Integrating In Silico Prediction Methods, Molecular Docking, and Molecular Dynamics Simulation to Predict the Impact of ALK Missense Mutations in Structural Perspective

Over the past decade, advancements in next generation sequencing technology have placed personalized genomic medicine upon horizon. Understanding the likelihood of disease causing mutations in complex diseases as pathogenic or neutral remains as a major task and even impossible in the structural context because of its time consuming and expensive experiments. Among the various diseases causing mutations, single nucleotide polymorphisms (SNPs) play a vital role in defining individual's susceptibility to disease and drug response. Understanding the genotype-phenotype relationship through SNPs is the first and most important step in drug research and development. Detailed understanding of the effect of SNPs on patient drug response is a key factor in the establishment of personalized medicine. In this paper, we represent a computational pipeline in anaplastic lymphoma kinase (ALK) for SNP-centred study by the application of in silico prediction methods, molecular docking, and molecular dynamics simulation approaches. Combination of computational methods provides a way in understanding the impact of deleterious mutations in altering the protein drug targets and eventually leading to variable patient's drug response. We hope this rapid and cost effective pipeline will also serve as a bridge to connect the clinicians and in silico resources in tailoring treatments to the patients' specific genotype.


Introduction
The vast amounts of data available from whole genome sequencing represent a challenge in the analysis, often requiring automated methods for annotation and prioritization of the variants. In attaining this milestone, profiling the most common single nucleotide polymorphisms (SNPs) by computational approach became powerful and inexpensive enough to jumpstart the personalized genomics area [1][2][3][4]. SNPs are not only considered as markers in constructing genetic maps but also have the potential as direct functional polymorphic variants involved within complex diseases, as well as drug response. A majority of the nonsynonymous SNPs (nsSNPs) associated with human disorders are caused by alteration in structural stability [5,6] or based on attractive notion that these mutations directly disrupt the ligand interactions sites [7][8][9]. The last decade has witnessed a tremendous increase in the number of studies comprehensively in understanding the genetic basis for interindividual drug response variability [10,11]. Understanding the underlying mechanisms of phenotypic variability in drug response at the protein level is foremost in the establishment of personalized medicine [12]. There is an urgent need to categorize the functionally important nsSNPs as deleterious or disease causing ones in a cost-efficient manner. More sophisticated fast and cost effective in silico prediction methods are developed to screen the degree of deleteriousness (affect protein function) of an nsSNP based on sequence information and structural 2 BioMed Research International attributes and made available on the World Wide Web [13][14][15][16][17][18][19]. Each algorithm has its own unique strengths and weaknesses [1,2]. Most of them utilize sequence, structure information, or combination of both along physiochemical properties of amino acids to classify them as pathogenic or neutral (Table 1). Insight into the knowledge of the threedimensional structure (3D) of a gene product is a key component in determining the impact of a mutation in causing disease. 3D structural information provides valuable information about the environmental changes upon mutation with altered active sites, stability, and flexibility of the protein.
More than 88,000 macromolecular structures are deposited in the protein data bank (PDB). To measure the adverse effects of mutation on protein structure, it is necessary to map the mutation and construct 3D models by homology modeling methods. Recent advances in structural genomics, modeling techniques, and drug discovery technologies also make it possible to attempt structural interpretation of drug-target interaction upon mutation and their differential therapeutic responses [11,20].
ALK, a receptor tyrosine kinase in the insulin receptor superfamily, was initially identified in activated oncogenic fusion forms, most common being the nucleophosmin ALK in anaplastic large-cell lymphomas and paediatric cancer as well as neuroendocrine tumors [21]. ALK consists of 1620 amino acids in which 1030 residues in the extracellular region encompass multiple subdomains including an LDL-A domain (low-density lipoprotein class A domain), a MAM (meprin) domain, and a glycine-rich region. The cytoplasmic portion contains 563 residues and includes the kinase catalytic domain. This full-length form is implicated in malignancies where ALK promotes tumorigenesis via activation by autocrine and paracrine growth-promoting loops involving the putative endogenous ALK ligands PTN (pleiotrophin) and MK (midkine) [22]. Originally, truncated form of ALK was first described in non-Hodgkin's lymphoma with fusion protein product of ALK and nucleophosmin (NPM). Later on additional fusion partners of ALK were identified with reports of variable expression of ALK in adenocarcinomas of the lung, neuroblastomas, breast, and esophageal cancers [23][24][25]. In familial neuroblastoma, mutations in ALK alter the protein kinase domain (1116-1392), thereby leading to constitutive activation of the receptor kinase and phosphorylation of downstream targets. This results in heightened cell proliferation, invasion, and survival [26,27]. Mutations in protein kinase domain F1174 and R1275 are the most frequently reported in neuroblastomas [28,29]. The cells harboring the F1174 and R1275 mutations in ALK proved to be more sensitive towards small molecule inhibitors [28,30]. Most recently crizotinib was approved for use in nonsmall-cell lung carcinoma (NSCLC) patients as ALK inhibitor [3,30]. Unfortunately, cancers have eventually developed resistance to crizotinib. In 2010, Choi et al. [31] identified two secondary mutations (C1156Y and L1196M) within the kinase domain of ALK fusion protein, which confer marked crizotinib resistance.
Till date, no combinatorial approach was undertaken in ALK with the interplay of in silico prediction methods along with molecular docking and molecular dynamics. This insisted us to design in silico framework in the discovery of new drugs or drug targets in ALK owing to the changes brought by deleterious nsSNPs (Figure 1). As an initial step, we listed out the deleterious nsSNPs in ALK based on sequence-structural-based algorithms prediction scores of SIFT [13], PolyPhen 2.0 [14], I Mutant 3.0 [15], SNAP [16], SNPs&GO [17], PhD-SNP [18], and Align GVGD [19]. In the next step, we conducted in silico functional analysis to identify the SNPs associated with regulatory mechanisms [32] and posttranslational modification (PTM). Furthermore, in silico mutational analysis was initiated by mapping the deleterious mutations onto the available 3D structure with the help of Swiss-PdbViewer [33]. An atomic level look at the protein dynamics behavior was performed using molecular dynamics simulation [34,35] to reveal the impact of these mutations on protein structure. Lastly binding affinity between the crizotinib and the deleterious mutations was observed with the aid of molecular docking study [36,37]. We propose that these findings could provide valuable hints in disease diagnosis and treatment towards personalized medicine.

