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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Cell. Infect. Microbiol.</journal-id>
<journal-title>Frontiers in Cellular and Infection Microbiology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Cell. Infect. Microbiol.</abbrev-journal-title>
<issn pub-type="epub">2235-2988</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fcimb.2022.868529</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Cellular and Infection Microbiology</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Targeting the <italic>Plasmodium falciparum</italic>&#x2019;s Thymidylate Monophosphate Kinase for the Identification of Novel Antimalarial Natural Compounds</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Enninful</surname>
<given-names>Kweku S.</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1760954"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Kwofie</surname>
<given-names>Samuel K.</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/841890"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Tetteh-Tsifoanya</surname>
<given-names>Mark</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Lamptey</surname>
<given-names>Amanda N. L.</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Djameh</surname>
<given-names>Georgina</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Nyarko</surname>
<given-names>Samuel</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Ghansah</surname>
<given-names>Anita</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1440092"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Wilson</surname>
<given-names>Michael D.</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff4">
<sup>4</sup>
</xref>
<xref ref-type="author-notes" rid="fn001">
<sup>*</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1604010"/>
</contrib>
</contrib-group>
<aff id="aff1">
<sup>1</sup>
<institution>Department of Parasitology, Noguchi Memorial Institute for Medical Research, University of Ghana</institution>, <addr-line>Accra</addr-line>, <country>Ghana</country>
</aff>
<aff id="aff2">
<sup>2</sup>
<institution>Department of Biomedical Engineering, School of Engineering Sciences, University of Ghana</institution>, <addr-line>Accra</addr-line>, <country>Ghana</country>
</aff>
<aff id="aff3">
<sup>3</sup>
<institution>West African Centre for Cell Biology of Infectious Pathogens, College of Basic and Applied Sciences, University of Ghana</institution>, <addr-line>Accra</addr-line>, <country>Ghana</country>
</aff>
<aff id="aff4">
<sup>4</sup>
<institution>Stritch School of Medicine, Loyola University of Chicago</institution>, <addr-line>Maywood, IL</addr-line>, <country>United States</country>
</aff>
<author-notes>
<fn fn-type="edited-by">
<p>Edited by: Vipan Kumar, Guru Nanak Dev University, India</p>
</fn>
<fn fn-type="edited-by">
<p>Reviewed by: Conrad Simoben Veranso, University of Buea, Cameroon; Tingxiang Yan, Shanghai Jiao Tong University, China</p>
</fn>
<fn fn-type="corresp" id="fn001">
<p>*Correspondence: Michael D. Wilson, <email xlink:href="mailto:mwilson@noguchi.ug.edu.gh">mwilson@noguchi.ug.edu.gh</email>
</p>
</fn>
<fn fn-type="other" id="fn002">
<p>This article was submitted to Clinical Microbiology, a section of the journal Frontiers in Cellular and Infection Microbiology</p>
</fn>
</author-notes>
<pub-date pub-type="epub">
<day>25</day>
<month>05</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="collection">
<year>2022</year>
</pub-date>
<volume>12</volume>
<elocation-id>868529</elocation-id>
<history>
<date date-type="received">
<day>02</day>
<month>02</month>
<year>2022</year>
</date>
<date date-type="accepted">
<day>25</day>
<month>04</month>
<year>2022</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2022 Enninful, Kwofie, Tetteh-Tsifoanya, Lamptey, Djameh, Nyarko, Ghansah and Wilson</copyright-statement>
<copyright-year>2022</copyright-year>
<copyright-holder>Enninful, Kwofie, Tetteh-Tsifoanya, Lamptey, Djameh, Nyarko, Ghansah and Wilson</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p>
</license>
</permissions>
<abstract>
<p>Recent reports of resistance to artemisinin-based combination drugs necessitate the need to discover novel antimalarial compounds. The present study was aimed at identifying novel antimalarial compounds from natural product libraries using computational methods. <italic>Plasmodium falciparum</italic> is highly dependent on the pyrimidine biosynthetic pathway, a <italic>de novo</italic> pathway responsible for the production of pyrimidines, and the parasite lacks the pyrimidine salvage enzymes. The <italic>P. falciparum</italic> thymidylate monophosphate kinase (<italic>Pf</italic>TMPK) is an important protein necessary for rapid DNA replication; however, due to its broad substrate specificity, the protein is distinguished from its homologs, making it a suitable drug target. Compounds from AfroDB, a database of natural products originating from Africa, were screened virtually against <italic>Pf</italic>TMPK after filtering the compounds for absorption, distribution, metabolism, excretion, and toxicity (ADMET)-acceptable compounds with FAF-Drugs4. Thirteen hits with lower binding energies than thymidine monophosphate were selected after docking. Among the thirteen compounds, ZINC13374323 and ZINC13365918 with binding energies of &#x2212;9.4 and &#x2212;8.9 kcal/mol, respectively, were selected as plausible lead compounds because they exhibited structural properties that ensure proper binding at the active site and inhibitory effect against <italic>Pf</italic>TMPK. ZINC13374323 (also called aurantiamide acetate) is known to exhibit anti-inflammatory and antiviral activities, and ZINC13365918 exhibits antileishmanial activity. Furthermore, aurantiamide acetate, which is commercially available, is a constituent of <italic>Artemisia annua</italic>, the herb from which artemisinin was derived. The compound also shares interactions with several residues with a potent thymidine analog inhibitor of <italic>Pf</italic>TMPK. The anti-plasmodial activity of aurantiamide acetate was evaluated <italic>in vitro</italic>, and the mean half-maximal inhibitory concentration (IC<sub>50</sub>) was 69.33 &#x3bc;M when synchronized <italic>P. falciparum</italic> 3D7 culture was used as compared to IC<sub>50</sub> &gt; 100 &#x3bc;M with asynchronized culture. The significance of our findings within the context of malaria treatment strategies and challenges is discussed.</p>
</abstract>
<kwd-group>
<kwd>
<italic>Plasmodium falciparum</italic>
</kwd>
<kwd>aurantiamide acetate</kwd>
<kwd>
<italic>Pf</italic>TMPK</kwd>
<kwd>
<italic>Artemisia annua</italic>
</kwd>
<kwd>natural compounds</kwd>
</kwd-group>
<counts>
<fig-count count="7"/>
<table-count count="4"/>
<equation-count count="0"/>
<ref-count count="52"/>
<page-count count="13"/>
<word-count count="5192"/>
</counts>
</article-meta>
</front>
<body>
<sec id="s1" sec-type="intro">
<title>Introduction</title>
<p>
