A Quantum Framework for Protein Binding-Site Structure Prediction on Utility-Level Quantum Processors

Accurate prediction of protein active-site structures remains a central challenge in structural biology, especially for short and flexible peptide fragments where conventional and simulation-based methods often fail. Here, we present a quantum computing framework designed for utility-level quantum processors to address this problem. Starting from an amino acid sequence, we cast structure prediction as a ground-state energy minimization task using the Variational Quantum Eigensolver (VQE). Amino acid connectivity is represented on a tetrahedral lattice, and steric, geometric, and chirality constraints are encoded into a problem-specific Hamiltonian expressed as sparse Pauli operators. A two-stage architecture separates energy estimation from measurement decoding, enabling noise mitigation under realistic device conditions. We evaluate the method on 23 real protein fragments from the PDBbind dataset and 7 fragments from therapeutically relevant proteins, executing all experiments on the IBM-Cleveland Clinic quantum processor. Structural predictions are benchmarked against AlphaFold3 (AF3) and classical simulation-based approaches using identical postprocessing and docking procedures. Our quantum framework outperforms both AF3 and classical baselines in Root-Mean-Square Deviation (RMSD) and docking efficacy, demonstrating a practical end-to-end pipeline for biologically relevant structure prediction on real quantum hardware and highlighting its engineering feasibility for near-term quantum devices.