1. Introduction
According to the Center for Disease Control (CDC), Alzheimer’s disease (AD) is the most common type of dementia. According to one study, approximately 5.8 million Americans are living with AD, with this number projected to reach 14 million by the year 2060. With that being said, AD has been categorized as the 6th leading cause of death among US adults [
1]. Currently, there is no cure for AD, despite the large efforts made to find one, which has fueled the need to focus on solving the cause of AD rather than its effects. Based on the current understanding, the cause of AD is the aggregation of Amyloid Beta (Aβ) monomers within the brain, specifically the neocortex of the brain [
2]. Whereas the discovery of plaques as well as the presence of neuro-fibrillary tangles in the brain of persons with dementia was made by Oskar Fisher and Lois Alzheimer in the early twentieth century [
3], the presence of the protein Aβ that make up the plaques was more recently found in the mid-1980s by Glenner, Masters, and Beyreuther [
4,
5].
Aβ has been characterized as an enhancer of memory and a modulator of mitochondrial function. Amyloid is formed by a larger protein called the Amyloid Precursor Pro-tein (APP). In the sequence of breakdowns, a toxic split can occur at Aβ-42, referring to an Aβ containing 42 amino acids. The APP plays a crucial role in neural growth and maturation, through proposed methods such as the specification of cell identity, regulating proliferation, and the formation of neural stem cells [
6]. The APP is cleaved by one of the two main enzymes, Beta Secretase and Alpha Secretase. However, the selectivity of one secretase to the APP versus the other is still unknown. In a healthy brain, Alpha Secretase cleaves to the APP into sAPPalpha which protects neurons, acts as a stabilizer, and enhances memory. Conversely, Beta Secretase cleaves the APP to create sAPPbeta, which prunes synapses during neuron development. The ultimate result of Beta Secretase selectivity is Aβ-42 or Aβ-40, referring to Aβ with either 42 or 40 amino acids [
6,
7]. This specific strand of Aβ is particularly unfavorable. Aβ 42/40 forms clusters with itself by starting as dimers, further leading to insoluble hard aggregates that reside between the nerve cells attaching to their ends and eroding the synapse. This erosion interrupts neuronal transfer of information and the neuron’s ability to repair and metabolize [
8,
9]. Although the specific mechanism of folding is yet unknown, studies are being conducted to thoroughly map out the Aβ oligomer formation to target specific mechanism steps and shut down oligomerization before it happens [
10]. Since that action is a premature method for hindering AD development, one possible solution to eliminating the Aβ aggregates is dissolution. Therefore, the effort of this study focuses on the effect of dissolving the formed oligomers as opposed to eliminating Aβ’s ability to oligomerize.
Conversely, the APP was also cited for its involvement in memory formation through changes in signal transduction events. Overall, the APP has many roles and plays an important role in the cascade leading to memory development. However, an accumulation of Aβ, specifically the APP, was shown to decrease the function of Translocase of the Outer Mitochondria Membrane Homolog (TOMMO40). This in turn leads to a decrease in the trans-location of essential proteins for mitochondrial function [
11]. Therefore, Aβ enhances memory in acceptable quantities, but it is harmful when there is an accumulation of it. The aggregation of amyloid beta has been characterized as being most ideal with a protofilament conformation of larger oligomers of up to 12 Aβ monomers. At a size of around 12 Aβ monomers, a growth mechanism forms fibrils from these monomers [
12]. These monomers have been established as blocking the neurons in the brain from performing their essential functions [
9,
13]. This lack of ability to perform properly then causes the neurons to die, thereby increasing the number of dead neurons in the brain and causing the brain to shrink, also known as brain atrophy, which causes memory loss. These aggregates also cause poor sleep [
14] as well as several other major functionality issues such as cerebrovascular disease and Lewy body disease [
13]. It is important to note that neurofibrillary tau tangles were shown to contribute to the same neuron-hindering effects as Aβ; however, this work does not include studying such neurofibrillary tau tangles. This is due to the fact that the tau tangles manifest later in the development of AD, and this study intends to focus on the earlier contributor, Aβ [
15].
