Exploring the conformational dynamics and thermodynamics of EGFR S768I and G719X + S768I mutations in non-small cell lung cancer: An in silico approaches
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Jun-Ling Wang
and Hong-Wei Li
Abstract
Non-small cell lung cancer (NSCLC) is often driven by mutations in the epidermal growth factor receptor (EGFR) gene. However, rare mutations such as G719X and S768I lack standard anti-EGFR targeted therapies. Understanding the structural differences between wild-type EGFR and these rare mutants is crucial for developing EGFR-targeted drugs. We performed a systematic analysis using molecular dynamics simulations, essential dynamics (ED), molecular mechanics Poisson–Boltzmann surface area, and free energy calculation methods to compare the kinetic properties, molecular motion, and free energy distribution between wild-type EGFR and the rare mutants’ structures G719X-EGFR, S768I-EGFR, and G719X + S768I-EGFR. Our results showed that S768I-EGFR and G719X + S768I-EGFR have higher global and local conformational flexibility and lower thermal and global structural stability than WT-EGFR. ED analysis revealed different molecular motion patterns between S768I-EGFR, G719X + S768I-EGFR, and WT-EGFR. The A-loop and αC-helix, crucial structural elements related to the active state, showed a tendency toward active state development, providing a molecular mechanism explanation for NSCLC caused by EGFR S768I and EGFR G719C + S768I mutations. The present study may be helpful in the development of new EGFR-targeted drugs based on the structure of rare mutations. Our findings may aid in developing new targeted treatments for patients with EGFR S768I and EGFR G719X + S768I mutations.
Graphical abstract

1 Background
Lung cancer is the leading cause of death from malignant tumors worldwide [1]. Among lung cancers, non-small cell lung cancer (NSCLC) accounts for 85% of all cases, and epidermal growth factor receptor (EGFR) gene mutations have been found in at least 59.4% of Asian NSCLC patients [2]. Among observed EGFR mutations in NSCLC patients, approximately 85% are common mutations (EGFR 19-Del and L858R), while the remaining 15% are rare mutations [3]. In coal areas, the distribution of EGFR mutations is significantly different, with common mutations accounting for 54.41% and rare mutations accounting for 45.59% [4]. According to Amelia et al.’s report [5], mutated EGFR results in the constant activation of the tyrosine kinase domain, which in turn promotes the growth, proliferation, invasion, and metastasis of cancer cells without the presence of ligands, making it an essential oncogenic driver and target point for cancer therapy [6].
Numerous EGFR tyrosine kinase domain inhibitors (TKIs) and vascular endothelial growth factor (VEGF)/VEGF receptor (VEGFR) neutralizing antibodies have been developed and approved for the treatment of NSCLC [7]. The FDA has approved EGFR-TKIs in various countries, with three generations available: gefitinib, afatinib, and osimertinib. Compared to chemotherapy, targeted therapy is more specific, sparing normal cells and reducing adverse side effects. It has been observed to significantly alleviate the progression of NSCLC driven by classic EGFR mutations (19-Del and L858R) while improving progression-free and overall survival rates [2]. Currently, no effective treatments are available for rare EGFR mutations in the treatment of NSCLC. Therefore, developing targeted drugs for rare EGFR mutations has become a crucial focus for researchers to improve patient treatment options.
The structure and function of EGFR protein have proven useful in developing new targeted drugs. Research has shown that EGFR is a transmembrane receptor tyrosine kinase composed of 1,210 amino acids and has a molecular weight of approximately 134 kDa. The protein-coding gene is located in the human chromosome 7p12-14 region. It consists of 28 exons, which include an extracellular ligand-binding domain that has 621 amino acids (AA) (25–645), an α-helical transmembrane domain that has 23 AA (646–668), a cytoplasmic tyrosine kinase domain that has 273 AA (707–979), and a carboxy-terminal (C-terminal) signaling domain that has 229 AA (982–1,210) [8]. The intracellular kinase domain of EGFR is composed of three parts: the amino-terminal (N-terminal) lobe, which can be further divided into a P-loop, an ATP-binding pocket, and an αC-helix; the hinge region (791QLMPF795) that connects the N-terminal lobe to the C-terminal lobe; and the C-terminal lobe, which includes the Asp-Phe-Gly (DFG) motif, catalytic loop (HRD837LAARN), and A-loop [8].
The ATP-binding cleft is at the interface between the N-lobe and C-lobe [8]. The activation of kinases is primarily regulated through conformational changes of four conserved motifs located near the active site. These motifs include the glycine-rich phosphate-binding loop (P-loop), which controls the αC-helix, the activation loop (A-loop), the DFG motif, and the αC-helix (Figure 1). The active state of EGFR (Figure 1a) is characterized by an extended conformation of the A-loop, which has a hairpin structure in its N-terminal region, an “in” conformation of αC-helix, and features a K745-E762 salt bridge that serves as an anchor for the αC-helix. In the inactive state of EGFR (Figure 1b), a short α-helix is present at the N-terminal region of the A-loop. This short α-helix interacts with the αC-helix, leading to self-inhibitory interactions that stabilize the outward rotation of the αC-helix and maintain an “out” conformation [7]. This conformation prevents the formation of the K745-E762 salt bridge and is similar to the inactive conformation of Rous sarcoma oncogene cellular homolog (Src) and cyclin-dependent kinase 2 [8].

Comparison of active (a) and inactive (b) structures of the kinase domain of EGFR. Key structural elements are colored in blue (αC-helix), green (P-loop), orange (A-loop), and red (residues K745 and E762, shown as sticks), made by Chimera Software.
Patients with S768I EGFR mutation have poorer prognoses due to shorter median survival and progression-free survival than other EGFR mutations [9]. S768 is located in exon 20 of EGFR, specifically in the αC-β4 loop. In this location, the hydrophilic serine is replaced by a hydrophobic isoleucine, which has greater steric resistance than the previous serine, resulting in stronger hydrophobic interactions between the αC-helix and the adjacent β9 chain. This enhances the effect and stabilizes the enthalpy of the active conformation of “αC-in.” G719 is in the N-terminal lobe and represents the initial glycine in the P-loop’s widely preserved “GXGXXG” motif. When non-glycine residues (A, C, D, S) replace G719, it leads to a substantial decrease in the flexibility of the P-loop, which weakens the inhibition of the hydrophobic interaction of αC-helix in the inactive configuration and destabilizes the inactive conformation, thus leading to the active conformation.
According to the structure analysis by Du et al. [10], both G719X and S768I mutations were categorized as P-loop and αC-helix compression mutations, and G719X + S768I is the most prevalent subtype among rare compound mutations of EGFR [11]. Wang et al.’s research in 2022 found that a significant number of NSCLC lung cancer patients in the high-incidence area of rural lung cancer in the coal-producing region of eastern Yunnan in southwest China carry the compound mutation of G719X + S768I, making up 16.67% of all EGFR mutations.
Furthermore, G719C + S768I accounted for 68.82% of all G719X + S768I mutations [4]. The S768I and G719X + S768I mutations may change the adjacent structure around the mutated amino acid, such as a reduction in hydrogen bonding, leading to changes in the binding affinity of drug inhibitors to EGFR and poor drug efficacy [12]. The activation mechanism caused by the S768I, G719X, and G719X + S768I mutations remains unclear, and understanding the molecular basis of the differences between these rare mutants and the wild type is crucial for developing new targeted treatment strategies.
Therefore, this study aims to provide an overview of EGFR mutations in NSCLC, emphasizing their prevalence and the distinction between common and rare mutations while highlighting the significance of targeted therapies over chemotherapy. Our primary research focus was to comprehensively analyze the kinetic and thermodynamic behavior of EGFR mutations, specifically S768I, G719X, and G719X + S768I, in comparison to wild-type EGFR, using molecular dynamics (MD) simulations and free energy mapping. This analysis seeks to elucidate these mutants’ conformational flexibility, kinetic properties, molecular motion, and free energy distribution, shedding light on their role in NSCLC and contributing to developing more effective targeted treatments.
Various computational models were utilized to understand the kinetic mechanism of EGFR mutations, such as geometric properties of EGFR, binding free energy, hydrogen bond analysis, and stability analysis [13]. These models will be used to decode the mechanism of the EGFR S768I and G719X + S768I mutations. Through MD simulations and the reconstruction of free energy maps, we sought to answer the following key questions:
How do the conformational flexibility and kinetic properties of S768I-EGFR, G719X, and G719X + S768I-EGFR differ from those of WT-EGFR, and what implications do these differences have for the activation state of the protein?
What are the distinctive patterns of molecular motion exhibited by these mutant EGFR proteins, and how do they contribute to our understanding of their behavior in the context of NSCLC?
What insights into the free energy distribution of these EGFR mutants can be gained, and how can these insights inform the development of targeted treatment strategies for NSCLC patients carrying these rare mutations?
