized. To further explore the obtained active conformations, the Induced-fit docking (<abbrev xlink:title="Induced-fit docking" id="ABBRID0EBDAC">IFD</abbrev>) mode in Maestro was employed. The <abbrev xlink:title="induced-fit docking" id="ABBRID0EFDAC">IFD</abbrev> examines the protein’s side chains as fully flexible, which leads to exhaustive sampling. Finally, MM/GBSA (Molecular Mechanics-Generalized Born Surface Area) recalculations were introduced to determine the binding free energies of the acquired complexes.</p>
        </sec>
      </sec>
    </sec>
    <sec sec-type="Results and discussion" id="SECID0EJDAC">
      <title>Results and discussion</title>
      <sec sec-type="Selection of the target compounds" id="SECID0ENDAC">
        <title>Selection of the target compounds</title>
        <p>Preliminary evaluations of hepatotoxicity and antiproliferative activity of two series of synthesized by us pyrrole-based hydrazide-hydrazones were recently published (Georgieva et al 2022) and outlined four representatives with low toxic effects and promising activity, identified as <bold>11, 11l, 12</bold> and <bold>12a</bold>. The structures of the evaluated compounds is presented on Fig. <xref ref-type="fig" rid="F1">1</xref>.</p>
        <fig id="F1" position="float" orientation="portrait">
          <object-id content-type="doi">10.3897/pharmacia.69.e96626.figure1</object-id>
          <object-id content-type="arpha">FFD19E3A-3A32-51AE-A5E3-14E9E30BAAD9</object-id>
          <label>Figure 1.</label>
          <caption>
            <p>Structures of target evaluated compounds.</p>
          </caption>
          <graphic xlink:href="pharmacia-69-e96626-g001.jpg" position="float" orientation="portrait" xlink:type="simple" id="oo_774144.jpg">
            <uri content-type="original_file">https://binary.pensoft.net/fig/774144</uri>
          </graphic>
        </fig>
      </sec>
      <sec sec-type="In vitro evaluations" id="SECID0EHEAC">
        <title><italic>In vitro</italic> evaluations</title>
        <p>The evaluated compounds <bold>11, 11l, 12</bold> and <bold>12a</bold> were tested for possible inhibitory activity on some human isoforms of Cytochrome P450 at concentration 1µM. Three enzymes were chosen: the localized to the endoplasmic reticulum CYP1A2, the primarily expressed in the liver and highly expressed in areas of central nervous system (<abbrev xlink:title="central nervous system" id="ABBRID0EUEAC">CNS</abbrev>) CYP2D6 and the available in the liver and in the intestine CYP3A4.</p>
        <p>The target compounds were tested as CYP1A2 and CYP2D6 potential inhibitors. The results from the performed evaluations are presented on Figs <xref ref-type="fig" rid="F2">2</xref>, <xref ref-type="fig" rid="F3">3</xref>, respectively.</p>
        <fig id="F2" position="float" orientation="portrait">
          <object-id content-type="doi">10.3897/pharmacia.69.e96626.figure2</object-id>
          <object-id content-type="arpha">E530FB24-7953-5736-A9C3-88BBAF283FC0</object-id>
          <label>Figure 2.</label>
          <caption>
            <p>Effects of compounds <bold>11, 11l, 12</bold> and <bold>12a</bold> (at concentration 1µM) on the CYP1A2 enzyme activity. *** <italic>P</italic> &lt; 0.001 <italic>vs</italic> control (pure CYP1A2).</p>
          </caption>
          <graphic xlink:href="pharmacia-69-e96626-g002.jpg" position="float" orientation="portrait" xlink:type="simple" id="oo_774145.jpg">
            <uri content-type="original_file">https://binary.pensoft.net/fig/774145</uri>
          </graphic>
        </fig>
        <fig id="F3" position="float" orientation="portrait">
          <object-id content-type="doi">10.3897/pharmacia.69.e96626.figure3</object-id>