To address these issues, researchers have been trying to develop ways to dissolve Aβ-42 to hinder its damaging abilities to the brain. In recent studies, graphene oxide (GO) was found to have versatile potential for future AD detection and treatment. Some of the uses of GO include both biosensor and nanofiltration applications [
10,
16]. As a biosensor, GO was implemented to monitor and detect monomer, oligomer, and fibril Aβ concentrations [
2]. Furthermore, RGO (reduced form of graphene oxide) can be used as a biosensor substrate to detect amyloid buildup to diagnose neural diseases [
16]. GO is also used to decrease the detected amyloid plaques [
17]. In recent simulations and trials, the amyloid build-up has been delayed by methods such as laser irradiation with GO [
18] or by adsorption of Aβ by GO [
17] under standard conditions. The principle in such methods is that GO interferes with the fibrillation of Aβ (where fibrillation is the proteins misfolding to the undesirable beta sheets) and extracts the amyloid monomers [
17]. Yet, further analysis at the molecular level into specific mechanisms by which GO interacts with Aβ are still just theoretical and remains yet to be investigated. However, GO has already shown positive results in the progression of misfolding Aβ aggregates in previous studies [
19]. For this reason, GO is being widely researched owing to its multifunctional potential in having a large reactive surface area and electric properties. A GO surface area holds promise as an avenue to attract, attach, and conformationally disconnect Aβ from each other. It was recently studied as a biosensor and a dissolving agent, where it was implemented to monitor and detect monomer, oligomer, and fibril Aβ concentrations [
2]. A recent study was conducted to analyze the conformational differences in Aβ from two different forms of GO [
19]. Yet, another study also found that GO “maximally” expelled Aβ in mice and helped to improve fear memory in mice. This study established the effectiveness of GO as a treatment for Aβ-related diseases, such as AD [
20]. Additionally, studies have found GO to be an acceptably biocompatible substance that can be used as a treatment in the future [
17]. Alternative methods for treatment of AD are currently being studied. However, many treatments focus on tau inhibition as opposed to Aβ aggregation. The only treatments that are currently being used on patients focus on symptom treatments in lieu of treating the causes of AD [
21]. These treatments include the use of three acetylcholinesterase enzyme inhibitors—donepezil, galantamine, and rivastigmine—and one N-methyl-D—aspartate receptor antagonist—memantine. Thus, combining the information from these different sources on Aβ towards AD, it can be ascertained that the focus on the biophysical interactions at a molecular level and on the use of 12 Aβ monomers that represent the ideal for the formation of a fibril, is clearly lacking.
The possibility of utilizing GO as a destabilizing agent against the accumulation of Aβ is the central theme of this study (
Figure 1), which demonstrates how differently GO interacts with Aβ in various forms, such as monomers and fibrils, at an atomic level.
Section 3 and
Section 4 report the effects of exposing GO to the early stages of Aβ aggregation in the form of an Aβ fibril and as an aggregation of individual Aβ monomers through various analytical strategies, including center of mass, Van der Waals interactions, RMSD (root mean square deviation), electrostatics, and salt bridge formation. The system is modeled as a fibril containing 12 Aβ monomers and a GO sheet within 7 Å of each other for simulations. These simulated trajectories are then compared to those of five Aβ monomers, both in the presence and absence (control) of a single layer of GO. The comparison of these simulations helped us to gain insights into the effects of GO on different numbers of Aβ monomers as well as how Aβ monomers interact amongst each other in the absence of GO.