In this study, we conducted a systematic computational study to compare the kinetic and thermodynamic behavior of WT-EGFR, G719X-EGFR, S768I-EGFR, and G719X + S768I-EGFR. Our results showed that S768I-EGFR, G719X, and G719X + S768I-EGFR exhibited higher conformational flexibility and a greater tendency to transition to the active state than WT-EGFR. These findings provide a molecular mechanism explanation for the EGFR S768I, G719X, and G719X + S768I mutation leading to NSCLC and can help in developing new targeted treatment strategies for patients with these rare mutations.
2 Materials and methods
2.1 Protein structure preparation
The structure of the inactive wild-type EGFR was downloaded from the Protein Data Bank (PDB; https://www.rcsb.org) database (PDB code: 2GS7). The missing residues were modeled using MODELER [14], and the mutants (S768I-EGFR, G719X, and G719X + S768I-EGFR) were prepared using PYMOL [15].
2.2 MD simulation
MD simulation is a computational method used to study the equilibrium state distribution, state-to-state transitions, and dynamic behavior of biomolecules [16]. In this study, we employed the GROMACS-20.6 software package for MD simulations. The starting structures for the simulations were the WT-EGFR, G719X-EGFR, S768I-EGFR, and G719X + S768I-EGFR models. The AMBER99SB-LIDN force field [17,18] was utilized, along with the TIP3P water model [19]. Periodic boundary conditions were implemented in a dodecahedral box, with a minimum distance of 1.0 nm between the protein and the box wall. Water molecules were added to fill the simulation box to ensure a physiological salt concentration of 150 mM, and Na and Cl ions were introduced. The systems underwent global energy minimization using the steepest descent algorithm to resolve contacts and conflicts. Before the MD production simulation, a 100 ns equilibration phase was conducted in the NVT and NPT ensembles to allow for sufficient interaction between the solute and solvent. The MD simulations were performed with a time step of 2 fs, and bond lengths were constrained using the LINCS algorithm [20]. Long-range electrostatic interactions were handled using the Particle Mesh Ewald method [21] with a cutoff of 1.0 nm.
In comparison, van der Waals interactions were computed using a twin-range cutoff scheme of 1.0 nm (short-range) and 1.4 nm (long-range). The solute and solvent temperature were maintained at 300 K using a coupling time constant τt of 0.1 ps [22]. The pressure was controlled at 1 atm using a Parrinello–Rahman barostat [23,24] with a coupling time constant τp of 0.5 ps. To enhance conformational sampling, a multi-replica strategy was employed. Each system underwent ten independent 100 ns production MD simulations, with atoms assigned different initial velocities sampled from a Maxwell–Boltzmann distribution at 300 K. The simulations were carried out at a constant temperature of 300 K and pressure of 1 atm for 100 ns.
2.3 Dynamic performance analysis
Root mean square deviation (RMSD) and Cα root mean square fluctuation (RMSF) were calculated using the GROMACS tools “gmx rmsd” and “gmx rmsf,” respectively [17].
2.4 Essential dynamics (ED) analysis
For ED analysis in this study, we utilized principal component analysis [25], a widely used mathematical dimensionality reduction method that extracts the most critical change patterns from variables. To construct and diagonalize the Cα atomic covariance matrix, we utilized the “gmx covar” tool. Trajectories were then projected onto the eigenvectors using the “gmx anaeig” tool. The modevectors.py script in PYMOL was used to obtain porcupine plots that display the extreme structure of a certain eigenvector.
2.5 Free energy map reconstruction
The free energy landscape (FEL) was used to characterize the thermodynamic and energetic properties of WT-EGFR, G719X-EGFR, S768I-EGFR, and G719X + S768I-EGFR. The GROMACS-20.6 software package was used to perform MD simulations for both systems, and the ED analysis was carried out to obtain the first few eigenvectors. The two-dimensional preparatory subspace formed along eigenvectors 1 and 2 was used as the reaction coordinates to reconstruct the FEL of the two systems. The global free energy minimization region was characterized by different sizes and depths of free energy wells, indicating a rugged and rough free energy surface.
3 Results
3.1 Structural fluctuations during MD simulations
To evaluate the stability of the structures of WT-EGFR, G719X-EGFR, S768I-EGFR, and G719X + S768I-EGFR during simulation, we calculated the RMSD values of the backbone atoms for each simulation replica concerning the initial structure (Figure 2). The RMSD curves of ten analog copies of G719C-EGFR and G719A-EGFR reached relatively stable RMSD fluctuations in 5 and 6 ns, respectively (Figure 2a and b). The RMSD curves of ten simulated copies of WT-EGFR and G719A + S768I-EGFR each required 10 ns to reach relatively stable fluctuations (Figure 2c and d). However, the ten analog copies of G719S-EGFR, G719C + S768I-EGFR, S768I-EGFR, G719D-EGFR, and G719D + S768I-EGFR required 12, 12, 15, 22, and 23 ns, respectively, to reach relatively stable RMSD fluctuations (Figure 2e–i).

RMSD values of the backbone atoms of G719C-EGFR (a), G719A-EGFR (b), WT-EGFR (c), G719A + S768I-EGFR (d), G719S-EGFR (e), G719C + S768I-EGFR (f), S768I-EGFR (g), G719D-EGFR (h), and G719D + S768IS-EGFR (i) relative to the initial structure as a function of time. r1–r10 represents ten independent copies of MD simulations.
These results indicate that G719C-EGFR and G719A-EGFR are easier to achieve equilibrium fluctuations than WT-EGFR. The time required for G719A + S768I-EGFR and WT-EGFR to reach equilibrium fluctuations is similar. G719S-EGFR, G719C + S768I-EGFR, S768I-EGFR, G719D-EGFR, and G719D + S768I-EGFR are harder to achieve equilibrium fluctuations than WT-EGFR. In other words, the structural stability of G719A + S768I-EGFR is similar to that of WT-EGFR, and the structural stability of G719C-EGFR and G719A-EGFR is higher than that of WT-EGFR. Additionally, the structural stability of G719S-EGFR, G719C + S768I-EGFR, S768I-EGFR, G719D-EGFR, and G719D + S768I-EGFR is lower than that of WT-EGFR. Therefore, the lower the structural stability, the higher the ability of the protein to undergo conformational changes.
These findings indicate increased structural dynamics in these mutants, which may have important implications for their functional properties. In particular, the elevated conformational flexibility of the A-loop region, associated with the active state of EGFR, suggests that these mutants may have an enhanced capacity to transition from an inactive to an active conformation. This insight is crucial for understanding the potential oncogenic properties of these mutants in NSCLC, where EGFR dysregulation is a vital driver of tumorigenesis. This observation suggests that these mutants may have a heightened propensity to adopt functionally relevant states, including the active conformation. Clinical implications arise as these mutants could drive aggressive NSCLC phenotypes and respond differently to targeted therapies.
3.2 Comparison of conformational flexibility
To ensure that the calculated RMSF values accurately reflect the natural conformational flexibility, we observed Figure 2. We found that the fluctuations between EGFR-WT and EGFR-MT (Mutant Type) become relatively stable after 20 ns. As a result, we selected the 20–100 ns trajectories of EGFR-WT and EGFR-MT for subsequent analysis and combined each simulated copy’s balanced trace (20–100 ns) in a series to form an 800 ns long balanced trace. We calculated the RMSF value of the Cα atom based on the connecting series equilibrium tracks of G719D + S768I-EGFR, S768I-EGFR, G719C + S768I-EGFR, G719D-EGFR, G719A + S768I-EGFR, WT-EGFR, G719C-EGFR, G719A-EGFR, and G719S-EGFR. The RMSF value is often used to index the protein’s structural flexibility (Figure 3). The average RMSF values of the Cα atom for G719D + S768I-EGFR, S768I-EGFR, G719C + S768I-EGFR, G719D-EGFR, G719A + S768I-EGFR, WT-EGFR, G719C-EGFR, G719A-EGFR, and G719S-EGFR were 0.362, 0.312, 0.294, 0.289, 0.288, 0.287, 0.270, 0.268, and 0.267 nm, respectively (Table 1). This indicates that compared to WT-EGFR, G719D + S768I-EGFR, S768I-EGFR, G719C + S768I-EGFR, G719D-EGFR, and G719A + S768I-EGFR have higher global conformational flexibility.

Cα atom RMSF value WT-EGFR (blue line) and G719D + S768I-EGFR (a), S768I-EGFR (b), G719C + S768I-EGFR (c), G719D-EGFR (d), G719A + S768I-EGFR (e), G719C-EGFR (f), G719A-EGFR (g), G719S-EGFR (h) (orange line) as a function of residue number. The RMSF difference between S768I-EGFR and WT-EGFR is the black line. Highlight the αC-helix and A-loop with a light purple shade.
