TOXICOLOGICAL SCIENCES 90(2), 460–469 (2006) doi:10.1093/toxsci/kfj094 Advance Access publication January 10, 2006 Concentration-Dependent Kinetics of Acetylcholinesterase Inhibition by the Organophosphate Paraoxon Clint A. Rosenfeld* and Lester G. Sultatos†,1 *Drug Metabolism and Pharmacokinetics, Schering-Plough Research Institute, Lafayette, New Jersey 07843; and †Department of Pharmacology and Physiology, University of Medicine and Dentistry of New Jersey, New Jersey Medical School, Newark, New Jersey 07103 Received November 7, 2005; accepted January 3, 2006 For decades the interaction of the anticholinesterase organophosphorus compounds with acetylcholinesterase has been characterized as a straightforward phosphylation of the active site serine (Ser-203) which can be described kinetically by the inhibitory rate constant ki. However, more recently certain kinetic complexities in the inhibition of acetylcholinesterase by organophosphates such as paraoxon (O,O-diethyl O-(p-nitrophenyl) phosphate) and chlorpyrifos oxon (O,O-diethyl O-(3,5,6-trichloro2-pyridyl) phosphate) have raised questions regarding the adequacy of the kinetic scheme on which ki is based. The present article documents conditions in which the inhibitory capacity of paraoxon towards human recombinant acetylcholinesterase appears to change as a function of oxon concentration (as evidenced by a changing ki), with the inhibitory capacity of individual oxon molecules increasing at lower oxon concentrations. Optimization of a computer model based on an Ordered Uni Bi kinetic mechanism for phosphylation of acetylcholinesterse determined k1 to be 0.5 nM1h1, and k1 to be 169.5 h1. These values were used in a comparison of the Ordered Uni Bi model versus a ki model in order to assess the capacity of ki to describe accurately the inhibition of acetylcholinesterase by paraoxon. Interestingly, the ki model was accurate only at equilibrium (or near equilibrium), and when the inhibitor concentration was well below its Kd (pseudo first order conditions). Comparisons of the Ordered Uni Bi and ki models demonstrate the changing ki as a function of inhibitor concentrations is not an artifact resulting from inappropriate inhibitor concentrations. Key Words: acetylcholinesterase; organophosphate; paraoxon; kinetics. Organophosphorus insecticides exert their acute mammalian toxicity through inhibition of the critical enzyme acetylcholinesterase (EC 3.1.1.7) (Mileson et al., 1998). The inhibition occurs as a result of the phosphylation of Ser-203 (the numbers used in this report refer to amino acid positions in human acetylcholinesterase). Much is known regarding the molecular 1 To whom correspondence should be addressed. Fax: (973) 972-4554. E-mail: [email protected]. events that lead to the phosphylation of Ser-203 by certain organophosphorus compounds. Ordentlich et al. (1996) have reported that the acyl pocket of acetylcholinesterase’s active gorge (Phe-295 and Phe-297) participates in the positioning of an organophosphorus molecule for the nucleophilic attack by the catalytic Ser-203 (Fig. 1). This same group (Ordentlich et al., 1998) have suggested that the oxyanion hole subsite (Gly-121, Gly-122, and Ala-204) might polarize the P¼O bond during formation of the Michaelis complex, thereby activating the phosphorus and promoting the nucleophilic attack by Ser-203 (Fig. 1). This nucleophilic attack is made possible by a proton transfer from Ser-203 to a nitrogen in the imidazole ring of His-447, which in turn transfers a proton from the second nitrogen of the imidazole ring to the carboxyl group of Glu-334 (Soreq and Seidman, 2001) (Fig. 1). Additionally, the peripheral anionic site of acetylcholinesterase, located at the lip of the active site gorge (Fig. 1), has been shown to play an important role in the stereoselectivity towards enantiomers of the chemical warfare agent VX (O-ethyl S-[2-(dissopropylamino) ethyl] methylphosphonothioate) (Ordentlich et al., 2004). Occupation of the peripheral anionic site by certain ligands has also been shown to alter rates of substrate catalysis (Taylor and Radić, 1994; Masson et al., 2004). The interactions between organophosphorus compounds and acetylcholinesterase have been summarized kinetically by an Ordered Uni Bi reaction scheme (Aldridge and Reiner, 1972; Kardos and Sultatos, 2000): Scheme ð1Þ where AB represents the free inhibitor, E is free enzyme, E–AB represents inhibitor bound reversibly to enzyme (Michaelis complex), EA is the phosphylated enzyme, B is the leaving group, and EAge represents aged enzyme. Water, which dephosphylates EA is not included because it is always present in excess. The reactivation and aging pathways are often excluded Ó The Author 