          <object-id content-type="arpha">D9C04BB4-C433-51DC-A98F-8279D022BE2C</object-id>
          <label>Figure 3.</label>
          <caption>
            <p>Effects of compounds <bold>11, 11l, 12</bold> and <bold>12a</bold> (at concentration 1µM) on the CYP2D6 enzyme activity. *** <italic>P</italic> &lt; 0.001 <italic>vs</italic> control (pure CYP2D6).</p>
          </caption>
          <graphic xlink:href="pharmacia-69-e96626-g003.jpg" position="float" orientation="portrait" xlink:type="simple" id="oo_774146.jpg">
            <uri content-type="original_file">https://binary.pensoft.net/fig/774146</uri>
          </graphic>
        </fig>
        <p>The results indicated that the compounds didn’t show any statistically significant inhibitory effects on CYP1A2 and CYP2D6 (Figs <xref ref-type="fig" rid="F2">2</xref>, <xref ref-type="fig" rid="F3">3</xref>).</p>
        <p>In addition all evaluated structures were analyzed for potential inhibitory effects on CYP3A4, and the results are presented on Fig. <xref ref-type="fig" rid="F4">4</xref>.</p>
        <fig id="F4" position="float" orientation="portrait">
          <object-id content-type="doi">10.3897/pharmacia.69.e96626.figure4</object-id>
          <object-id content-type="arpha">F13F631E-2A94-5BD7-AF6D-0E9416CC1229</object-id>
          <label>Figure 4.</label>
          <caption>
            <p>Effects of compounds <bold>11, 11l, 12</bold> and <bold>12a</bold> (at concentration 1µM) on the CYP3A4 enzyme activity. * <italic>P</italic> &lt; 0.05; *** <italic>P</italic> &lt; 0.001 <italic>vs</italic> control (pure CYP3A4).</p>
          </caption>
          <graphic xlink:href="pharmacia-69-e96626-g004.jpg" position="float" orientation="portrait" xlink:type="simple" id="oo_774147.jpg">
            <uri content-type="original_file">https://binary.pensoft.net/fig/774147</uri>
          </graphic>
        </fig>
        <p>The observations identified that only compound <bold>12</bold> shows low statistically significant inhibitory effect by decreasing the enzyme activity by 20%, compared to the control (pure CYP3A4). The other 3 tested derivatives didn’t reveal any effects on the CYP3A4 enzymatic activity (Fig. <xref ref-type="fig" rid="F4">4</xref>).</p>
        <p>The effects on each isoform of Cytochrome P450 were compared with the relevant enzyme inhibitor. For CYP1A2 is α-naphthoflavone, for CYP2D6 is quinidine and CYP3A4 is ketoconazole. These inhibitors decreased statistically significant the enzyme activity by 55%, compared to the control (pure enzyme) (Figs <xref ref-type="fig" rid="F2">2</xref>–<xref ref-type="fig" rid="F4">4</xref>).</p>
        <p>The performed analysis identified the evaluated compounds as poor inhibitors to the discussed CYP’s, with <bold>12</bold> performing highest inhibitory activity among others, but still lower than the applied comparative agents. This results are a prerequisite to consider all of the evaluated compounds as substances with low effect of hepatic metabolism and decreased possibility for drug-drug interactions performance.</p>
      </sec>
      <sec sec-type="Re-docking simulations" id="SECID0EJIAC">
        <title>Re-docking simulations</title>
        <p>The docking module of Maestro – Glide was implemented for the current study considering the recent success rate when CYP enzymes were applied in the docking with the latter software (<xref ref-type="bibr" rid="B12">Ridhwan et al. 2022</xref>). Initially, self-docking simulations were carried out to assess the reliability of the docking software to correctly generate the conformations of the co-crystallized ligands back into the active sites of CYP1A2 (<abbrev xlink:title="Protein Data Bank" id="ABBRID0ETIAC">PDB</abbrev>:<bold>2HI4</bold>), CYP2D6 (<abbrev xlink:title="Protein Data Bank" id="ABBRID0EZIAC">PDB</abbrev>:<bold>4WNU</bold>) and CYP3A4 (<abbrev xlink:title="Protein Data Bank" id="ABBRID0E6IAC">PDB</abbrev>:<bold>2V0M</bold>). The Extra-Precision docking led to root mean square deviation (<abbrev xlink:title="root mean square deviation" id="ABBRID0EFJAC">RMSD</abbrev>) values under 1 Å in all crystallographic structures. Thus, the Glide’s docking protocols demonstrate reliable results when CYP1A2, CYP2D6 and CYP3A4 are employed.</p>