Dataset Used for SNP Annotation.
Human ALK gene information data was collected from Online Mendelian Inheritance in Man (OMIM) [38] and Entrez Gene on National Centre for Biological Information (NCBI). The SNP information (protein accession number (NP), mRNA accession number (NM), and SNP ID) was retrieved from dbSNP [39] and UniProt databases [40]. Protein 3D structure was obtained from protein data bank (PDB) [41].

Predicting Functional Context of Missense Mutation.
The functional context of nsSNPs in the coding region was predicted using SIFT, PolyPhen 2, SNAP, SNPs&GO, and PhD-SNP. SIFT provides the tolerance index score ranging from 0 (deleterious) to 1 (neutral) of a particular amino acid substitution to protein function based on the sequence alignments. PolyPhen 2 utilizes straightforward physical and evolutionary comparative considerations to predict amino acid substitutions on protein structure and function. PolyPhen 2 calculates and computes the difference in the PSIC (positionspecific independent count) score of the two variants. The probabilistic score ranges from 0 (neutral) to 1 (deleterious), and functional significance is categorized into benign (0.00-0.14), possibly damaging (0.15-0.84), and probably damaging (0.85-1). PhD-SNP is a single sequence SVM method (SVMsequence) that discriminates disease-related mutations from neutral ones based on the local sequence environment of a mutation. SNPs&GO is an SVM-based method which utilizes functional gene ontology (GO) terms to predict the disease-associated mutations from the protein sequence and evolutionary information. Neural network-based screening for nonacceptable polymorphisms (SNAP) utilizes sequence information (secondary structure, solvent accessibility), flexibility, functional effects, and conservation information from various resources to predict the functional effect of each nsSNP in a protein sequence as neutral or nonneutral  and provides the information about the estimation about the prediction reliability.