Average RMSF values of Cα atoms
G719D + S768I | S768I | G719C + S768I | G719D | G719A + S768I | WT | G719C | G719A | G719S | |
---|---|---|---|---|---|---|---|---|---|
RMSF (average) | 0.361892 | 0.311604 | 0.293938 | 0.289211 | 0.288043 | 0.286596 | 0.269909 | 0.26771 | 0.266783 |
Upon careful examination of the RMSF diagram (Figure 3), it was observed that G719D + S768I-EGFR, S768I-EGFR, G719C + S768I-EGFR, G719D-EGFR, and G719A + S768I-EGFR exhibit higher RMSF values than WT-EGFR in certain structural regions. To quantify these differences, the RMSF values of G719D + S768I-EGFR, S768I-EGFR, G719C + S768I-EGFR, G719D-EGFR, and G719A + S768I-EGFR were subtracted from the RMSF value of WT-EGFR at the corresponding residue positions (black curve in Figure 3). The results revealed that these mutant proteins have higher conformational flexibility (RMSF difference > 0) in multiple regions, including the A-loop region that is associated with the active state of EGFR, which involves the rearrangement of the A-loop, and the higher conformational flexibility of the A-loop in these mutant proteins may facilitate the transition of inactivated EGFR to the activated state.
Moreover, our ED analysis revealed that certain mutants experience larger structural fluctuations and conformational changes than WT-EGFR, implying the existence of distinct dynamic behavior that may be exploited in drug design. These mutants could be more susceptible to compounds that selectively stabilize or disrupt specific conformations, opening up new avenues for drug development strategies tailored to individual EGFR mutations. The increased conformational diversity observed in certain mutants opens new avenues for precision medicine. Targeted therapies that specifically exploit the unique structural dynamics of EGFR mutants may provide a more effective treatment strategy for patients. For example, drugs designed to stabilize or disrupt specific conformations associated with mutant EGFR variants could improve treatment outcomes. Our study identifies potential vulnerabilities in these mutants that can be targeted with tailored therapeutic interventions.
3.3 ED analysis and large-scale coordinated motion
The ED analysis based on the MD simulation trajectory was used to extract the protein’s most important or largest scale motion mode in the multi-dimensional conformational space. The eigenvectors and eigenvalues of wild-type and mutant EGFR were obtained by analyzing the ED of their respective tandem equilibrium trajectories.
The total mean square fluctuation of Cα, also known as TMSF (the sum of eigenvalues of all eigenvectors), was calculated for G719D + S768I-EGFR, S768I-EGFR, G719A + S768I-EGFR, G719D-EGFR, G719C + S768I-EGFR, WT-EGFR, G719S-EGFR, G719C-EGFR, and G719A-EGFR. The TMSF values were 75.507, 61.299, 52.804, 51.522, 49.712, 49.196, 47.750, 47.507, and 43.594 nm2, respectively (Table 2). These values indicated that G719D + S768I-EGFR, S768I-EGFR, G719A + S768I-EGFR, G719D-EGFR, and G719C + S768I-EGFR experienced more drastic structural fluctuations or conformational changes than WT-EGFR, G719S-EGFR, G719C-EGFR, and G719A-EGFR during the simulation, which is consistent with the comparative analysis results based on RMSD and RMSF.
Total mean square fluctuation of Cα in WT-EGFR and S768I-EGFR
G719D + S768I | S768I | G719A + S768I | G719D | G719C + S768I | WT | G719S | G719C | G719A | |
---|---|---|---|---|---|---|---|---|---|
TMSF | 75.5066 | 61.29884 | 52.80355 | 51.52172 | 49.71187 | 49.19613 | 47.75026 | 47.50714 | 43.59395 |
The top 30 eigenvalues of the eigenvectors of G719D + S768I-EGFR, S768I-EGFR, G719A + S768I-EGFR, G719D-EGFR, G719C + S768I-EGFR, WT-EGFR, G719S-EGFR, G719C-EGFR, and G719A-EGFR are shown in Figure 4. The inset in the figure shows the cumulative contribution of all eigenvectors to the TMSF value. The first eigenvectors of G719D + S768I-EGFR, S768I-EGFR, G719A + S768I-EGFR, and G719D-EGFR all had larger eigenvalues than WT-EGFR. As the number of eigenvectors increased, the eigenvalues decreased rapidly. Until the tenth eigenvector afterward, the change in the eigenvalues tended to be gentle. The eigenvalues of the first eigenvectors of G719D + S768I-EGFR, S768I-EGFR, G719A + S768I-EGFR, G719D-EGFR, G719C + S768I-EGFR, G719S-EGFR, G719C-EGFR, and G719A-EGFR were significantly higher than those of WT-EGFR, indicating that G719D + S768I-EGFR, S768I-EGFR, G719A + S768I-EGFR, G719D-EGFR, G719C + S768I-EGFR, G719S-EGFR, G719C-EGFR, and G719A-EGFR moved more violently than WT-EGFR along the first eigenvector.

The first 30 eigenvectors eigenvalues of G719D + S768I-EGFR (a), S768I-EGFR (b), G719A + S768I-EGFR (c), G719D-EGFR (d), G719C + S768I-EGFR (e), G719S-EGFR (f), G719C-EGFR (g), and G719A-EGFR (h) (main plot) and cumulative contributions to the TMSF for all eigenvectors (inset), made by python script.
The ED analysis revealed that the eigenvalues of the first eigenvectors of G719D + S768I-EGFR, S768I-EGFR, G719A + S768I-EGFR, G719D-EGFR, G719C + S768I-EGFR, G719S-EGFR, G719C-EGFR, and G719A-EGFR were significantly higher than those of WT-EGFR, indicating that these mutants experienced more drastic structural fluctuations or conformational changes than WT-EGFR along the first eigenvector. The cumulative contributions of the first two eigenvectors of WT-EGFR, S768I-EGFR, and G719C + S768I-EGFR to TMSF were 35.2, 38.1, and 37.3%, respectively, while the cumulative contributions of the first ten eigenvectors were 78.9, 79.5, and 79.6%, respectively. These results suggest that the essential subspace formed by the first two eigenvectors contains the most significant collective motion and the most dominant conformational states or substrates obtained by MD simulation sampling.
Furthermore, the first eigenvectors of G719D + S768I-EGFR, S768I-EGFR, G719A + S768I-EGFR, G719D-EGFR, and G719C + S768I-EGFR had larger eigenvalues than WT-EGFR, indicating that these mutants had larger motion amplitude or conformational freedom degree than WT-EGFR along the first eigenvector. In such a high-dimensional conformational space, only the first ten eigenvectors contributed more than 80% to the TMSF (overall conformational fluctuation), indicating that our intrinsic kinetic analysis successfully extracted the most dominant movement patterns of EGFR. Overall, compared with WT-EGFR, G719D + S768I-EGFR, S768I-EGFR, G719A + S768I-EGFR, G719D-EGFR, and G719C + S768I-EGFR required a smaller number of eigenvectors to reach the same level of cumulative contribution.
The motion pattern of the two EGFRs along the first eigenvector is shown in a glitch diagram (Figure 5). The first eigenvector, having the largest eigenvalue, is considered the largest-amplitude collective motion or the most significant motion pattern. Figure 5 shows that the S768I mutation causes the N-lobe of EGFR to exhibit a more considerable displacement than WT-EGFR. Careful observation revealed that the A-loop and αC-helix of S768I-EGFR had larger collective movement displacements than WT-EGFR. Additionally, the C-terminal loop region of the A-loop of S768I-EGFR showed a hairpin conformational change in movement amplitude. The N-terminal short α-helix conformation of the A-loop also changed significantly, appearing to unwind.

Glitch plots of WT-EGFR (a) and S768I-EGFR (b) made according to the first eigenvector projection. Where the cone is drawn on the Cα atom, its orientation and length ratio represents the motion direction and Cα fluctuation amplitude made by PYMOL.
Moreover, the movement direction of the αC-helix, another crucial structural element related to EGFR activation, was downward and inward, opposite to the outward rotation of αC-helix “out” conformation. The αC-helix tended to develop toward an “in” conformation trend. These conformational change trends of A-loop and αC-helix provide an essential basis for the transition of EGFR from an inactive to an active conformation.
3.4 Free energy spectrum reconstruction
The FEL of WT-EGFR, G719A-EGFR, G719C-EGFR, G719D-EGFR, G719S-EGFR, S768I-EGFR, G719A + S768I-EGFR, G719C + S768I-EGFR, and G719D-EGFR were reconstructed using the first and second eigenvector projections as reaction coordinates (Figure 6). Analysis of the FEL of WT-EGFR and S768I-EGFR shows that the FEL of WT-EGFR on PC1 and PC2 spans −6.9 to 7.8 nm and −8.0 to 6.8 nm, respectively, forming a triangular, regular, and continuous shape. However, the FEL of S768I-EGFR on PC1 and PC2 spans −7.5 to 7.9 nm −9.2 to 9.3 nm, respectively, displaying an irregular and divergent shape. The FEL of S768I-EGFR occupies a larger area than WT-EGFR’s in the conformational subspace formed by the first two eigenvectors. Additionally, the FEL of WT-EGFR contains six free energy wells (free energy value ≤−19 kJ/mol), while that of S768I-EGFR contains eight free energy wells, indicating that S768I-EGFR has more conformational diversity than WT-EGFR.