      </sec>
      <sec sec-type="Molecular docking simulations" id="SECID0EJJAC">
        <title>Molecular docking simulations</title>
        <p>After the validation of the crystallographic structures, all four ligands were docked into the three CYP isoforms to observe the potential correlation between the <italic>in vitro</italic> and the <italic>in silico</italic> results, and also to discuss the active conformation of the active CYP3A4 inhibitor – <bold>12</bold>. The data from the docking simulations is provided in Table <xref ref-type="table" rid="T1">1</xref>. The co-crystallized ligands were docked in their native enzymes for reference.</p>
        <table-wrap id="T1" position="float" orientation="portrait">
          <label>Table 1.</label>
          <caption>
            <p>Binding energies of the title ligands with human CYP1A2, CYP2D6 and CYP3A4.</p>
          </caption>
          <table id="TID0ECWAE" rules="all">
            <tbody>
              <tr>
                <th rowspan="2" colspan="1">Compound</th>
                <th rowspan="1" colspan="3">CYP1A2</th>
                <th rowspan="1" colspan="3">CYP2D6</th>
                <th rowspan="1" colspan="3">CYP3A4</th>
              </tr>
              <tr>
                <th rowspan="1" colspan="1"><abbrev xlink:title="Extra-Precision" id="ABBRID0EXKAC">XP</abbrev> Glide</th>
                <th rowspan="1" colspan="1">
                  <abbrev xlink:title="induced-fit docking" id="ABBRID0E6KAC">IFD</abbrev>
                </th>
                <th rowspan="1" colspan="1">MM/GBSA</th>
                <th rowspan="1" colspan="1"><abbrev xlink:title="Extra-Precision" id="ABBRID0EKLAC">XP</abbrev> Glide</th>
                <th rowspan="1" colspan="1">
                  <abbrev xlink:title="induced-fit docking" id="ABBRID0ESLAC">IFD</abbrev>
                </th>
                <th rowspan="1" colspan="1">MM/GBSA</th>
                <th rowspan="1" colspan="1"><abbrev xlink:title="Extra-Precision" id="ABBRID0E4LAC">XP</abbrev> Glide</th>
                <th rowspan="1" colspan="1">
                  <abbrev xlink:title="induced-fit docking" id="ABBRID0EFMAC">IFD</abbrev>
                </th>
                <th rowspan="1" colspan="1">MM/GBSA</th>
              </tr>
              <tr>
                <td rowspan="1" colspan="1">11</td>
                <td rowspan="1" colspan="1">-7.80</td>
                <td rowspan="1" colspan="1">-5.57</td>
                <td rowspan="1" colspan="1">-43.53</td>
                <td rowspan="1" colspan="1">-5.44</td>
                <td rowspan="1" colspan="1">-5.83</td>
                <td rowspan="1" colspan="1">-31.91</td>
                <td rowspan="1" colspan="1">-6.75</td>
                <td rowspan="1" colspan="1">-5.31</td>
                <td rowspan="1" colspan="1">-59.41</td>
              </tr>
              <tr>
                <td rowspan="1" colspan="1">11l</td>
                <td rowspan="1" colspan="1"><abbrev xlink:title="no result" id="ABBRID0ETNAC">n.r</abbrev>.</td>
                <td rowspan="1" colspan="1"><abbrev xlink:title="no result" id="ABBRID0E2NAC">n.r</abbrev>.</td>
                <td rowspan="1" colspan="1"><abbrev xlink:title="no result" id="ABBRID0EDOAC">n.r</abbrev>.</td>