2006. Published by Oxford University Press on behalf of the Society of Toxicology. All rights reserved. For Permissions, please email: [email protected] KINETICS OF ACETYLCHOLINESTERASE INHIBITION 461 where, FIG. 1. Depiction of the active site gorge of acetylcholinesterase with the entry of the organophosphate paraoxon. The acyl binding pocket might help form the Michaelis complex, while the oxyanion hole probably renders the phosphorus more susceptible to nucleophilic attach from Ser-203 by polarizing the P¼O bond (Ordentlich et al., 1998). The catalytic triad consists of Ser-203, His-447, and Glu-334. Binding of certain ligands to the peripheral anionic site can lead to enzyme inhibition or activation (Masson et al., 2004). from this kinetic scheme because they are often negligible for in vitro studies. Main (1964) simplified the kinetic description in Scheme 1 by deriving the inhibitory rate constant ki (Scheme 2). This bimolecular rate constant describes both the formation of a Michaelis complex, as well as the phosphylation of Ser-203 by a specific inhibitor, as shown in the following scheme: Scheme ð2Þ ki ¼ k2 =Kd Equation ð1Þ Kd ¼ k1 =kþ1 Equation ð2Þ In the above scheme and equations, the parameters have the same meaning as in Scheme 1. The reactivation constant (k3) and aging constant (k4) were excluded. The larger the ki, the greater is the capacity of an organophosphorus compound to inhibit acetylcholinesterase. While Schemes 1 and 2 have served for many years as the basis for our understanding of the kinetic interactions of organophosphorus compounds with acetylcholinesterase, more recent evidence suggests that it is incomplete. Kardos and Sultatos (2000), as well as Kousba et al. (2004) have documented that the kis for inhibition of mouse and rat brain acetylcholinesterase by certain organophosphates appear to change over a wide range of inhibitor concentrations, suggesting that at low organophosphate concentrations, individual inhibitor molecules have a greater capacity to inhibit acetylcholinesterase than individual organophosphate molecules at higher inhibitor concentrations (Fig. 2). If viewed as an enzymatic reaction where the organophosphate is hydrolyzed by acetylcholinesterase, this phenomenon would be considered substrate inhibition. However, the stability of the phosphylated intermediate precludes the use of this terminology. Kardos and Sultatos (2000) and Kousba et al. (2004) speculated that certain organophosphates might bind reversibly to a site on acetylcholinesterase separate from the catalytic triad, and that this binding decreases, through steric hindrance or allosteric FIG. 2. Diagram of a plausible explanation for a changing ki with paraoxon concentration. The shaded crescents represent monomeric human recombinant acetylcholinesterase active sites, while small circles represent paraoxon molecules. The ability of paraoxon to phosphylate the active site (ki) is greatest when no other molecules of paraoxon are bound elsewhere to the enzyme, and is the lowest when paraoxon is bound to a putative secondary site on the enzyme. This diagram depicts a phenomenon reported for mouse acetylcholinesterase by Kardos and Sultatos (2000), and for rat acetylcholinesterase by Kousba et al. (2004). 462 ROSENFELD AND SULTATOS modulation, the capacity of other organophosphate molecules to inhibit enzyme activity (Fig. 2). The current study extends the observations of Kardos and Sultatos (2000) and Kousba et al. (2004) to human recombinant acetylcholinesterase, and investigates the appropriateness of Schemes 1 and 2 for the kinetic description of the inhibition of acetylcholinesterase by paraoxon. MATERIALS AND METHODS Chemicals. Paraoxon (O,O-diethyl O-(p-nitrophenyl) phosphate) was purchased from Chem Services (West Chester, PA), and was further purified by dissolution in trichloroethylene, followed by washes with 2% sodium carbonate. HPLC analyses of the washed product revealed a single peak of paraoxon (Kousba and Sultatos, 2002). Acridine, iodomethane, methanol, ether, and Dowex (1wx2, 100 mesh) were purchased from Sigma Chemcial Company (St. Louis, MO). Human recombinant acetylcholinesterase was also purchased from Sigma Chemical Company and was routinely stored at 70°C. Previous investigators have established that recombinant acetylcholinesterase is very unstable in solution unless in the presence of certain ‘‘stabilizers’’ such as bovine serum albumin (Estrada-Mondaca and Fournier, 1998; Shafferman et al., 1992). In the present study, bovine serum albumin at a concentration of 1 mg/ml was required in order to stabilize the enzyme in solution for up to 24 h (data not shown). Equilibrium dialysis at 37°C as described by Kousba and Sultatos (2002) found