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Combinatorial Chemistry & High Throughput Screening, 2013, 16, 57-72 57

ANN-QSAR Model for Virtual Screening of Androstenedione C-Skeleton


Containing Phytomolecules and Analogues for Cytotoxic Activity Against
Human Breast Cancer Cell Line MCF-7
Om Prakash1, Feroz Khan*,1, Rajender Singh Sangwan1 and Laxminarain Misra2

1
Department of Metabolic and Structural Biology, CSIR-Central Institute of Medicinal & Aromatic Plants, Lucknow-
226015, India
2
Department of Phytochemistry, CSIR-Central Institute of Medicinal & Aromatic Plants, Lucknow-226015, India

Abstract: The present study deals with the development of an artificial neural network based quantitative structure
activity relationship (QSAR) model for virtual screening of active compounds which contain androstenedione carbon-
skeleton or their similar skeleton at the core. An empirical data modeling (with fitted data mapping) has been performed
on the basis of bioassay record for human breast cancer cell line MCF7. The whole experimental data set was considered
as test set. Standard feed-forward back-propagation neural network technique was applied to build the model. Leave-One-
Out (LOO) cross-validation was performed to evaluate the performance of the model. The mapped model became the
basis for selection best mapped compounds followed by development of Pharmacophore specific secondary QSAR model.
In the present study, two best mapped molecules ‘4beta-hydroxy Withanolide-E’ and ‘7, 8-Dehydrocalotropin’ were used
for development of the secondary QSAR model. These secondary-QSAR models were resulted with R2LOOCV value 0.9845
and 0.9666 respectively. Docking studies, in silico phamacokinetic and toxicity analysis was also done for selected
compounds. The screened compounds CID_73621, CID_16757497, CID_301751, CID_390666 and CID_46830222 were
found with promising binding affinity value with aromatase with reference to the co-crystallized control compound
androstenedione. Due to excellent extent of variance coverage in ANN based QSAR map model, it can be used as a robust
non-linear QSAR model for androstenedione carbon-skeleton containing molecules and the protocol can be used to derive
secondary QSAR models for other compounds set.
Keywords: Androstenedione, ANN, MCF-7, QSAR, withanolide.

INTRODUCTION 18
12 O
Androstenedione Fig. (1) bound with androgen receptor CH3

has been crystallized and proved to be cytotoxic for human 11


19 13 17
breast cancer cell line MCF-7. Androgen has also found to 16
1 CH3 9 H 14
be involved in the anti-breast-cancer activities at the
2
hormonal level control mechanism. Androstenedione acts as 10 8 15
competitive inhibitor, thus leading to anti-cancer activities. 5 H H
Chemotherapy is usually limited by the presence of 3
7
multidrug resistance (MDR). MDR is the cross-resistance of HO 4 6
tumor cell lines to several structurally and functionally H

unrelated chemotherapeutic agents after exposure to a single Fig. (1). Androstenedione skeleton (co-crystallized with
cytotoxic drug [1, 2]. Therefore, it becomes necessary to Aromatase).
identify a new generation of anti-MDR taxoids. Fast
Accurate models of QSAR are critical for any rational
identification of new cytotoxic agents is only possible
molecular design and for understanding the structuring of
through in-silico means. In-silico means involve virtual
molecular information. The data analysis techniques which
screening through QSAR models. QSAR model is the
can be applied at this level to find such relationships are the
function of a set of independent molecular descriptors.
multiple linear regressions (MLRs), partial least square
Molecular descriptors encode the most useful
(PLS), and methods based on machine learning approaches
physicochemical information on structural features that is
as artificial neural network (ANN), support vector machine
relative to the activities to be modeled. 2D & 3D descriptors
(SVM) and hidden markov model (HMM) etc. The artificial
are widely used in QSAR modeling, including recent cancer-
neural network (ANN), used as a modeling technique, has
related research [3, 4]. The large amount of descriptors
recently become a popular and powerful chemometric tool
represents the structural characteristics of molecules.
[5-7]. Compared with classical statistical methods, ANN-
based approaches do not require preliminary knowledge of
the mathematical form of the relationship between the
*Address correspondence to this author at the Department of Metabolic and variables [8], which make the ANN suitable for
Structural Biology, CSIR-Central Institute of Medicinal & Aromatic Plants, extrapolating the complex and unsure relationships between
Lucknow-226015, India; Tel: 0522-2718668; E-mail: f.khan@cimap.res.in

1875-5402/13 $58.00+.00 © 2013 Bentham Science Publishers


58 Combinatorial Chemistry & High Throughput Screening, 2013, Vol. 16, No. 1 Prakash et al.

the biological phenomenon and the structure of the core of Withanolides. Withanolide is a class of phytosteroid
compounds. ANNs is one of the best methods which named after W. somnifera. Withanolides, chemical
establish the relationship among the non-linear features. nomenclature as 22-hydroxy ergostane-26-oic acid 26, 22--
ANN consists of formal neurons or nodes and connections lactones are C28-steroidal lactones based on an intact or
(weights) among them. In ANN architecture, the neurons are rearranged ergostane frame through appropriate oxidations at
arranged in layers (input, hidden and output), and C-22 and C-26 to form a -lactones ring. Aromatase is
unidirectional connections. The adjacent layers are fully reported for tumourogenesis mechanism in MCF-7 cell line.
connected but no connections exist between the neurons
QSAR analysis can be explained in two basic steps, first
within the same layer. The architecture computes a
is the development of highly predictive model and second
numerical output value for a given numerical input vector. A
mechanisms related to specific properties of chemicals used
formal neuron sums up incoming signals multiplied by the in model development. The explanation of the mechanism
connection weights, subtracts a threshold value (or bias) and
involvement for chemical properties (descriptors) depends
calculates an output signal by using a transfer function. A
on model development. The descriptors strongly depend on
neuron may differ in the transfer function. Input neurons
selection of molecule in the training set. Alternatively, the
simply distribute data to the hidden layer neurons without
consensus ranking protocol has also been proposed for
any further computation. Hidden layer neurons typically
descriptor selection [13]. Virtual screening is a tool to search
have a sigmoid transfer function: out the novel drug like compounds. A wide spectrum of
tf = 1 (1) methodology protocols is available for screening of lead
(1 + einput ) compounds. The number of methods and software targeting
the virtual screening is increasing day by day. However, the
That limits the neuron's output signal with values expert understanding on the implacability of methodology is
between 0 and 1. The output layer neurons usually have not evolving as fast as the development of methodology.
sigmoidal or linear transfer functions, depending on the Considering the diversity of targets for lead action, it is
application. The whole network represents a non-linear necessary to develop QSAR models in a structured way by
relationship which can be written for each output as: understanding the experimental and the real applicability of
   the lead compounds. Therefore, it is extremely important to