                <td rowspan="1" colspan="1"><abbrev xlink:title="no result" id="ABBRID0ELOAC">n.r</abbrev>.</td>
                <td rowspan="1" colspan="1"><abbrev xlink:title="no result" id="ABBRID0ETOAC">n.r</abbrev>.</td>
                <td rowspan="1" colspan="1"><abbrev xlink:title="no result" id="ABBRID0E2OAC">n.r</abbrev>.</td>
                <td rowspan="1" colspan="1">-6.57</td>
                <td rowspan="1" colspan="1">-6.84</td>
                <td rowspan="1" colspan="1">-63.33</td>
              </tr>
              <tr>
                <td rowspan="1" colspan="1">12</td>
                <td rowspan="1" colspan="1">-8.21</td>
                <td rowspan="1" colspan="1">-6.36</td>
                <td rowspan="1" colspan="1">-54.22</td>
                <td rowspan="1" colspan="1">-4.43</td>
                <td rowspan="1" colspan="1">-5.21</td>
                <td rowspan="1" colspan="1">-22.00</td>
                <td rowspan="1" colspan="1">-7.77</td>
                <td rowspan="1" colspan="1">-7.99</td>
                <td rowspan="1" colspan="1">-79.13</td>
              </tr>
              <tr>
                <td rowspan="1" colspan="1">
                  <bold>12a</bold>
                </td>
                <td rowspan="1" colspan="1">
                  <bold><abbrev xlink:title="no result" id="ABBRID0EUAAE">n.r</abbrev>.</bold>
                </td>
                <td rowspan="1" colspan="1">
                  <bold><abbrev xlink:title="no result" id="ABBRID0E5AAE">n.r</abbrev>.</bold>
                </td>
                <td rowspan="1" colspan="1">
                  <bold><abbrev xlink:title="no result" id="ABBRID0EIBAE">n.r</abbrev>.</bold>
                </td>
                <td rowspan="1" colspan="1">
                  <bold><abbrev xlink:title="no result" id="ABBRID0ESBAE">n.r</abbrev>.</bold>
                </td>
                <td rowspan="1" colspan="1">
                  <bold><abbrev xlink:title="no result" id="ABBRID0E3BAE">n.r</abbrev>.</bold>
                </td>
                <td rowspan="1" colspan="1">
                  <bold><abbrev xlink:title="no result" id="ABBRID0EGCAE">n.r</abbrev>.</bold>
                </td>
                <td rowspan="1" colspan="1">-<bold>8.28</bold></td>
                <td rowspan="1" colspan="1">-<bold>10.3</bold></td>
                <td rowspan="1" colspan="1">-<bold>86.24</bold></td>
              </tr>
              <tr>
                <td rowspan="1" colspan="1">alpha-naphthoflavone</td>
                <td rowspan="1" colspan="1">-10.82</td>
                <td rowspan="1" colspan="1">-11.24</td>
                <td rowspan="1" colspan="1">-89.435</td>
                <td rowspan="1" colspan="1"><abbrev xlink:title="not determined" id="ABBRID0ELDAE">n.d</abbrev>.</td>
                <td rowspan="1" colspan="1"><abbrev xlink:title="not determined" id="ABBRID0ETDAE">n.d</abbrev>.</td>
                <td rowspan="1" colspan="1"><abbrev xlink:title="not determined" id="ABBRID0E2DAE">n.d</abbrev>.</td>
                <td rowspan="1" colspan="1"><abbrev xlink:title="not determined" id="ABBRID0EDEAE">n.d</abbrev>.</td>
                <td rowspan="1" colspan="1"><abbrev xlink:title="not determined" id="ABBRID0ELEAE">n.d</abbrev>.</td>
                <td rowspan="1" colspan="1"><abbrev xlink:title="not determined" id="ABBRID0ETEAE">n.d</abbrev>.</td>
              </tr>
              <tr>
                <td rowspan="1" colspan="1">quinidine</td>
                <td rowspan="1" colspan="1"><abbrev xlink:title="not determined" id="ABBRID0E6EAE">n.d</abbrev>.</td>
                <td rowspan="1" colspan="1"><abbrev xlink:title="not determined" id="ABBRID0EHFAE">n.d</abbrev>.</td>