<italic>Plasmodium falciparum</italic> is among the five <italic>Plasmodium</italic> parasites that cause human malaria and is also responsible for the most severe form of the disease (<xref ref-type="bibr" rid="B44">Tuteja, 2007</xref>; <xref ref-type="bibr" rid="B22">Ludin et&#xa0;al., 2012</xref>; <xref ref-type="bibr" rid="B38">Spitzm&#xfc;ller and Mestres, 2013</xref>; <xref ref-type="bibr" rid="B4">Bhatt et&#xa0;al., 2015</xref>). Recent studies have reported <italic>P. falciparum</italic> to be developing resistance to current major antimalarial drugs (<xref ref-type="bibr" rid="B11">Egwu et&#xa0;al., 2022</xref>), which warrants the identification and development of new antimalarials as a necessity. Throughout the history of malaria chemotherapy, the most successful antimalarials have been natural products. Antimalarials such as chloroquine were developed from quinine, which was extracted from the bark of the <italic>Cinchona</italic> tree from South America. Artemisinin was also obtained from <italic>Artemisia annua</italic> originating from China (<xref ref-type="bibr" rid="B39">Tajuddeen and Van Heerden, 2019</xref>). Medicinal herbs have generally proven to be very effective drugs against parasitic diseases (<xref ref-type="bibr" rid="B35">Siddiqui et&#xa0;al., 2014</xref>). Even though both chloroquine and artemisinin have been plagued with resistance to the parasite, research into natural product antimalarials remains a priority. Out of about 1,524 compounds with anti-plasmodial activity reported between 2010 and 2017, 39% were natural products, with 29% of the compounds having half-maximal inhibitory concentration (IC<sub>50</sub>) &#x2264; 3.0 &#xb5;M against at least one <italic>Plasmodium</italic> strain (<xref ref-type="bibr" rid="B39">Tajuddeen and Van Heerden, 2019</xref>). This reinforces the urgent need to exploit natural products to unravel future potent biotherapeutic molecules.</p>
<p>Research efforts at developing new antimalarials have uncovered diverse pathways and protein targets of which some are novel (<xref ref-type="bibr" rid="B2">Belete, 2020</xref>; <xref ref-type="bibr" rid="B1">Agamah et&#xa0;al., 2021</xref>). It is worthwhile to mention that new antimalarials, currently in the clinical trial phase, have been identified against critical pathways and targets (<xref ref-type="bibr" rid="B19">Kumar et&#xa0;al., 2018</xref>; <xref ref-type="bibr" rid="B2">Belete, 2020</xref>). However, a good number remain unexploited, while others have not yielded any potent drugs. Identification of new antimalarial targets from novel pathways not associated with resistance must be explored by screening diverse compound libraries (<xref ref-type="bibr" rid="B22">Ludin et&#xa0;al., 2012</xref>; <xref ref-type="bibr" rid="B38">Spitzm&#xfc;ller and Mestres, 2013</xref>).</p>
<p>Thymidylate monophosphate kinase catalyzes the reversible phosphorylation of dTMP to deoxythymidine diphosphate (dTDP), which is an important step for cellular DNA synthesis (<xref ref-type="bibr" rid="B5">Cassera et&#xa0;al., 2011</xref>; <xref ref-type="bibr" rid="B18">Krungkrai and Krungkrai, 2016</xref>; <xref ref-type="bibr" rid="B46">Vanoevelen et&#xa0;al., 2022</xref>). It has a broad substrate specificity, which distinguishes it from other homologs, making it a suitable target (<xref ref-type="bibr" rid="B31">Reyes et&#xa0;al., 1982</xref>; <xref ref-type="bibr" rid="B5">Cassera et&#xa0;al., 2011</xref>; <xref ref-type="bibr" rid="B18">Krungkrai and Krungkrai, 2016</xref>). <italic>P. falciparum</italic> thymidylate monophosphate kinase (<italic>Pf</italic>TMPK) is involved in the pyrimidine biosynthetic pathway, a <italic>de novo</italic> pathway responsible for the production of pyrimidines, which are necessary for rapid DNA replication (<xref ref-type="bibr" rid="B31">Reyes et&#xa0;al., 1982</xref>; <xref ref-type="bibr" rid="B5">Cassera et&#xa0;al., 2011</xref>; <xref ref-type="bibr" rid="B18">Krungkrai and Krungkrai, 2016</xref>). The pathway is preferred because the parasite is highly dependent on it since it lacks pyrimidine salvage enzymes (<xref ref-type="bibr" rid="B5">Cassera et&#xa0;al., 2011</xref>; <xref ref-type="bibr" rid="B18">Krungkrai and Krungkrai, 2016</xref>).</p>
<p>So far, thiourea has been shown to exhibit inhibitory activity against <italic>Pf</italic>TMPK, the compound that was first discovered to inhibit the TMPK of <italic>Mycobacterium tuberculosis</italic> (<italic>Mt</italic>TMPK) (<xref ref-type="bibr" rid="B8">Cui et&#xa0;al., 2012</xref>; <xref ref-type="bibr" rid="B29">Patrick and Turner, 2020</xref>). The inhibitory effect of thiourea on <italic>Pf</italic>TMPK is however weaker than that of <italic>Mt</italic>TMPK. Several analogs containing thiourea or urea have since been tested for antimalarial activity through the inhibition of <italic>Pf</italic>TMPK (<xref ref-type="bibr" rid="B8">Cui et&#xa0;al., 2012</xref>). However, the analogs have mostly exhibited weak inhibition against <italic>Pf</italic>TMPK. The most active analog, phenylurea, exhibited an EC<sub>50</sub> of 28 nM but was reported to be a weak inhibitor of <italic>Pf</italic>TMPK with a binding affinity of 200 &#xb5;M (<xref ref-type="bibr" rid="B8">Cui et&#xa0;al., 2012</xref>; <xref ref-type="bibr" rid="B6">Chen et&#xa0;al., 2018</xref>). It was also observed that ureas showed more antimalarial activities than thioureas (<xref ref-type="bibr" rid="B8">Cui et&#xa0;al., 2012</xref>; <xref ref-type="bibr" rid="B29">Patrick and Turner, 2020</xref>).</p>
<p>In this study, new antimalarials are predicted for <italic>P. falciparum</italic> by virtually screening an African natural product library against <italic>Pf</italic>TMPK. Recently, the development of quantitative structure&#x2013;activity relationship (QSAR) models has contributed significantly to antimalarial discovery (<xref ref-type="bibr" rid="B25">Neves et&#xa0;al., 2020</xref>). As such, this study explores the structural insights for <italic>Pf</italic>TMPK inhibition using QSAR modeling, pharmacophore mapping, and docking studies (<xref ref-type="bibr" rid="B27">Ojha and Roy, 2013</xref>) to select the most plausible antimalarial lead compounds with good pharmacological profiles from compounds in the AfroDB database. Molecular dynamic simulations were also undertaken to provide insights into the binding mechanisms of <italic>Pf</italic>TMPK.</p>
</sec>
<sec id="s2">
<title>Methodology</title>
<sec id="s2_1">
<title>
<italic>In-Silico</italic> Absorption, Distribution, Metabolism, Excretion, and Toxicity Filtering of the Natural Product Database</title>
<p>A total of 885 African natural products were retrieved from AfroDB (<xref ref-type="bibr" rid="B26">Ntie-Kang et&#xa0;al., 2013</xref>) in &#x201c;.sdf&#x201d; format for absorption, distribution, metabolism, excretion, and toxicity (ADMET) analysis. The compounds were screened <italic>via</italic> FAF-Drugs4 (<xref ref-type="bibr" rid="B21">Lagorce et&#xa0;al., 2017</xref>) to elucidate their pharmacokinetic, structural, and physicochemical properties. The physicochemical filter used for the compounds was &#x201c;Drug likeness&#x201d;. The compounds were categorized as &#x201c;rejected&#x201d;, &#x201c;intermediate&#x201d;, or &#x201c;accepted&#x201d; by FAF-Drugs4. &#x201c;Accepted&#x201d; compounds were then chosen for molecular docking.</p>
</sec>
<sec id="s2_2">
<title>Virtual Screening</title>
<p>The &#x201c;accepted&#x201d; compounds from the FAF-Drugs4 ADMETox prediction were docked against <italic>Pf</italic>TMPK, using AutoDock Vina (<xref ref-type="bibr" rid="B43">Trott and Olson, 2010</xref>) integrated with PyRx (<xref ref-type="bibr" rid="B9">Dallakyan and Olson, 2015</xref>). The substrate of <italic>Pf</italic>TMPK (TMP) was also extracted from the complex (Protein Data Bank (PDB) ID: 2wwf) and added to the library of &#x201c;accepted&#x201d; compounds for docking. Before the docking, the compounds were energy minimized with OpenBabel using the universal force field (uff) before converting to &#x201c;.pdbqt&#x201d; formats (<xref ref-type="bibr" rid="B20">Kwofie et&#xa0;al., 2021</xref>). A grid box size of 17.3, 9.7, and 11.2 &#xc5; and center dimensions of 42.5, 46.7, and 47.6 &#xc5; all in the x, y, and z coordinate axes were used, respectively.</p>
</sec>
<sec id="s2_3">
<title>Docking Method Validation</title>