Predicting Protein Stability upon Mutation.
Stability change of a protein can be measured by computing the change in its Gibbs-free energy upon folding. Substitution of single amino acid in a protein sequence can result in a significant change in the protein's stability (ΔΔ ); positive ΔΔ represents a destabilizing effect and the negative value represents a stabilizing effect on mutation. We employed I-Mutant 3.0 built by unsupervised classification using support vector machine and trained on the most comprehensive dataset derived from ProTherm [42] for the prediction of protein stability change for nsSNPs. The energy difference between native and the mutant protein was calculated based on Gibbs-free energy value, and the predicted free energy change was denoted by DDG value.

Biophysical Characterization of Altered Amino Acid.
Assessment of the putative deleterious effect of ALK variants was also performed with the evolutionary conservation method Align Grantham Variation Grantham Deviation (Align-GVGD). To predict the impact of mutations Align-GVGD combines the biophysical characteristic of each altered amino acid and protein multiple sequence alignments generated by T-coffee to classify the scores into seven categories C0, C15, C25, C35, C45, C55, and C65. The variant with the score of C0 is designated as least likely to be deleterious and C65 as most likely to be deleterious.

Functional Characterization of SNPs.
The prediction of the phenotypic risks and putative functional effects of a given variant in the regulatory region were assessed using function analysis and selection tool for single nucleotide polymorphism (FASTSNP) [32]. We submitted input in the query form of "Candidate gene" and selected the SNPs for prioritization. FASTSNP utilizes eleven external web servers to designate the twelve phenotypic risks and functional effects along with the ranking system ranging from 0 (no effect) to 5 (very high risk) for each SNP located in the coding 5 , 3, and intronic region. We employed GPS 2.1 [43], Net-NGlyc [44], and NetOGlyc 3.1 [45] to predict the functional significance of SNP in phosphorylation, N-glycosylation, and O-glycosylation sites. In GPS 2.1 version, we selected medium level threshold to identify the phosphorylation sites. NetNGlyc 1.0 server utilizes artificial neural networks to scan the sequence information of Asn-Xaa-Ser/Thr sequences. Meanwhile, NetOGlyc server uses neural network-based method to predict the mucin type GalNAc O-glycosylation sites in mammalian proteins.

In Silico Mutation Analysis.
The crystal structure of human ALK was obtained from the PDB (ID: 3L9P) to generate the starting models for the simulation [46]. Missing loops residues 1117-1122 were modelled using Falc loop [47]. We mapped the deleterious mutations ALK F1174L and ALK R1275Q to their corresponding positions in the crystal structure and mutated the proteins using Swiss-PdbViewer. After mutation, the structure was subjected to optimization and energy-minimized using GROMACS force field. Four different simulations were carried out that include the native type and three mutated models.

Molecular Docking.
We utilized AutoDock (V. 4.0) [36] and Patchdock [37] for our molecular docking study. This provides valuable insight into the interaction between the native and mutant proteins of ALK with ligand crizotinib. The structure of ligand crizotinib was generated from smile strings followed by energy minimization. Similarly, we obtained the crystal structure of ALK (PDB ID: 3L9P) with resolution 1.80Å from the protein data bank. AutoDock program with the Lamarckian genetic algorithms (LGA) was used to perform docking experiments. The Lamarckian GA parameters used in the analysis consist of 30 independent runs, population size of 150, a maximum number of 25,000,000 energy evaluations, number of generation 27,000, mutation rate of 0.02, and a crossover rate of 0.8. Docking was carried out with the grid size of 60, 60, and 60 along the -, -, and -axis with 0.375Å spacing. RMS cluster tolerance was set to 2.0Å. In order to increase the accuracy of the docked poses by AUTODOCK, we performed docking analysis using PatchDock program. This uses molecular docking algorithm based on structure geometry. The PatchDock algorithm divides the Connolly dot surface representation of the protein molecules into three classes, namely, convex, concave, and flat patches [48,49]. Then, complementary patches were matched to generate the candidate transformations. Each of the candidate transformation is additionally evaluated by a scoring function which considers both the atomic desolvation energy and geometric fit [50]. Next, root mean square deviation (RMSD) clustering is applied to the candidate solutions to discard redundant solutions. The input parameters for the docking are the PDB coordinate file of the protein and ligand molecule. Three major steps are followed in the PatchDock analysis: (i) surface patch matching, (ii) molecular shape representation, and (iii) filtering and scoring.