2. Materials and Methods
This study was conducted utilizing the molecular graphics program, Visual Molecular Dynamics (VMD), version 1.9.3 [
22] for modeling the molecular systems [
22] containing GO and Aβ and analyzing the simulated trajectories. A molecular simulation program, Nanoscale Molecular Dynamics (NAMD), was used in conjunction with VMD for simulations [
23]. The crystallographic information for the Aβ monomer (PDB ID: 1IYT) was acquired from the protein database (rcsb.org) consisting of the atomic coordinates. The Aβ fibril consisting of 12 monomers was modeled through VMD using the Aβ monomer acquired from the protein data bank. The structural file for GO was created using a molefacture plugin in VMD from the graphene sheet generated using an inbuilt graphene sheet builder plugin, which was then used to create a GO flake (size 15.45 Å × 11.68 Å). The chemical structure of the flake used is C
10O
1(OH)
1(COOH)
0.5, also known as oxidized GO (OGO). The structures of these molecules are modeled based on the Chemistry at Harvard Macromolecular Machines (CHARMM) topology files. The Aβ monomers, either 5 or 12, based on the system containing monomers or fibril, were placed next to each other within 15 Å of the neighboring monomer, and a GO sheet was placed equidistant, within 15 Å of Aβ. Interactive forces between GO and Aβ monomers as well as 12-monomer fibril were set up and analyzed using VMD, and the simulations were carried out using NAMD. All-atom simulations containing the Aβ monomers within the three different systems, with and without GO, and a 12 Aβ fibril with GO for a time period of 100 ns and 200 ns were carried out using the CHARMM [
24] force field and TIP3 [
25] water model. Neutralizing salt concentration of NaCl for effective polarization of the water molecules was used in all simulations. Intel Core i9 cluster with a total of 36 cores, and NVIDIA GeForce RTX 2080 GPU, purchased from Puget Systems, Auburn, WA, United States, was used to perform all the simulations, which took ~272 h (~0.02 s/step) for the individual Aβ simulations without GO, ~389 h (~0.028 s/step) for individual Aβ simulations with GO, and ~446 h (~0.032 s/step) for simulations involving Aβ fibril and GO. It should be noted that these times are considering other simulations going on in parallel with the i9 cluster.
In each simulation, the temperature was maintained at 300 K by a Langevin thermostat and a pressure of 1 atm through a Nose–Hoover Langevin Piston barostat with a period of 100 ps and a decay rate of 50 ps, assuming the periodic boundary conditions. A 10,000-step energy minimization was performed first to reach a stable state. All atom simulations employed an integrated time step of 2 fs. A cut-off of 12 Å designated the short-range forces while long-range forces were calculated using the Particle Mesh Ewald (PME) algorithm. RMSD and NAMD energy extensions were used to determine the stability and the interaction energy between the Aβ in the form of individual monomers, as a fibril with GO, and with each other (control). The VMD Timeline tool was used to analyze the secondary structure of Aβ during the simulations. TCL scripting was utilized to evaluate the distance between the centers of masses between the individual molecules. TCL was also used to evaluate the optimum cut-off distance between GO and Aβ monomers both individually and in the form of a fibril to determine the minimum number of Aβ atoms needed to have the maximum energy of interaction to achieve a stable complex. The rest of the analysis involving salt bridges, hydrogen bonds, conformational energy, and nonbonding energy was carried out using the available VMD plugins. TCL scripting was also used for the determination of the number of interfacial water molecules, and number of atoms of Aβ within 5 Å of GO. All datasets were plotted using the cloud-based data analysis and graphing software, OriginPro.