no evidence of binding or hydrolysis of paraoxon by bovine serum albumin under the conditions of the incubations (data not shown). Additionally, bovine serum albumin had no effect on human recombinant acetylcholinesterase activity (data not shown). Synthesis of N-methylacridinium. The fluorophore N-methylacridinium was synthesized and purified as described by Mooser and Sigman (1974). Briefly, 3 g of acridine were slowly dissolved in 15 ml acetone in a 200 ml round-bottom flask. To that solution 10 ml of iodomethane were added and stirred for 18 h. The solution was poured through filter paper using excess acetone to remove the entire product form the flask. The filtrate (consisting of orange crystals) was re-dissolved in 30 ml methanol and the Nmethylacridinium (iodide salt) was re-crystallized (red crystals) by the addition of anhydrous ether (about ten volumes of ether were required). The methanol and ether were poured off and the crystals were dried in the hood. The red crystals were re-dissolved in about 5 ml of water to give a fluorescent green color. This solution was passed through a Dowex chloride exchange column (converting the iodide salt into the more stable chloride salt). The chloride salt was recovered and the water was evaporated under a gentle stream of air. Nmethylacridinium was scanned in the UV-Vis range on a Shimadzu MPS-2000 spectrophotometer (Shimadzu MPS 2000 UV-Vis spectrophotometer, Shimadzu Scientific Instruments, Inc., Columbia, MD), and fluorescence scans were performed on a Cary Eclipse Fluorescence Spectrophotometer (Varian, Inc., Palo Alto, CA), with an excitation wavelength of 360 nm and an emission wavelength of 490 nm (Mooser and Sigman, 1974). The UV-Vis and fluorescence scans were identical to previously published spectra (Fig. 3) (Chan et al., 1974; Eastman et al., 1995; Happ et al., 1970; Mooser and Sigman, 1974; Rosenberry et al., 1996). Determination of active site concentration. The active site concentration in several enzyme solutions was determined by titration with Nmethylacridinium as described by Mooser and Sigman (1974). With this approach the fluorescence of N-methylacridinium is reduced when it binds stoichiometrically to the active site, allowing active site quantification. Binding data were analyzed by fitting to the following equation: B ¼ ðBmax *LÞ=ðKdm þ LÞ Equation ð3Þ Where B is the concentration of bound N-methylacridinium at a given concentration of free N-methylacridinium, L; Kdm is the dissociation constant; FIG. 3. Scans of N-methylacridinium. The top panel shows a UV-Vis scan from 300–600 nm of N-methylacridinium at a concentration of 11 lg/ml in buffer. The bottom panel contains the spectrofluorometric scan of the same compound (at a concentration of 618 nM). The spectrofluorometer was set to an excitation wavelength of 360 nm and emission wavelengths from 400–600 nm. The maximum fluorescence was found to be 490 nm. and Bmax is the maximum possible concentration of bound N-methylacridinium, which is equivalent to the active site concentration. Regression analyses were performed with Sigmaplot 3 or Sigmaplot 8 (SPSS Science Inc., Chicago, IL). Once the active site concentration was known, an Ellman assay was performed in order to link the rate of acetylthiocholine hydrolysis with a known enzyme active site concentration. Determinations of ki . A bottle of human recombinant acetylcholinesterase (0.1 mg protein) was dissolved in 10 ml of 100 mM sodium phosphate buffer (pH 7.4) containing 1 mg/ml bovine serum albumin (this buffer was used throughout). Aliquots of 100 ll were placed into vials and frozen at 70°C until the day of use. For each ki determination a vial was thawed and 14.9 ml buffer were added to give a final volume of 15 ml. A concentrated stock solution of paraoxon was prepared in ethanol and stored at 70°C. Paraoxon solutions to be used for incubations were made from this stock with dilutions made with buffer such that the ethanol concentration within any incubation never exceeded 1%. Incubations consisted of a volume of paraoxon solution in buffer at a given concentration with an equal volume of stock enzyme solution that when mixed together, gave the desired final paraoxon concentration. Incubations were carried out in an orbital shaker bath at the indicated temperatures and time periods. At the end of an incubation, 30 ll were placed into a well on a 96 well plate (Nunc-Immuno Module, Morris Plains, NJ), and 345 ll of buffer with acetylthiocholine (0.44 mM) were added. This dilution along with the acetylthiocholine terminated the further inhibition of enzyme by paraoxon since, in certain samples, addition of paraoxon after, rather than 463 KINETICS OF ACETYLCHOLINESTERASE INHIBITION