Abstract
Thioridazine is a well-known dopamine-antagonist drug with a wide range of pharmacological properties ranging from neuroleptic to antimicrobial and even anticancer activity. Thioridazine is a critical component of a promising multi-drug therapy against M. tuberculosis. Amongst the various proposed mechanisms of action, the cell membrane-mediated one is peculiarly tempting due to the distinctive feature of phenothiazine drug family to accumulate in selected body tissues. In this study, we employ long-scale molecular dynamics simulations to investigate the interactions of three different concentrations of thioridazine with zwitterionic and negatively charged model lipid membranes. Thioridazine partitions into the interfacial region of membranes and modifies their structural and dynamic properties, however dissimilarly so at the highest membrane-occurring concentration, that appears to be obtainable only for the negatively charged bilayer. We show that the origin of such changes is the drug induced decrease of the interfacial tension, which ultimately leads to the significant membrane expansion. Our findings support the hypothesis that the phenothiazines therapeutic activity may arise from the drug–membrane interactions, and reinforce the wider, emerging view of action of many small, bioactive compounds.
Similar content being viewed by others
References
Schreier S, Malheiros SV, de Paula E (2000) Surface active drugs: self-association and interaction with membranes and surfactants. Physicochemical and biological aspects. Biochim Biophys Acta 1508(1–2):210–234
Imming P, Sinning C, Meyer A (2006) Drugs, their targets and the nature and number of drug targets. Nat Rev Drug Discov 5(10):821–834
Hendrich AB, Michalak K (2003) Lipids as a target for drugs modulating multidrug resistance of cancer cells. Curr Drug Targets 4(1):23–30
Khandelia H, Ipsen JH, Mouritsen OG (2008) The impact of peptides on lipid membranes. Biochim Biophys Acta Biomembr 1778(7–8):1528–1536
Jutila A, Söderlund T, Pakkanen AL, Huttunen M, Kinnunen PKJ (2001) Comparison of the effects of clozapine, chlorpromazine, and haloperidol on membrane lateral heterogeneity. Chem Phys Lipids 112(2):151–163
Killian JA (1998) Hydrophobic mismatch between proteins and lipids in membranes. Biochim Biophys Acta Rev Biomembr 1376(3):401–415
Jensen MØ, Mouritsen OG (2004) Lipids do influence protein function—the hydrophobic matching hypothesis revisited. Biochim Biophys Acta Biomembr 1666(1–2):205–226
Cantor RS (1997) The lateral pressure profile in membranes: a physical mechanism of general anesthesia. Biochemistry 36(9):2339–2344
Cantor RS (1997) Lateral pressures in cell membranes: a mechanism for modulation of protein function. J Phys Chem B 101(10):1723–1725
Kopec W, Telenius J, Khandelia H (2013) Molecular dynamics simulations of the interactions of medicinal plant extracts and drugs with lipid bilayer membranes. FEBS J. doi:10.1111/febs.12286
Seeger HM, Gudmundsson ML, Heimburg T (2007) How anesthetics, neurotransmitters, and antibiotics influence the relaxation processes in lipid membranes. J Phys Chem B 111(49):13858–13866
Scheidt HA, Huster D (2008) The interaction of small molecules with phospholipid membranes studied by 1H NOESY NMR under magic-angle spinning. Acta Pharmacol Sin 29(1):35–49
Barry J, Fritz M, Brender JR, Smith PES, Lee D-K, Ramamoorthy A (2009) Determining the effects of lipophilic drugs on membrane structure by solid-state NMR spectroscopy: the case of the antioxidant curcumin. J Am Chem Soc 131(12):4490–4498. doi:10.1021/ja809217u
Klitgaard JK, Skov MN, Kallipolitis BH, Kolmos HJ (2008) Reversal of methicillin resistance in Staphylococcus aureus by thioridazine. J Antimicrob Chemother 62(6):1215–1221
