Cyclic Peptides as Aggregation Inhibitors for Sickle Cell Disease

Vasco Neto1, Bruno Lourenço Victor1, Nuno Galamba1

  • 1Biosystems and Integrative Sciences Institute, Faculdade de Ciências da Universidade de Lisboa, Edifício C8, Campo Grande 1749-016, Lisboa, Portugal.

PubMed

Insights

New cyclic peptides (CPs) show potential for treating sickle cell disease (SCD). These CPs block deoxyhemoglobin S (HbS) aggregation, which causes red blood cells to sickle, offering a promising therapeutic strategy for SCD.

Area of Science:

  • Biochemistry
  • Genetics
  • Molecular Biology

Background:

  • Sickle cell disease (SCD) is a missense genetic disorder.
  • It is characterized by the aggregation of deoxyhemoglobin S (HbS) into helical fibers.
  • This aggregation distorts erythrocytes into a sickle-like shape.

Purpose of the Study:

  • To investigate the effect of nine tailor-designed 5-mer cyclic peptides (CPs).
  • To determine if CPs can block key lateral contacts in HbS fibers.
  • To evaluate the binding affinity, specificity, and residence times of CPs with HbS.

Main Methods:

  • Molecular dynamics simulations were employed.
  • The binding of nine 5-mer cyclic peptides (CPs) to HbS was investigated.
  • Binding free energy, residence times, and specificity were analyzed.

Main Results:

  • CPs bind orthogonally to the main HbS pocket involved in lateral contacts.
  • Some CPs exhibited exceedingly long residence times.
  • CPs displayed moderate to high specificity, even at a 1:1 HbS/CP ratio.
  • Lower binding free energy and longer residence times were observed compared to a previously reported CP.

Conclusions:

  • The studied CPs show potential for reducing aggregation-competent deoxy-HbS concentration.
  • These CPs may preclude or delay the formation of lateral contacts during HbS aggregation.
  • The findings suggest a promising therapeutic avenue for managing sickle cell disease by inhibiting HbS polymerization.