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203,203 studies31 sourcesUpdated 16 min ago
Peer-reviewedCC BYPharmaceuticals (Basel, Switzerland)

Targeting Cholinergic Dysfunction and Gingipain Activity in Alzheimer's Disease: A Dual AChE-Kgp Computational Study.

4 affiliations
  1. 1Medical Laboratory Science, Faculty of Applied Medical Science, King Abdulaziz University, Jeddah 21589, Saudi Arabia.
  2. 2Regenerative Medicine Unit, King Fahd Medical Research Center, King Abdulaziz University, Jeddah 21589, Saudi Arabia.
  3. 3Division of Evolution and Genomic Sciences, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester M13 9PL, UK.
  4. 4Department of Medicine, University of Cape Town, Cape Town 7925, South Africa.

Abstract

Introduction: Alzheimer's disease (AD) is a multifactorial neurodegenerative disorder for which single-target strategies may be insufficient. This study explored a host-microbial multitarget strategy using a CNS-oriented small molecule predicted to engage both human acetylcholinesterase (AChE) and Porphyromonas gingivalis lysine-specific gingipain K (Kgp). Methods: A CNS-focused library of 116,226 compounds was standardized and filtered to 1000 candidates for sequential AChE/Kgp docking. Refined docking, interaction-guided pose analysis, dual-target ranking, and SwissADME predictions were used for prioritization. ADKGP_0026671 was subsequently evaluated in single 100 ns molecular dynamics trajectories for AChE and Kgp, alongside donepezil and KYT-36 reference complexes, followed by MM/PBSA endpoint energy analysis. Results: ADKGP_0026671 showed docking scores of -11.804 kcal/mol for AChE and -7.345 kcal/mol for Kgp, was predicted to be BBB-permeant and not a P-glycoprotein substrate, and contained no PAINS or Brenk alerts. The single MD trajectories showed continued binding-site association and limited protein backbone deviation over the simulated period, although reproducibility cannot be established without independent replicas. MM/PBSA endpoint estimates were negative for AChE (-18.86 kcal/mol) and Kgp (-15.67 kcal/mol), but less favorable than donepezil and KYT-36, respectively. Conclusions: ADKGP_0026671 showed a balanced computational profile across two mechanistically distinct targets, supporting experimental evaluation of a host-microbial dual-target strategy in AD. These findings remain hypothesis-generating and require biochemical validation and replicated simulations.

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BibTeX
@article{sait2026targeting,
  title = {{Targeting Cholinergic Dysfunction and Gingipain Activity in Alzheimer's Disease: A Dual AChE-Kgp Computational Study.}},
  author = {Ahmad M Sait and Philip J R Day},
  journal = {Pharmaceuticals (Basel, Switzerland)},
  year = {2026},
  month = oct,
  doi = {10.3390/ph19101589},
  url = {https://europepmc.org/article/MED/42943286},
  note = {CC BY},
}
RIS
TY  - JOUR
TI  - Targeting Cholinergic Dysfunction and Gingipain Activity in Alzheimer's Disease: A Dual AChE-Kgp Computational Study.
AU  - Ahmad M Sait
AU  - Philip J R Day
PY  - 2026
DA  - 2026/10/08
JO  - Pharmaceuticals (Basel, Switzerland)
DO  - 10.3390/ph19101589
UR  - https://europepmc.org/article/MED/42943286
AB  - Introduction: Alzheimer's disease (AD) is a multifactorial neurodegenerative disorder for which single-target strategies may be insufficient. This study explored a host-microbial multitarget strategy using a CNS-oriented small molecule predicted to engage both human acetylcholinesterase (AChE) and Porphyromonas gingivalis lysine-specific gingipain K (Kgp). Methods: A CNS-focused library of 116,226 compounds was standardized and filtered to 1000 candidates for sequential AChE/Kgp docking. Refined docking, interaction-guided pose analysis, dual-target ranking, and SwissADME predictions were used for prioritization. ADKGP_0026671 was subsequently evaluated in single 100 ns molecular dynamics trajectories for AChE and Kgp, alongside donepezil and KYT-36 reference complexes, followed by MM/PBSA endpoint energy analysis. Results: ADKGP_0026671 showed docking scores of -11.804 kcal/mol for AChE and -7.345 kcal/mol for Kgp, was predicted to be BBB-permeant and not a P-glycoprotein substrate, and contained no PAINS or Brenk alerts. The single MD trajectories showed continued binding-site association and limited protein backbone deviation over the simulated period, although reproducibility cannot be established without independent replicas. MM/PBSA endpoint estimates were negative for AChE (-18.86 kcal/mol) and Kgp (-15.67 kcal/mol), but less favorable than donepezil and KYT-36, respectively. Conclusions: ADKGP_0026671 showed a balanced computational profile across two mechanistically distinct targets, supporting experimental evaluation of a host-microbial dual-target strategy in AD. These findings remain hypothesis-generating and require biochemical validation and replicated simulations.
SN  - 1424-8247
ER  -