Molecular Dynamics
Simulation. MD simulation of the complex was carried out with the GROMACS 4.5.4 package using the GROMOS96 43a1 force field [51]. The lowest binding energy (most negative) docking conformation generated by AutoDock was taken as initial conformation for MD simulation. The topology parameters of proteins were created by using the Gromacs program. The topology parameters of crizotinib were built by the Dundee PRODRG server [52]. The complex was immersed in an octahedron box of simple point charge (SPC) water molecules. Eight Na + counter-ions were added by replacing water molecules to ensure the overall charge neutrality of the simulated system. The native and mutant complexes were energy-minimized initially by steepest descent 10,000 steps, followed by conjugate gradient method 10,000 steps. In order to equilibrate the system, the solute was subjected to position-restrained dynamics simulation (NVT and NPT) at 300 K for 300 ps. Finally, the full system was subjected to MD production run at 300 K temperature and 1 bar pressure for 20 000 ps. MD simulations were repeated thrice in order to verify the reproducibility of our study.

Principal Component Analysis.
The principal component analysis is a technique that reduces the complexity of the data and extracts the concerted motion in simulations that are essentially correlated and presumably meaningful for biological function. In the principal component analysis, a variance/covariance matrix was constructed from the trajectories after removal of the rotational and translational movements. The calculation of the eigenvectors and eigenvalues and their projection along the first two principal components were carried out using essential dynamics (ED) method [53]. A set of eigenvectors and eigenvalues were identified by diagonalizing the matrix. The movements of the protein in the essential subspace were identified by projecting the Cartesian trajectory coordinates along the most important eigenvectors from the analysis.

Analysis of Molecular Dynamics
Trajectory. The trajectory files were analyzed by using g rms, g rmsf, and g sas GROMACS utilities in order to obtain the root-mean-square deviation (RMSD), root-mean square fluctuation (RMSF), and solvent accessibility surface area (SASA). Numbers of distinct intermolecular hydrogen bonds formed during the simulation were calculated using g h bond utility. Numbers of hydrogen bonds are prominent, when donor-acceptor distance is smaller than 3.9 nm and donor-hydrogen-acceptor angle is larger than 90 nm. The trajectory files of PCA were analyzed through the use of g covar and g anaeig of GROMACS utilities in order. The analysis of the secondary structure elements of the protein was performed using the program "do dssp, " which utilizes the DSSP program [54].

SNP Annotation.
Dataset utilized in functional characterisation of 149 nsSNPs in ALK was retrieved from dbSNP, UniProt, and Ensembl databases. Among 149 nsSNPs, 78 nsSNPs were mapped to the cytoplasmic domain, 50 nsSNPs to the protein kinase domain, and remaining 21 nsSNPs to the ligand binding domain.

Prioritizing Functional SNPs.
Numerous in silico prediction tools with diverse algorithms were used to characterise the functionally significant nsSNPs in ALK. The performance of computational algorithms in identifying the deleterious or neutral nsSNPs in ALK protein is given in Table S1 (see Table S1 in Supplementary Material available online at http://dx.doi.org/10.1155/2014/895831). SIFT predicted 76 deleterious nsSNPs from a total of 149 missense mutations that could bring about a change in the protein function.  Promoter/regulatory region 1-3 5upstream rs73920777 Promoter/regulatory region 1-3 5upstream rs6727236 Promoter/regulatory region 1-3 5upstream rs12151564 Promoter/regulatory region 1-3 5upstream rs4666202 Promoter/regulatory region 1-3 5upstream rs4666203 Promoter/regulatory region 1-3 5upstream rs55793959 Promoter/regulatory region 1-3 5upstream rs13404651 Promoter/regulatory region 1-3 5upstream rs4666204 Promoter/regulatory region 1-3 5upstream rs6731724 Promoter/regulatory region 1-3 5upstream the stability of the protein upon mutation. Align GVGD predicted the functional impact on protein as deleterious 59 nsSNPs. In order to prioritize the most potent nsSNPs associated with ALK, the result obtained from the above in silico methods was integrated into a single coherent framework. By comparing the prediction scores obtained from all the six in silico tools, 2 nsSNPs at positions ALK F1174L and ALK R1275Q in the coding region were predicted to have a functional effect on protein function and stability. FASTSNP identified the nsSNPs that can influence the cellular and molecular biological function, for example, transcriptional and splicing regulation ( Table 2). From our analysis, 11 SNPs in 5 upstream and coding regions were found to have a role in the promoter/regulatory region with a risk level of 1-3 upon nucleotide change.