<p>For validation of the performance of the docking technique, the SMILES of five potent inhibitors (compounds 28, 30, 53, 54, and 55) against <italic>Pf</italic>TMPK (<xref ref-type="bibr" rid="B8">Cui et&#xa0;al., 2012</xref>) were used to generate their decoys <italic>via</italic> RApid DEcoy Retriever (RADER) (<xref ref-type="bibr" rid="B48">Wang et&#xa0;al., 2017</xref>). A total of 243 decoys were obtained and screened together with the five inhibitors against <italic>Pf</italic>TMPK using AutoDock Vina. The docking results were used to generate a receiver operating characteristic (ROC) curve, and the area under the curve (AUC) was computed using easy ROC Ver. 1.3 (<xref ref-type="bibr" rid="B13">Goksuluk et&#xa0;al., 2016</xref>). Parameters used for the ROC generation and calculation of AUC were a non-parametric method for curve fitting (<xref ref-type="bibr" rid="B10">DeLong et&#xa0;al., 1988</xref>) for SE estimation and CI as well as a Type I error of 0.05.</p>
<p>The co-crystallized ligands of <italic>Pf</italic>TMPK were removed from their binding site and re-docked against <italic>Pf</italic>TMPK. The best-predicted docking pose of each ligand was superimposed with its respective experimental co-crystallized ligand pose, and their root mean square deviation (RMSD) was calculated using LigAlign (<xref ref-type="bibr" rid="B15">Heifets and Lilien, 2010</xref>).</p>
</sec>
<sec id="s2_4">
<title>Molecular Dynamic Simulations of Complexes</title>
<p>Molecular dynamics simulations were performed using the <italic>Pf</italic>TMPK in complex with TMP and the respective chosen potential lead compounds. GROningen MAchine for Chemical Simulation (GROMACS) version 5.1.4 (<xref ref-type="bibr" rid="B45">Van Der Spoel et&#xa0;al., 2005</xref>) was used to perform the molecular dynamics simulations using the GROMOS96 43A1 force field. The topology of the compounds was generated using PRODRG (<xref ref-type="bibr" rid="B34">Sch&#xfc;ttelkopf and Van Aalten, 2004</xref>). As part of the preparation before the simulation, the complexes were first solvated in a 1-nm dodecahedron water box and neutralized by adding one positive ion. The complexes were relaxed through energy minimization to remove any steric clashes or bad geometry and equilibrated to the required temperature (300K) and density (1,020 kg/m<sup>3</sup>). After the respective systems were equilibrated and set in the desired temperature and density, a 100-ns production run was performed, and the results of the simulations were analyzed using Xmgrace version 5.1.25 (<xref ref-type="bibr" rid="B47">Vaught, 1996</xref>).</p>
</sec>
<sec id="s2_5">
<title>
<italic>In-Vitro</italic> Parasite Growth Inhibition Assay</title>
<p>One of the potential lead compounds, aurantiamide acetate, was tested for anti-plasmodial activity using the SYBR Green I fluorescence assay as described previously (<xref ref-type="bibr" rid="B37">Smilkstein et&#xa0;al., 2004</xref>). Stock concentrations of 100 mM [100% dimethyl sulfoxide (DMSO)] of compounds were diluted with culture media to a working concentration of 100 &#xb5;M (0.1% DMSO). A serial dilution of 1:2 concentrations of the compound (10 to 0.781 &#xb5;M) was prepared for the assay. Artesunate was the reference drug diluted from 100 to 3.125 nM. Test wells were initially seeded with 90 &#xb5;l of ring-stage (synchronized) parasitized red blood cells (pRBCs), culture media, and pRBCs at 2% hematocrit and 1% parasitemia. An aliquot of 10 &#xb5;l of each concentration was dispensed into each well in triplicates. The wells containing RBCs (2% hematocrit), pRBCs, and cultured protoplast washing (CPW) media served as negative and blank controls and were then incubated for 48 h. An aliquot of 100 &#xb5;l of 4&#xd7; buffered SYBR Green I (0.20 &#xb5;l of 10,000&#xd7; SYBR Green I/ml of 1&#xd7; phosphate-buffered saline) was then added for a further 30 min at 37&#xb0;C. The presence and amount of pRBCs were detected by fluorescence using the Guava EasyCyte HT FACS machine (Millipore, Billerica, MA, USA), and parasitemia was recorded in percentages. The IC<sub>50</sub> was extrapolated from non-linear regression curves of percentage inhibition versus log-concentration curves from GraphPad Prism (Graph Pad Software, San Diego, CA, USA) using algorithms obtained from flow cytometry (fluorescence-activated cell sorting (FACS)) data. The experiment was repeated using an asynchronized parasite culture using the same protocol.</p>
</sec>
</sec>
<sec id="s3" sec-type="results">
<title>Results and Discussion</title>
<sec id="s3_1">
<title>Target Structure</title>
<p>The three-dimensional structure of <italic>Pf</italic>TMPK retrieved from the PDB (PDB ID: 2wwf) was solved using X-ray crystallography at a resolution of 1.89 &#xc5; (<xref ref-type="bibr" rid="B50">Whittingham et&#xa0;al., 2010</xref>). The 2wwf is a homo-oligomer (homodimer) consisting of three chains of <italic>Pf</italic>TMPK in complex adenosine diphosphate (ADP) and thymidine monophosphate (TMP), which is a natural substrate. Other ligands like sodium-ion and glycerol are also present. <xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1</bold>
</xref> shows chain A of 2wwf with the active site, and TMP is highlighted. The protein has a sequence length of 212 and is significantly different from the human TMPK with a sequence identity of 36.9%.</p>
<fig id="f1" position="float">
<label>Figure&#xa0;1</label>
<caption>
<p>Three-dimensional structure of <italic>Plasmodium falciparum</italic> thymidylate monophosphate kinase (PDB ID: 2WWF) and its active site (<xref ref-type="bibr" rid="B50">Whittingham et&#xa0;al., 2010</xref>). A cartoon representation of the 3D structure of <italic>Pf</italic>TMPK. The surface representation shows the active site of <italic>Pf</italic>TMPK and binding in its natural substrate, thymidine monophosphate (TMP), represented by yellow sticks. Active site residues include Asp17, Lys21, Leu59, Phe44, Arg47, Pro45, Phe74, Arg78, Arg99, Tyr100, Ser103, Gly104, Tyr107, and Tyr153 (<xref ref-type="bibr" rid="B17">Kandeel et&#xa0;al., 2009</xref>). The protein structure was retrieved from the Protein Data Bank, and image was generated with PyMOL.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-12-868529-g001.tif"/>
</fig>
</sec>
<sec id="s3_2">
<title>Absorption, Distribution, Metabolism, Excretion, and Toxicity-Acceptable Compounds</title>
<p>ADMET tests are performed to eliminate compounds that may be weak drug candidates so that potential drug-like compounds are prioritized (<xref ref-type="bibr" rid="B36">Sliwoski et&#xa0;al., 2013</xref>). FAF drug server uses quantitative QSAR models to predict specific properties or toxicological endpoints of compounds (<xref ref-type="bibr" rid="B21">Lagorce et&#xa0;al., 2017</xref>). The predicted properties were compared with the standard range of accepted values concerning the chosen physicochemical filter, which was &#x201c;drug-likeness&#x201d;. The filtered compounds were categorized as &#x201c;rejected&#x201d;, &#x201c;intermediate&#x201d;, or &#x201c;accepted&#x201d;. The &#x201c;accepted&#x201d; compounds are those with no structural alerts and satisfy the physicochemical filter. Intermediate and rejected compounds show some structural alerts and do not satisfy completely the physicochemical filter. Structural alerts are substructures that are related to mutagenic and carcinogenic properties, which are undesirable for drug-likeness (<xref ref-type="bibr" rid="B3">Benigni and Bossa, 2006</xref>). After the compounds were screened using the FAF drug, 91 compounds categorized as &#x201c;accepted&#x201d; were used for docking against <italic>Pf</italic>TMPK.</p>