Free energy spectrum (FEL) of WT-EGFR (a), G719A-EGFR (b), G719C-EGFR (c), G719D-EGFR (d), G719S-EGFR (e), S768I-EGFR (f), G719A + S768I-EGFR (g), G7A9C + S768I-EGFR (h), and G719D-EGFR (i) with the projection of eigenvector 1 and eigenvector 2 as the reaction coordinates, the color bar on the right represents the free energy of FEL energy value (accomplished through the use of a Python script).
Compared with S768I-EGFR, WT-EGFR has two larger free energy wells (≤−21 kJ/mol), implying higher thermal stability. Greater conformational diversity signifies higher conformational freedom or structural variability, allowing S768I-EGFR to sample more conformational states or substrates. However, the increased degree of conformational freedom also leads to decreased thermal and structural stability of S768I-EGFR. Therefore, S768I-EGFR has greater conformational diversity and more complex dynamic behavior than WT-EGFR, with an improved ability to approach the active state.
4 Discussion
Activating wild-type EGFR requires ligand binding, which induces a conformational change promoting receptor homodimerization or heterodimerization with other EGFR family members. This event leads to the autophosphorylation of tyrosine residues in the EGFR tail and the activation of several signaling pathways [26]. These pathways coordinate essential cellular processes, such as cell differentiation, proliferation, and migration. Previous studies have shown that the L858R mutation in EGFR disrupts its inactive form, leading to an equilibrium shift toward the active state. This shift enables the receptor to activate independently of ligand binding [27]. The conformational change from inactive to active state is directly linked to EGFR’s transition. However, the molecular mechanism of how the EGFR S768I and G719X + S768I mutations affect the structure of EGFR and its relation to NSCLC remains unclear. Understanding the molecular basis of the conformational distribution of the S768I and G719X + S768I mutants of EGFR is vital for in-depth research into the molecular mechanisms of mutation-activated NSCLC and related drug development. In this study, we conducted long-term MD simulations of S768I-EGFR, G719X + S768I-EGFR, and WT-EGFR to investigate the structural and kinetic differences between the rare mutants and wild type.
The RMSF analysis results of S768I-EGFR, G719X + S768I-EGFR, and WT-EGFR indicated that S768I-EGFR and G719D + S768I-EGFR had greater global and local conformational flexibility than WT-EGFR, suggesting that the latter had more enthalpy or entropy factors that positively contributed to its structural stability, consistent with previous EGFR structural analyses of L858R and T790M mutations [28]. The study of the local conformational flexibility of the two revealed significantly higher conformational flexibility in the A-loop of S768I-EGFR and G719D + S768I-EGFR. Since the movement ability of the A-loop is critical for the transition of EGFR from an inactive to an active state, the high conformational flexibility of the A-loop would facilitate the transition of EGFR to an active state. The free energy map of S768I-EGFR, G719A + S768I-EGFR, G719C + S768I-EGFR, and G719D-EGFR also demonstrated a more extensive free energy surface and more free energy wells, implying a higher degree of conformational freedom or more complex structural variability, indicating that S768I-EGFR, G719A + S768I-EGFR, G719C + S768I-EGFR, and G719D-EGFR had lower thermal and global structural stability. The greater conformational flexibility, lower thermal stability, and more complex structural diversity of S768I-EGFR, G719A + S768I-EGFR, G719C + S768I-EGFR, and G719D-EGFR improved the ability of EGFR to move toward the active state.
Thus, without ligand induction, S768I-EGFR, G719A + S768I-EGFR, G719C + S768I-EGFR, and G719D-EGFR could reach the active state through a conformational selection mechanism. In contrast, due to its weak conformational flexibility and high conformational rigidity, WT-EGFR must be combined with the ligand to promote further conformational change. Otherwise, it could not reach the active state.
The ED analysis of S768I-EGFR, G719X + S768I-EGFR, and WT-EGFR revealed that S768I-EGFR and G719X + S768I-EGFR have a greater degree of conformational freedom, confirming the previous findings. A comparison of their large-scale collective molecular motions revealed that S768I-EGFR and G719X + S768I-EGFR have more substructures and larger collective displacement amplitudes. These motion direction and amplitude differences lead to distinct conformational changes, particularly in the A-loop and αC-helix of S768I-EGFR and G719D + S768I-EGFR, which tend to transition to the active conformation. The transition of the A-loop and αC-helix between active and inactive states is critical for EGFR regulation, and mutations associated with cancer dysregulate these conformations. The short α-helix of the A-loop interacts with αC-helix autoinhibition to stabilize the “out” conformation of αC-helix, so the conformational change of the short αC-helix will alter its autoinhibitory interaction with αC-helix, promoting the development of αC-helix toward the “in” conformation. Notably, the S768I and G719X + S768I mutations induce more significant molecular movement in the N-terminus, suggesting that the mutation changes the adjacent conformation around the mutant amino acid, leading to differences in overall and local flexibility between S768I-EGFR, G719X + S768I-EGFR, and WT-EGFR [5].
5 Limitations
Limited research has been conducted on G719X + S768I by MD. However, Liu et al. utilized the MD method to investigate. They discovered that the G719C mutation impacted the binding free energy of EGFR mutants to gefitinib compared to the classical mutation [29]. Chakraborty et al. investigated the G719S-T790M double mutation crucial to gefitinib using 50 ns MD simulation and molecular docking techniques. The researchers noted a greater separation between the P-loop and functional loop in the T790M mutation compared to G719S.
Additionally, they found that the G719S mutation brings the ligand closer to the hinge region, while the T790M mutation moves the ligand out of the binding pocket [30]. This may be one of the reasons for the resistance of the T790M mutant to the first and second-generation EGFR-TKIs. According to the findings of this study, the G719C + S768I RSMF exhibited a relatively larger size and greater conformational flexibility when compared to the G719C, as indicated in Table 2. Clinical studies have demonstrated that gefitinib, a first-generation EGFR-TKI, is more effective in treating G719X than G719X + S768I. Conversely, afatinib, a second-generation EGFR-TKI, has better efficacy against G719X + S768I than G719X, but both have poorer effects on S768I [31]. MD simulations suggest that changes in the binding force between the G719C + S768I-EGFR mutant and EGFR-TKIs may explain the varying efficacy observed. Thus, our findings contribute to the knowledge base by shedding light on the dynamic structural changes that may underlie resistance mechanisms. This knowledge is essential for designing next-generation inhibitors and combination therapies to overcome resistance and extend the benefits of targeted treatment for patients.
6 Conclusion and future directions
In conclusion, our study illuminates the dynamic structural characteristics of various EGFR mutants, shedding light on their conformational flexibility and distinct behaviors. Notably, the G719X + S768I mutant, which has been relatively underexplored in MD studies, exhibits remarkable conformational flexibility and structural changes, potentially contributing to its resistance to EGFR-targeted therapies. These findings underscore the importance of precision medicine approaches tailored to specific EGFR mutations. Future research directions should encompass in-depth investigations into the dynamic behaviors of less-studied mutants, developing next-generation inhibitors, and clinical studies to optimize personalized treatment strategies.
Building upon the insights derived from this study, several promising avenues for future research and clinical applications emerge. First and foremost, further investigations are warranted to explore the dynamic behaviors and structural characteristics of EGFR mutants, especially the less-studied G719X + S768I variant, using advanced computational methods and experimental validation. Understanding the distinct conformational landscapes of these mutants can facilitate the development of novel targeted therapies that specifically exploit their structural vulnerabilities. Moreover, the findings hint at the potential for rational drug design targeting the altered binding forces between the mutant EGFR and existing EGFR-TKIs. Future research can delve into developing next-generation inhibitors and combination therapies designed to tackle EGFR resistance mechanisms effectively, ultimately improving patient treatment outcomes. Additionally, clinical studies focusing on the efficacy of tailored treatments based on specific EGFR mutation profiles, as highlighted in our research, can provide valuable insights into personalized medicine approaches for NSCLC patients. Overall, the future directions of this study lie in leveraging these structural insights to advance the understanding of EGFR-related cancers and to develop more precise and effective therapeutic strategies.
Acknowledgements
The authors would like to thank Dr Joseph Elliot at the University of Kansas for her assistance with the English language and grammatical editing of the manuscript.
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Funding information: This study was supported by the Scientific Research Fund of Yunnan Provincial Department of Science and Technology and Kunming Medical University Joint Project 202301AY070001-071, Jun-Ling Wang, 202201AY070001-214, Hong-Wei Li; Scientific Research Fund of Yunnan Provincial Department of Education, 2022J0226, Jun-Ling Wang, 2022J0230, Hong-Wei Li; and advanced prostate cancer diagnosis and treatment technology innovation team of Kunming Medical University, CXTD202216, Ming-Sheng Liu.