Thanacoody HK (2007) Thioridazine: resurrection as an antimicrobial agent? Br J Clin Pharmacol 64(5):566–574. doi:10.1111/j.1365-2125.2007.03021.x
Abbate E, Vescovo M, Natiello M, Cufre M, Garcia A, Gonzalez Montaner P, Ambroggi M, Ritacco V, van Soolingen D (2012) Successful alternative treatment of extensively drug-resistant tuberculosis in Argentina with a combination of linezolid, moxifloxacin and thioridazine. J Antimicrob Chemother 67(2):473–477. doi:10.1093/jac/dkr500
Lialiaris T, Pantazaki A, Sivridis E, Mourelatos D (1992) Chlorpromazine-induced damage on nucleic acids: a combined cytogenetic and biochemical study. Mutat Res Fundam Mol Mech Mutagen 265(2):155–163
Sharma S, Singh A (2011) Phenothiazines as anti-tubercular agents: mechanistic insights and clinical implications. Expert Opin Invest Drugs 20(12):1665–1676
Salih FA, Kaushik NK, Sharma P, Choudary GV, Murthy PS, Venkitasubramanian TA (1991) Calmodulin-like activity in mycobacteria. Indian J Biochem Biophys 28(5–6):491–495
Michalak K, Wesolowska O, Motohashi N, Molnar J, Hendrich AB (2006) Interactions of phenothiazines with lipid bilayer and their role in multidrug resistance reversal. Curr Drug Targets 7(9):1095–1105
Langerman L, Bansinath M, Grant GJ (1994) The partition coefficient as a predictor of local anesthetic potency for spinal anesthesia: evaluation of five local anesthetics in a mouse model. Anesth Analg 79(3):490–494
Forrest FM, Forrest IS, Roizin L (1963) Clinical, biochemical and post mortem studies on a patient treated with chlorpromazine. Agressologie 4:259–265
Sachlos E, Risueno RM, Laronde S, Shapovalova Z, Lee JH, Russell J, Malig M, McNicol JD, Fiebig-Comyn A, Graham M, Levadoux-Martin M, Lee JB, Giacomelli AO, Hassell JA, Fischer-Russell D, Trus MR, Foley R, Leber B, Xenocostas A, Brown ED, Collins TJ, Bhatia M (2012) Identification of drugs including a dopamine receptor antagonist that selectively target cancer stem cells. Cell 149(6):1284–1297. doi:10.1016/j.cell.2012.03.049
Seeman P, Lee T (1975) Antipsychotic drugs: direct correlation between clinical potency and presynaptic action on dopamine neurons. Science 188(4194):1217–1219
Carlo RD, Muccioli G, Bellussi G, Portaleone P, Ghi P, Racca S, Carlo FD (1986) Steroid, prolactin, and dopamine receptors in normal and pathologic breast tissue. Ann NY Acad Sci 464(1):559–562. doi:10.1111/j.1749-6632.1986.tb16068.x
Peters GH, Wang C, Cruys-Bagger N, Velardez GF, Madsen JJ, Westh P (2013) Binding of serotonin to lipid membranes. J Am Chem Soc 135(6):2164–2171. doi:10.1021/ja306681d
Jodko-Piorecka K, Litwinienko G (2013) First experimental evidence of dopamine interactions with negatively charged model biomembranes. ACS Chem Neurosci. doi:10.1021/cn4000633
Orlowski A, Grzybek M, Bunker A, Pasenkiewicz-Gierula M, Vattulainen I, Mannisto PT, Rog T (2012) Strong preferences of dopamine and l-dopa towards lipid head group: importance of lipid composition and implication for neurotransmitter metabolism. J Neurochem 122(4):681–690. doi:10.1111/j.1471-4159.2012.07813.x
Amaral L, Kristiansen JE, Viveiros M, Atouguia J (2001) Activity of phenothiazines against antibiotic-resistant Mycobacterium tuberculosis: a review supporting further studies that may elucidate the potential use of thioridazine as anti-tuberculosis therapy. J Antimicrob Chemother 47(5):505–511
Castaing M, Brouant P, Loiseau A, Santelli-Rouvier C, Santelli M, Alibert-Franco S, Mahamoud A, Barbe J (2000) Membrane permeation by multidrug-resistance-modulators and non-modulators: effects of hydrophobicity and electric charge. J Pharm Pharmacol 52(3):289–296