Docking Analysis.
To investigate the impact of mutation on the molecular functions of ALK protein, docking analysis was carried out with a specific inhibitor crizotinib. Results indicated that the mutations contribute to weaker interaction with the drug, primarily due to loss of interactions of the drug with surrounding residues. We utilised three complexes, namely, native (ALK-crizotinib), F1174L (ALK F1174Lcrizotinib), and R1275Q (ALK R1275Q-crizotinib) for our analysis. Table 3 displays the lowest calculated binding energy value of ALK docked to the drug. Comparing the binding free energy of ALK to the drug, mutant F1174L exhibited the weakest interaction with the energy value of −7.34 Kcal/mol when compared to the mutant R1275Q (−8.07 Kcal/mol) and native complex (−9.21 Kcal/mol), respectively. Detailed analysis showed that the crizotinib acquired an altered mode of binding in both the mutant complexes. From Figure 2(a), it is clear that in the native model, crizotinib forms hydrogen bond with the active residues M1199 and Q1197 ( Table 2). All other contacts were hydrophobic, as noted in the crystal structure [46]. In the mutant F1174L complex, the mutation disrupts the local hydrogen bond between the protein and drug; as a result, only one hydrogen bond is formed (Figure 2(b)), whereas, in mutant R1275Q complex, one hydrogen bond was formed and lost, when compared to the native complex (Figure 2(c)). The change in the hydrophobic contact in native and mutant complexes is elucidated in Table 3. Validation of docking results is needed to optimize the error and uniformity. Docking score and atomic contact energy (ACE) of the native and mutant complexes were calculated using Patch Dock (

