In silico study of colchicine resistance molecular mechanisms caused by tubulin structural polymorphism

Harutyun Sahakyan1, Narek Abelyan1,2, Vahram Arakelov1,2

  • 1Department of Bioengineering, Bioinformatics and Molecular Biology, Russian-Armenian University, Yerevan, Armenia.

Plos One
|August 24, 2019
PubMed

Insights

Colchicine resistance in familial Mediterranean fever may stem from specific β-tubulin gene variations. Two identified amino acid substitutions significantly reduce colchicine binding, offering new insights into treatment failure.

Area of Science:

  • Pharmacology
  • Genetics
  • Molecular Biology

Background:

  • Colchicine has been the primary treatment for familial Mediterranean fever (FMF) since 1972.
  • A subset of FMF patients exhibit resistance to colchicine, even at high dosages.
  • The precise molecular mechanisms underlying colchicine resistance remain incompletely understood.

Purpose of the Study:

  • To investigate the potential role of single nucleotide polymorphisms (SNPs) in the β-tubulin gene in colchicine resistance.
  • To model and analyze the impact of specific β-tubulin amino acid substitutions on colchicine binding affinity.

Main Methods:

  • Computational modeling of seven amino acid substitutions within the colchicine binding site (CBS) of β-tubulin.
  • Molecular dynamics simulations were employed to analyze the tubulin-colchicine complex.
  • Calculation of binding energies for each modeled amino acid substitution.

Main Results:

  • Two specific amino acid substitutions in β-tubulin, A248T and M257V, were identified.
  • These substitutions were shown to reduce the binding energy of colchicine to β-tubulin by approximately 50%.
  • The findings suggest a direct link between these genetic variations and diminished drug efficacy.

Conclusions:

  • Specific amino acid substitutions in the β-tubulin colchicine binding site may explain colchicine resistance in FMF patients.
  • This research provides novel insights into the molecular basis of colchicine resistance.
  • The results can inform the development of alternative therapeutic strategies for colchicine-resistant FMF.

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