y =
(x) =  tf   xi wih  i  wh   k (2) develop robust protocols for development of specific models
h  i  [14]. In vitro effects of an in silico-modelled 17-estradiol
derivative in combination with dichloroacetic acid has
where wih is the connection weight between the input node i
reported two novel derivatives acting against MCF-7 cell
with the hidden node h and wh are the connection weight
line of human breast cancer [15]. Non-linear QSAR model is
between each hidden node h with the final output considered,
the relationship between ‘a series of diversified patterns
y.i and h are the biases corresponding to the input and
developed from an empirical compounds’ and their
hidden layers. The difference between y and y is the target
respective bioactivity value in a high dimensional vector
error, which is subsequently back-propagated to modify the space [16]. The pattern of core pharmacophore derivatives
weights in order to attain the best fit [9].
can be accessed from the pharmacophore consensus. These
Extensive research has been conducted to better patterns will be unique for specific human target/cancer cell
understand the various aspects of screening out the lead line. The best mapped compound can be considered as the
molecules with anti-cancer activities. Until now, several consisting the basic pharmacophore pattern. Now the SAR
targets/cell lines specific in-silico models have been model on the basis of best mapped compound will be
developed to virtually screen out the various considered as the best model for SAR.
derivatives/analogues of the known potential lead molecule.
In the present work an ANN-map-Model for
When we deal with screening of cell line specific lead
androstenedione skeleton containing lead molecules has been
molecules, it becomes necessary to identify those molecular
proposed for prediction of logGI50 value for screening of
patterns which are concerned with the viability of that
their derivatives and analogues against human breast cancer
particular cell line. In case of MCF-7 cell line, the cell line MCF-7.
participation of androstenedione against androgen receptor
has been proved experimentally. Therefore, it becomes
logical that the molecules with a similar molecular descriptor EXPERIMENTAL
pattern can act as potential anti-cancerous lead molecule. Dataset: Bioassay record (NCBI Assay ID: 83) for
Pharmacophore models show a better ability to select active inhibition of human breast cancer cell line (MCF7) with
ligands [10]. Pharmacophore analysis of consensus models compounds containing androstenedione similar skeleton was
provides a comprehensive and efficient approach for extracted. Only 37 compounds with their molar
structure activity relationship study [11]. Pharmacophore concentration of growth inhibitory concentration (logGI50)
consensus provides a basic pattern, which should be were selected to map the pharmacophore. The crystal
available in the core of the structures being used for structure (PDBID: 3EQM) of Aromatase bounded
development of any Structure-Activity Relationship (SAR) androstenedione was collected from Protein Data Bank.
model. Experimentally known pharmacophore can be
considered as an efficient base for mapping and selection of Descriptor generation: We used the PaDEL descriptor
new pharmacophore(s) for QSAR model development [12]. software (National University of Singapore) to calculate
molecular structure descriptors, which contain CDK-library
The basic skeleton of ergostane or androstenedione exist to calculate descriptors [17]. In total, 404 standard
in crystallised protein Aromatase (PDBID: 3EQM), which is
ANN-QSAR Model for Virtual Screening of Androstenedione Combinatorial Chemistry & High Throughput Screening, 2013, Vol. 16, No. 1 59

descriptors were calculated to include in 2D & 3D model. The secondary QSAR models were developed on the
descriptors of 45 classes, which can sufficiently represent the basis of compounds containing the 95% fragments similarity
structural characters of molecules. with the best mapped compounds. The selected compounds
were further screened by docking studies (using AutoDock
Feature reduction: Initially 404 descriptors were
calculated for all compounds. Since, not all of the 404 4.2) with aromatase receptor [21].
descriptors contribute to the bioactivity; some measures were Virtual screening by in-silico bioactivity & toxicity
taken to eliminate the noise (uninformative descriptors): predictions: Absorption, Distribution, Metabolism,
eliminating the descriptors with constant values and more Excretion and Toxicity (ADMET) evaluation was done by
than 90% zero values because they offered little Molinspiration & T.E.S.T softwares [22-25]. Bioactivity
discriminating information for the development of the prediction and toxicity testing were performed in support of
model. After this procedure, while selecting the best subset screening results of the model. The Pharmacokinetic
of chemical descriptors, highly correlated descriptors were parameter screen shows the prioritization of predicted active
excluded by using the correlation matrix approach. compounds screened out through the developed QSAR
Correlation matrix based feature reduction was used to model, so that to assist the Chemist while planning the
reduce the variable space and the chance of correlation chemical synthesis. These analyses will also be a good
between the descriptors, has been done. Removal of reference for prioritizing the compounds for in vitro or in
correlated descriptors removes the noise from the data. vivo experiments.
Data mapping: The molecular properties and their
respective bioactivity values have been fitted into the RESULTS & DISCUSSION
polynomial equational map. A series data generated from the Compound Selection
equations has been used as input and output value for
analysis in the back propagation neural network (BPNN) As a cytochrome P450, aromatase utilizes electrons from
model. Here point of attention is that, no any sample point NADPH-cytochrome P450 reductase (CPR) to produce
has been directly used in ANN based QSAR-map- model. estrogen from androgen. That’s why aromatase inhibitors
block estrogen synthesis and are widely used for treatment of
ANN-map-model: In order to build reliable and
estrogen-dependent breast cancer. The binding features differ
predictive QSAR models, we adopted the ANN technique, for steroidal and non-steroidal inhibitors. Steroidal inhibitors
which has been proven to have outstanding non-linear
as exemestane and ardrostenedione have been proved active
approximation ability [6, 7, 18]. A typical ANN consists of
against aromatase [26]. Signaling pathways that regulate the
an input layer, a hidden layer, and an output layer. In the
expression and enzyme activity of aromatase in stromal and
ANN, signals are propagated from the input neurons through
epithelial breast cells has been studied with human breast
the hidden layer to the output neuron, and then the error is
cell lines MCF-10F, MCF-7 and MDA-MB-231 for
calculated and back propagated to iteratively adjust weights identifying novel targets for regulation. A record of bioassay
and biases in order to minimize the error in prediction; this is
was found for a diverse compound set tested against MCF-7
the most distinct character of typical back propagation (BP)
and is available at NCBI-PubChem bioassay database AID:
algorithm. The ANN program used was the neural network
83. androstenedione skeleton, which is present in the core of
software package of MATLAB v2012 developed by the
aromatase binding. The carbon-skeleton of ardrostenedione
MathWorks, USA (http://www.mathworks.com/). Some
matches with the core part of Withanolides. 4beta-hydroxy
fully connected 3-layer BP neural networks with sigmoid Withanolide-E has found active against MCF-7. By
transfer function were constructed. The number of neurons
considering the above information, ergostane skeleton
in the input layer equaled the number of selected descriptors.
containing 37 compounds were selected for development of
Before the net training, all of the input and output values
ANN-map-Model against human breast cancer cell line
were normalized to between 0.1 and 0.9, and the outputs
MCF-7.
were transferred back to the same units as the original
outputs for comparison purpose. The Levenberg–Marquardt
algorithm was adopted to optimize weight and biases Descriptor Selection
because it was significantly faster than other algorithms Feature / descriptors are the basic requirement for
based on gradient descent [19]. The four descriptors and development of any model. Here molecular properties have
their respective bioactivity have been mapped in the form of been taken as a feature vector, which provide pattern in high
equation [20]. The equation derived training sets were used dimension feature space for mapping of consensus
to determine the architecture of the ANN model, and the diversification of active compounds androstenedione
experimental datasets as well as independent external testing skeleton against MCF-7. 404 molecular descriptors (two &
set was used to evaluate the predictive ability of the models. three dimensional) were calculated for observational data
Evaluation of ANN-map-Model: The following compounds. Such a huge descriptor set has high redundancy
parameters were calculated to evaluate the performance of as well as noise in the dataset. To select the independent set
the ANN and the predictive ability of the model: of features, descriptor selection procedure has been
performed. The descriptor selection has done on the basis of
1. R2 for training data correlation matrix analysis, where descriptors with higher
2. R2 for Leave One Out (LOO) cross validation correlation coefficient were removed from the data set.
Second filter step up include selection of those descriptors
Secondary QSAR model and docking studies: The best which have correlation coefficient >0.5 (positively or
mapped compounds have been selected through ANN-map-
negatively) with bioactivity vector of available datasets. As a
60 Combinatorial Chemistry & High Throughput Screening, 2013, Vol. 16, No. 1 Prakash et al.