Simulation Study of Native and Mutant Complexes.
The results obtained from the above docking analysis provoked us to explore the dynamic behaviour of native and mutant complexes. We analysed the root mean square deviation (RMSD), root mean square fluctuation (RMSF), radius of gyration (Rg), solvent accessible surface area (SASA), number of hydrogen bonds (NH), and secondary structure variation between the native and mutant (F1174L and R1275Q) complexes. Three independent simulations were carried out for the native and mutant complexes for a total of simulation time. We found that no significant drift occurred in amino acid trajectories initiated from the native and mutant complexes of three independent MD simulations. For all three simulations, the protein structures could be aligned with C -RMSD below 3.2Å ( Figure S1). Indeed, native and mutant R1275Q complexes tend to reach a steady equilibrium, while RMSD of the mutant complex F1174L was noticeably high. Mutant complex F1174L remained distinguished throughout the simulation resulting in maximum backbone RMSD of ∼0.41 nm. This difference in the deviation range explains the change in stability of the mutant protein, which in turn reflects the impact of substituted amino acid in the protein structure. The magnitude of fluctuation together with a small deviation in average RMSD after the relaxation period leads to the conclusion that the simulation produced stable trajectory, thus providing a suitable basis for further analysis (Figure 3(a)). As well as change in conformation, flexibility of the structure can be altered by mutations. We calculated the C -RMSF to measure overall flexibility of the native and mutant complexes. Mutant F1174L complex shows a conformational change in the protein structure (as indicated in backbone RMSD) with increase in the C -RMSF being also observed. This suggests that F1174L mutation affects the binding of crizotinib and makes the backbone more flexible to move. It is to be noticed that R1275Q mutation affects the neighbouring residues at the maximum of ∼0.46 nm fluctuation indicating a gain of flexibility due to mutation ( Figure 3(b)). Furthermore, the flexibility of mutant R1275Q was found to be in consistent with the native ALK. This might be due to the restriction caused by the surrounding residues in the active site of protein due to mutation in ALK protein.
Overall, results suggest that there exists a significant change of structural deviation in the mutant complex F1174L when compared to the native. To measure the compactness of the hydrophobic core, solvent-accessible surface area (SASA) was monitored throughout all simulations. Both the mutant complexes indicate greater values of SASA (∼87 nm 2 ) with time when compared to the native protein (Figure 3(c)). A major contributor to the increased exposure was the loss of hydrophobic contacts between the residues activation loop and C helix. The radius of gyration (Rg) is defined as the mass weighted root mean square distance of atoms from their centre of mass. The competence, shape, and folding of the overall ALK structure at different time points during the trajectory can be seen in the plot of Rg (Figure 3(d)). During the first 5 ns, native and both the mutant complexes exhibited a similar pattern of Rg value, after which mutant complex F1174L showed a higher deviation with Rg score of ∼2 nm. Despite the fact that mutant complex F1174L showed deviation from its starting conformation, both the mutants F1174L and R1275Q plateau around towards the end of the simulation. The number of NH bonds formed between crizotinib and protein models (native and mutant) during the MD simulation was also calculated (Figures 4(a), 4(b), and 4(c)). From our analysis, it is well revealed that native complex forms more number of NH bond with crizotinib with an average of ∼3 NH bonds (Figure 4(c)), while the mutant complex F1174L exhibited less number of intermolecular NH bonds of an average of ∼1-2 (Figures 4(a) and 4(c)). More intermolecular NH bonds in the native complex structure might help to maintain its rigidity while less tendency of the mutant involved in participating in hydrogen bonding with solvent makes it more flexible. Additional information on flexibility of ALK mutation was obtained by the analysis of the time-course of change in the secondary structures of native, F1174L, and R1275Q complexes during 20 ns MD simulations using the DSSP program ( Figure 5). The native complex was stable over the 20 ns simulation and tends to have a conserved secondary structure during the simulation ( Figure 5(a)), whereas the F1174L and R1275Q complexes showed subtle conformational fluctuations during the 20 ns simulation. Intermediate helix 3 (residue 1160-1173) of the native complex is disrupted (Figure 5(a)), and formation of the coil is observed in F1174L, and R1275Q complexes (Figures 5(b) and 5(c)). Rearrangements of secondary structural elements were observed between the residues (1264-1284), where turns and strands were lost, and additional helixes were formed in the structure. The C-terminal region of the protein becomes highly distorted due to the loss of Cterminal helix. To check the reliability of the simulations, we compared the noise in simulation data with the difference between native and mutant complex values. Table 5 includes the mean values of the measured properties, their standard deviations, and the differences between the mean values of those properties in the native and mutant complexes. Table 5 results indicate the differences between the mean values which are substantially greater than the standard deviation. This suggests that the observed change in ALK-crizotinib due to mutations is more reliable.

Principal Component Analysis.
Eigen vectors with the largest associated eigenvalues define the essential subspace in which most of the protein dynamics occurs. On these projections, we can visualize the cluster of stable states. Two features are very apparent from these plots. Firstly the clusters are well defined in native than mutant complexes. Secondly, both the mutant complexes cover a larger region of phase space particularly along PC1 plane compared to that covered by native complex (Figure 6). Overall flexibility of the protein complexes was further examined by the trace of the diagonalized covariance matrix of the C atomic positional fluctuations. Trace of the covariance matrix value of 11.395 nm 2 was observed for the native complex and higher value of 18.259 nm 2 and 13.942 was observed in ALK F1174L