</sec>
<sec id="s3_3">
<title>Docking Protocol Validation</title>
<p>To validate AutoDock Vina&#x2019;s ability to distinguish between active and inactive compounds concerning <italic>Pf</italic>TMPK, a ROC curve (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2</bold>
</xref>) was generated after virtually screening five potent inhibitors of <italic>Pf</italic>TMPK (<xref ref-type="bibr" rid="B8">Cui et&#xa0;al., 2012</xref>) (<xref ref-type="table" rid="T1">
<bold>Table&#xa0;1</bold>
</xref>) and their decoys against the receptor. The AUC value was calculated to assess the docking performance. AUC value less than 0.5 is considered a poor discrimination ability, from 0.5 to 0.7 is considered moderate, and greater than 0.7 is acceptable (<xref ref-type="bibr" rid="B23">Mandrekar, 2010</xref>). AUC value very close to 1 indicates an excellent discriminatory ability of the docking model for the receptor (<xref ref-type="bibr" rid="B23">Mandrekar, 2010</xref>). The AUC obtained was 0.95 with a p-value of 9.776159e&#x2212;78, indicating an excellent discriminatory ability of AutoDock Vina to distinguish between active compounds and decoys of <italic>Pf</italic>TMPK.</p>
<fig id="f2" position="float">
<label>Figure&#xa0;2</label>
<caption>
<p>Receiver operating characteristic (ROC) curve generated with easyROC (<xref ref-type="bibr" rid="B13">Goksuluk et&#xa0;al., 2016</xref>) after docking 243 decoys and 5 potent inhibitors against <italic>Pf</italic>TMPK using AutoDock Vina <italic>via</italic> PyRx version 0.8. The area under the curve (AUC) obtained was 0.94897 with a p-value of 9.776159e&#x2212;78.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-12-868529-g002.tif"/>
</fig>
<table-wrap id="T1" position="float">
<label>Table&#xa0;1</label>
<caption>
<p>List of potent inhibitors and co-crystallized ligands showing the Ki values (<xref ref-type="bibr" rid="B8">Cui et&#xa0;al., 2012</xref>), the respective PDB IDs, and RMSD values of the aligned co-crystallized and re-docked ligands.</p>
</caption>
<table frame="hsides">
<thead>
<tr>
<th valign="top" align="left">Compound</th>
<th valign="top" align="center">Type</th>
<th valign="top" align="center">K<sub>i</sub> (&#xb5;M)</th>
<th valign="top" align="center">Ligand</th>
<th valign="top" align="center">PDB ID</th>
<th valign="top" align="center">RMSD (&#xc5;)</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">Thymidine monophosphate</td>
<td valign="top" align="left">Substrate</td>
<td valign="top" align="center">(K<sub>m</sub> = 11 &#xb5;M)</td>
<td valign="top" align="center">TMP</td>
<td valign="top" align="center">2wwf</td>
<td valign="top" align="center">0.376</td>
</tr>
<tr>
<td valign="top" align="left">Compound 28</td>
<td valign="top" align="left">Inhibitor</td>
<td valign="top" align="center">31</td>
<td valign="top" align="center">74W</td>
<td valign="top" align="center">2yof (chain C)</td>
<td valign="top" align="center">1.768</td>
</tr>
<tr>
<td valign="top" align="left">Compound 30</td>
<td valign="top" align="left">Inhibitor</td>
<td valign="top" align="center">11</td>
<td valign="top" align="center">74X</td>
<td valign="top" align="center">2yog</td>
<td valign="top" align="center">1.741</td>
</tr>
<tr>
<td valign="top" align="left">Compound 53</td>
<td valign="top" align="left">Inhibitor</td>
<td valign="top" align="center">25</td>
<td valign="top" align="center">WMJ</td>
<td valign="top" align="center">2yoh</td>
<td valign="top" align="center">1.073</td>
</tr>
<tr>
<td valign="top" align="left">Compound 54</td>
<td valign="top" align="left">Inhibitor</td>
<td valign="top" align="center">27</td>
<td valign="top" align="center">&#x2013;</td>
<td valign="top" align="center">&#x2013;</td>
<td valign="top" align="center">&#x2013;</td>
</tr>
<tr>
<td valign="top" align="left">Compound 55</td>
<td valign="top" align="left">Inhibitor</td>
<td valign="top" align="center">11</td>
<td valign="top" align="center">&#x2013;</td>
<td valign="top" align="center">&#x2013;</td>
<td valign="top" align="center">&#x2013;</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn>
<p>PDB, Protein Data Bank; RMSD, root mean square deviation.</p>
</fn>
</table-wrap-foot>
</table-wrap>
<p>To validate further the docking approach used, four co-crystallized <italic>Pf</italic>TMPK ligands (three of which are complexed with inhibitors and a substrate) were retrieved from their PDB crystal structures and re-docked against the <italic>Pf</italic>TMPK protein structures. The co-crystallized binding poses of the ligands were superimposed to their respective predicted docking poses, and RMSDs less than 2 &#xc5; were obtained for all of them. This suggests that AutoDock Vina reasonably distinguished between active and inactive compounds for <italic>Pf</italic>TMPK and accurately predicted binding poses.</p>
</sec>
<sec id="s3_4">
<title>Virtual Screening Analysis and Lead Identification</title>
<p>Ninety-one pre-filtered drug-like compounds were screened against <italic>Pf</italic>TMPK together with its natural substrate and known potent inhibitors. After docking, thirteen of the drug-like compounds had binding affinities greater than the protein&#x2019;s substrate and were selected as hits (<xref ref-type="table" rid="T2">
<bold>Table&#xa0;2</bold>
</xref>). The binding energies of three potent inhibitors were &#x2212;8.9, &#x2212;9.3, and &#x2212;9.7 kcal/mol for compounds 28, 53, and 55, respectively, which fell within the same range as the hits. The lowest energies among them were &#x2212;10.5 and &#x2212;10.2 kcal/mol for compounds 54 and 30, respectively, which were not far from the lowest among the hits (&#x2212;9.9 kcal/mol). This is a good indication of the potential antimalarial activity of the hits. Lead compounds were then selected among the hits. Four structural properties of a molecule that ensure proper binding at the active site and inhibitory effect against <italic>Pf</italic>TMPK, developed using QSAR analysis, pharmacophore modeling, and docking studies with a set of thymidine analogs that have well-defined <italic>Pf</italic>TMPK inhibitory activity, were considered in selecting possible lead compounds (<xref ref-type="bibr" rid="B27">Ojha and Roy, 2013</xref>). These properties are the presence of &#x2013;NH fragment, &#x2013;OH group, urea moiety, and a considerable amount of oxygen atoms (<xref ref-type="bibr" rid="B27">Ojha and Roy, 2013</xref>).</p>
<table-wrap id="T2" position="float">
<label>Table&#xa0;2</label>
<caption>
<p>List of hits showing their structures, binding energies, and structural properties.</p>
</caption>
<table frame="hsides">
<thead>
<tr>
<th valign="top" rowspan="2" align="left">Compound</th>
<th valign="top" rowspan="2" align="center">Binding energy (kcal/mol)</th>
<th valign="top" colspan="4" align="center">Structural properties</th>
</tr>
<tr>
<th valign="top" align="center">NH fragment</th>
<th valign="top" align="center">OH group</th>
<th valign="top" align="center">More O-atoms</th>
<th valign="top" align="center">Urea moiety</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">
<inline-graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-12-868529-g008.tif"/>ZINC14644461</td>
<td valign="top" align="center">&#x2212;9.9</td>
<td valign="top" align="center">&#x2716;</td>
<td valign="top" align="center">&#x2714;</td>
<td valign="top" align="center">&#x2714;</td>
<td valign="top" align="center">&#x2716;</td>
</tr>
<tr>
<td valign="top" align="left">
<inline-graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-12-868529-g009.tif"/>ZINC14677166</td>
<td valign="top" align="center">&#x2212;9.7</td>
<td valign="top" align="center">&#x2716;</td>