result only four descriptors came into existence for further 1. Input layer: 04
processing. The descriptors used are: nAtomP (Largest Pi
2. Hidden layer: 03
system), Weta2.unity (WHIM), BCUTp-1l (BCUT
topological descriptor) and WTPT-2 (weighted path). The 3. Output layer: 01
detail description about descriptors are available at the 4. Max Epochs (Back-propagation): 1000
PaDEL descriptors site [17]. The selected descriptors define
the cytotoxic activity of androstenedione carbon-skeleton 5. Momentum: 0.2
containing compounds against the MCF7 cell line. 6. Learning rate: 0.3
Correlation coefficient based descriptor selection is a core
part of principal component analysis (PCA) based descriptor 7. Initial weight range: (-0.5) to (+0.5)
selection, where independent principal component is being 8. Data normalization: 0.1-0.9
arranged in order of decreasing variance. Besides, genetic
algorithm (GA) was also used in descriptor selection which The developed ANN-map-Model has been evaluated on
were used later to help in improving the back-propagation two bases (Table 1):
training algorithm [27]. 1. Prediction for equational map data: R2 value
0.999172
ANN-Map-Model Development 2. Cross validation by LOO method: R2LOOCV 0.998456
Random availability of experimental data is a hurdle for
development of a robust simulation model. So it becomes External Validation of Model
necessary to fit the data in an equational map, which will
provide a good degree of data distribution. Here all four The literature based external validation of ANN-map-
Model has been done with two ergostane derivatives 2-
descriptors and bioactivity vectors have been converted into
methoxyestradiol and 17beta-estradiol derivative, which has
five degree polynomial equational map to achieve a good
been found active against human breast cancer cell line
data distribution (equations 3-7). Application of equational
MCF-7. The wet lab experiment was performed to
mapping has also done for development of the ANN model
investigate the anti-proliferative properties of in silico
for prediction of in-vitro culture parameters [20].
modelled 17-oestradiol derivative (C9), in combination
with dichloroacetic acid (DCA), on MCF-7 and MCF-12A
Equations for Fitted Data Map cells. The derivatives were found selective towards
logGI50 = (6.9421e-007)*x^5 + (-8.0997e-005)*x^4 + tumourigenic cell and it was concluded to be used as
(0.0034333)*x^3 + (-0.063835)*x^2 + (0.55809)*x + chemotherapeutic agent for further cancer cell lines [14].
(-9.5425); (3) Predictions have been made for 2-methoxyestradiol
(Predicted activity (nlogGI50): -6.31 M) and 17beta
nAtomP = (9.1691e-007)*x^5 + (-4.5264e-005)*x^4 + derivative (Predicted activity (nlogGI50): -7.89 M), both
(4.1314e-006)*x^3 + (0.017173)*x^2 + (-0.11373)*x + compounds were found active, which validates the efficiency
(5.6606); (4) of the model.
Weta2.unit = (7.1015e-008)*x^5 + (-5.7449e-006)*x^4 +
(0.00015518)*x^3 + (-0.0015897)*x^2 + (0.0031797)*x + Selection of Best Mapped Compound
(0.48224); (5)
Selection of best mapped compound available in
BCUTp-1l = (-1.7124e-007)*x^5 + (1.4483e-005)*x^4 + empirical data is on the basis of their bioactivity predicted
(-0.00045411)*x^3 + (0.0069282)*x^2 + (-0.044735)*x + value. A ‘map value’ (mv) has been derived on the basis of
(4.2583); (6) difference of empirical and predicted value. It was assumed
WTPT-2 = (-2.0598e-008)*x^5 + (2.2551e-006)*x^4 + that the compounds with ‘mv’ >=2.0 will be considered as
(-8.5248e-005)*x^3 + (0.0013186)*x^2 + (-0.0081033)*x + well mapped.
(2.0762); (7) Mapping value (mv) = nlog (1/ abs(e – p))
where, ‘x’ is a sequence number ranging from ‘1’ to ‘N’. ‘N’ where ‘e’ is ‘Empirical_value’ and ‘p’ is ‘Predicted_value’
is the number of observations, worker want to put in the
training data. Mapping value >= 2.0 is taken as the threshold for selecting
significant mapping
Map based ANN model does not involve a single set of
empirical data in the training set. This totally depends on the The result was drawn that the ANN-map-Model will
patterns available in molecular descriptors data distribution work best for ‘4beta-hydroxy Withanolide-E’ and ‘7, 8-
on the available compound set. Map based model contains Dehydrocalotropin’ or ‘ergostane’ skeleton having
the global information about the diversification of consensus derivatives and analogs. As a result two compounds have
of molecular properties for available datasets. ANN-map- been found well mapped. The compounds are:
Model has been implemented on standard feed-forward The best mapped compounds can be used as parent
back-propagation neural network by following architecture compound for the development of secondary QSAR
with sigmoid function ‘logsig’ at hidden and output layer model(s) (Fig. 2).
and ‘purelin’ at the input layer:
ANN-QSAR Model for Virtual Screening of Androstenedione Combinatorial Chemistry & High Throughput Screening, 2013, Vol. 16, No. 1 61