                <td rowspan="1" colspan="1"><abbrev xlink:title="not determined" id="ABBRID0EPFAE">n.d</abbrev>.</td>
                <td rowspan="1" colspan="1">-9.89</td>
                <td rowspan="1" colspan="1">-10.29</td>
                <td rowspan="1" colspan="1">-101.9</td>
                <td rowspan="1" colspan="1"><abbrev xlink:title="not determined" id="ABBRID0EAGAE">n.d</abbrev>.</td>
                <td rowspan="1" colspan="1"><abbrev xlink:title="not determined" id="ABBRID0EIGAE">n.d</abbrev>.</td>
                <td rowspan="1" colspan="1"><abbrev xlink:title="not determined" id="ABBRID0EQGAE">n.d</abbrev>.</td>
              </tr>
              <tr>
                <td rowspan="1" colspan="1">ketoconazole</td>
                <td rowspan="1" colspan="1"><abbrev xlink:title="not determined" id="ABBRID0E3GAE">n.d</abbrev>.</td>
                <td rowspan="1" colspan="1"><abbrev xlink:title="not determined" id="ABBRID0EEHAE">n.d</abbrev>.</td>
                <td rowspan="1" colspan="1"><abbrev xlink:title="not determined" id="ABBRID0EMHAE">n.d</abbrev>.</td>
                <td rowspan="1" colspan="1"><abbrev xlink:title="not determined" id="ABBRID0EUHAE">n.d</abbrev>.</td>
                <td rowspan="1" colspan="1"><abbrev xlink:title="not determined" id="ABBRID0E3HAE">n.d</abbrev>.</td>
                <td rowspan="1" colspan="1"><abbrev xlink:title="not determined" id="ABBRID0EEIAE">n.d</abbrev>.</td>
                <td rowspan="1" colspan="1">-10.14</td>
                <td rowspan="1" colspan="1">-11.43</td>
                <td rowspan="1" colspan="1">-117.64</td>
              </tr>
            </tbody>
          </table>
          <table-wrap-foot>
            <fn>
              <p>*<abbrev xlink:title="not determined" id="ABBRID0EVIAE">n.d.</abbrev>: not determined; <abbrev xlink:title="no result" id="ABBRID0EZIAE">n.r.</abbrev>: no result.</p>
            </fn>
          </table-wrap-foot>
        </table-wrap>
        <p>In the active site of CYP1A2 (<abbrev xlink:title="Protein Data Bank" id="ABBRID0E6IAE">PDB</abbrev>: <bold>2HI4</bold>) only <bold>11</bold> and <bold>12</bold> demonstrated moderate binding affinities of -7.80 and -8.21, respectively. After employing the more exhausting search in the active site with the <abbrev xlink:title="induced-fit docking" id="ABBRID0EJJAE">IFD</abbrev>, the binding energies dropped to -5.57 and -6.36. The binding free energies calculated with the MM/GBSA were drastically lower compared to the value of the co-crystallized ligand. Subsequent docking in the CYP2D6 isoform agreed with the experimental data. In the latter case <bold>11</bold> and <bold>12</bold> showed the best results, however their binding scores were negligible compared to the scores of the native CYP2D6 inhibitor quinidine.</p>
        <p>Interestingly, the results from the simulations in the active site of CYP3A4 demonstrated similar results for all four ligands. When the Extra-precision option in Glide was applied, the binding affinities were in the range of -6.57 to -8.28. In comparison, the co-crystallized ligand – ketoconazole, displayed <abbrev xlink:title="Extra-Precision" id="ABBRID0ETJAE">XP</abbrev> score of -10.14. After the additional recalculations with <abbrev xlink:title="induced-fit docking" id="ABBRID0EXJAE">IFD</abbrev> and MM/GBSA the most prominent results were demonstrated by compounds <bold>12</bold> and <bold>12a</bold>. However, the key difference between the two conformations was the distance between the het group and the ligands. In the case of <bold>12a</bold> the distance was calculated to be 5.64 Å while <bold>12</bold> was in close vicinity to the het structure (2.88 Å). The length between the heme Fe ion and the observed ligand could be used as a criterion to determine the robustness of the binding orientation. Typically, a pose is considered as reliable if the distance is shorter than 6 Å (<xref ref-type="bibr" rid="B3">Bonomo et al. 2017</xref>).</p>