before, the addition of the buffer did not result in enzyme inhibition (data not shown). Next 25 ll of 5,5-dithio-bis (2-nitrobenzoic acid) were added to give a final concentration of 0.1 mM in a final volume of 400 ll. The changes in absorbance at 405 nm were monitored at 5-min intervals for up to 20 min on a microplate reader (BIO-TEK Instruments, Inc., Winoski, VT) (Rosenfeld et al., 2001). The increasing absorbances were fitted to a straight line by Sigmaplot 3 or Sigmaplot 8, and the slopes were used as a measurement of uninhibited acetylcholinesterase activities. From these activities the enzyme active site concentrations were calculated. The ki’s were determined by optimization of the following equations (Kardos and Sultatos, 2000) to the empirical inhibition data with the software ACSL (Advanced Continuous Simulation Language, Aegis, Huntsville, AL). These equations are based on Scheme 2, with the addition of aging and reactivation pathways. d½EA=dt ¼ ki *½E*½AB k3 *½EA k4 *½EA Equation ð4Þ d½EAge =dt ¼ k4 *½EA Equation ð5Þ ½E ¼ ½ET ½EA ½EAge Equation ð6Þ ½AB ¼ ½ABT ½B Equation ð7Þ ET represents the initial active site concentration; and ABT represents the initial paraoxon concentration (Kardos and Sultatos, 2000). All other parameters used in Equations 4–7 have the same meaning as those in Schemes 1 and 2. The rate constants for reactivation (k3) and aging (k4) were taken from Masson et al. (2000), and were 0.005379 h1 and 0.001575 h1, respectively. Determination of the Kd and k2 for paraoxon. Co-incubation studies where paraoxon and p-nitrophenyl acetate were incubated concurrently with acetylcholinesterase were performed in a manner similar to those described by Hart and O’Brien (1973) and Barak et al. (1995). Incubation volumes were 1.6 ml, and were performed in a cuvette in a Shimadzu MPS 2000 UV-Vis spectrophotometer. Paraoxon and p-nitrophenyl acetate in buffer were initially added to both sample and reference cuvettes to give final inhibitor concentrations of 31 nM–1000 nM, and a 1 mM substrate concentration. The reaction was initiated by addition of enzyme (for a final active site concentration of 0.4 pM) to the sample cuvette, while buffer only was added to the reference cuvette. Product formation was continuously monitored by measuring the increase in optical density at 402 nm. These data were analyzed by the method developed by Hart and O’Brien (1973), as described by Barak et al. (1995). Determination of k1 and k1 for paraoxon. The association (k1) and dissociation (k1) rate constants for the reversible binding of paraoxon to acetylcholinesterase were determined by optimizing the following equations (referred to as the Ordered Uni Bi model, and based on Scheme 1) to the inhibition profiles used for ki determinations for paraoxon concentrations of 25 nM, 50 nM, and 100 nM, at 24°. d½E AB=dt ¼ k1 *½AB*½E k1 *½E AB k2 *½E AB Equation ð8Þ d½EA=dt ¼ k2 *½E AB k3 *½EA k4 *½EA Equation ð9Þ d½EAge =dt ¼ k4 *½EA Equation ð10Þ ½E ¼ ½ET g ½E AB ½EA ½EAge Equation ð11Þ ½AB ¼ ½ABT ½E AB ½B Equation ð12Þ In Equations 11 and 12 ET represents initial enzyme active site concentration while ABT represents initial paraoxon concentration. All other parameters in Equations 8–11 have the same meaning as in Scheme 1. Modeling studies. All modeling studies were carried out on laptap or desktop computers using ACSL 11.8 (Advanced Continuous Simulation Language, Aegis, Hunstville, AL). The sensitivity of a model to an optimized parameter was routinely assessed following optimization in order to assure the optimized value yielded the best fit. RESULTS In order to minimize the number of variables determined by the optimization routine in ACSL, acetylcholinesterase active site concentrations in stock solutions were determined by titration with the fluorescent compound N-methylacridinium (Mooser and Sigman, 1974). Analyses of binding data yielded the enzyme active site concentration (Mooser and Sigman, 1974), as well as the dissociation constant for N-methylacridinium (Table 1). Assessment of acetylcholinesterase activity in appropriate dilutions of the stock enzyme solutions indicated that 5 pM active sites resulted in an increase of 0.088 optical density units per minute in the Ellman assay, performed under the conditions described in Materials and Methods. Incubations of 4–6 pM human recombinant acetylcholinesterase active sites with various concentrations of paraoxon at 37° and 24° produced inhibition profiles that could be fitted with the ki computer model to determine the ki at each paraoxon concentration. Figure 4 presents two examples of these analyses. A comparison of kis generated over a wide range of inhibitor concentrations revealed a changing ki as a