Glycogen phosphorylase is a molecular target for the design of potential hypoglycemic agents. Structure-based design pinpointed that the 3¢-position of glucopyranose equipped with a suitable group has the potential to form interactions with enzyme's cofactor, pyridoxal 5¢-phosphate (PLP), thus enhancing the inhibitory potency. Hence, we have investigated the binding of two ligands, 1-(b-D-glucopyranosyl)5-fluorouracil (GlcFU) and its 3¢-CH 2 OH glucopyranose derivative. Both ligands were found to be low micromolar inhibitors with K i values of 7.9 and 27.1 lM, respectively. X-ray crystallography revealed that the 3¢-CH 2 OH glucopyranose substituent is indeed involved in additional molecular interactions with the PLP c-phosphate compared with GlcFU. However, it is 3.4 times less potent. To elucidate this discovery, docking followed by postdocking Quantum Mechanics/Molecular Mechanics-Poisson-Boltz-mann Surface Area (QM ⁄ MM-PBSA) binding affinity calculations were performed. While the docking predictions failed to reflect the kinetic results, the QM/MM-PBSA revealed that the desol-vation energy cost for binding of the 3¢-CH 2 OH-substituted glucopyranose derivative outweigh the enthalpy gains from the extra contacts formed. The benefits of performing postdocking calculations employing a more accurate solvation model and the QM/MM-PBSA methodology in lead optimization are therefore highlighted, specifically when the role of a highly polar ⁄ charged binding interface is significant. Glycogen phosphorylase (GP) is a key enzyme in glycogen metabolism that catalyzes the first step in the intracellular degradation of glycogen (1). A large number of compounds have been reported to bind at five distinct binding sites (1-3): the catalytic, the allosteric, the new allosteric, the inhibitor and the glycogen storage site. The efficacy of such inhibitors on blood glucose control and hepatic gly-cogen balance has been confirmed from animal studies and in vitro cell biology experiments (4-8) validating GP as an important target for structure-based inhibitor design of new hypoglycemic agents for the treatment of diabetes type 2. Furthermore, the number of patents filed by pharmaceutical and biotechnology companies targeting GP for the discovery of novel hypoglycemic agents has been steadily increasing in the last 3 years (9). Recently, we have investigated the binding of a series of 3¢-fluori-nated pyrimidine glucopyranonucleosides to GP which proved to be medium potency inhibitors with IC 50 values ranging between 6.5 mM and 46.4 lM (10). All the 3¢-glucose substituents were in the 3¢-equatorial position. The 3¢ carbon of glucose is 5 away from the c-phosphate of pyridoxal 5¢-phosphate (PLP) in the GPb-aD glucose complex (11), in the direction of the 3¢-axial position. Suitable sub-stituents at the 3¢-axial position have therefore the potential to form interactions with the proximal PLP c-phosphate (a mono-anion). Thus, building on our previous studies of modified nucleosides (10), we report here the synthesis, biochemical e...