Discussion
Analyzing the effects of nsSNP derived from the disease on the functional property of a gene is advantageous to elucidate the most important function towards the pathogenesis. A detailed experimental analysis on the effect of nsSNPs in biological function is a daunting task. It is often time consuming and laborious to study the molecular basis of diseases like cancers, especially in cases where the number of mutations is very high. By contrast, detailed and useful information regarding the effect of nsSNP on protein structure and function can be readily obtained by in silico methods [2,4]. Prioritizing the most interesting and likely pathogenic cases for further experimental analysis is another important application of the tested prediction methods. These methods make their prediction based on protein sequence and/or structural information as well as physiochemical property of amino acid for phenotype prediction. Especially integrating SNP information with protein 3D structure forms the basis of individual variability in drug response [11]. As a result, great strides have been attempted in understanding the structural details governing drug target interactions for recently approved therapeutics agents. Crystallographic studies convincingly demonstrate the important role of nsSNPs in protein flexibility and their efficacy for ligand binding. Expense and the extensive labor required to generate them have led to seek computational methods which can predict protein motions. Molecular dynamics simulation analysis developed in the late 1970s [56] seeks to overcome this limitation by using simple approximations based on Newtonian physics to simulate atomic motions, thus reducing the computational complexity. Previous studies have employed the structural information along with molecular dynamics to predict the impact of mutations in proteins [57][58][59][60][61] and protein drug complexes [62][63][64][65][66]. Indeed, quite numbers of studies have shown good concordance between computational and experimental measurements of macromolecular dynamics [57][58][59]. With constant improvements in both computer power and algorithm design, the attempts to identify the genetic determinants of different drug responses across a population to allow for the development of "individualized therapy" are promising; molecular dynamics simulations are likely to play an increasingly important role in the development of novel pharmacological therapeutics. Thus, we can expect that MD simulation would provide more reliable structural information on ALK mutations. Application of in silico methods with different algorithms in pathogenicity or stability prediction is always debatable because of the discrepancy in their prediction scores even when analyzing the same variant. Therefore, no single method could be considered as the best and accurate for prediction of a functional SNP. Hence, a combination of methods based on evolutionary information and protein structure and/or functional parameters was used in order to increase the prediction accuracy. We utilized the experience gained by various groups to examine the effects of mutations and applicability of different in silico methods [67][68][69][70][71][72]. Our study gained significance by identifying the level of structural conformations changes with respect to the incorporation of deleterious mutations in ALK protein. By comparing the results of all the in silico prediction tools used in our study, two nsSNPs with positions F1174L and R1275Q were found to be highly deleterious. Our findings also revealed that the incorporation of different algorithms often serves as powerful tools for prioritizing candidate functional nsSNPs. Nativetype phenylalanine 1174 lies at the C terminuśhelix and its side chain contributes to the small well-packed hydrophobic core betweenĆ and the activation loop. The reduction in the size of the phenylalanine 1174 side chain will disturb the packing, which may affect the structural integrity of ALK tyrosine kinase domain. From the crystal structure, it is clear that phenylalanine 1174 also interacts with phenylalanine 1271 which forms a crucial part of DGF motif, the aspartate 1270 which is involved in the ATP binding pocket. Also, native-type residue forms salt bridge with glutamine 1160 and aspartate 1276. Replacing 1174 with mutant leucine residue, which is smaller, will create structural restraints thereby affecting the ALK stability. The R1275 side chain contributes to direct interaction between activation loop helix and thé C helix, stabilizing the active conformation of active ALK tyrosine kinase domain conformation. Mutation R1275 with glutamine will disturb the activation loop thereby affecting the stability of protein. Mutant glutamine is smaller than native arginine, which may cause an empty space in the core of the protein. It would be speculative, yet interesting, to study the protein drug interaction and explicit solvent behavior of protein models in order to examine the difference in stability and dynamics behavior of native and mutant models. From docking analysis of ALK with crizotinib, it is well revealed that both the mutations perturbed the binding pocket quite significantly. The most notable change was seen in F1174L mutation which was well supported by an increase in binding energy and loss of hydrogen bond interaction with the neighboring protein when compared to the native protein. Many studies have mapped correlated motions and their perturbations due to mutation or ligand binding onto structures to link structural and thermodynamic changes [57,65,66]. In our study, a clear understanding of stability loss was seen in the RMSF, RMSD, SASA, and Rg plot which were also accompanied by less number of intermolecular NH bonds for F1174L when compared to native ALK and mutant R1275Q. Less intermolecular NH bonds in F1174L mutant structure might help to lose its rigidity and makes it more flexible. Further, from our PCA study it is clear that the mutant model F1174L has higher overall flexibility when compared to the native protein. This deviation might be due to disruption of secondary structure, which in turn affects the protein folding thereby decreasing the stability of protein.
Therefore, we would suggest that F1174L mutation would have a great impact on protein function which was in good concordance with the results obtained by Mossé et al. [26]. We expect that the results from the current computational approach on ALK with suitable validation in near future will aid in understanding the effect of individual drug response and also has the capability to create personalized tools for the rapid diagnosis, prognosis and treatment of diseases.