function of paraoxon concentration (Fig. 5). The fitted parameters in Figure 5 indicated that the largest ki (the y intercept) at 37° was 29.14 h1, while the smallest ki (when paraoxon was 100 nM) was 0.18 h1. Similarly at 24°, the largest and smallest ki’s were 0.61 h1 and 0.15 h1, respectively. These data, therefore, confirm the observations of Kardos and Sultatos (2000) with dilute mouse brain homogenate where the ki of paraoxon appeared to vary over a wide range of oxon concentrations. Interestingly, at 37°, the difference between the highest estimated ki (29.14 nM1h1) and the lowest estimated ki (0.18 nM1h1) was considerably greater than that same comparison at 24° (0.61 nM1h1 vs 0.15 nM1h1) (Fig. 5). Furthermore, the determination of the ki by the method of Main (1964) at 24° and 37° yielded a ki nearly equal to the plateau value generated by the method of Kardos and Sultatos (2000) at the corresponding temperature (Fig. 5). TABLE 1 Parameters Descriptive of the Binding of N-methylacridinium to Stock Solutions of Three Different Batches of Human Recombinant Acetylcholinesterase Enzme sample Bmaxa Kdma Batch 1 Batch 2 Batch 3 267.5 307.8 403.5 391.8 427.7 428.6 a nM. 464 ROSENFELD AND SULTATOS FIG. 4. Inhibition data for human recombinant acetylcholinesterase by 78 pM (top panel) and 25 nM (lower panel) paraoxon at 24°C. In both panels the open circles represent empirical data expressed as uninhibited active site concentration over time, where each circle depicts a single observation. The solid lines represent the optimized computer fit of the ki model for ki determination (Kardos and Sultatos, 2000). The ki in the upper panel is 0.410 nM1h1, while the ki of the bottom panel is 0.111 nM1h1. Incubation of 0.4 pM acetylcholinesterase with variable concentrations of paraoxon and 1 mM p-nitrophenyl acetate (Barak et al., 1995; Hart and O’Brien, 1973) yielded a Kd and k2 for paraoxon of 339 nM and 58.1 h1, respectively (Fig. 6). The value for k2 was directly substituted into the Ordered Uni Bi model (Equations 8–12). The dissociation constant Kd established the relationship between the binding k1 and k1, but could not provide a single set of values for these binding parameters. However, optimization of the Ordered Uni Bi model (including the restrictions on k1 and k1 imposed by Kd) to inhibition profiles of acetylcholinesterase in the presence of 25 nM, 50 nM, and 100 nM paraoxon determined k1 and k1 to be 0.5 nM1h1 and 169.5 h1 respectively. The upper panel of Figure 7 shows the final fit of the Ordered Uni Bi model to the 25 nM paraoxon inhibition profile. These paraoxon concentrations were chosen because they yielded essentially constant estimates for ki (Fig. 5), and because the lowest paraoxon FIG. 5. Values of ki as a function of paraoxon concentration using human recombinant acetylcholinesterase at 37° (top panel) and 24° (bottom panel). Incubations contained human recombinant acetylcholinesterase (active site concentrations ranged from 4–6 pM) in 100 mM sodium phosphate buffer (pH ¼ 7.4), and the indicated paraoxon concentrations. Each open circle represents a ki optimized from a data set containing at least 8 data points. The solid lines in both panels represent nonlinear regression analyses of the data within each graph to the following equation for a rectangular hyperbola: y ¼ a/(x þ b) þ c. At 37°, a ¼ 0.0618; b ¼ 0.0021, and c ¼ 0.1790. At 24°, a ¼ 0.0467, b ¼ 0.1101, and c ¼ 0.1334. The kis determined by the method of Main (1964), using paraoxon concentrations of 10–750 nM, are represented by the dashed lines, and are 0.125 nM1h1 and 0.180 nM1h1 at 24° and 37°, respectively. concentration used for determination of the Kd and k2 was 31 nM (Fig. 6). The construction of the Ordered Uni Bi model where values for all parameters were known allowed a systematic evaluation of the accuracy of the ki model and Scheme 2, since the ki scheme was originally derived from the Ordered Uni Bi scheme (Scheme 1). If the ki scheme and model accurately describe the rate of inhibition of acetylcholinesterase by paraoxon, this rate must equal that of the Ordered Uni Bi scheme and model. When these two rates are assumed to be equal, the following equations can be written: d½EAki =dt ¼ d½EAOUB Equation ð13Þ where EAki represents phosphylated enzyme from the ki model, and EAOUB represents phosphylated enzyme from the KINETICS OF ACETYLCHOLINESTERASE INHIBITION 465 FIG. 6. Double reciprocal plot used to calculate Kd and k2 for paraoxon at 24°. Slope refers to the slope of the velocity curve for the breakdown of p-nitrophenyl acetate in the presence of 31 nM–1000 nM paraoxon (Hart and O’Brien, 1973). The term a equals [S]/(Km þ [S]), where [S] is the p-nitrophenyl concentration, and