<td valign="top" align="center">&#x2716;</td>
<td valign="top" align="center">&#x2714;</td>
<td valign="top" align="center">&#x2716;</td>
</tr>
<tr>
<td valign="top" align="left">
<inline-graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-12-868529-g010.tif"/>ZINC95486297</td>
<td valign="top" align="center">&#x2212;9.6</td>
<td valign="top" align="center">&#x2716;</td>
<td valign="top" align="center">&#x2716;</td>
<td valign="top" align="center">&#x2714;</td>
<td valign="top" align="center">&#x2716;</td>
</tr>
<tr>
<td valign="top" align="left">
<inline-graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-12-868529-g011.tif"/>ZINC13374323</td>
<td valign="top" align="center">&#x2212;9.4</td>
<td valign="top" align="center">&#x2714;</td>
<td valign="top" align="center">&#x2716;</td>
<td valign="top" align="center">&#x2714;</td>
<td valign="top" align="center">&#x2714;</td>
</tr>
<tr>
<td valign="top" align="left">
<inline-graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-12-868529-g012.tif"/>ZINC95486293</td>
<td valign="top" align="center">&#x2212;9.4</td>
<td valign="top" align="center">&#x2716;</td>
<td valign="top" align="center">&#x2714;</td>
<td valign="top" align="center">&#x2714;</td>
<td valign="top" align="center">&#x2716;</td>
</tr>
<tr>
<td valign="top" align="left">
<inline-graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-12-868529-g013.tif"/>ZINC14504006</td>
<td valign="top" align="center">&#x2212;9.3</td>
<td valign="top" align="center">&#x2716;</td>
<td valign="top" align="center">&#x2716;</td>
<td valign="top" align="center">&#x2714;</td>
<td valign="top" align="center">&#x2716;</td>
</tr>
<tr>
<td valign="top" align="left">
<inline-graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-12-868529-g014.tif"/>ZINC95486295</td>
<td valign="top" align="center">&#x2212;9.2</td>
<td valign="top" align="center">&#x2716;</td>
<td valign="top" align="center">&#x2714;</td>
<td valign="top" align="center">&#x2714;</td>
<td valign="top" align="center">&#x2716;</td>
</tr>
<tr>
<td valign="top" align="left">
<inline-graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-12-868529-g015.tif"/>ZINC13282986</td>
<td valign="top" align="center">&#x2212;9</td>
<td valign="top" align="center">&#x2716;</td>
<td valign="top" align="center">&#x2716;</td>
<td valign="top" align="center">&#x2716;</td>
<td valign="top" align="center">&#x2716;</td>
</tr>
<tr>
<td valign="top" align="left">
<inline-graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-12-868529-g016.tif"/>ZINC87493012</td>
<td valign="top" align="center">&#x2212;9</td>
<td valign="top" align="center">&#x2716;</td>
<td valign="top" align="center">&#x2714;</td>
<td valign="top" align="center">&#x2714;</td>
<td valign="top" align="center">&#x2716;</td>
</tr>
<tr>
<td valign="top" align="left">
<inline-graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-12-868529-g017.tif"/>ZINC95486296</td>
<td valign="top" align="center">&#x2212;9</td>
<td valign="top" align="center">&#x2716;</td>
<td valign="top" align="center">&#x2714;</td>
<td valign="top" align="center">&#x2716;</td>
<td valign="top" align="center">&#x2716;</td>
</tr>
<tr>
<td valign="top" align="left">
<inline-graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-12-868529-g018.tif"/>ZINC13365918</td>
<td valign="top" align="center">&#x2212;8.9</td>
<td valign="top" align="center">&#x2714;</td>
<td valign="top" align="center">&#x2716;</td>
<td valign="top" align="center">&#x2714;</td>
<td valign="top" align="center">&#x2714;</td>
</tr>
<tr>
<td valign="top" align="left">
<inline-graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-12-868529-g019.tif"/>ZINC95486004</td>
<td valign="top" align="center">&#x2212;8.9</td>
<td valign="top" align="center">&#x2716;</td>
<td valign="top" align="center">&#x2716;</td>
<td valign="top" align="center">&#x2714;</td>
<td valign="top" align="center">&#x2716;</td>
</tr>
<tr>
<td valign="top" align="left">
<inline-graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-12-868529-g020.tif"/>ZINC05357841</td>
<td valign="top" align="center">&#x2212;8.8</td>
<td valign="top" align="center">&#x2716;</td>
<td valign="top" align="center">&#x2716;</td>
<td valign="top" align="center">&#x2714;</td>
<td valign="top" align="center">&#x2716;</td>
</tr>
<tr>
<td valign="top" align="left">
<inline-graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-12-868529-g021.tif"/>TMP</td>
<td valign="top" align="center">&#x2212;8.7</td>
<td valign="top" align="center">&#x2014;</td>
<td valign="top" align="center">&#x2014;</td>
<td valign="top" align="center">&#x2014;</td>
<td valign="top" align="center">&#x2014;</td>
</tr>
<tr>
<td valign="top" align="left">
<inline-graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-12-868529-g022.tif"/>Compound 28</td>
<td valign="top" align="center">&#x2212;9.3</td>
<td valign="top" align="center">&#x2014;</td>
<td valign="top" align="center">&#x2014;</td>
<td valign="top" align="center">&#x2014;</td>
<td valign="top" align="center">&#x2014;</td>
</tr>
<tr>
<td valign="top" align="left">
<inline-graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-12-868529-g023.tif"/>Compound 30</td>
<td valign="top" align="center">&#x2212;10.2</td>
<td valign="top" align="center">&#x2014;</td>
<td valign="top" align="center">&#x2014;</td>
<td valign="top" align="center">&#x2014;</td>
<td valign="top" align="center">&#x2014;</td>
</tr>
<tr>
<td valign="top" align="left">
<inline-graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-12-868529-g024.tif"/>Compound 53</td>
<td valign="top" align="center">&#x2212;8.9</td>
<td valign="top" align="center">&#x2014;</td>
<td valign="top" align="center">&#x2014;</td>
<td valign="top" align="center">&#x2014;</td>
<td valign="top" align="center">&#x2014;</td>
</tr>
<tr>
<td valign="top" align="left">
<inline-graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-12-868529-g025.tif"/>Compound 54</td>
<td valign="top" align="center">&#x2212;10.5</td>
<td valign="top" align="center">&#x2014;</td>
<td valign="top" align="center">&#x2014;</td>
<td valign="top" align="center">&#x2014;</td>
<td valign="top" align="center">&#x2014;</td>
</tr>
<tr>
<td valign="top" align="left">
<inline-graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-12-868529-g026.tif"/>Compound 55</td>
<td valign="top" align="center">&#x2212;9.7</td>
<td valign="top" align="center">&#x2014;</td>
<td valign="top" align="center">&#x2014;</td>
<td valign="top" align="center">&#x2014;</td>
<td valign="top" align="center">&#x2014;</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn>
<p>&#x2714; is shown when the structural property applies to the compound, while &#x2716; is shown when the property does not apply. Structures and binding energies of the substrate (TMP) and the five potent inhibitors are included.</p>
</fn>
</table-wrap-foot>
</table-wrap>
<p>The molecular structures of the hit compounds were analyzed to identify any of the aforementioned structural properties. ZINC13374323 possesses &#x2013;NH group, urea moiety, and a considerable amount of oxygen atoms, while ZINC13365918 also has all the properties but lacks oxygen atoms. ZINC14644461, ZINC95486293, ZINC95486295, and ZINC87493012 all have &#x2013;OH groups and considerable amounts of oxygen atoms, while ZINC13282986 possesses none of the structural properties. The rest of the six compounds only possess oxygen atoms among the aforementioned structural properties. Most of the compounds seem to possess considerable amounts of O-atoms, which is an essential requirement for high binding affinity toward <italic>Pf</italic>TMPK. The most distinctive structural properties were the presence of NH fragment and urea moiety, which were exhibited only by ZINC13374323 and ZINC13365918. Although all four properties are essential for good inhibitory activity against <italic>Pf</italic>TMPK (<xref ref-type="bibr" rid="B27">Ojha and Roy, 2013</xref>), a ligand with at least three of the properties, placing priority on the distinctive properties (presence of -NH fragment and urea moiety), may exhibit a good inhibitory effect against the compound with no or little modifications. As such, ZINC13374323 and ZINC13365918 were considered the potential lead compounds among the 13 hits.</p>