Table 1. Predicted Bioactivity (logGI50M) Against Empirical Data

Empirical Predicted Absolute


S. No.
nlogGI50M nlogGI50M Residual

O O

CH3
H3C
1 O -9.119 -8.68635 0.43265
CH3
HO OH
OH
H3C O O

HO

O O

O CH3
O CH3
OH
HO CH3
2 -8.75 -9.33685 0.58685

CH3

O O

CH3
H3C
3 O -8.112 -8.85327 0.74127
CH3
HO OH
OH
H3C O O

CH3
CH3
O O
O O
O O

CH3
4 CH3 -8.02 -6.95354 1.06646
O
CH3

O O

CH3
H3C
5 O -8 -9.13202 1.13202
CH3
HO
OH
H3C O O

O O

CH3
OH CH3 OH
6 CH3 -7.886 -6.58109 1.30491
HO O HO O
O
OH
O O
HO O O H3C O O
CH3
HO O CH3
62 Combinatorial Chemistry & High Throughput Screening, 2013, Vol. 16, No. 1 Prakash et al.

(Table 1) contd…..

Empirical Predicted Absolute


S. No.
nlogGI50M nlogGI50M Residual

O
O

CH3
7 -7.823 -9.38762 1.56462
CH3

OH
HO

O O

CH3
HO
8
CH3 HOHO -7.788 -7.68113 0.10687
HO
O
OH
HO O
OH
OH
O
O

CH3
9 -7.785 -9.05166 1.26666
CH3 O
O CH3
OH O
H3C O

O OH

H3C
O

10 -7.725 -7.73458 0.00958


O O
O
O
HO
HO CH3

O O

CH3
O
HO
11 -7.624 -7.71224 0.08824
OH
O
O
O

HO CH3

O
OH O
HO OH
CH3
12 HO -7.602 -7.16195 0.44005
O O
CH3
HO OH
OH
H3C O O
ANN-QSAR Model for Virtual Screening of Androstenedione Combinatorial Chemistry & High Throughput Screening, 2013, Vol. 16, No. 1 63

(Table 1) contd…..

Empirical Predicted Absolute


S. No.
nlogGI50M nlogGI50M Residual

O
O

CH3
13 -7.523 -9.10941 1.58641
OH
CH3
HO OH
OH
H3C O O

O OH

H3C
O

14 -7.475 -6.14317 1.33183


O O
O
O
HO
HO CH3

O
O

CH3

15 CH3 -7.426 -7.57763 0.15163


OH
OH
HO
O O

CH3

O
O

CH3
16 OH CH3 -7.426 -9.20606 1.78006
O
HO O
O
OH
O
HO HO O
OH
OH
HO

O O

CH3
OH OH
17 CH3 -7.384 -6.97196 0.41204
HO HO O
OH
O
H3C O O H3C O O
CH3

O
O

CH3
18 -7.301 -9.38977 2.08877
O

OH
HO
64 Combinatorial Chemistry & High Throughput Screening, 2013, Vol. 16, No. 1 Prakash et al.

(Table 1) contd…..

Empirical Predicted Absolute


S. No.
nlogGI50M nlogGI50M Residual

OH O O
HO
OH OH
CH3
O
HO CH3 CH3
19 CH3 -7.292 -7.3969 0.1049
O HO O
O O
OH
O
O O HO O
CH3
O CH3

O O

CH3
OH CH3 O
HO O
O
OH
20 O -7.263 -6.65382 0.60918
HO O O
OH
CH3
O
HO
O

HO
OH OH

OH
OH
O CH3
O
O H3C
21 O -7.258 -7.2083 0.0497
H3C
OH
O
O
O

CH3
22 -7.112 -8.63552 1.52352
O OH

OH

OH

O O

CH3
H3C
23 O -6.796 -7.6739 0.8779
CH3 O
HO OH CH3
OH O
H3C O O

O CH3
H3C
HO CH3
24 OH -6.73 -6.72924 0.00076
OH
O CH3
HO
CH3
O
ANN-QSAR Model for Virtual Screening of Androstenedione Combinatorial Chemistry & High Throughput Screening, 2013, Vol. 16, No. 1 65

(Table 1) contd…..

Empirical Predicted Absolute


S. No.
nlogGI50M nlogGI50M Residual

H3C
O OH
OH
O
O
OH
O
H 3C
CH3
H3C CH3
H 3C
CH
25 CH3 3 -6.726 -6.49035 0.23565

OH O OH
O
HO O
O
O
O HO
HO CH3 OH
O

HO
OH

CH3
O
O
O O
H3C
CH3
O CH3
26 CH3 -6.632 -7.48586 0.85386

O
O O

CH3

O O

CH3
27 OH O -6.566 -6.41142 0.15458
HO
OH
H3C O O
OH

H3C CH3

OH
CH3
HO
O O
28 CH3
CH -6.337 -6.32129 0.01571
3
HO O
H3C O O CH3
OH
HO OH
OH

O O

CH3
H3C
29 O -6.334 -6.31571 0.01829
O
HO
OH
H3C O O
OH
66 Combinatorial Chemistry & High Throughput Screening, 2013, Vol. 16, No. 1 Prakash et al.

(Table 1) contd…..