Km is 4.39 mM (Hart and O’Brien, 1973). Linear regression analysis on the data gave a k2 of 51.8 h1 (the reciprocal of the intercept of the fitted line), and a Kd of 339.2 nM (the slope of the fitted line multiplied by k2). Ordered Uni Bi model. Substituting Equations 4 and 9 into Equation 13 gives: ki *½E*½AB k3 *½EA k4 *½EA ¼ k2 *½E AB k3 *½EA k4 *½EA Equation ð14Þ Equation 14 rearranges to: ki *½E*½AB ¼ k2 *½E AB Equation ð15Þ Substituting Equation 1 for ki gives: Kd *½E AB ¼ ½E*½AB Equation ð16Þ which upon rearrangement gives: Kd ¼ ½E*½AB=½E AB Equation ð17Þ Equation 17 can be recognized as descriptive of the relationship between free and reversibly bound molecules at equilibrium. Therefore, Equation 14 is simply a different form of Equation 17, and therefore, can only be valid at equilibrium, with respect to the reversible binding of paraoxon to acetylcholinesterase (formation of the Michaelis complex). Consequently, the ki scheme can only be accurately applied to the inhibition of acetylcholinesterase by paraoxon (or any other inhibitor), if reversible binding of inhibitor achieves equilibrium. This requirement for establishment of equilibrium was not discussed by Main (1964). Simulations of the Ordered Uni Bi model indicated that equilibrium was nearly achieved with paraoxon and acetylcholinesterase, and that both the ki model and the Ordered Uni Bi models yielded nearly identical outputs at paraoxon concentrations well below the Kd (Fig. 8). Interestingly, however, at concentrations of paraoxon approaching or exceeding its Kd, the ki model output differed substantially from that of the Ordered Uni Bi model, thereby FIG. 7. Simulation of the inhibition of acetylcholinesterase by the Ordered Uni Bi kinetic model. The paraoxon concentration in the upper panel was 25 nM, and the concentration in the lower panel was 78 pM. The upper panel represents the final fit of the Ordered Uni Bi model (solid line) to the empirical data (open circles) to give a k1 of 0.5 nM1h1 and a k-1 of 169.5 h1. The lower panel shows the inability of the Ordered Uni Bi model developed in the upper panel to simulate accurately the inhibition of acetylcholinesterase by 78 pM paraoxon. The open circles represent the empirical data while the solid line represents the model output. revealing a second limitation to the ki scheme. This necessity for inhibitor concentrations well below the inhibitor Kd is an indication of the requirement for psuedo first order conditions in order for ki to be meaningful. The requirement for psuedo first order conditions was discussed by Main (1964), although he nevertheless used inhibitor concentrations larger than their Kds. And finally, the Ordered Uni Bi kinetic model which was based on a Kd and k2 determined at relatively high paraoxon concentrations (31 nM–1000 nM), did not accurately simulate the empirically determined inhibition profiles for low paraoxon concentrations, essentially confirming the results of the ki model (Fig. 7, lower panel). The Ordered Uni Bi model could accurately simulate the inhibition profiles when changes were made in k1, k-1, or k2, but not k3 (Fig. 9). 466 ROSENFELD AND SULTATOS FIG. 8. Comparisons of the output of the Ordered Uni Bi and ki model outputs over a wide range of paraoxon concentrations. In each panel the dashed and solid lines represent the simulated inhibition of acetylcholinesterase by the indicated paraoxon concentration by the ki and Ordered Uni Bi models, respectively. The Kd’ represents the calculated Kd during the Ordered Uni Bi model simulation determined from Equation 17. The experimentally determined Kd was found to be 339 nM (Fig. 6). DISCUSSION A changing ki as a function of paraoxon concentration is inconsistent with the kinetic mechanism described by both the Ordered Uni Bi and ki schemes (Schemes 1 and 2). Therefore a consideration of the possible limitations in the use of ki is appropriate when interpreting these results (Fig. 5). Two important limitations were identified. The first is the requirement for equilibrium (or near-equilibrium) with regard to reversible binding of inhibitor to acetylcholinesterase (formation of the Michaelis complex). The lack of achievement of equilibrium with paraoxon accounted, at least in part, for the non-identical outputs from the Ordered Uni Bi and ki models at paraoxon concentrations lower than 100 nM. However, these differences were likely not great enough to be detected experimentally, and can therefore be considered negligible (Fig. 8). Paraoxon concentrations of 200 nM and greater revealed the second limitation in the use of ki. These high concentrations resulted in more substantial differences between the two models (Fig. 8), even though equilibrium