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Author contributions: The first draft of the manuscript was written by Jun‑Ling Wang and Ming-Sheng Liu. Jun-Ling Wang and Ming-Sheng Liu contributed equally to this work. All authors contributed to the study conception and design. Bioinformatics analysis were performed by Jun-Ling Wang, Ming-Sheng Liu, Yu-Dong Fu, Qiang-Bo Kan, Chun-Yan Li, Rong Ma, Zhe-Wei Fang, Hong-Xia Liu, Meng-Xian Li, Jia-Ling Lv, Peng Sang, Chao Zhang, and Hong-Wei Li. All authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.
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Conflict of interest: Authors state no conflict of interest.
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Data availability statement: The datasets generated during and/or analyzed during the current study are available from the corresponding author on reasonable request.
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- Exploring the diagnostic markers of essential tremor: A study based on machine learning algorithms
- Evaluation of effects of small-incision approach treatment on proximal tibia fracture by deep learning algorithm-based magnetic resonance imaging
- An online diagnosis method for cancer lesions based on intelligent imaging analysis
- Medical imaging in rheumatoid arthritis: A review on deep learning approach
- Predictive analytics in smart healthcare for child mortality prediction using a machine learning approach
- Utility of neutrophil–lymphocyte ratio and platelet–lymphocyte ratio in predicting acute-on-chronic liver failure survival
- A biomedical decision support system for meta-analysis of bilateral upper-limb training in stroke patients with hemiplegia
- TNF-α and IL-8 levels are positively correlated with hypobaric hypoxic pulmonary hypertension and pulmonary vascular remodeling in rats
- Stochastic gradient descent optimisation for convolutional neural network for medical image segmentation
- Comparison of the prognostic value of four different critical illness scores in patients with sepsis-induced coagulopathy
- Application and teaching of computer molecular simulation embedded technology and artificial intelligence in drug research and development
- Hepatobiliary surgery based on intelligent image segmentation technology
- Value of brain injury-related indicators based on neural network in the diagnosis of neonatal hypoxic-ischemic encephalopathy
- Analysis of early diagnosis methods for asymmetric dementia in brain MR images based on genetic medical technology
- Early diagnosis for the onset of peri-implantitis based on artificial neural network
- Clinical significance of the detection of serum IgG4 and IgG4/IgG ratio in patients with thyroid-associated ophthalmopathy
- Forecast of pain degree of lumbar disc herniation based on back propagation neural network
- SPA-UNet: A liver tumor segmentation network based on fused multi-scale features
- Systematic evaluation of clinical efficacy of CYP1B1 gene polymorphism in EGFR mutant non-small cell lung cancer observed by medical image
- Rehabilitation effect of intelligent rehabilitation training system on hemiplegic limb spasms after stroke
- A novel approach for minimising anti-aliasing effects in EEG data acquisition
- ErbB4 promotes M2 activation of macrophages in idiopathic pulmonary fibrosis
- Clinical role of CYP1B1 gene polymorphism in prediction of postoperative chemotherapy efficacy in NSCLC based on individualized health model
- Lung nodule segmentation via semi-residual multi-resolution neural networks
- Evaluation of brain nerve function in ICU patients with Delirium by deep learning algorithm-based resting state MRI
- A data mining technique for detecting malignant mesothelioma cancer using multiple regression analysis
- Markov model combined with MR diffusion tensor imaging for predicting the onset of Alzheimer’s disease
- Effectiveness of the treatment of depression associated with cancer and neuroimaging changes in depression-related brain regions in patients treated with the mediator-deuterium acupuncture method
- Molecular mechanism of colorectal cancer and screening of molecular markers based on bioinformatics analysis
- Monitoring and evaluation of anesthesia depth status data based on neuroscience
- Exploring the conformational dynamics and thermodynamics of EGFR S768I and G719X + S768I mutations in non-small cell lung cancer: An in silico approaches
- Optimised feature selection-driven convolutional neural network using gray level co-occurrence matrix for detection of cervical cancer
- Incidence of different pressure patterns of spinal cerebellar ataxia and analysis of imaging and genetic diagnosis
- Pathogenic bacteria and treatment resistance in older cardiovascular disease patients with lung infection and risk prediction model
- Adoption value of support vector machine algorithm-based computed tomography imaging in the diagnosis of secondary pulmonary fungal infections in patients with malignant hematological disorders
- From slides to insights: Harnessing deep learning for prognostic survival prediction in human colorectal cancer histology
- Ecology and Environmental Science
- Monitoring of hourly carbon dioxide concentration under different land use types in arid ecosystem
- Comparing the differences of prokaryotic microbial community between pit walls and bottom from Chinese liquor revealed by 16S rRNA gene sequencing
- Effects of cadmium stress on fruits germination and growth of two herbage species
- Bamboo charcoal affects soil properties and bacterial community in tea plantations
- Optimization of biogas potential using kinetic models, response surface methodology, and instrumental evidence for biodegradation of tannery fleshings during anaerobic digestion
- Understory vegetation diversity patterns of Platycladus orientalis and Pinus elliottii communities in Central and Southern China
- Studies on macrofungi diversity and discovery of new species of Abortiporus from Baotianman World Biosphere Reserve
- Food Science
- Effect of berrycactus fruit (Myrtillocactus geometrizans) on glutamate, glutamine, and GABA levels in the frontal cortex of rats fed with a high-fat diet
- Guesstimate of thymoquinone diversity in Nigella sativa L. genotypes and elite varieties collected from Indian states using HPTLC technique
- Analysis of bacterial community structure of Fuzhuan tea with different processing techniques
- Untargeted metabolomics reveals sour jujube kernel benefiting the nutritional value and flavor of Morchella esculenta
- Mycobiota in Slovak wine grapes: A case study from the small Carpathians wine region
- Elemental analysis of Fadogia ancylantha leaves used as a nutraceutical in Mashonaland West Province, Zimbabwe
- Microbiological transglutaminase: Biotechnological application in the food industry
- Influence of solvent-free extraction of fish oil from catfish (Clarias magur) heads using a Taguchi orthogonal array design: A qualitative and quantitative approach
- Chromatographic analysis of the chemical composition and anticancer activities of Curcuma longa extract cultivated in Palestine
- The potential for the use of leghemoglobin and plant ferritin as sources of iron
- Investigating the association between dietary patterns and glycemic control among children and adolescents with T1DM
- Bioengineering and Biotechnology
- Biocompatibility and osteointegration capability of β-TCP manufactured by stereolithography 3D printing: In vitro study
- Clinical characteristics and the prognosis of diabetic foot in Tibet: A single center, retrospective study
- Agriculture
- Biofertilizer and NPSB fertilizer application effects on nodulation and productivity of common bean (Phaseolus vulgaris L.) at Sodo Zuria, Southern Ethiopia
- On correlation between canopy vegetation and growth indexes of maize varieties with different nitrogen efficiencies
- Exopolysaccharides from Pseudomonas tolaasii inhibit the growth of Pleurotus ostreatus mycelia
- A transcriptomic evaluation of the mechanism of programmed cell death of the replaceable bud in Chinese chestnut
- Melatonin enhances salt tolerance in sorghum by modulating photosynthetic performance, osmoregulation, antioxidant defense, and ion homeostasis
- Effects of plant density on alfalfa (Medicago sativa L.) seed yield in western Heilongjiang areas
- Identification of rice leaf diseases and deficiency disorders using a novel DeepBatch technique
- Artificial intelligence and internet of things oriented sustainable precision farming: Towards modern agriculture
- Animal Sciences
- Effect of ketogenic diet on exercise tolerance and transcriptome of gastrocnemius in mice
- Combined analysis of mRNA–miRNA from testis tissue in Tibetan sheep with different FecB genotypes
- Isolation, identification, and drug resistance of a partially isolated bacterium from the gill of Siniperca chuatsi
- Tracking behavioral changes of confined sows from the first mating to the third parity
- The sequencing of the key genes and end products in the TLR4 signaling pathway from the kidney of Rana dybowskii exposed to Aeromonas hydrophila
- Development of a new candidate vaccine against piglet diarrhea caused by Escherichia coli
- Plant Sciences
- Crown and diameter structure of pure Pinus massoniana Lamb. forest in Hunan province, China
- Genetic evaluation and germplasm identification analysis on ITS2, trnL-F, and psbA-trnH of alfalfa varieties germplasm resources
- Tissue culture and rapid propagation technology for Gentiana rhodantha
- Effects of cadmium on the synthesis of active ingredients in Salvia miltiorrhiza
- Cloning and expression analysis of VrNAC13 gene in mung bean
- Chlorate-induced molecular floral transition revealed by transcriptomes
- Effects of warming and drought on growth and development of soybean in Hailun region