Empirical Predicted Absolute


S. No.
nlogGI50M nlogGI50M Residual

O O

CH3
CH3
OH O O CH3
30 CH3 OH -6.284 -7.76291 1.47891
HO O HO O
O
OH
O O
HO H 3C O O HO O
CH3
HO

OH
HO OH

CH3 O O
HO HO OH
O OH
O
HO O
31 OH O -6.231 -5.97782 0.25318
H3C

H3C
H3C
O
O
H3C

H3C
CH3

H3C
CH3 OH
HO
32 -6.183 -6.52446 0.34146
CH3 O OH

O OH
HO
H3C OH

H 3C
O OH
OH
O
O
OH
O
H3C
CH 3
H3C CH3
H3C
CH3
CH3
33 -6.161 -6.43981 0.27881
OH O OH
O
HO O
O
O
O HO
HO CH3 OH
O

HO OH
O OH

O
OH

H3C O

O HO
O O
34 CH3 -6.139 -6.65714 0.51814
O
CH3

H3C CH3
ANN-QSAR Model for Virtual Screening of Androstenedione Combinatorial Chemistry & High Throughput Screening, 2013, Vol. 16, No. 1 67

(Table 1) contd…..

Empirical Predicted Absolute


S. No.
nlogGI50M nlogGI50M Residual

OH
HO

CH3 O O OH
HO HO
O OH
O
HO O
35 OH O -6.111 -5.96685 0.14415
H3C

H3 C
H3C
O
O
H3C

H3C CH3
O O
CH3
HO OH
36 O OH -6.062 -5.99486 0.06714
OH
OH
CH3
H3C CH3
O
CH3

OH O O
OH
HO
CH3
O
OH O
37 -6.027 -6.62467 0.59767
O
O
OH
HO O
OH

Development of Predictive QSAR Model for Cytotoxic based on 23 compounds, which were also 95% similar to 7,
Activity 8-dehydrocalotropin. The two sec-QSAR models showed
R2LOOCV value 0.9845 and 0.9666 respectively Fig. (3). The
First sec-QSAR model was developed on the basis of 58 ANN-map-model covers as broad spectrum of molecular
compounds, which were 95% structurally similar to 4beta-
diversity, while the secondary QSAR model becomes more
hydroxy Withanolide E, while second sec-QSAR model was
3.5 NCBI CID: 73621
(mv = 3.119186408)
3

2.5
NCBI CID: 390666
Mapping value (mv)

(mv = 2.018634491)
2

1.5

0.5

0
1 3 5 7 9 11 13 15 17 19 21 23 25 27 29 31 33 35 37
-0.5
Sample number

Fig. (2). Selection of best mapped compound by ‘ANN-map-Model’.


68 Combinatorial Chemistry & High Throughput Screening, 2013, Vol. 16, No. 1 Prakash et al.

-6
O -8.5 -8 -7.5 -7 -6.5 -6

R2cv = 0.9845 -6.5


O CH3
H3C

Training Bioactivity
-7
HO
CH3
OHOH -7.5
O CH3
HO
-8
CH3

O Predicted Bioactivity by LOOCV (Taking 73621 as mother compound)


-8.5

4beta-hydroxy Withanolide E Regression plot of QSAR model developed for 4beta-hydroxy Withanolide E

-5
-10 -9.5 -9 -8.5 -8 -7.5 -7 -6.5 -6 -5.5 -5
-5.5

-6

OH -6.5
R2cv = 0.9666
O
Training Bioactivity
OH -7
H3C O O -7.5
O
O CH3 -8
O -8.5

-9
HO -9.5

-10
Predcited Bioactivity by LOOCV (Taking 390666 as mother compound)

7,8-Dehydrocalotropin Regression plot of QSAR model developed for 7, 8-Dehydrocalotropin

Fig. (3). Best mapped compounds and their respective secondary QSAR models.

specific for prediction of accurate bioactivity. In this way, and basic amino acid residue namely: HIS-171 (Histidine).
these two types of model can be used for refined virtual Similarly ‘7, 8-Dehydrocalotropin’ binding site at aromatase
screening of lead molecules. contains polar amino acid residues TRY-361 (Tyrosine),
GLN-428 (Glutamine), & TYR-441 (Tyrosine) and
hydrophobic amino acid ILE-350 (Isoleucine) (Figs. 4-6).
Virtual Screening by Docking Studies
The objective of docking studies was to explore the
Blind docking was performed with Aromatase and 81 binding affinity of studied compounds against selected
compounds involved in QSAR model development. It was aromatase enzyme (PDB ID: 3EQM) from human, and to
found that only two database molecules showed study their possible mechanisms of action. The results of
superimposition along with ‘4beta-hydroxy Withanolide-E’ docking studies suggest that studied compounds inhibit the
on target enzyme aromatase. However only one database activity of aromatase by binding on it strongly, as indicated
molecule showed superimposition along with best predicted by docking energy. In the studied work, we explored the
compound ‘7, 8-Dehydrocalotropin’ on target enzyme orientations and binding affinities (in terms of the docking
aromatase. Co-crystallized compound Androstenedione energy in kcal mol1) of Androstenedione, 4beta-hydroxy
binding site at aromatase enzyme contains conserved Withanolide-E, and 7, 8-Dehydrocalotropin towards anti-
hydrophobic amino acid residues namely: MET-374 cancer target aromatase from human (PDB: 3EQM).
(Methionine), LEU-372 (Leucine), LEU-477 (Leucine),
VAL-370 (Valine), ALA-306 (Alanine); acidic residue When we compared how the binding pocket residues of
namely: ASP-309 (Aspartate) and basic residue namely: aromatase interacted with these compounds, we found that
ARG-115 (Arginine). ‘4beta-hydroxy Withanolide-E’ compounds androstenedione, CID_73621, CID_16757497,
binding site at aromatase contains polar amino acid residues CID_301751, CID_390666 and CID_46830222, showed
namely: SER-167 (Serine), THR-170 (Threonine) and THR- interaction with conserved amino acid residues thus lead to
20 (Threonine); acidic amino acid residues namely: ASP-197 more stability and potency in these cases. The docking
(Aspartate), GLU-210 (Glutamate), GLU-177 (Glutamate); results for the CID_73621, CID_16757497, CID_301751,
ANN-QSAR Model for Virtual Screening of Androstenedione Combinatorial Chemistry & High Throughput Screening, 2013, Vol. 16, No. 1 69