        <p>To further observe the intermolecular interactions of the complex <bold>12-2V0M</bold>, both the 2D and 3D visualizations are presented (Fig. <xref ref-type="fig" rid="F5">5</xref>).</p>
        <fig id="F5" position="float" orientation="portrait">
          <object-id content-type="doi">10.3897/pharmacia.69.e96626.figure5</object-id>
          <object-id content-type="arpha">513494BB-CFE6-5EAB-B10D-8EE63E426F97</object-id>
          <label>Figure 5.</label>
          <caption>
            <p>Visualized major intermolecular interactions of the pyrrole-based compound <bold>12</bold> in the active site CYP3A4 (<abbrev xlink:title="Protein Data Bank" id="ABBRID0EZKAE">PDB</abbrev>: <bold>2V0M</bold>) after employing <abbrev xlink:title="induced-fit docking" id="ABBRID0E6KAE">IFD</abbrev> and MM/GBSA recalculations. The interactions are provided in both 3D (<bold>A</bold>) and 2D (<bold>B</bold>) forms. The enzyme is depicted in grey, the hem group is given in red, and the active inhibitor – <bold>12</bold>, is presented as green sticks.</p>
          </caption>
          <graphic xlink:href="pharmacia-69-e96626-g005.jpg" position="float" orientation="portrait" xlink:type="simple" id="oo_774148.jpg">
            <uri content-type="original_file">https://binary.pensoft.net/fig/774148</uri>
          </graphic>
        </fig>
        <p>Based on the visualized stabilization forces, the hem group and Phe304 were the major drug-binding residues in CYP3A4. The latter formed strong p-p bonds with the pyrrole ring and the benzene moiety. Several weak hydrophobic interactions were formed by the active amino residues Ile120, Leu210, Leu211, Phe241, Ala305, Ile369, Leu482 and Leu483. After the <abbrev xlink:title="Extra-Precision" id="ABBRID0EQLAE">XP</abbrev> docking, the active pose of <bold>12</bold> demonstrated that the carbonyl group from the ester group was in close proximity to the hem structure. In contrast, the more hardware demanding, and more precise <abbrev xlink:title="induced-fit docking" id="ABBRID0EWLAE">IFD</abbrev> displayed different orientation in the active site of CYP3A4. During the latter simulations the hydrazide-hydrazone moiety was facing the hem moiety. Therefore, the implementation of <abbrev xlink:title="induced-fit docking" id="ABBRID0E1LAE">IFD</abbrev> for virtual simulations in various CYPs isoforms is essential considering the enhanced reliability of the acquired results (<xref ref-type="bibr" rid="B12">Ridhwan et al. 2022</xref>).</p>
      </sec>
    </sec>
    <sec sec-type="Conclusion" id="SECID0ECMAE">
      <title>Conclusion</title>
      <p>In conclusion, none of the evaluated compounds didn’t exert any statistically significant inhibitory effects on CYP1A2 and CYP2D6. However on CYP3A4 only <bold>12</bold> resulted in low statistically significant inhibitory effect decreasing the enzyme activity by 20%, compared to the control (pure CYP3A4). The <italic>in silico</italic> and <italic>in vitro</italic> data demonstrated that the pyrrole-based compound <bold>12</bold> is a weak CYP3A4 inhibitor with no effects against CYP1A2 and CYP2D6. The results should be examined as a source of future unwanted drug-drug interactions. Furthermore, the docking simulations demonstrated that the initial <abbrev xlink:title="induced-fit docking" id="ABBRID0EQMAE">IFD</abbrev> followed by free binding energy recalculation with MM/GBSA provided highly reliable conformations compared to other searching and scoring algorithms.</p>
    </sec>
  </body>
  <back>
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