4. Discussion
Based on the results and analysis of the simulated trajectories of Aβ fibril and monomeric Aβ with and without GO, it was found that GO has the potential to destabilize the aggregation of Aβ. This conclusion is supported by the stability analysis. That analysis showed that the presence of GO caused a reduction in salt bridge formations, significant RMSD deviations, an instability of fibril system COMs beyond 100 ns, and increased the COM of individual Aβ monomers from each other. Furthermore, more stable electrostatic interactions among the Aβ monomers, both in the monomeric and fibril form, in the presence of GO compared to the increased electrostatic interactions between the Aβ monomers in the absence of GO points to the mechanism by which Aβ monomers form larger assemblies. Interestingly, it was also found that in the presence of GO, the individual Aβ monomers did not interact through electrostatic energy. This finding suggests that this is the dominant form of interactions between the Aβ monomers in forming the fibril that would eventually give rise to the neurofibrillary tangles promoting AD. Finally, the stability was also analyzed through hydrogen bonds, where it was found that the number of hydrogen bonds decreased in the presence of GO for both within the monomeric structures and between the monomers. It is suggested that this may be the secondary mechanism in the formation of neurofibrillary tangles. There, the individual monomers form larger clumps through the hydrogen bonds, as seen in case of the control simulations of Aβ monomers having two distinct clumps (one with three monomers and another with two monomers). The presence of GO is found to target this hydrogen bonding as well where it inhibits the formation of hydrogen bonds to prevent the aggregation of the Aβ monomers. This disintegration of Aβ monomers is also found to be affected indirectly by the changes in the secondary structure of the Aβ protein as evident from the secondary structure analysis. GO is found to significantly alter the secondary structure as the monomers and the fibril becomes adsorbed on its surface.
The conformational analysis further showed that the potential energies of the bonds, angles, dihedrals, and impropers of the Aβ, both in the fibril and in the monomeric form, stayed intact in the presence of GO. Furthermore, there are significant differences between the way the monomeric 5-Aβ interacted with GO compared to the 12-Aβ fibril. This demonstrates that the α helix of the Aβ in case of the monmeric system is affected much differently compared to the β-sheet structure of the Aβ fibril. The 12-Aβ fibril simulation with GO showed a more pronounced destabilization of the system, indicating that GO is effective in interfering with the aggregated Aβ in the form of a fibril. The secondary structure analysis of the monomeric Aβ also showed much disruption of the monomers in the presence of GO. However, it was found that the α helices in case of the Aβ monomers underwent a more significant shrinking compared to the β-sheets of a fibril system. An exhaustive analysis in the form of the optimal distance estimation of the adsorbed atoms of Aβ on the surface of GO and the role of interfacial water molecules and their hydrogen bonds are also found to be very different for the Aβ monomers compared to the fibril form. While the optimal distance of 3.5 Å was found for the fibril system for heavy atoms, it was found to be more than 4 Å for adsorbed atoms including hydrogen. Compared to this, the monomeric system had an optimal adsorption distance of 3 Å for heavy atoms and atoms including hydrogen. This suggests that in case of the fibril, hydrogen may be playing a more significant role in promoting the adsorption of the fibril to the surface of GO. Similarly, in case of the fibril system, the interfacial water molecules between the fibril and GO were found to decrease as stronger interactions between GO and the fibril ensued. This action resulted in reduced hydrogen bonds of the interfacial water molecules. However, in case of the adsorbed Aβ monomers on the surface of GO, the number of interfacial water molecules and their respective hydrogen bonds were found to be stable after the adsorption. This is yet another difference between the interactions of the fibril system and the monomeric system. These differences are influenced by their secondary structures. An individual analysis of the monomers and the clumps further support these interpretations.
In the future, it would be pertinent to extend simulations of Aβ-GO systems to show the prolonged effects of GO on the destabilization of the aggregation of Aβ. More specifically, extending the 12-Aβ-GO model by adding additional fibril and GO molecules would help with tracking the interactions in a more realistic manner. The extension of this system is necessary because the use of GO to treat AD in the future would entail long term usage and exposure of some form of GO to the brain. Further research could also study how these interactions are affected by the other chemical species present within the neural environment. Since the usage of GO to treat AD would interact with the chemicals in the brain, it is also important to ensure that GO is still effective at destabilizing the Aβ within the brain while also not having detrimental side effects on the neighboring healthy cells. While it is established that GO is a biocompatible substance, its in vivo effects are not yet fully understood, where several factors such as dose, administration route, and method of synthesis would play a crucial role on its effects on brain cells, which is yet to be extensively studied. In summary, this study has established that GO can be used to destabilize the Aβ accumulation found in patients with AD. The comparison between individual Aβ monomers and the Aβ fibril has potential to pave the way for future experiments involving in vitro and in vivo studies, with the latter having an effective shielding mechanism for GO.