CID_390666 and CID_46830222 docked onto aromatase The selected five compounds were evaluated on the basis of
enzyme of human significant docking energy of -8.7, -8.5, - ADMET parameters. All five compounds showed 0-1
8.9, -9.0 and -9.5 kcal mol1 respectively, comparable to co- violation of Lipinski’s rule of five, developmental toxicant,
crystallized androstenedione, bound to aromatase target non-mutagen activities and strong enzyme inhibition
enzyme (PDB: 3EQM) with the standard docking energy of - properties. The predicted ‘oral rat LD50’ mol/kg was found
4.9 kcal mol1. in the range of 3.89 to 4.58 (Tables 4-6).
The binding site of androstenedione at aromatase
contains ARG-115, ALA-306, ASP-309, VAL-370, LEU-
372, MET-374, LEU-477 amino acid residues. Site specific
docking resulted into binding affinity with -4.9, -5.0, -5.0, -
4.9, -4.7, -4.9 kcal mol-1 for Androstenedione, CID_73621,
CID_390666, CID_16757497, CID_301751, CID_46830222
respectively (Tables 2 and 3).

Fig. (6). Docking results at androstenedione binding site (receptor:


Fig. (4). Blind docking results for ‘4beta-hydroxy Withanolide E’,
Aromatase; ligands: Androstenedione, CID_73621, CID_16757497,
CID_16757497 and CID_301751 with aromatase (04 H-bonds).
CID_301751, CID_390666, CID_46830222).
The ideal oral drug is one that is rapidly and completely
absorbed from the gastrointestinal tract, distributed
specifically to its site of action in the body, metabolized in a
way that does not instantly remove its activity, and
eliminated in a suitable manner without causing any harm. It
has been reported that around half of all drugs in
development fail to make it to the market because of poor
pharmacokinetics (PK) [26]. The PK properties depend on
the chemical properties of the molecule. PK properties such
as absorption, distribution, metabolism, excretion, and
toxicity (ADMET) are important determinants of the success
of the compound for human therapeutic use [28-30]. Some
important chemical descriptors correlate well with PK
properties, such as the polar surface area (PSA; a primary
determinant of fractional absorption) and low molecular
weight (MW; for oral absorption) [29]. The distribution of
the compound in the human body depends on factors such as
the blood – brain barrier (log BB), permeability (such as the
apparent Caco-2 permeability, apparent MDCK
Fig. (5). Blind docking results for ‘7, 8-Dehydrocalotropin’ and permeability, logK p for skin permeability), the volume of
CID_46830222 docked with aromatase (02 H-bonds). distribution, and plasma protein binding (logK hsa for serum
protein binding) [31], so these parameters were calculated
In Silico Toxicity & Bioactivity Screening for Selected and checked for compliance with their standard ranges. The
Molecules octanol – water partition coefficient (logP) has been
implicated in BBB penetration and permeability prediction,
The resultant three molecules from secondary data and as has PSA. It has been reported that the process of excreting
two molecules (control) from experimental data were the compound from the human body depends on the MW
screened out from three steps of virtual screening as ‘ANN- and logP.
map-model + sec-QSAR model + docking with aromatase’.
70 Combinatorial Chemistry & High Throughput Screening, 2013, Vol. 16, No. 1 Prakash et al.

Table 2. BLIND Docking Results

S. No. NCBI CID/Name Binding Affinity (kcal/mol) BLIND Docking Binding Site Amino Acids

1 Androstenedione -4.9 ARG-115, ALA-306, ASP-309, VAL-370, LEU-372, MET-374, LEU-477

2 73621 -8.7
3 16757497 -8.5 SER-167, ASP-197, HIS-171, GLU-210, GLU-177, THR-170, THR-201

4 301751 -8.9

5 390666 -9.0
TRY-361, GLN-428, TYR-441, ILE-350
6 46830222 -9.5

Table 3. Androstenedione Binding Site Docking Results

S. No. NCBI CID/Name Binding Affinity (kcal/mol) Specified for the Binding Site of Androstenedione Binding Site Amino Acids

1 Androstenedione -4.9
2 73621 -5.0
3 390666 -5.0 ARG-115, ALA-306, ASP-309,
VAL-370, LEU-372, MET-374, LEU-477
4 16757497 -4.9
5 301751 -4.7
6 46830222 -4.9

Table 4. ADME Properties of QSAR Based Screened Out Molecules

Calculated Properties (Using Molinspiration)


S. No. NCBI CID
miLogP TPSA natoms MW nON nOHNH nviolations nrotb Volume

1 16757497 1.348 157.044 37 518.603 9 5 1 2 465.245


2 301751 3.179 116.588 35 486.605 7 3 0 2 449.158
3 73621 2.263 136.816 36 502.604 8 4 1 2 457.201
3 390666 0.966 131.762 38 530.614 9 3 1 2 474.509
4 46830222 0.452 151.99 39 548.629 10 4 1 2 488.766
Footnote: miLogP = octanol/water partition coefficient, TPSA= Topological Polar Surface Area, natoms = number of atoms, MW = Molecular weight, nON = Number of hydrogen
acceptor, nOHNH = Number of hydrogen donor, nviolations = Violations from Lipinski's rule, nrotb = Number of rotatable bonds, volume: Volume of molecule.

Table 5. Bioactivities Prediction of QSAR Based Screened Out Molecules

Predicted Bioactivities (Using Molinspiration)


S. No. NCBI CID
GPCR Ion Channel Kinase Nuclear Receptor Protease Enzyme
Ligand Modulator Inhibitor Ligand Inhibitor Inhibitor

1 16757497 0.0616 0.2492 -0.4092 0.5495 0.1412 0.8574


2 301751 -0.0656 0.158 -0.5031 0.6153 0.0634 0.8918
3 73621 -0.0052 0.1896 -0.4521 0.5855 0.1129 0.9517
3 390666 0.1334 -0.008 -0.1992 0.6575 0.2056 0.8768
4 46830222 0.041 -0.1119 -0.3351 0.3499 0.0732 0.8035

Likewise, rapid renal clearance is associated with small metabolism and poor absorption, along with an increased
and hydrophilic compounds. On the other hand, the probability of binding to unwanted hydrophobic
metabolism of most drugs, which takes place in the liver, is macromolecules, thereby increasing the potential for
associated with large and hydrophobic compounds [32]. toxicity. In spite of some observed exceptions to Lipinski’s
Higher compound lipophilicity leads to increased rule, the property values of the vast majority (90%) of orally
ANN-QSAR Model for Virtual Screening of Androstenedione Combinatorial Chemistry & High Throughput Screening, 2013, Vol. 16, No. 1 71

