Several different mutations of the protein copper, zinc
superoxide
dismutase (SOD1) produce the neurodegenerative disorder amyotrophic
lateral sclerosis (ALS). The molecular mechanism by which the diverse
mutations converge to a similar pathology is currently unknown. The
electrostatic loop (EL) of SOD1 is known to be affected in all of
the studied ALS-linked mutations of SOD1. In this work, we employ
a multiscale simulation approach to show that this perturbation corresponds
to an increased probability of the EL detaching from its native position,
exposing the metal site of the protein to water. From extensive atomistic
and coarse-grained molecular dynamics (MD) simulations, we identify
an allosteric pathway that explains the action of the distant G93A
mutation on the EL. Finally, we employ quantum mechanics/molecular
mechanics MD simulations to show that the opening of the EL decreases
the Zn(II) affinity of the protein. As the loss of Zn(II) is at the
center of several proposed pathogenic mechanisms in SOD1-linked ALS,
the structural effect identified here not only is in agreement with
the experimental data but also places the opening of the electrostatic
loop as the possible main pathogenic effect for a significant number
of ALS-linked SOD1 mutations.