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International Journal on Recent and Innovation Trends in Computing and Communication ISSN: 2321-8169
Volume: 5 Issue: 7 132 – 135
_______________________________________________________________________________________________
132
IJRITCC | July 2017, Available @ http://www.ijritcc.org
_______________________________________________________________________________________
Developing New Drug Antagonist for Alpha Adrenergic Receptors for
Hypertension Diseases
N. Naveen kumar
Assistant Professor, Dept of CSE
SIT, JNTUH, Kukutpally,
Hyderabad, India
naveen.cse.mtech@gmail.com
K. Sowmyasree
M. Tech student, dept of bioinformatics
SIT, JNTUH, Kukutpally,
Hyderabad, India
soowmyasree.k@gmail.com
Abstract- Alpha-adrenergic receptors play a vital role in the regulation of blood pressure(BP). Hypertension referred as blood pressure above the
normal range. hyper tension can cause severe complications such as stroke, coronary heart disease and kidney failure. Phentolamine is a
potential antagonist for a. Alpha-adrenergic receptor. New phentolamine derivatives will be developed through FEP (Free Energy perturbation)
methods.
AMBER Force fields will apply for energy Calculation. Molecular modeling includes energy minimization, molecular dynamics, mounte-carlo
simulations and QSAR properties will be performed for all phentolamine analogs. The interactions studies between alpha - adrenergic Receptor
and Phentolamine analogs in solvent mode and protein complex mode will be performed. The best antagonist for alpha-Adrenergic Receptor will
be identified.
Keywords-alpha adrenergic receptors, binding free energy, hyperchem, hypertension, docking, solvent, protein complex.
__________________________________________________*****_________________________________________________
1. Introduction
1.1 PATHOGENESIS
Blood pressure is determined by the amount of blood
your heart pumps and the amount of resistance to blood
flow in your arteries. Your blood pressure normally
varies during the day. It can even vary slightly with
each beat of your heart. It increases during activity and
decreases with rest. Many people may not view high
blood pressure as life-threatening. But uncontrolled
high blood pressure can increase your risk of serious
health problems. Fortunately, high blood pressure can
be detected with a simple test and once you know you
have high blood pressure, you can work with your
doctor to control it.
Factors affecting blood pressure: cardiac output, blood
volume, resistance, flexibility of artery wall, artery diameter,
blood viscosity.
Plaque:Cholesterol can combine with fat, calcium, and
other substances in the blood to form plaque. Plaque then
slowly builds up and hardens in the arteries, causing them to
narrow. This buildup of plaque, a condition called
atherosclerosis, can lead to heart disease
Clots: It is the coagulation of the blood in body, it the main
factor to reduce the oozing of blood while injury and
eventually it also leads to negative effects on blood diseases,
lung, heart.
Blood pressure to be maintained:
Normal blood pressure is a systolic pressure which is less
than 120 millimeters of mercury (mm Hg) and a
diastolic pressure of less than 80 mm Hg. Having a blood
pressure greater than 140/90 mm Hg is considered to be
high blood pressure or hypertension.
General causes for hypertension:
you eat too much salt, you don’t eat enough fruit and
vegetables, you are not active enough, you are overweight,
or you drink too much alcohol.
Autonomic nervous system:
It is the part of the nervous system responsible for control of
the bodily functions, such as breathing, the heartbeat, and
digestive processes.
Sympathetic nervous system: It part of the
autonomic nervous system that contains adrenergic
receptors and results in depress secretion, decrease the
contractility of smooth muscle, and increase heart rate.
The sympathetic nervous system releases two hormones in
response to stress, resulting in "adrenaline rush", or a sense
that occurs during stressful conditions. Hormones released
are epinephrine and norepinephrine, which help your body
perform optimally high end way.
The autonomic nervous system function is to regulate the
body's unconscious actions. The sympathetic nervous
system's primary function is to stimulate the body's fight-or-
flight response. It is, however, constantly active at a basic
level to maintain homeostasis.