Table 6. Toxicity Estimation of Predicted Active Molecules Through Derived QSAR Model

Oral Rat LD50 (Method Used: Developmental Toxicity


S. No. NCBI CID Mutagenicity (Method Used: Consensus)
Consensus) –Log10 Value mol/kg (Method Used: Consensus)

1 16757497 3.98 Developmental toxicant (0.78) Mutagenicity Negative (0.03)


2 301751 4.05 Developmental toxicant (0.80) Mutagenicity Negative (0.17)
3 73621 3.89 Developmental toxicant (0.61) Mutagenicity Negative (0.17)
3 390666 4.56 Developmental toxicant (0.79) Mutagenicity Negative (0.04)
4 46830222 4.58 Developmental toxicant (0.69) Mutagenicity Negative (-0.04)

active compounds are within their cut-off limits [33].


Molecules that violate more than one of these rules may not CONFLICT OF INTEREST
be sufficiently bioavailable. When studying PK properties, Authors declare that they have no conflict of interest by
screening based on the Lipinski ’ s rule of five (which is any means with respect to the instant research manuscript.
used to assess drug-likeness) was applied to the
androstenedione analogues/derivatives. In addition, the oral
bioavailability of each lead molecule was assessed through ACKNOWLEDGEMENTS
its topological polar surface area (TPSA) using We acknowledge the Council of Scientific and Industrial
Molinspiration online software. This descriptor has been Research, New Delhi, India for financial support as Senior
shown to correlate well with passive molecular transport Research Fellowship at CSIR-Central Institute of Medicinal
through membranes, thus allowing the prediction of drug and Aromatic Plants, Lucknow, Uttar Pradesh, India.
transport properties, and it has been linked to drug
bioavailability (the percentage of the dose of the drug that
REFERENCES
reaches the blood circulation). Also, the number of rotatable
bonds is a simple topological parameter used by researchers [1] Edwards, P. Peptoid positional scanning libraries for identification
as part of an extended Lipinski s rule of five as a measure of of multidrug resistance reversal agents. Drug Discov. Today, 2006,
11, 669-670.
molecular flexibility. This is a very good chemical descriptor [2] Burchenal, J. H.; Holmberg, E. A. The utility of resistant
for oral bioavailability [34]. A rotatable bond is defined as leukaemias in screening for chemotherapeutic activity. Ann. N Y
any single non-ring bond bound to a non-terminal heavy (i.e. Acad Sci., 1958, 76, 826-829.
non-hydrogen) atom. Amide C – N bonds are not considered [3] Helguera, A. M.; Rodriguez-Borges, J. E.; Garcia-Mera, X.;
Fernandez, F.; Natalia, M.; Cordeiro, D. S. Probing the anticancer
in this context because of their high rotational energy barrier. activity of nucleoside analogues: A QSAR model approach using
Moreover, some researchers have also included the sum of an internally consistent training set. J. Med. Chem., 2007, 50, 1537-
H-bond donors and H-bond acceptors as a secondary 1545.
determinant of fractional absorption. The primary [4] Wang, Y.H.; Li, Y.; Li, Y.H.; Yang, S. L.; Yang, L. Modeling K-m
determinant of fractional absorption is PSA [35]. According values using electrotopological state: Substrates for cytochrome
P450 3A4-mediated metabolism. Bioorg. Med. Chem. Lett., 2005,
to the extended Lipinski’s rule of five, the sum of H-bond 15, 4076-4084.
donors and acceptors should be  12 or the PSA should be  [5] Habibi-Yangjeh, A.; Danandeh-Jenagharad, M.; Nooshyar, M.
140Å 2 [35], and the number of rotatable bonds should be  Application of artificial neural networks for predicting the aqueous
10 [33]. acidity of various phenols using QSAR. J. Mol. Model., 2006, 12,
338-347.
[6] Siu, F. M.; Che, C. M. Quantitative structure-activity (affinity)
relationship (QSAR) study on protonation and cationization of
CONCLUSION alpha-amino acids. J. Phys. Chem. A, 2006, 110 (12), 348-354.
[7] Su, Q.; Zhou, L. QSAR modeling of AT1 receptor antagonists
The study has been concluded as; it was found that the using ANN. J. Mol. Model., 2006, 12, 869-875.
equational data fitting map can be directly used for [8] Aoyama, T.; Suzuki, Y.; Ichikawa, H. Neural networks applied to
development of ANN-map-Model. The developed model can pharmaceutical problems. III. Neural networks applied to
be used as a non-linear QSAR model for virtual screening of quantitative structure-activity relationship (QSAR) analysis. J.
androstenedione skeleton containing compounds, for Med. Chem., 1990, 33, 2583-2590.
[9] Gonza´lez-Arjona, D.; Lo´pez-Pe´rez, G.; Gustavo Gonza´lez, A.
Example, Withanolides which indicate cytotoxic activity Non-linear QSAR modeling by using multilayer perceptron
against human breast cancer cell line MCF-7 and thus may feedforward neural networks trained by back-propagation. Talanta,
lead to potential anticancer molecules by lead optimization. 2002, 56, 79-90.
The protocol of the ANN-map-Model development can be [10] Mize, C. D.; Abbott, A. M.; Gacasan, S.B.; Parrill, A.L.; Baker, D.
L. Ligand-based autotaxin pharmacophore models reflect structure-
used for other pharmacophore mapping. The excellent based docking results. J. Mol. Graph. Mod., 2011, 31, 76-86.
mapped model can also be used for the selection of new [11] Pal, R.; Islam, M. A.; Hossain, T.; Saha, A. Molecular Modeling on
compounds to develop a robust secondary QSAR model. Structure-Function Analysis of Human Progesterone Receptor
Molecular docking studies and in silico bioactivity screening Modulators. Scientia Pharmaceutica, 2011, 79 (3), 461-477.
results assists the reliability of the QSAR modelling process.
72 Combinatorial Chemistry & High Throughput Screening, 2013, Vol. 16, No. 1 Prakash et al.

