Covalent targeting is a promising
strategy for increasing the potency
and selectivity of potential drug candidates. This therapeutic approach
was recently reported for the epidermal growth factor receptor (EGFR),
wherein a covalent binder, 20g [N-(3-{7-[2-methoxy-4-(4-methylpiperazin-1-yl)phenylamino]-3,4-dihydro-3-isopropyl-2,4-dioxopyrimido[4,5-d]pyrimidin-1(2H)-yl}phenyl)acrylamide],
demonstrated significant selectivity and inhibitory activity toward
the EGFR L858R/T790M double mutant (EGFRDM) relative to
the EGFR wild-type form (EGFRWT). The enhanced therapeutic
potency of 20g against EGFRDM is 263 times
greater than that against EGFRWT, which necessitates a
rational explanation for the underlying selective and inhibitory mechanisms.
In this work, we investigate the differential binding modes of 20g with EGFRWT and EGFRDM using molecular
dynamics simulations coupled with free energy calculations and further
identify key residues involved in the selective targeting, binding,
and inhibitory mechanisms mediated by 20g. We find that
systematic orientational and conformational changes in the α-loop,
p-loop, active loop, and αC-helix are responsible for the disparate
binding mechanisms and inhibitory prowess of 20g with
respect to EGFRWT and EGFRDM. The calculated
binding free energies show good correlation with the experimental
biological activity. The total binding free energy difference between
EGFRWT-20g and EGFRDM-20g is −11.47 kcal/mol, implying that 20g binds
more strongly to EGFRDM. This enhanced binding affinity
of 20g for EGFRDM is a result of a large increase
in the van der Waals and electrostatic interactions with three critical
residues (Met790, Gln791, and Met793) that are chiefly responsible
for the high-affinity interactions mediated by 20g with
EGFRDM relative to EGFRWT.