</sec>
<sec id="s3_5">
<title>Protein&#x2013;Ligand Interactions</title>
<p>Protein&#x2013;ligand molecular interactions of ZINC13374323 and ZINC13365918 were further studied and compared to the protein&#x2013;ligand molecular interaction of compound 25, a <italic>Pf</italic>TMPK inhibitor thymidine analog, which has been shown to exhibit very high activity against the protein (<xref ref-type="bibr" rid="B27">Ojha and Roy, 2013</xref>). Compound 25 has been reported to share molecular interactions with protein residues Arg78, Arg99, Arg47, Asp17, Ser22, Phe74, and Tyr43 (<xref ref-type="bibr" rid="B27">Ojha and Roy, 2013</xref>). In <xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3A</bold>
</xref>, we show the substrate to share interactions with similar residues such as Arg78, Arg99, Arg47, and Phe74. From <xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3C</bold>
</xref>, ZINC13374323 is also shown to have interactions with common residues such as compound 25. ZINC13365918, on the other hand, exhibited interactions with Asp17 and Phe74 among the listed residues (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3B</bold>
</xref>). This warranted the experimental characterization of ZINC13374323 to corroborate potential inhibitory activity against <italic>Pf</italic>TMPK. H-bond interactions with Asp17 and Pi-Pi stacked interactions with Tyr107 and Phe74 are common among both ligands. This may indicate the importance of the residues for effective binding. One can suggest that the lack of more O-atoms in ZINC13365918 significantly affects its ability to form H-bonds with important residues such as Arg47 and Arg99. TMP and ZINC13374323 were able to form H-bonds with both Arg47 and Arg99 using their O-atoms. However, a lack of an OH-group did not seem to affect the ligands&#x2019; interactions, since none of them formed any bonds with it.</p>
<fig id="f3" position="float">
<label>Figure&#xa0;3</label>
<caption>
<p>3D and 2D images of the protein&#x2013;ligand interactions between <italic>Pf</italic>TMPK and <bold>(A)</bold> TMP, <bold>(B)</bold> ZINC13365918, and <bold>(C)</bold> ZINC13374323. TMP forms H-bonds with Arg47, Arg99, and Arg78; ZINC13374323 is shown to have H-bond interactions with Arg99, Arg47, Asp17, Glu151, Ile152, and Tyr153; ZINC13365918 forms H-bonds with only Asp17.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-12-868529-g003.tif"/>
</fig>
</sec>
<sec id="s3_6">
<title>Molecular Dynamics Simulations</title>
<sec id="s3_6_1">
<title>Stability of Protein&#x2013;Ligand Complexes</title>
<p>Molecular dynamics simulations were performed to compare the stability of the distinctive protein&#x2013;ligand complexes of <italic>Pf</italic>TMPK with TMP, ZINC13374323, and ZINC13365918. To accomplish that, the RMSDs of the complexes were generated after the simulation (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4</bold>
</xref>). The results showed that <italic>Pf</italic>TMPK&#x2013;ZINC13374323 behaved very similarly to <italic>Pf</italic>TMPK&#x2013;TMP in terms of stability. Complex <italic>Pf</italic>TMPK&#x2013;ZINC13365918 shows a higher RMSD but has much fewer fluctuations than <italic>Pf</italic>TMPK&#x2013;TMP and <italic>Pf</italic>TMPK&#x2013;ZINC13374323, maintaining an RMSD of 0.34 nm from 15- to 90-ns simulation time. Complexes <italic>Pf</italic>TMPK&#x2013;TMP and <italic>Pf</italic>TMPK&#x2013;ZINC13374323 exhibited RMSD from 0.25 nm at the first 20 ns of the simulation to 0.26 nm between 20 ns and 60 ns and 0.27 nm in the final 10 ns of the simulation.</p>
<fig id="f4" position="float">
<label>Figure&#xa0;4</label>
<caption>
<p>Root mean square deviation (RMSD) graphs comparing the RMSDs of <italic>Pf</italic>TMPK in complex with its natural substrate (TMP) and the respective lead compounds. The RMSD graph for <italic>Pf</italic>TMPK&#x2013;TMP is colored black, for <italic>Pf</italic>TMPK&#x2013;ZINC13365918 red, and for <italic>Pf</italic>TMPK&#x2013;ZINC13374323 green.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-12-868529-g004.tif"/>
</fig>
</sec>
<sec id="s3_6_2">
<title>Influence of Ligand Binding on the Flexibility of <italic>Pf</italic>TMPK</title>
<p>A comparison of the behavior of the protein residues in each complex was also done using the root mean square fluctuations (RMSFs) (<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5</bold>
</xref>). It can be observed from the graph that the protein residues experienced higher fluctuations in <italic>Pf</italic>TMPK&#x2013;ZINC13365918 than in the other complexes and the unbounded <italic>Pf</italic>TMPK. The fluctuations of <italic>Pf</italic>TMPK&#x2013;ZINC13374323 and <italic>Pf</italic>TMPK&#x2013;TMP seem to be very close, indicating a similar margin of flexibility within the protein when complexed with either ZINC13374323 or TMP. A similar observation was made with their RMSDs. However, all the complexes generally experienced more fluctuations than the unbound protein throughout the simulation. The fluctuations were most probably induced by the effect of the binding of the ligands.</p>
<fig id="f5" position="float">
<label>Figure&#xa0;5</label>
<caption>
<p>Root mean square fluctuation (RMSF) graphs comparing the behaviors of the residues of <italic>Pf</italic>TMPK in complex with its natural substrate (TMP) and the respective compounds with those of the unbound protein. The RMSF graph for the unbound <italic>Pf</italic>TMPK is shown in blue, for <italic>Pf</italic>TMPK&#x2013;TMP black, for <italic>Pf</italic>TMPK&#x2013;ZINC13365918 red, and green for <italic>Pf</italic>TMPK&#x2013;ZINC13374323.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-12-868529-g005.tif"/>
</fig>
</sec>
<sec id="s3_6_3">
<title>Binding Interactions During Molecular Dynamics Simulations</title>
<p>To determine if ZINC13374323 and ZINC13365918 can maintain strong interactions with <italic>Pf</italic>TMPK, the numbers of hydrogen bonds formed between the respective compounds and <italic>Pf</italic>TMPK throughout the simulation were analyzed. This suggests a continuous bind of the ligand in the binding site under harsh dynamic conditions. The average number of hydrogen bonds (<xref ref-type="fig" rid="f6">
<bold>Figure&#xa0;6</bold>
</xref>) shared between <italic>Pf</italic>TMPK&#x2013;ZINC13365918 and <italic>Pf</italic>TMPK&#x2013;ZINC13374323 complexes during the entire simulation decreased to between 1 and 2. Complex <italic>Pf</italic>TMPK&#x2013;ZINC13374323 formed 3 and 4 hydrogen bonds more frequently during the simulation as compared to <italic>Pf</italic>TMPK&#x2013;ZINC13365918. Complex <italic>Pf</italic>TMPK&#x2013;ZINC13365918 reached as high as 5 and 6 hydrogen bonds, but this happened very few times in the simulation. The average hydrogen bonds shown were consistent with the H-bond interactions obtained after molecular docking (<xref ref-type="fig" rid="f3">
<bold>Figures&#xa0;3B, C</bold>
</xref>).</p>
<fig id="f6" position="float">
<label>Figure&#xa0;6</label>
<caption>