- Effects of different light conditions on transient expression and biomass in Nicotiana benthamiana leaves
- Comparative analysis of the rhizosphere microbiome and medicinally active ingredients of Atractylodes lancea from different geographical origins
- Distinguish Dianthus species or varieties based on chloroplast genomes
- Comparative transcriptomes reveal molecular mechanisms of apple blossoms of different tolerance genotypes to chilling injury
- Study on fresh processing key technology and quality influence of Cut Ophiopogonis Radix based on multi-index evaluation
- An advanced approach for fig leaf disease detection and classification: Leveraging image processing and enhanced support vector machine methodology
- Erratum
- Erratum to “Protein Z modulates the metastasis of lung adenocarcinoma cells”
- Erratum to “BRCA1 subcellular localization regulated by PI3K signaling pathway in triple-negative breast cancer MDA-MB-231 cells and hormone-sensitive T47D cells”
- Retraction
- Retraction to “Protocatechuic acid attenuates cerebral aneurysm formation and progression by inhibiting TNF-alpha/Nrf-2/NF-kB-mediated inflammatory mechanisms in experimental rats”
Articles in the same Issue
- Biomedical Sciences
- Systemic investigation of inetetamab in combination with small molecules to treat HER2-overexpressing breast and gastric cancers
- Immunosuppressive treatment for idiopathic membranous nephropathy: An updated network meta-analysis
- Identifying two pathogenic variants in a patient with pigmented paravenous retinochoroidal atrophy
- Effects of phytoestrogens combined with cold stress on sperm parameters and testicular proteomics in rats
- A case of pulmonary embolism with bad warfarin anticoagulant effects caused by E. coli infection
- Neutrophilia with subclinical Cushing’s disease: A case report and literature review
- Isoimperatorin alleviates lipopolysaccharide-induced periodontitis by downregulating ERK1/2 and NF-κB pathways
- Immunoregulation of synovial macrophages for the treatment of osteoarthritis
- Novel CPLANE1 c.8948dupT (p.P2984Tfs*7) variant in a child patient with Joubert syndrome
- Antiphospholipid antibodies and the risk of thrombosis in myeloproliferative neoplasms
- Immunological responses of septic rats to combination therapy with thymosin α1 and vitamin C
- High glucose and high lipid induced mitochondrial dysfunction in JEG-3 cells through oxidative stress
- Pharmacological inhibition of the ubiquitin-specific protease 8 effectively suppresses glioblastoma cell growth
- Levocarnitine regulates the growth of angiotensin II-induced myocardial fibrosis cells via TIMP-1
- Age-related changes in peripheral T-cell subpopulations in elderly individuals: An observational study
- Single-cell transcription analysis reveals the tumor origin and heterogeneity of human bilateral renal clear cell carcinoma
- Identification of iron metabolism-related genes as diagnostic signatures in sepsis by blood transcriptomic analysis
- Long noncoding RNA ACART knockdown decreases 3T3-L1 preadipocyte proliferation and differentiation
- Surgery, adjuvant immunotherapy plus chemotherapy and radiotherapy for primary malignant melanoma of the parotid gland (PGMM): A case report
- Dosimetry comparison with helical tomotherapy, volumetric modulated arc therapy, and intensity-modulated radiotherapy for grade II gliomas: A single‑institution case series
- Soy isoflavone reduces LPS-induced acute lung injury via increasing aquaporin 1 and aquaporin 5 in rats
- Refractory hypokalemia with sexual dysplasia and infertility caused by 17α-hydroxylase deficiency and triple X syndrome: A case report
- Meta-analysis of cancer risk among end stage renal disease undergoing maintenance dialysis
- 6-Phosphogluconate dehydrogenase inhibition arrests growth and induces apoptosis in gastric cancer via AMPK activation and oxidative stress
- Experimental study on the optimization of ANM33 release in foam cells
- Primary retroperitoneal angiosarcoma: A case report
- Metabolomic analysis-identified 2-hydroxybutyric acid might be a key metabolite of severe preeclampsia
- Malignant pleural effusion diagnosis and therapy
- Effect of spaceflight on the phenotype and proteome of Escherichia coli
- Comparison of immunotherapy combined with stereotactic radiotherapy and targeted therapy for patients with brain metastases: A systemic review and meta-analysis
- Activation of hypermethylated P2RY1 mitigates gastric cancer by promoting apoptosis and inhibiting proliferation
- Association between the VEGFR-2 -604T/C polymorphism (rs2071559) and type 2 diabetic retinopathy
- The role of IL-31 and IL-34 in the diagnosis and treatment of chronic periodontitis
- Triple-negative mouse breast cancer initiating cells show high expression of beta1 integrin and increased malignant features
- mNGS facilitates the accurate diagnosis and antibiotic treatment of suspicious critical CNS infection in real practice: A retrospective study
- The apatinib and pemetrexed combination has antitumor and antiangiogenic effects against NSCLC
- Radiotherapy for primary thyroid adenoid cystic carcinoma
- Design and functional preliminary investigation of recombinant antigen EgG1Y162–EgG1Y162 against Echinococcus granulosus
- Effects of losartan in patients with NAFLD: A meta-analysis of randomized controlled trial
- Bibliometric analysis of METTL3: Current perspectives, highlights, and trending topics
- Performance comparison of three scaling algorithms in NMR-based metabolomics analysis
- PI3K/AKT/mTOR pathway and its related molecules participate in PROK1 silence-induced anti-tumor effects on pancreatic cancer
- The altered expression of cytoskeletal and synaptic remodeling proteins during epilepsy
- Effects of pegylated recombinant human granulocyte colony-stimulating factor on lymphocytes and white blood cells of patients with malignant tumor
- Prostatitis as initial manifestation of Chlamydia psittaci pneumonia diagnosed by metagenome next-generation sequencing: A case report
- NUDT21 relieves sevoflurane-induced neurological damage in rats by down-regulating LIMK2
- Association of interleukin-10 rs1800896, rs1800872, and interleukin-6 rs1800795 polymorphisms with squamous cell carcinoma risk: A meta-analysis
- Exosomal HBV-DNA for diagnosis and treatment monitoring of chronic hepatitis B
- Shear stress leads to the dysfunction of endothelial cells through the Cav-1-mediated KLF2/eNOS/ERK signaling pathway under physiological conditions
- Interaction between the PI3K/AKT pathway and mitochondrial autophagy in macrophages and the leukocyte count in rats with LPS-induced pulmonary infection
- Meta-analysis of the rs231775 locus polymorphism in the CTLA-4 gene and the susceptibility to Graves’ disease in children
- Cloning, subcellular localization and expression of phosphate transporter gene HvPT6 of hulless barley
- Coptisine mitigates diabetic nephropathy via repressing the NRLP3 inflammasome
- Significant elevated CXCL14 and decreased IL-39 levels in patients with tuberculosis
- Whole-exome sequencing applications in prenatal diagnosis of fetal bowel dilatation
- Gemella morbillorum infective endocarditis: A case report and literature review
- An unusual ectopic thymoma clonal evolution analysis: A case report
- Severe cumulative skin toxicity during toripalimab combined with vemurafenib following toripalimab alone
- Detection of V. vulnificus septic shock with ARDS using mNGS
- Novel rare genetic variants of familial and sporadic pulmonary atresia identified by whole-exome sequencing
- The influence and mechanistic action of sperm DNA fragmentation index on the outcomes of assisted reproduction technology
- Novel compound heterozygous mutations in TELO2 in an infant with You-Hoover-Fong syndrome: A case report and literature review
- ctDNA as a prognostic biomarker in resectable CLM: Systematic review and meta-analysis
- Diagnosis of primary amoebic meningoencephalitis by metagenomic next-generation sequencing: A case report
- Phylogenetic analysis of promoter regions of human Dolichol kinase (DOLK) and orthologous genes using bioinformatics tools
- Collagen changes in rabbit conjunctiva after conjunctival crosslinking
- Effects of NM23 transfection of human gastric carcinoma cells in mice
- Oral nifedipine and phytosterol, intravenous nicardipine, and oral nifedipine only: Three-arm, retrospective, cohort study for management of severe preeclampsia
- Case report of hepatic retiform hemangioendothelioma: A rare tumor treated with ultrasound-guided microwave ablation
- Curcumin induces apoptosis in human hepatocellular carcinoma cells by decreasing the expression of STAT3/VEGF/HIF-1α signaling
- Rare presentation of double-clonal Waldenström macroglobulinemia with pulmonary embolism: A case report
- Giant duplication of the transverse colon in an adult: A case report and literature review
- Ectopic thyroid tissue in the breast: A case report
- SDR16C5 promotes proliferation and migration and inhibits apoptosis in pancreatic cancer
- Vaginal metastasis from breast cancer: A case report
- Screening of the best time window for MSC transplantation to treat acute myocardial infarction with SDF-1α antibody-loaded targeted ultrasonic microbubbles: An in vivo study in miniswine
- Inhibition of TAZ impairs the migration ability of melanoma cells
- Molecular complexity analysis of the diagnosis of Gitelman syndrome in China
- Effects of maternal calcium and protein intake on the development and bone metabolism of offspring mice
- Identification of winter wheat pests and diseases based on improved convolutional neural network
- Ultra-multiplex PCR technique to guide treatment of Aspergillus-infected aortic valve prostheses
- Virtual high-throughput screening: Potential inhibitors targeting aminopeptidase N (CD13) and PIKfyve for SARS-CoV-2