Gulyaeva N, Zaslavsky A, Lechner P, Chlenov M, McConnell O, Chait A, Kipnis V, Zaslavsky B (2003) Relative hydrophobicity and lipophilicity of drugs measured by aqueous two-phase partitioning, octanol-buffer partitioning and HPLC. A simple model for predicting blood-brain distribution. Eur J Med Chem 38(4):391–396
Christensen JB, Hendricks O, Chaki S, Mukherjee S, Das A, Pal TK, Dastidar SG, Kristiansen JE (2013) A comparative analysis of in vitro and in vivo efficacies of the enantiomers of thioridazine and its racemate. PLoS One 8(3):e57493. doi:10.1371/journal.pone.0057493
Berger O, Edholm O, Jahnig F (1997) Molecular dynamics simulations of a fluid bilayer of dipalmitoylphosphatidylcholine at full hydration, constant pressure, and constant temperature. Biophys J 72(5):2002–2013. doi:10.1016/s0006-3495(97)78845-3
Bachar M, Brunelle P, Tieleman DP, Rauk A (2004) Molecular dynamics simulation of a polyunsaturated lipid bilayer susceptible to lipid peroxidation. J Phys Chem B 108(22):7170–7179. doi:10.1021/Jp036981u
Berendsen HJC, Postma JPM, van Gunsteren WF, Hermans J (1981) Interaction models for water in relation to protein hydration. Intermolecular Forces 14:331–342
Frisch MJ, Trucks GW, Schlegel HB, Scuseria GE, Robb MA, Cheeseman JR, Montgomery JA Jr, Vreven T, Kudin KN, Burant JC, Millam JM, Iyengar SS, Tomasi J, Barone V, Mennucci B, Cossi M, Scalmani G, Rega N, Petersson GA, Nakatsuji H, Hada M, Ehara M, Toyota K, Fukuda R, Hasegawa J, Ishida M, Nakajima T, Honda Y, Kitao O, Nakai H, Klene M, Li X, Knox JE, Hratchian HP, Cross JB, Bakken V, Adamo C, Jaramillo J, Gomperts R, Stratmann RE, Yazyev O, Austin AJ, Cammi R, Pomelli C, Ochterski JW, Ayala PY, Morokuma K, Voth GA, Salvador P, Dannenberg JJ, Zakrzewski VG, Dapprich S, Daniels AD, Strain MC, Farkas O, Malick DK, Rabuck AD, Raghavachari K, Foresman JB, Ortiz JV, Cui Q, Baboul AG, Clifford S, Cioslowski J, Stefanov BB, Liu G, Liashenko A, Piskorz P, Komaromi I, Martin RL, Fox DJ, Keith T, Laham A, Peng CY, Nanayakkara A, Challacombe M, Gill PMW, Johnson B, Chen W, Wong MW, Gonzalez C, Pople JA (2004) Gaussian 03. Gaussian, Inc., Wallingford, CT
Van Gunsteren WF, Berendsen HJC (1987) Groningen molecular simulation (GROMOS). Library manual, Biomos, Groningen, The Netherlands, p 1–221
van Buuren AR, Marrink SJ, Berendsen HJC (1993) A molecular dynamics study of the decane/water interface. J Phys Chem 97(36):9206–9212. doi:10.1021/j100138a023
Mark AE, van Helden SP, Smith PE, Janssen LHM, van Gunsteren WF (1994) Convergence properties of free energy calculations: alpha.-cyclodextrin complexes as a case study. J Am Chem Soc 116(14):6293–6302. doi:10.1021/ja00093a032
Khandelia H, Witzke S, Mouritsen OG (2010) Interaction of salicylate and a terpenoid plant extract with model membranes: reconciling experiments and simulations. Biophys J 99(12):3887–3894. doi:10.1016/j.bpj.2010.11.009
Lindahl E, Hess B, van der Spoel D (2001) GROMACS 3.0: a package for molecular simulation and trajectory analysis. J Mol Model 7(8):306–317
Leach AR (2001) Molecular modeling principles and applications, 2nd edn. Pearson Education Limited, p 356
Hess B (2008) P-LINCS: a parallel linear constraint solver for molecular simulation. J Chem Theory Comput 4(1):116–122
Darden T, York D, Pedersen L (1993) Particle mesh Ewald: an N·log(N) method for Ewald sums in large systems. J Chem Phys 98(12):10089–10092
Essmann U, Perera L, Berkowitz ML, Darden T, Lee H, Pedersen LG (1995) A smooth particle mesh Ewald method. J Chem Phys 103(19):8577–8593
Berendsen HJC, Postma JPM, Van Gunsteren WF, Dinola A, Haak JR (1984) Molecular dynamics with coupling to an external bath. J Chem Phys 81(8):3684–3690
Lindahl E, Edholm O (2000) Spatial and energetic–entropic decomposition of surface tension in lipid bilayers from molecular dynamics simulations. J Chem Phys 113(9):3882–3893