<p>Hydrogen bond predictions between the complexes of <italic>Pf</italic>TMPK and the respective potential lead compounds. The hydrogen bonds formed between <italic>Pf</italic>TMPK and ZINC13365918 are shown as red lines, while those of the protein and ZINC13374323 are shown as green lines. The mean hydrogen bonds formed throughout the simulation in both complexes are highlighted in blue.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-12-868529-g006.tif"/>
</fig>
</sec>
</sec>
<sec id="s3_7">
<title>Exploring Biological Activities of Potential Lead Compounds</title>
<p>The common name of ZINC13374323 is aurantiamide acetate, which has been shown to exhibit anti-inflammatory and antiviral activities in influenza-infected cells (<xref ref-type="bibr" rid="B52">Zhou et&#xa0;al., 2017</xref>). The compound is a constituent of herbs such as the bark of <italic>Albizia adianthifolia</italic> and <italic>Brillantaisia lamium</italic>, where it has been shown to exhibit antimicrobial activity (<xref ref-type="bibr" rid="B40">Tamokou et&#xa0;al., 2011</xref>; <xref ref-type="bibr" rid="B41">Tamokou et&#xa0;al., 2012</xref>). Interestingly, aurantiamide acetate is also an ingredient of <italic>A. annua</italic>, the Chinese herb from which artemisinin was discovered (<xref ref-type="bibr" rid="B24">Milne et&#xa0;al., 2018</xref>). ZINC13365918 is a pyrimidine analog with the name <italic>N</italic>-hydroxyannomontine. <italic>N</italic>-Hydroxyannomontine has been shown to exhibit antileishmanial activity against <italic>Leishmania braziliensis</italic> and <italic>Leishmania guyanensis</italic> (<xref ref-type="bibr" rid="B7">Costa et&#xa0;al., 2006</xref>). The toxicity profiles of both compounds as shown in <xref ref-type="table" rid="T3">
<bold>Table&#xa0;3</bold>
</xref> indicate the compounds to be generally safe, with aurantiamide acetate tending to cause some irritation. The toxicity profile was generated with OSIRIS DataWarrior version 5.5.0 (<xref ref-type="bibr" rid="B32">Sander et&#xa0;al., 2015</xref>).</p>
<table-wrap id="T3" position="float">
<label>Table&#xa0;3</label>
<caption>
<p>Toxicity profile of potential lead compounds.</p>
</caption>
<table frame="hsides">
<thead>
<tr>
<th valign="top" align="left"/>
<th valign="top" align="center">Mutagenicity</th>
<th valign="top" align="center">Tumorigenic</th>
<th valign="top" align="center">Reproductive effectiveness</th>
<th valign="top" align="center">Irritant</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">
<bold>ZINC13374323</bold>
<break/>
<bold>(aurantiamide acetate)</bold>
</td>
<td valign="top" align="left">None</td>
<td valign="top" align="left">None</td>
<td valign="top" align="left">None</td>
<td valign="top" align="left">High</td>
</tr>
<tr>
<td valign="top" align="left">
<bold>ZINC13365918</bold>
<break/>
<bold>(<italic>N</italic>-hydroxyannomontine)</bold>
</td>
<td valign="top" align="left">None</td>
<td valign="top" align="left">None</td>
<td valign="top" align="left">None</td>
<td valign="top" align="left">None</td>
</tr>
</tbody>
</table>
</table-wrap>
<p>We explored the anti-plasmodial activity of aurantiamide acetate further since it is commercially available. <italic>N</italic>-Hydroxyannomontine is currently not commercially available; as such, <italic>in vitro</italic> experimentation for this analog was not carried out. An <italic>in vitro</italic> parasite growth inhibition assay was prepared for the <italic>P. falciparum</italic> 3D7 strain using the SYBR Green I fluorescence assay (<xref ref-type="bibr" rid="B37">Smilkstein et&#xa0;al., 2004</xref>). Artesunate was used as the positive control. The compounds were added to synchronized cultures of the ring stages, and inhibition of the parasite&#x2019;s growth was determined through IC<sub>50</sub>, with the experiment conducted in triplicates. The IC<sub>50</sub> values obtained for artesunate were comparable to those reported previously with the average being 23.22 nM (<xref ref-type="bibr" rid="B42">Tour&#xe9; et&#xa0;al., 2008</xref>; <xref ref-type="bibr" rid="B30">Quashie et&#xa0;al., 2013</xref>). The average IC<sub>50</sub> value obtained for aurantiamide acetate was 69.33 &#x3bc;M (<xref ref-type="table" rid="T4">
<bold>Table&#xa0;4</bold>
</xref>). The inhibition curves of both compounds are shown in <xref ref-type="fig" rid="f7">
<bold>Figure&#xa0;7</bold>
</xref>. A single screen of aurantiamide acetate was also performed on asynchronized cultures of <italic>P. falciparum</italic> 3D7 strain. The IC<sub>50</sub> value achieved for the asynchronized culture was &gt;100 &#x3bc;M (<xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figure&#xa0;1</bold>
</xref>), which indicates an increase in the potency of the compound when screened against the ring stages of the parasite. This could imply a clue into the target specificity of the compound but requires further investigation; therefore, a stage-of-action study to assess the potency of the compound against different asexual stages is recommended. The activity of aurantiamide acetate, despite being appreciable for a natural compound, must be further improved through optimization to cater to its lack of O-atoms, which is necessary for <italic>Pf</italic>TMPK inhibition.</p>
<table-wrap id="T4" position="float">
<label>Table&#xa0;4</label>
<caption>
<p>IC<sub>50</sub> values of artesunate and aurantiamide acetate for the synchronized culture of <italic>Plasmodium falciparum</italic> 3D7 ring stages.</p>
</caption>
<table frame="hsides">
<thead>
<tr>
<th valign="top" align="left"/>
<th valign="top" align="center">Artesunate (nM)</th>
<th valign="top" align="center">Aurantiamide acetate (&#x3bc;M)</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">IC<sub>50</sub>&#x2014;Experiment 1</td>
<td valign="top" align="center">2.76</td>
<td valign="top" align="center">73.48</td>
</tr>
<tr>
<td valign="top" align="left">IC<sub>50</sub>&#x2014;Experiment 2</td>
<td valign="top" align="center">15.88</td>
<td valign="top" align="center">76.32</td>
</tr>
<tr>
<td valign="top" align="left">IC<sub>50</sub>&#x2014;Experiment 3</td>
<td valign="top" align="center">51.02</td>
<td valign="top" align="center">58.19</td>
</tr>
<tr>
<td valign="top" align="left">Mean IC<sub>50</sub>
</td>
<td valign="top" align="center">23.22</td>
<td valign="top" align="center">69.33</td>
</tr>
<tr>
<td valign="top" align="left">SD</td>
<td valign="top" align="center">24.95</td>
<td valign="top" align="center">9.751</td>
</tr>
<tr>
<td valign="top" align="left">SEM</td>
<td valign="top" align="center">14.41</td>
<td valign="top" align="center">5.630</td>
</tr>
</tbody>
</table>
</table-wrap>
<fig id="f7" position="float">
<label>Figure&#xa0;7</label>
<caption>
<p>The inhibition curves of artesunate and aurantiamide acetate for the synchronized culture of <italic>Plasmodium falciparum</italic> 3D7 ring stages.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-12-868529-g007.tif"/>
</fig>
</sec>
</sec>
<sec id="s4">
<title>Significance of the Study</title>