- Immune checkpoint inhibitors in cancer patients with COVID-19
- Utility of methylene blue mixed with autologous blood in preoperative localization of pulmonary nodules and masses
- Integrated analysis of the microbiome and transcriptome in stomach adenocarcinoma
- Berberine suppressed sarcopenia insulin resistance through SIRT1-mediated mitophagy
- DUSP2 inhibits the progression of lupus nephritis in mice by regulating the STAT3 pathway
- Lung abscess by Fusobacterium nucleatum and Streptococcus spp. co-infection by mNGS: A case series
- Genetic alterations of KRAS and TP53 in intrahepatic cholangiocarcinoma associated with poor prognosis
- Granulomatous polyangiitis involving the fourth ventricle: Report of a rare case and a literature review
- Studying infant mortality: A demographic analysis based on data mining models
- Metaplastic breast carcinoma with osseous differentiation: A report of a rare case and literature review
- Protein Z modulates the metastasis of lung adenocarcinoma cells
- Inhibition of pyroptosis and apoptosis by capsaicin protects against LPS-induced acute kidney injury through TRPV1/UCP2 axis in vitro
- TAK-242, a toll-like receptor 4 antagonist, against brain injury by alleviates autophagy and inflammation in rats
- Primary mediastinum Ewing’s sarcoma with pleural effusion: A case report and literature review
- Association of ADRB2 gene polymorphisms and intestinal microbiota in Chinese Han adolescents
- Tanshinone IIA alleviates chondrocyte apoptosis and extracellular matrix degeneration by inhibiting ferroptosis
- Study on the cytokines related to SARS-Cov-2 in testicular cells and the interaction network between cells based on scRNA-seq data
- Effect of periostin on bone metabolic and autophagy factors during tooth eruption in mice
- HP1 induces ferroptosis of renal tubular epithelial cells through NRF2 pathway in diabetic nephropathy
- Intravaginal estrogen management in postmenopausal patients with vaginal squamous intraepithelial lesions along with CO2 laser ablation: A retrospective study
- Hepatocellular carcinoma cell differentiation trajectory predicts immunotherapy, potential therapeutic drugs, and prognosis of patients
- Effects of physical exercise on biomarkers of oxidative stress in healthy subjects: A meta-analysis of randomized controlled trials
- Identification of lysosome-related genes in connection with prognosis and immune cell infiltration for drug candidates in head and neck cancer
- Development of an instrument-free and low-cost ELISA dot-blot test to detect antibodies against SARS-CoV-2
- Research progress on gas signal molecular therapy for Parkinson’s disease
- Adiponectin inhibits TGF-β1-induced skin fibroblast proliferation and phenotype transformation via the p38 MAPK signaling pathway
- The G protein-coupled receptor-related gene signatures for predicting prognosis and immunotherapy response in bladder urothelial carcinoma
- α-Fetoprotein contributes to the malignant biological properties of AFP-producing gastric cancer
- CXCL12/CXCR4/CXCR7 axis in placenta tissues of patients with placenta previa
- Association between thyroid stimulating hormone levels and papillary thyroid cancer risk: A meta-analysis
- Significance of sTREM-1 and sST2 combined diagnosis for sepsis detection and prognosis prediction
- Diagnostic value of serum neuroactive substances in the acute exacerbation of chronic obstructive pulmonary disease complicated with depression
- Research progress of AMP-activated protein kinase and cardiac aging
- TRIM29 knockdown prevented the colon cancer progression through decreasing the ubiquitination levels of KRT5
- Cross-talk between gut microbiota and liver steatosis: Complications and therapeutic target
- Metastasis from small cell lung cancer to ovary: A case report
- The early diagnosis and pathogenic mechanisms of sepsis-related acute kidney injury
- The effect of NK cell therapy on sepsis secondary to lung cancer: A case report
- Erianin alleviates collagen-induced arthritis in mice by inhibiting Th17 cell differentiation
- Loss of ACOX1 in clear cell renal cell carcinoma and its correlation with clinical features
- Signalling pathways in the osteogenic differentiation of periodontal ligament stem cells
- Crosstalk between lactic acid and immune regulation and its value in the diagnosis and treatment of liver failure
- Clinicopathological features and differential diagnosis of gastric pleomorphic giant cell carcinoma
- Traumatic brain injury and rTMS-ERPs: Case report and literature review
- Extracellular fibrin promotes non-small cell lung cancer progression through integrin β1/PTEN/AKT signaling
- Knockdown of DLK4 inhibits non-small cell lung cancer tumor growth by downregulating CKS2
- The co-expression pattern of VEGFR-2 with indicators related to proliferation, apoptosis, and differentiation of anagen hair follicles
- Inflammation-related signaling pathways in tendinopathy
- CD4+ T cell count in HIV/TB co-infection and co-occurrence with HL: Case report and literature review
- Clinical analysis of severe Chlamydia psittaci pneumonia: Case series study
- Bioinformatics analysis to identify potential biomarkers for the pulmonary artery hypertension associated with the basement membrane
- Influence of MTHFR polymorphism, alone or in combination with smoking and alcohol consumption, on cancer susceptibility
- Catharanthus roseus (L.) G. Don counteracts the ampicillin resistance in multiple antibiotic-resistant Staphylococcus aureus by downregulation of PBP2a synthesis
- Combination of a bronchogenic cyst in the thoracic spinal canal with chronic myelocytic leukemia
- Bacterial lipoprotein plays an important role in the macrophage autophagy and apoptosis induced by Salmonella typhimurium and Staphylococcus aureus
- TCL1A+ B cells predict prognosis in triple-negative breast cancer through integrative analysis of single-cell and bulk transcriptomic data
- Ezrin promotes esophageal squamous cell carcinoma progression via the Hippo signaling pathway
- Ferroptosis: A potential target of macrophages in plaque vulnerability
- Predicting pediatric Crohn's disease based on six mRNA-constructed risk signature using comprehensive bioinformatic approaches
- Applications of genetic code expansion and photosensitive UAAs in studying membrane proteins
- HK2 contributes to the proliferation, migration, and invasion of diffuse large B-cell lymphoma cells by enhancing the ERK1/2 signaling pathway
- IL-17 in osteoarthritis: A narrative review
- Circadian cycle and neuroinflammation
- Probiotic management and inflammatory factors as a novel treatment in cirrhosis: A systematic review and meta-analysis
- Hemorrhagic meningioma with pulmonary metastasis: Case report and literature review
- SPOP regulates the expression profiles and alternative splicing events in human hepatocytes
- Knockdown of SETD5 inhibited glycolysis and tumor growth in gastric cancer cells by down-regulating Akt signaling pathway
- PTX3 promotes IVIG resistance-induced endothelial injury in Kawasaki disease by regulating the NF-κB pathway
- Pancreatic ectopic thyroid tissue: A case report and analysis of literature
- The prognostic impact of body mass index on female breast cancer patients in underdeveloped regions of northern China differs by menopause status and tumor molecular subtype
- Report on a case of liver-originating malignant melanoma of unknown primary
- Case report: Herbal treatment of neutropenic enterocolitis after chemotherapy for breast cancer
- The fibroblast growth factor–Klotho axis at molecular level
- Characterization of amiodarone action on currents in hERG-T618 gain-of-function mutations
- A case report of diagnosis and dynamic monitoring of Listeria monocytogenes meningitis with NGS
- Effect of autologous platelet-rich plasma on new bone formation and viability of a Marburg bone graft
- Small breast epithelial mucin as a useful prognostic marker for breast cancer patients
- Continuous non-adherent culture promotes transdifferentiation of human adipose-derived stem cells into retinal lineage
- Nrf3 alleviates oxidative stress and promotes the survival of colon cancer cells by activating AKT/BCL-2 signal pathway
- Favorable response to surufatinib in a patient with necrolytic migratory erythema: A case report
- Case report of atypical undernutrition of hypoproteinemia type
- Down-regulation of COL1A1 inhibits tumor-associated fibroblast activation and mediates matrix remodeling in the tumor microenvironment of breast cancer
- Sarcoma protein kinase inhibition alleviates liver fibrosis by promoting hepatic stellate cells ferroptosis
- Research progress of serum eosinophil in chronic obstructive pulmonary disease and asthma
- Clinicopathological characteristics of co-existing or mixed colorectal cancer and neuroendocrine tumor: Report of five cases
- Role of menopausal hormone therapy in the prevention of postmenopausal osteoporosis
- Precisional detection of lymph node metastasis using tFCM in colorectal cancer
- Advances in diagnosis and treatment of perimenopausal syndrome
- A study of forensic genetics: ITO index distribution and kinship judgment between two individuals
- Acute lupus pneumonitis resembling miliary tuberculosis: A case-based review
- Plasma levels of CD36 and glutathione as biomarkers for ruptured intracranial aneurysm
- Fractalkine modulates pulmonary angiogenesis and tube formation by modulating CX3CR1 and growth factors in PVECs
- Novel risk prediction models for deep vein thrombosis after thoracotomy and thoracoscopic lung cancer resections, involving coagulation and immune function
- Exploring the diagnostic markers of essential tremor: A study based on machine learning algorithms
- Evaluation of effects of small-incision approach treatment on proximal tibia fracture by deep learning algorithm-based magnetic resonance imaging