Irving JH, Kirkwood JG (1950) The statistical mechanical theory of transport processes. IV. The equations of hydrodynamics. J Chem Phys 18(6):817–829
Terama E, Ollila OHS, Salonen E, Rowat AC, Trandum C, Westh P, Patra M, Karttunen M, Vattulainen I (2008) Influence of ethanol on lipid membranes: from lateral pressure profiles to dynamics and partitioning. J Phys Chem B 112(13):4131–4139
Jerabek H, Pabst G, Rappolt M, Stockner T (2010) Membrane-mediated effect on ion channels induced by the anesthetic drug ketamine. J Am Chem Soc 132(23):7990–7997. doi:10.1021/ja910843d
Humphrey W, Dalke A, Schulten K (1996) VMD: visual molecular dynamics. J Mol Graph 14(1):33–38
Marrink SJ, Berendsen HJC (1996) Permeation process of small molecules across lipid membranes studied by molecular dynamics simulations. J Phys Chem 100(41):16729–16738
Pautot S, Frisken BJ, Weitz DA (2003) Engineering asymmetric vesicles. Proc Natl Acad Sci USA 100(19):10718–10721. doi:10.1073/pnas.1931005100
Abu-Baker S, Qi X, Lorigan GA (2007) Investigating the interaction of Saposin C with POPS and POPC phospholipids: a solid-state NMR spectroscopic study. Biophys J 93(10):3480–3490
Mukhopadhyay P, Monticelli L, Tieleman DP (2004) Molecular dynamics simulation of a palmitoyl-oleoyl phosphatidylserine bilayer with Na+ counterions and NaCl. Biophys J 86(3):1601–1609
Ferreira TM, Coreta-Gomes F, Samuli Ollila OH, Moreno MJ, Vaz WLC, Topgaard D (2013) Cholesterol and POPC segmental order parameters in lipid membranes: solid state 1H–13C NMR and MD simulation studies. Phys Chem Chem Phys 15(6):1976–1989
Bagatolli LA, Ipsen JH, Simonsen AC, Mouritsen OG (2010) An outlook on organization of lipids in membranes: searching for a realistic connection with the organization of biological membranes. Prog Lipid Res 49(4):378–389
Bagatolli LA, Mouritsen OG (2013) Is the fluid mosaic (and the accompanying raft hypothesis) a suitable model to describe fundamental features of biological membranes? What may be missing? Front Plant Sci 4:457. doi:10.3389/fpls.2013.00457
Cournia Z, Ullmann GM, Smith JC (2007) Differential effects of cholesterol, ergosterol and lanosterol on a dipalmitoyl phosphatidylcholine membrane: a molecular dynamics simulation study. J Phys Chem B 111(7):1786–1801
Epand RM, Epand RF (2011) Bacterial membrane lipids in the action of antimicrobial agents. J Pept Sci 17(5):298–305. doi:10.1002/psc.1319
Riedl S, Rinner B, Asslaber M, Schaider H, Walzer S, Novak A, Lohner K, Zweytick D (2011) In search of a novel target—phosphatidylserine exposed by non-apoptotic tumor cells and metastases of malignancies with poor treatment efficacy. Biochim Biophys Acta 1808(11):2638–2645. doi:10.1016/j.bbamem.2011.07.026
Milutinovic PS, Yang L, Cantor RS, Eger EI II, Sonner JM (2007) Anesthetic-like modulation of a gamma-aminobutyric acid type A, strychnine-sensitive glycine, and N-methyl-d-aspartate receptors by coreleased neurotransmitters. Anesth Analg 105(2):386–392. doi:10.1213/01.ane.0000267258.17197.7d
van Meer G, Voelker DR, Feigenson GW (2008) Membrane lipids: where they are and how they behave. Nat Rev Mol Cell Biol 9(2):112–124. doi:10.1038/nrm2330
Denisov G, Wanaski S, Luan P, Glaser M, McLaughlin S (1998) Binding of basic peptides to membranes produces lateral domains enriched in the acidic lipids phosphatidylserine and phosphatidylinositol 4,5-bisphosphate: an electrostatic model and experimental results. Biophys J 74(2 Pt 1):731–744. doi:10.1016/s0006-3495(98)73998-0
Leventis PA, Grinstein S (2010) The distribution and function of phosphatidylserine in cellular membranes. Annu Rev Biophys 39:407–427. doi:10.1146/annurev.biophys.093008.131234
