Alzheimer’s disease (AD) affects an estimated 0.7 percent of the global population (51.6 million). From 1990 to 2019, the overall number of people affected has more than doubled. In comparison to Asia and Africa, the frequency is higher in high-income regions like Western Europe. However, the total number of people affected in South and East Asia, particularly China, Japan, and India, is substantial. By 2040, dementia-related fatalities are expected to rise from 2.4 million per year to 5.8 million per year (Javaid et al. 2021). During 2020 and 2021, when COVID-19 entered into category of the top ten causes of death, AD is reported to be the seventh-leading cause of death (“2022 Alzheimer’s disease facts and figures” 2022). Neurodegeneration is the main cause for overwhelming health, behavioral changes, socioeconomic problems, and disease progression of the patients suffering with AD (Avila and Hernández 2007). The primary pathological hallmarks responsible for neurodegeneration are senile plaques [SPs-extracellular aggregation of Amyloid-β (Aβ) plaques], and Neurofibrillary tangles (NFT’s-intracellular accumulation of tau protein) (Rampa et al. 2018). Unfortunately, none of the currently available anti-AD drugs can slow or stop neurodegeneration. As a result, there is a need for medications that can slow or stop neurodegeneration, i.e., therapies that target SPs and NFTs. In this context, multi-target directed ligands (MTDLs) capable of targeting Aβ and NFT neurodegenerative pathways could be potential therapeutic agents in the treatment of AD.
β- amyloid precursor protein cleaving enzyme 1 (BACE1) is an intriguing enzyme that cleaves amyloid precursor protein (APP) and responsible for Aβ-formation. It is also an aspartic acid protease which is majorly involved in the formation of myelin sheaths in both central and peripheral neurons (Fig. 1) (Hu et al. 2006, p. 1). GSK-3β is one of the key kinases involved in tau hyperphosphorylation. In addition, GSK-3β is known to be the link between Aβ and tau cascades and also regulates synaptic plasticity, inflammatory pathways, cell survival, axonal transport, cell cycle, neurogenesis, and microtubule dynamics impairment (Fig. 1). Thus, targeting of BACE1 and GSK-3β with MTDLs might offer multiple therapeutic benefits in the treatment of AD. The possible benefits of targeting BACE1 and GSK-3β with MTDLs are reduced Aβ formation & generation, tau hyperphosphorylation, cognitive deficits, and neuroinflammation (Fig. 1).
BACE1 is a type 1 transmembrane aspartic protease consisting of 501 amino acids and is related to the pepsin family. It consists of N-terminal domain (1–21), Pro-peptide (22–45), catalytic domain, cytosolic domain (48–421), and C-terminal domain (445–480) (Cole and Vassar 2008). BACE-1 has a conserved Asp32–Asp228 dyad in its active site (catalytic domain). The Asp dyad is protected by a flap, which is an anti-parallel hairpin loop of 11 residues (Val67-Glu77) (Hong and Tang 2004) (Fig. 2). BACE-1 is thought to be involved in catalysing the cleavage of substrate's peptide bond by acid–base mechanism of hydrolysis with the major involvement of Asp dyad and water molecule. Tyr 71, a flap residue, forms a hydrogen connection with amyloid precursor protein (APP), allowing the flap to move more freely (Fig. 2). This, in turn, allows substrate to enter the active site and ensures proper catalytic site conformation (Barman et al. 2011). The Asp dyad and flap are the important regions for BACE-1 inhibitor design. And other residues such as Asp32, Tyr71, Thr72, Asp228, Gly230, Thr231 were reported to be involved in binding with potent BACE1 inhibitors (Kumar et al. 2019).
GSK-3β has a tiny N lobe (35–138 residues) and a large C lobe (139–386 residues). The catalytic activity of GSK-3β is controlled by three regions: the P-loop (64–69), the activation loop (200–216), and the C-helix loop (96–104) (Buch et al. 2010). GSK-3β is activated by the residues Arg96, Arg180, and Lys205, and its activity is rendered by the residues Glu97 and Lys85 (Fig. 3). His179, Phe201, Met101, and Leu112 are all believed to play a role in activation state. In drug design, hinge domains (133–138) are crucial because they provide a platform for the ligand (Buch et al. 2010). Residues such as Arg141, Thr138, Gly65, Gly68, Lys85, Asp200, Ser 66, and Phe67 were crucial to inhibit the activity of GSK-3β.
Generally, strategy of designing dual inhibitors is under-explored and challenging for BACE1 and GSK-3β. Till now, only a few scaffolds (derivatives of Triazinone, Curcumin, and Naphthofuran) have been reported as dual inhibitors of BACE1 and GSK-3β (Fig. 4). Thus, the present study set the path towards the identification of novel and small molecule dual inhibitors of BACE1 and GSK-3β. In the present study, we have approached Molecular docking, MMGBSA energy calculation, and MD techniques to identify the potential hit molecules from the ZINC database library against BACE1 and GSK-3β.