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The resistance was due to the steric conflict of <jats:styled-content style=\"fixed-case\">PYR<\/jats:styled-content> with <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>108<jats:styled-content style=\"fixed-case\">N<\/jats:styled-content>. <jats:styled-content style=\"fixed-case\">WR<\/jats:styled-content>99210 (<jats:styled-content style=\"fixed-case\">WR<\/jats:styled-content>), a dihydrotriazine antifolate with a flexible side chain that can avoid such conflict, can overcome this resistance through tight binding with the mutant. To understand factors contributing to different binding affinities of <jats:styled-content style=\"fixed-case\">PYR<\/jats:styled-content>\/<jats:styled-content style=\"fixed-case\">WR<\/jats:styled-content> to the wild type (<jats:styled-content style=\"fixed-case\">WT<\/jats:styled-content>) and quadruple mutant (<jats:styled-content style=\"fixed-case\">QM<\/jats:styled-content>), we performed simulations on <jats:styled-content style=\"fixed-case\">WR<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">WT<\/jats:styled-content>,<jats:styled-content style=\"fixed-case\"> WR<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">QM<\/jats:styled-content>,<jats:styled-content style=\"fixed-case\"> PYR<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">WT<\/jats:styled-content>, and <jats:styled-content style=\"fixed-case\">PYR<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">QM<\/jats:styled-content> complexes and found that Ile14 and Asp54 were crucial for <jats:styled-content style=\"fixed-case\">PYR<\/jats:styled-content>\/<jats:styled-content style=\"fixed-case\">WR<\/jats:styled-content> binding to <jats:italic>Pf<\/jats:italic><jats:styled-content style=\"fixed-case\">DHFR<\/jats:styled-content> due to strong hydrogen bonds. The quadruple mutations cause <jats:styled-content style=\"fixed-case\">PYR<\/jats:styled-content> to form, on average, fewer hydrogen bonds with Ile14 and Leu164, and to be displaced from its optimal orientation for Asp54 interaction. The predicted binding affinity ranking (<jats:styled-content style=\"fixed-case\">WR<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">QM<\/jats:styled-content>\u00a0\u2248\u00a0<jats:styled-content style=\"fixed-case\">WR<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">WT<\/jats:styled-content>\u00a0\u2248\u00a0<jats:styled-content style=\"fixed-case\">PYR<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">WT<\/jats:styled-content>\u00a0&gt;&gt;\u00a0<jats:styled-content style=\"fixed-case\">PYR<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">QM<\/jats:styled-content>) reasonably agrees with the inhibition constant (<jats:italic>K<\/jats:italic><jats:sub>i<\/jats:sub>) ranking. Our results reveal important residues for tight binding of <jats:styled-content style=\"fixed-case\">PYR<\/jats:styled-content>\/<jats:styled-content style=\"fixed-case\">WR<\/jats:styled-content> to <jats:styled-content style=\"fixed-case\">WT<\/jats:styled-content>\/<jats:styled-content style=\"fixed-case\">QM<\/jats:styled-content>, which may be used to evaluate the inhibition effectiveness of antimalarials and to provide fundamental information for designing new drugs effective against drug\u2010resistant <jats:italic>P<\/jats:italic>.\u00a0<jats:italic>falciparum<\/jats:italic>.<\/jats:p>","DOI":"10.1111\/cbdd.12334","type":"journal-article","created":{"date-parts":[[2014,4,9]],"date-time":"2014-04-09T13:47:15Z","timestamp":1397051235000},"page":"450-461","source":"Crossref","is-referenced-by-count":38,"title":["Molecular Dynamics of Interactions between Rigid and Flexible Antifolates and Dihydrofolate Reductase from Pyrimethamine\u2010Sensitive and Pyrimethamine\u2010Resistant <i>Plasmodium falciparum<\/i>"],"prefix":"10.1111","volume":"84","author":[{"given":"Wanwimon","family":"Mokmak","sequence":"first","affiliation":[{"name":"National Center for Genetic Engineering and Biotechnology National Science and Technology Development Agency 113 Thailand Science Park Phahonyothin Road Khlong Nueng Klong Luang Pathum Thani 12120 Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Surasak","family":"Chunsrivirot","sequence":"additional","affiliation":[{"name":"National Center for Genetic Engineering and Biotechnology National Science and Technology Development Agency 113 Thailand Science Park Phahonyothin Road Khlong Nueng Klong Luang Pathum Thani 12120 Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Supa","family":"Hannongbua","sequence":"additional","affiliation":[{"name":"Department of Chemistry Faculty of Science Kasetsart University Chatuchak Bangkok 10900 Thailand"},{"name":"Center of Nanotechnology Kasetsart 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