Unveiling of phosphodiesterase-5 hot residues binding to xanthine derivatives for erectile dysfunction therapy: A computational drug repurposing approach
Amin O. Elzupir, Sondos A. J. Almahmoud

TL;DR
This study explores xanthine derivatives as safer alternatives to existing drugs for treating erectile dysfunction by targeting phosphodiesterase-5.
Contribution
The study introduces a computational drug repurposing approach to identify xanthine derivatives as potential PDE-5 inhibitors with improved safety profiles.
Findings
Linagliptin showed better stability in the PDE-5 binding pocket compared to sildenafil.
Linagliptin's binding free energy was comparable to sildenafil's, suggesting similar efficacy.
Key residues and hydrogen bond interactions were identified to guide future drug development.
Abstract
Overexpression of phosphodiesterase 5 (PDE-5) presents a compelling target for the therapy of erectile dysfunction. Sildenafil and other conventional PDE-5 inhibitors may lead to adverse effects, including visual disturbances and migraines. Therefore, the investigation of novel inhibitors with enhanced safety profiles is imperative. This research employed a computational drug repurposing approach to assess US-FDA-approved xanthine derivatives (XDs) for their efficacy in targeting PDE-5. XDs exhibit a favorable affinity for the active site of the PDE-5 receptor, with binding scores between −10.0 kcal/mol and −6.3 kcal/mol for linagliptin and theobromine, respectively. The top-ranked docked Xds then underwent 300-nanosecond molecular dynamics simulations. Linagliptin demonstrated greater stability in the binding pocket (RMSD = 1.60 ± 0.34) compared to the typical inhibitor sildenafil…
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Taxonomy
TopicsPhosphodiesterase function and regulation · Pharmaceutical Quality and Counterfeiting · Sexual function and dysfunction studies