- An online diagnosis method for cancer lesions based on intelligent imaging analysis
- Medical imaging in rheumatoid arthritis: A review on deep learning approach
- Predictive analytics in smart healthcare for child mortality prediction using a machine learning approach
- Utility of neutrophil–lymphocyte ratio and platelet–lymphocyte ratio in predicting acute-on-chronic liver failure survival
- A biomedical decision support system for meta-analysis of bilateral upper-limb training in stroke patients with hemiplegia
- TNF-α and IL-8 levels are positively correlated with hypobaric hypoxic pulmonary hypertension and pulmonary vascular remodeling in rats
- Stochastic gradient descent optimisation for convolutional neural network for medical image segmentation
- Comparison of the prognostic value of four different critical illness scores in patients with sepsis-induced coagulopathy
- Application and teaching of computer molecular simulation embedded technology and artificial intelligence in drug research and development
- Hepatobiliary surgery based on intelligent image segmentation technology
- Value of brain injury-related indicators based on neural network in the diagnosis of neonatal hypoxic-ischemic encephalopathy
- Analysis of early diagnosis methods for asymmetric dementia in brain MR images based on genetic medical technology
- Early diagnosis for the onset of peri-implantitis based on artificial neural network
- Clinical significance of the detection of serum IgG4 and IgG4/IgG ratio in patients with thyroid-associated ophthalmopathy
- Forecast of pain degree of lumbar disc herniation based on back propagation neural network
- SPA-UNet: A liver tumor segmentation network based on fused multi-scale features
- Systematic evaluation of clinical efficacy of CYP1B1 gene polymorphism in EGFR mutant non-small cell lung cancer observed by medical image
- Rehabilitation effect of intelligent rehabilitation training system on hemiplegic limb spasms after stroke
- A novel approach for minimising anti-aliasing effects in EEG data acquisition
- ErbB4 promotes M2 activation of macrophages in idiopathic pulmonary fibrosis
- Clinical role of CYP1B1 gene polymorphism in prediction of postoperative chemotherapy efficacy in NSCLC based on individualized health model
- Lung nodule segmentation via semi-residual multi-resolution neural networks
- Evaluation of brain nerve function in ICU patients with Delirium by deep learning algorithm-based resting state MRI
- A data mining technique for detecting malignant mesothelioma cancer using multiple regression analysis
- Markov model combined with MR diffusion tensor imaging for predicting the onset of Alzheimer’s disease
- Effectiveness of the treatment of depression associated with cancer and neuroimaging changes in depression-related brain regions in patients treated with the mediator-deuterium acupuncture method
- Molecular mechanism of colorectal cancer and screening of molecular markers based on bioinformatics analysis
- Monitoring and evaluation of anesthesia depth status data based on neuroscience
- Exploring the conformational dynamics and thermodynamics of EGFR S768I and G719X + S768I mutations in non-small cell lung cancer: An in silico approaches
- Optimised feature selection-driven convolutional neural network using gray level co-occurrence matrix for detection of cervical cancer
- Incidence of different pressure patterns of spinal cerebellar ataxia and analysis of imaging and genetic diagnosis
- Pathogenic bacteria and treatment resistance in older cardiovascular disease patients with lung infection and risk prediction model
- Adoption value of support vector machine algorithm-based computed tomography imaging in the diagnosis of secondary pulmonary fungal infections in patients with malignant hematological disorders
- From slides to insights: Harnessing deep learning for prognostic survival prediction in human colorectal cancer histology
- Ecology and Environmental Science
- Monitoring of hourly carbon dioxide concentration under different land use types in arid ecosystem
- Comparing the differences of prokaryotic microbial community between pit walls and bottom from Chinese liquor revealed by 16S rRNA gene sequencing
- Effects of cadmium stress on fruits germination and growth of two herbage species
- Bamboo charcoal affects soil properties and bacterial community in tea plantations
- Optimization of biogas potential using kinetic models, response surface methodology, and instrumental evidence for biodegradation of tannery fleshings during anaerobic digestion
- Understory vegetation diversity patterns of Platycladus orientalis and Pinus elliottii communities in Central and Southern China
- Studies on macrofungi diversity and discovery of new species of Abortiporus from Baotianman World Biosphere Reserve
- Food Science
- Effect of berrycactus fruit (Myrtillocactus geometrizans) on glutamate, glutamine, and GABA levels in the frontal cortex of rats fed with a high-fat diet
- Guesstimate of thymoquinone diversity in Nigella sativa L. genotypes and elite varieties collected from Indian states using HPTLC technique
- Analysis of bacterial community structure of Fuzhuan tea with different processing techniques
- Untargeted metabolomics reveals sour jujube kernel benefiting the nutritional value and flavor of Morchella esculenta
- Mycobiota in Slovak wine grapes: A case study from the small Carpathians wine region
- Elemental analysis of Fadogia ancylantha leaves used as a nutraceutical in Mashonaland West Province, Zimbabwe
- Microbiological transglutaminase: Biotechnological application in the food industry
- Influence of solvent-free extraction of fish oil from catfish (Clarias magur) heads using a Taguchi orthogonal array design: A qualitative and quantitative approach
- Chromatographic analysis of the chemical composition and anticancer activities of Curcuma longa extract cultivated in Palestine
- The potential for the use of leghemoglobin and plant ferritin as sources of iron
- Investigating the association between dietary patterns and glycemic control among children and adolescents with T1DM
- Bioengineering and Biotechnology
- Biocompatibility and osteointegration capability of β-TCP manufactured by stereolithography 3D printing: In vitro study
- Clinical characteristics and the prognosis of diabetic foot in Tibet: A single center, retrospective study
- Agriculture
- Biofertilizer and NPSB fertilizer application effects on nodulation and productivity of common bean (Phaseolus vulgaris L.) at Sodo Zuria, Southern Ethiopia
- On correlation between canopy vegetation and growth indexes of maize varieties with different nitrogen efficiencies
- Exopolysaccharides from Pseudomonas tolaasii inhibit the growth of Pleurotus ostreatus mycelia
- A transcriptomic evaluation of the mechanism of programmed cell death of the replaceable bud in Chinese chestnut
- Melatonin enhances salt tolerance in sorghum by modulating photosynthetic performance, osmoregulation, antioxidant defense, and ion homeostasis
- Effects of plant density on alfalfa (Medicago sativa L.) seed yield in western Heilongjiang areas
- Identification of rice leaf diseases and deficiency disorders using a novel DeepBatch technique
- Artificial intelligence and internet of things oriented sustainable precision farming: Towards modern agriculture
- Animal Sciences
- Effect of ketogenic diet on exercise tolerance and transcriptome of gastrocnemius in mice
- Combined analysis of mRNA–miRNA from testis tissue in Tibetan sheep with different FecB genotypes
- Isolation, identification, and drug resistance of a partially isolated bacterium from the gill of Siniperca chuatsi
- Tracking behavioral changes of confined sows from the first mating to the third parity
- The sequencing of the key genes and end products in the TLR4 signaling pathway from the kidney of Rana dybowskii exposed to Aeromonas hydrophila
- Development of a new candidate vaccine against piglet diarrhea caused by Escherichia coli
- Plant Sciences
- Crown and diameter structure of pure Pinus massoniana Lamb. forest in Hunan province, China
- Genetic evaluation and germplasm identification analysis on ITS2, trnL-F, and psbA-trnH of alfalfa varieties germplasm resources
- Tissue culture and rapid propagation technology for Gentiana rhodantha
- Effects of cadmium on the synthesis of active ingredients in Salvia miltiorrhiza
- Cloning and expression analysis of VrNAC13 gene in mung bean
- Chlorate-induced molecular floral transition revealed by transcriptomes
- Effects of warming and drought on growth and development of soybean in Hailun region
- Effects of different light conditions on transient expression and biomass in Nicotiana benthamiana leaves
- Comparative analysis of the rhizosphere microbiome and medicinally active ingredients of Atractylodes lancea from different geographical origins
- Distinguish Dianthus species or varieties based on chloroplast genomes
- Comparative transcriptomes reveal molecular mechanisms of apple blossoms of different tolerance genotypes to chilling injury
- Study on fresh processing key technology and quality influence of Cut Ophiopogonis Radix based on multi-index evaluation
- An advanced approach for fig leaf disease detection and classification: Leveraging image processing and enhanced support vector machine methodology
- Erratum
- Erratum to “Protein Z modulates the metastasis of lung adenocarcinoma cells”
- Erratum to “BRCA1 subcellular localization regulated by PI3K signaling pathway in triple-negative breast cancer MDA-MB-231 cells and hormone-sensitive T47D cells”
- Retraction
- Retraction to “Protocatechuic acid attenuates cerebral aneurysm formation and progression by inhibiting TNF-alpha/Nrf-2/NF-kB-mediated inflammatory mechanisms in experimental rats”