Witzke S, Duelund L, Kongsted J, Petersen M, Mouritsen OG, Khandelia H (2010) Inclusion of terpenoid plant extracts in lipid bilayers investigated by molecular dynamics simulations. J Phys Chem B 114(48):15825–15831
Frenzel J, Arnold K, Nuhn P (1978) Calorimetric, 13C NMR, and 31P NMR studies on the interaction of some phenothiazine derivatives with dipalmitoyl phosphatidylcholine model membranes. Biochim Biophys Acta Biomembr 507(2):185–197
Lichtenberger LM, Zhou Y, Jayaraman V, Doyen JR, O’Neil RG, Dial EJ, Volk DE, Gorenstein DG, Boggara MB, Krishnamoorti R (2012) Insight into NSAID-induced membrane alterations, pathogenesis and therapeutics: characterization of interaction of NSAIDs with phosphatidylcholine. Biochim Biophys Acta 1821(7):994–1002. doi:10.1016/j.bbalip.2012.04.002
Parry MJ, Alakoskela JMI, Khandelia H, Kumar SA, Jäättelä M, Mahalka AK, Kinnunen PKJ (2008) High-affinity small molecule-phospholipid complex formation: binding of siramesine to phosphatidic acid. J Am Chem Soc 130(39):12953–12960
MacCallum JL, Tieleman DP (2008) Interactions between small molecules and lipid bilayers. Curr Top Membr 60:227–256. doi:10.1016/S1063-5823(08)00008-2
Rog T, Pasenkiewicz-Gierula M, Vattulainen I, Karttunen M (2009) Ordering effects of cholesterol and its analogues. Biochim Biophys Acta 1788(1):97–121. doi:10.1016/j.bbamem.2008.08.022
Edholm O, Nagle JF (2005) Areas of molecules in membranes consisting of mixtures. Biophys J 89(3):1827–1832. doi:10.1529/biophysj.105.064329
Hermetter A, Kopec W, Khandelia H (2013) Conformations of double-headed, triple-tailed phospholipid oxidation lipid products in model membranes. Biochim Biophys Acta 1828:1700–1706. doi:10.1016/j.bbamem.2013.03.030
Hendrich AB, Wesołowska O, Komorowska M, Motohashi N, Michalak K (2002) The alterations of lipid bilayer fluidity induced by newly synthesized phenothiazine derivative. Biophys Chem 98(3):275–285
Dobrzynska I, Szachowicz-Petelska B, Sulkowski S, Figaszewski Z (2005) Changes in electric charge and phospholipids composition in human colorectal cancer cells. Mol Cell Biochem 276(1–2):113–119. doi:10.1007/s11010-005-3557-3
Cantor RS (2003) Receptor desensitization by neurotransmitters in membranes: are neurotransmitters the endogenous anesthetics? Biochemistry 42(41):11891–11897
Samuli Ollila OH, Rog T, Karttunen M, Vattulainen I (2007) Role of sterol type on lateral pressure profiles of lipid membranes affecting membrane protein functionality: comparison between cholesterol, desmosterol, 7-dehydrocholesterol and ketosterol. J Struct Biol 159(2):311–323. doi:10.1016/j.jsb.2007.01.012
Lau AY, Roux B (2007) The free energy landscapes governing conformational changes in a glutamate receptor ligand-binding domain. Structure 15(10):1203–1214. doi:10.1016/j.str.2007.07.015
Acknowledgments
MEMPHYS - Center for Biomembrane Physics is supported by the Danish National Research Foundation. The computations were done at the SDU node of the Danish Center for Scientific Computing (DCSC). Himanshu Khandelia is funded by a Lundbeck Junior Group Leader Investigator Fellowship. We thank Emppu Salonen for the QM/MM calculations and the parametrization of THZ molecule. We also thank Jette Kristiansen for helpful discussions.
Author information
Authors and Affiliations
Corresponding author
Electronic supplementary material
Below is the link to the electronic supplementary material.
Rights and permissions
About this article
Cite this article
Kopec, W., Khandelia, H. Reinforcing the membrane-mediated mechanism of action of the anti-tuberculosis candidate drug thioridazine with molecular simulations. J Comput Aided Mol Des 28, 123–134 (2014). https://doi.org/10.1007/s10822-014-9737-z
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10822-014-9737-z