conditions were more closely approximated as the inhibitor concentration increased (Fig. 8). This is reflective of the need for pseudo-first order conditions, since the rate of reversible binding of paraoxon to acetylcholinesterase slows as unbound enzyme KINETICS OF ACETYLCHOLINESTERASE INHIBITION 467 FIG. 9. Fitting of the 78 pM paraoxon inhibition profile with the Ordered Uni Bi model. The open circles represent the empirical data. The solid line is output from the model after adjusting k1 from 0.5 nM1h1 to 1.75 nM1h1. The dotted line is output after changing k-1 from 169.5 h1 to 12.5 h1. The short dashed line is model output with k2 adjusted from 51.8 h1 to 500 h1. The long dashed line shows the model output with k3 set to zero. molecules become fewer with increasing paraoxon concentrations. The ki does not account for this binding phenomenon, and will therefore overestimate the degree of inhibition observed with high inhibitor concentrations. The need for equilibrium conditions and pseudo-first order conditions are limitations in the use of ki that have largely been ignored for many decades, perhaps leading to many erroneous estimations of this constant. In the case of paraoxon, the use of ki to quantify its inhibitory capacity seems appropriate below inhibitor concentrations of 100 nM (Fig. 8). Moreover, the lower the paraoxon concentration, the more accurate was the ki model (Fig. 8), dispelling the notion that the inhibitor concentration must be many times higher than that of acetylcholinesterase in order for ki to be meaningful. Since the ki and Ordered Uni Bi models simulated essentially the same inhibition profiles for paraoxon concentrations of 100 nM and below (Fig. 8), the changing ki as a function of paraoxon concentration observed in Figure 5 did not result from an inappropriate application of ki. This is further supported by the observation that the Ordered Uni Bi model, which utilized rate constants determined at paraoxon concentrations of 31 nM–1000 nM, also underestimated the capacity of much lower paraoxon concentrations to inhibit acetylcholinesterase (Fig. 9). While the presence of two kinetically distinct forms of acetylcholinesterase could account for a changing ki as a function of paraoxon concentration (Fig. 5), reports suggest that such distinct enzymatic forms do not exist. As described by Stojan et al. (1998), all known posttranslational modifications to acetylcholinesterase do not appear to change the kinetic behavior (Estrada-Mondaca and Fournier, 1998; Taylor and Radić, 1994). One report (Bolger and Taylor, 1979) documented binding of certain bisquaternary ammonium ligands to FIG. 10. Activation and inhibition paradigms for peripheral and active gorge events to acetylcholinesterase. The peripheral anionic site is depicted as PAS, whereas paraoxon and N-methylacridinium are depicted as PO and NMA, respectively. See text for details and source references. acetylcholinesterase that suggested the existence of two conformational states of the enzyme. However these two states were distinguished only by bisquaternary ammonium ligands, and not by active and peripheral site ligands. Furthermore, Bolger and Taylor (1979) established that bisquaternary ammonium ligands bound to only one of the two possible conformational states—a phenomenon that cannot account for the data presented in Figure 5. The results of the current study support the suggestion of Kardos and Sultatos (2000) that paraoxon binds reversibly to a site distinct from the active site, and that occupation of this site by paraoxon reduces the capacity of other paraoxon molecules to inhibit the active site, either by allosteric modification or steric hindrance. Since the Ordered Uni Bi model could accurately simulate inhibition profiles at lower paraoxon concentrations by adjusting either k1, k-1, or k2 (Fig. 9), binding of paraoxon to a secondary site might reduce the rate of formation of the Michaelis complex and/or reduce the rate of phosphorylation of Ser-203. While reactivation of phosphorylated enzyme could also be affected by occupation of a secondary site, such a change could not account for the concentration-dependent inhibition kinetics documented in Figure 5 (Fig. 9). 