[12] Taha, M. O.; Tarairah, M.; Zalloum, H.; Abu-Sheikha, G. [24] Sushko, I.; Novotarskyi1, S.; Körner, R.; Pandey, A. K.;
Pharmacophore and QSAR modeling of estrogen receptor beta Cherkasov, A.; Li, J.; Gramatica, P.; Hansen, K.; Schroeter, T.;
ligands and subsequent validation and in silico search for new hits. Müller, K.-R.; Xi, L.; Liu, H; Yao, X.; Öberg, T.; Hormozdiari, F.;
J. Mol. Graph. Mod., 2010, 28, 383-400. Dao, F.; Sahinalp, C.; Todeschini, R.; Polishchuk, P.; Artemenko,
[13] Shao, L.; Wu, L.; Fan, X.; Cheng, Y. Consensus ranking approach A.; Kuz’min, V.; Martin, T.M.; Young, D. M.; Fourches, D.;
to understanding the underlying mechanism with QSAR. J. Mol. Muratov, E.; Tropsha, A.; Baskin, I.; Horvath, D.; Marcou, G.;
Graph. Mod., 2010, 50(11), 1941-1948. Varnek, A; Prokopenko, V. V.; Tetko, I.V. Applicability domains
[14] Reddy, A. S.; Pati, S. P.; Kumar, P. P.; Pradeep, H. N.; Sastry, G. for classification problems: benchmarking of distance to models for
N. Virtual Screening in Drug Discovery - A Computational AMES mutagenicity set. J. Chem. Inf. Model, 2010, 50, 2094-2111.
Perspective. Curr. Protein Pept. Sci., 2007, 8(3), 331-353. [25] Zhu, H.; Martin, T.M.; Young, D. M.; Tropsha, A. Combinatorial
[15] Stander, X. X.; Stander, B. A.; Joubert, A. M. In vitro effects of an QSAR Modeling of Rat Acute Toxicity by Oral Exposure. Chem.
in-silico modelled 17-estradiol derivative in combination with Res. Toxicol., 2009, 22 (12), 1913-1921.
dichloroacetic acid on MCF-7 and MCF-12A cells. Cell Prolif., [26] Hong, Y.; Rashid, R.; Chen, S.; Binding features of steroidal and
2011, 44(6), 567-581. nonsteroidal inhibitors. Steroids, 2011, 76(8), 802-806.
[16] Keseru, G.M.; Molnar, L.; Greiner, I. A Neural Network Based [27] Wu, J.; Mei, J.; Wen, S.; Liao, S.; Chen, J.; Shen Y. A self-adaptive
Virtual High Throughput Screening Test for the Prediction of CNS genetic algorithm-artificial neural network algorithm with leave-
Activity. Comb. Chem. High Throughput Screen., 2000, 3(6), 535- one-out cross validation for descriptor selection in QSAR study. J.
540. Comput. Chem., 2010, 31(10), 1956-1968.
[17] Yap, C. W. PaDEL-Descriptor: open source software to calculate [28] Hodgson, J. ADMET-turning chemicals into drugs. Nat.
molecular descriptors and fingerprints. J. Comput. Chem., 2011, Biotechnol., 2001, 19, 722-726.
32(7), 1466-1474. [29] Norinder, U.; Bergström, C. A. S. Prediction of ADMET
[18] Votano, J. R.; Parham, M., Hall, L. M.; Hall, L. H.; Kier, L. B.; properties. Chem. Med. Chem., 2006, 1, 920-937.
Oloff, S. QSAR modeling of human serum protein binding with [30] Sean, E.; Sergey, A.; Andy, R.; Eugene, K.; Eugene, A.;
several modeling techniques utilizing structure-information Rakhmatulin, S. S.; Bugrim, A.; Nikolskaya, T. A combined
representation. J. Med. Chem., 2006, 49, 7169-7181. approach to drug metabolism and toxicity assessment. Drug Metab.
[19] Hagan, M. T.; Menhaj, M. B. Training feed forward networks with Dispos., 2006, 34, 495-503.
the Marquardt algorithm. Neural Networks, IEEE Transactions, [31] Reichel, A.; Begley, D. J. Potential of immobilized artificial
1994, 5, 989-993. membranes for predicting drug penetration across the blood-brain
[20] Prakash, O.; Mehrotra, S.; Krishna, A.; Mishra, B. N. A neural barrier. Pharm. Res., 1998, 15, 1270-1274.
network approach for the prediction of in vitro culture parameters [32] Lombardo, F.; Gifford, E.; Shalaeva, M. Y. In silico ADME
for maximum biomass yields in hairy root cultures. J. Theor. Biol., prediction: data, models, facts and myths. Mini-Rev. Med. Chem.,
2010, 265, 579-585. 2003, 3, 861-875.
[21] Trott, O.; Olson, A. J. AutoDock Vina: improving the speed and [33] Lipinski, C.A.; Lombardo, F.; Dominy, B.W.; Feeney, P.J.
accuracy of docking with a new scoring function, efficient Experimental and computational approaches to estimate solubility
optimization and multithreading. J. Comput. Chem., 2010, 31, 455- and permeability in drug discovery and development settings. Adv.
461. Drug Deliv. Rev., 2001, 46, 3-26.
[22] Benfenati, E.; Benigni, R.; Demarini, D.M.; Helma, C.; Kirkland, [34] Veber, D.F.; Stephen, R.; Johnson; Cheng, H.Y.; Smith, B. R.;
D.; Martin, T.M.; Mazzatorta, G.; Ouedraogo-Arras, G.; Richard, Keith, W.; Ward; Kopple, K. D. Molecular properties that influence
A.M.; Schilter, B.; Schoonen, W.G.E.J.; Snyder, R.D.; Yang, C. the oral bioavailability of drug candidates. J. Med. Chem., 2002,
Predictive Models for Carcinogenicity and Mutagenicity: 45, 2615-2623.
Frameworks, State-of-the-Art, and Perspectives. J. Environ. Sci. [35] Clark, D. E. Rapid calculation of polar molecular surface area and
Health, 2009, Part C, 27(2), 57-90. its application to the prediction of transport phenomena. 1.
[23] Cassano, A.; Manganaro, A; Martin, T.; Young, D.; Piclin, N.; Prediction of intestinal absorption. J. Pharm. Sci., 1999, 88, 807-
Pintore, M.; Bigoni, D.; Benfenati, E. CAESAR models for 814.
developmental toxicity. Chem. Cent. J., 2010, 4(Suppl 1), S4.

Received: August 21, 2012 Revised: September 28, 2012 Accepted: September 30, 2012

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