Human serum albumin (HSA) is the most abundant protein in blood plasma. It serves as a transport protein for several endogenous compounds such as nonesterified fatty acids (FAs), and is also capable of binding many commonly used drugs. Drug binding to HSA can result in a prolonged in vivo half-life. Thus, the binding of drugs to HSA is one of the most important factors determining their pharmacokinetics.
1)HSA consists of 585 amino acids and has a molecular mass of 66500 Da. The structure of HSA consists of 3 homologous domains (domains I-III), each of which is divided into 2 subdomains, A and B, having 6 and 4 a-helices, respectively (Fig. 1).2-4) Multiple ligand-binding sites have been reported for these subdomains. Two primary drug-binding sites, I (the warfarin binding site, located in subdomain IIA) and II (the indole-benzodiazepine site, located in subdomain IIIA), have received particular attention because of their high drug-binding affinity. 5,6) Seven FA binding sites have been also reported as common sites for medium-and long-chain FAs, 7) as well as for monosaturated and polyunsaturated FAs.8) Detailed studies on these sites have been performed by using X-ray crystallography, 7-12) site-directed mutagenesis, [13][14][15] and 13 C-NMR spectroscopy. 16,17) Under normal physiological conditions, HSA binds with approximately 0.1-2 mol FA per mol protein.18) The FA/HSA molar ratio can increase up to six during fasting or maximum exercise, 19,20) or in patients with diabetes. 21) In the high-ratio state, FA may affect the interactions between HSA and drugs because some FA binding sites overlap with drug binding sites I and II.12) Numerous studies have shown that drug binding to HSA can be modulated competitively or even cooperatively, by simultaneous binding of FAs. 1,12,[22][23][24][25][26][27] In the case of HSA-warfarin binding, it was reported that the addition of 2-4 mol of long-chain FAs per mol of HSA markedly increased the binding affinity of warfarin to HSA, whereas further addition of FAs decreased the affinity.
24)The effects of FAs on HSA-drug binding have been analyzed from the standpoint of the molecular structure. The binding of FA molecules to HSA can cause a relative rearrangement at the I-II and II-III domain interfaces 9,28) and conformational changes of the side chains of drug binding site I. 12) However, these studies are based on the HSA structures with all FA-accommodating sites being occupied by FA molecules. To date, there are no published works concerning the individual effect of FA binding to each site on 860 Vol. 59, No. 7 Regular Article
Steric and Allosteric Effects of Fatty Acids on the Binding of Warfarin to Human Serum Albumin Revealed by Molecular Dynamics and Free Energy CalculationsShin-ichi FUJIWARA* and Takashi