468 ROSENFELD AND SULTATOS Ligand-induced alterations in acetylcholinesterase activity have been documented previously, and various mechanisms have been proposed to account for these observations, which include both increased and decreased activities (Fig. 10). It has been known for many years that binding of certain ligands to the peripheral anionic site reduces substrate hydrolysis through steric blockade and/or conformation changes in Trp-86 and Tyr-133 residues within the active site gorge (Barak et al., 1995; Bourne et al., 2003; Taylor and Radić, 1994). Such ligands include propidium, thioflavin t, acetylthiocholine, and acetylcholine (DeFerrari et al., 2001; Taylor and Radić, 1994). The drug D-tubocurarine also usually inhibits acetylcholinesterase through binding to the peripheral anionic site of this enzyme (Golicnik et al., 2001). However, in the case of the Drosphila W359L mutant, D-tubocurarine increased hydrolysis of acetylthiocholine as a result of its binding to the peripheral anionic site (Golicnik et al., 2001, 2002). Since in this case, enzyme inhibition from binding of acetylchothiocholine to the peripheral binding site was greater than enzyme inhibition from binding of D-tubocurarine to the peripheral anionic site, the presence of D-tubocurarine appeared to activate enzyme activity. Although the apparent activation of the W359L mutant by Dtubocurarine resulted from a ‘‘disinhibition,’’ occupation of the peripheral anionic site of wild type Drosophila acetylcholinesterase by this same compound increased the binding affinity of the active site for methanesulfonylfluoride, thereby increasing the methanesulfonylation of the active site serine (Golicnik et al., 2002). Similarly, binding of the detergent Triton X-100 to the peripheral anionic site of Drosophila acetylcholinesterase resulted in activation of phosphorylation and carbamylation of the active site by certain organophosphates and carbamates, respectively, while inhibiting these same reactions with other organophosphates and carbamates (Marcel et al., 2000). It must also be noted that binding to the peripheral anionic site is not requisite for activation of acetylcholinesterase. The chemical N-methylacridinium binds reversibly to the active site, and accelerates the hydrolysis of certain neutral acetic acid esters such as methyl and ethyl acetate, while competitively inhibiting the hydrolysis of acetylcholine (Barnett and Rosenberry, 1977). Similarly, small cationic ligands such as tetramethyl- and tetraethyl-ammonium have been shown to bind in the active site and enhance the rate of carbamylation and sulfonylation by carbamyl and sulfonyl fluorides (Kitz and Wilson, 1963; Metzger and Wilson, 1963). The reports summarized above have established that ligand binding to the peripheral anionic site, or other sites on acetylcholinesterase, can result, in some cases, in inhibition of enzyme activity. In other cases, such binding can lead to apparent activation (from ‘‘disinhibition’’), and still in other cases true activation of enzyme. The specific action of the ligand on enzyme activity appears to be dependent on the ligand itself, where it binds on the molecule, and the chemicals interacting at the active site. Consequently, it seems plausible, as first suggested by Kardos and Sultatos (2000), that paraoxon could bind to a secondary site on acetylcholinesterase, thereby reducing the capacity of other paraoxon molecules to phosphylate the Ser-203. Regardless of mechanism, the concentration dependent inhibition presented in Figure 5 demonstrates the inability of Schemes 1 and 2 to fully describe the inhibition of acetylcholinesterase by paraoxon. The documentation of concentration dependent inhibition of rat acetylcholinesterase with chlorpyrifos oxon (Kousba et al., 2004) indicates that this phenomenon is not unique to paraoxon. While the potential binding of certain organophosphorus anticholinesterases to a secondary binding site is of interest for understanding the fundamental interactions of these toxic compounds with acetylcholinesterase, a more important consideration is how such binding might influence our understanding of the health risks posed to the public by these insecticides. Current risk assessments of organophosphorus insecticides are built on the assumption that the inhibitory capacity (ki) of molecules of a given oxon at low concentrations is the same as that of the same oxon molecules at high concentrations. Evidence presented here (Fig. 5), as well as elsewhere (Kardos and Sultatos, 2000; Kousba et al., 2004), suggests that the inhibitory capacity of certain oxons increases as the concentration decreases, thereby raising concern that current risk assessments might underestimate the risk posed to public health by low level exposure to certain organophosphorus insecticides. And finally, further evidence in support of the interaction of certain organophosphorus compounds with a secondary site on acetylcholinesterase was provided by Howard et al. (2005), who showed that the organophosphorus insecticide chlorpyrifos disrupted the morphogenic function of acetylcholinesterase in the absence of inhibition of the catalytic site. 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