<p>In recent years, a minimal number of natural products have made it to antimalarial lead optimization projects (<xref ref-type="bibr" rid="B14">Guantai and Chibale, 2011</xref>). Natural products have proven to be a rich source of antimalarials throughout the history of malaria drug discovery, with breakthroughs like quinine and artemisinin being prime examples (<xref ref-type="bibr" rid="B33">Saxena et&#xa0;al., 2003</xref>; <xref ref-type="bibr" rid="B16">Itokawa et&#xa0;al., 2008</xref>). Most other drugs like clindamycin and azithromycin have also had their foundation in natural products (<xref ref-type="bibr" rid="B14">Guantai and Chibale, 2011</xref>). This shows that developing new drug candidates from natural product sources remains a favorable line of research for antimalarial drug development. It is evident, however, that most compounds developed from natural products show moderate inhibition activity (<xref ref-type="bibr" rid="B33">Saxena et&#xa0;al., 2003</xref>; <xref ref-type="bibr" rid="B14">Guantai and Chibale, 2011</xref>). As such, through the incorporation of <italic>in silico</italic> techniques, we can focus on compounds with desirable properties with the potential to become lead compounds and later become drug candidates through further optimization. The thirteen hits obtained after molecular docking represent compounds that can compete with the natural substrate of <italic>Pf</italic>TMPK based on their binding affinity. By screening those compounds against important structural properties obtained through extensive <italic>in silico</italic> work (<xref ref-type="bibr" rid="B27">Ojha and Roy, 2013</xref>), we have been able to highlight two natural products, namely, aurantiamide acetate and <italic>N</italic>-hydroxyannomontine, as potential lead compounds. The binding affinities of the compounds as compared to known active inhibitors of <italic>Pf</italic>TMPK corroborate this claim. Also, further experimental <italic>in vitro</italic> studies of the biological activity of aurantiamide acetate against the <italic>P. falciparum</italic> 3D7 strain show the compound to express appreciable antimalarial activity (IC<sub>50</sub> of 69.33). <italic>In vitro</italic> experimentation could not be done for <italic>N</italic>-hydroxyannomontine because it is not commercially available. It will be necessary to synthesize and test the compound in future studies and also develop cytotoxicity assays for both compounds. To develop these compounds into lead compounds, it is crucial to optimize them, taking into account the structural properties needed for effective binding as earlier described (<xref ref-type="bibr" rid="B27">Ojha and Roy, 2013</xref>).</p>
<p>Resistance to chloroquine, a cheap and efficacious antimalarial drug, has led to the change to artemisinin-based combination therapy (ACT) as the recommended first-line treatment option. Chloroquine resistance was first observed in Southeast Asia (in Thailand in 1957), which spread globally (<xref ref-type="bibr" rid="B28">Packard, 2014</xref>) and rendered chloroquine useless. However, resistance to ACT has been detected again in Southeast Asia with hints of delayed parasite clearance in Africa (<xref ref-type="bibr" rid="B12">Global Malaria Program, 2015</xref>). Delayed parasite clearance, however, may not necessarily lead to treatment failure, but in the Greater Mekong Subregion, treatment failures following treatment with an ACT have only been observed where there is resistance to the partner drug (<xref ref-type="bibr" rid="B51">World Health Organization, 2018</xref>). The drugs used in the ACT are few, necessitating the need to have additional compounds, thus the significance of our finding of aurantiamide acetate as a potential antimalarial compound. Moreover, it is known to possess anti-inflammatory properties (<xref ref-type="bibr" rid="B52">Zhou et&#xa0;al., 2017</xref>), which is good. Although its anti-plasmodial activity <italic>in vitro</italic> is not comparable to that of artesunate, we believe that the addition of oxygen atoms to the molecule will significantly increase its performance. Studies have reported that dried leaves of <italic>A. annua</italic> used as a tea infusion in treating malaria have a higher potency than pure artemisinin (<xref ref-type="bibr" rid="B49">Weathers, 2014</xref>). Using the dried-leaf treatment has also been shown to overcome resistance to artemisinin. These effects may be due to the other chemical components of <italic>A. annua</italic>, which enhance the bioavailability and efficacy of artemisinin even though they have significantly less potent anti-plasmodial activity than artemisinin (<xref ref-type="bibr" rid="B49">Weathers, 2014</xref>). Since aurantiamide acetate is a constituent of <italic>A. annua</italic>, we recommend further studies to determine its ability to reduce resistance to artemisinin and/or enhance anti-plasmodial activity when used as a partner drug in ACT.</p>
</sec>
<sec id="s5">
<title>Conclusion</title>
<p>A total of 885 compounds retrieved from AfroDB were screened in FAF-Drugs4 server, which produced 91 ADMET-acceptable compounds. Thirteen compounds out of the 91, which scored higher binding energy than the substrate of <italic>Pf</italic>TMPK, were selected as hits. Four structural properties of a molecule that ensures proper binding at the active site and inhibitory effect against <italic>Pf</italic>TMPK were considered in selecting lead compounds. ZINC13374323 and ZINC13365918 were selected as plausible lead compounds since they exhibited three of the structural properties. ZINC13374323 shares interactions with many similar residues as a <italic>Pf</italic>TMPK inhibitor thymidine analog, which has been shown to exhibit high activity against the protein. ZINC13374323, also known as aurantiamide acetate, is an ingredient of <italic>A. annua</italic> and exhibits anti-inflammatory, antiviral, and antimicrobial activities. ZINC13365918, on the other hand, is a pyrimidine analog that has been shown to exhibit antileishmanial activity. Analysis of the molecular dynamics simulations of the lead compounds complexed with the protein showed the complex of <italic>Pf</italic>TMPK and ZINC13374323 to have similar RMSD and RMSF as that of the protein in complex with its natural substrate, TMP. <italic>In vitro</italic> testing of aurantiamide acetate for anti-plasmodial activity resulted in an IC<sub>50</sub> of 69.33 &#x3bc;M. The compounds could be used as scaffolds for lead optimization.</p>
</sec>
<sec id="s6" sec-type="data-availability">
<title>Data Availability Statement</title>
<p>The original contributions presented in the study are included in the article/<xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Material</bold>
</xref>. Further inquiries can be directed to the corresponding author.</p>
</sec>
<sec id="s7" sec-type="author-contributions">
<title>Author Contributions</title>
<p>AG, MW, and SK developed the concept and designed the study. KE conducted the computational aspects of the study and drafted the manuscript. MT-T, AL, SN, and GD performed the <italic>in vitro</italic> experiments of the study. AG, MW, and SK edited and proofread the manuscript. All authors contributed to the manuscript.</p>
</sec>
<sec id="s8" sec-type="COI-statement">
<title>Conflict of Interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec id="s9" sec-type="disclaimer">
<title>Publisher&#x2019;s Note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
</body>
<back>
<ack>
<title>Acknowledgments</title>
<p>We are grateful to Dr. Rita Afriyie Boateng for her support in the molecular dynamics simulations and the director of Noguchi Memorial Institute for Medical Research for allowing us to publish this paper.</p>
</ack>
<sec id="s10" sec-type="supplementary-material">
<title>Supplementary Material</title>
<p>The Supplementary Material for this article can be found online at: <ext-link ext-link-type="uri" xlink:href="https://www.frontiersin.org/articles/10.3389/fcimb.2022.868529/full#supplementary-material">https://www.frontiersin.org/articles/10.3389/fcimb.2022.868529/full#supplementary-material</ext-link>.</p>
  <supplementary-material xlink:href="DataSheet_1.docx" id="SM1" mimetype="application/vnd.openxmlformats-officedocument.wordprocessingml.document"/>
</sec>
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