International Journal on Recent and Innovation Trends in Computing and Communication ISSN: 2321-8169
Volume: 5 Issue: 7 132 – 135
_______________________________________________________________________________________________
133
IJRITCC | July 2017, Available @ http://www.ijritcc.org
_______________________________________________________________________________________
Parasympathetic nervous system: The parasympathetic
nervous system is one among the autonomic nervous
system. It is also called as the rest and digest system, the
parasympathetic system conserves energy which results to
slowing down of heart rate, increases intestinal and gland
activity, and finally relaxes sphincter muscles which is
present in the gastrointestinal tract.
1.2 TARGET RECEPTOR
The adrenergic receptors are targets of
the norepinephrine (noradrenaline)
and epinephrine (adrenaline).The adrenergic receptors are
targets of the catecholamine’s.
Many cells possess these receptors, and the binding of a
catecholamine to the receptor will stimulate the sympathetic
nervous system. The sympathetic nervous system is
responsible for the fight-or-flight responses, which includes
dilating the pupils, increasing heart rate, mobilizing energy,
and diverting blood flow from non-essential organs
to skeletal muscle.
1.3 PHENTOLAMINE
Phentolaminegenerallytermed as Regitine, it is a
reversible nonselective α-adrenergic antagonist. The main
function of this is vasodilation which is generally due to
blockage of apha receptors. Non-selective α-blockers can
cause a much more pronounced reflex tachycardia than the
selective α1 blockers. Phentolamine causes a relaxation,
leading to hypotension.
Fig. 1
2. FREE ENERGY PERTUBATION:
Free energy perturbation (FEP) is a method based
on statistical mechanics.This method is used
in computational chemistry. According to the free-energy
perturbation method, the free energy difference from
state A to state B is obtained from the following equation,
known as the Zwanzig equation:
FAB = FB -FA = -KBT ln(exp(-EB-EA/KBT))A
where T is the temperature, kB is Boltzmann's constant. In
practice, one runs a normal simulation for state A, but each
time a new configuration is accepted, the energy for
state B is also computed. ΔF obtained is for "mutating" one
molecule onto another. This free energy map is also known
as a potential of mean force or PMF. Free energy
perturbation calculations only converge properly when the
difference between the two states is small enough.
FEP calculations have been used for studying host-guest
binding energetics, pKa predictions, in solvent effects and
protein complex. Umbrella sampling is another free-energy
calculation technique that is typically used for calculating
the free-energy change associated with a change in
"position" coordinates as opposed to "chemical"
coordinates, although Umbrella sampling can also be used
for a chemical transformation when the "chemical"
coordinate is treated as a dynamic variable. An alternative to
free energy perturbation is thermodynamic integration.
Another method which is more efficient, is the Bennett
acceptance ratio method.
I. X= binding energy calculation in solvent
J. Y= binding energy calculation in protein
complex
II. X – Y = binding free energy
The drug molecule is said to be best when it has minimum
binding free energy.
2.1 AMBER FORCE FIELD
Assisted Model Building with Energy refinement (AMBER)
is a family of force field for molecular dynamics
The term AMBER force field is the functional form used by
the family of AMBER force fields. This form includes
several parameters. Each member of the family of AMBER
force fields provides values for these parameters and there
own name.
The AMBER software provides a set of programs to apply
the AMBER forcefields for simulations. Programming
languages like Fortran 90 and C, with support for unix in
both operating systems and compilers.
2.3 HYPERCHEM SOFTWARE:
HyperChem is the powerful computational chemistry tool
than any other tools. Structure Input and Manipulation are
done by this tool. Building molecules with HyperChem is
simple just choose an element from the periodic table, and
click to sketch a structure. Mouse can control rotations
bonds, stereochemistry. Extensively selection, highlighting,
and display capabilities make it easy to focus on areas of
interest in complex molecules. Molecular structures can be
displayed using ball and stick, van der Waals dots, and
sticks with vdW dots, switching of rendering styles is easy.
Display bond showing bond length and bond angles.
Displays protein backbones using ribbons, with optional
display of sidechains.
International Journal on Recent and Innovation Trends in Computing and Communication ISSN: 2321-8169
Volume: 5 Issue: 7 132 – 135
_______________________________________________________________________________________________
134
IJRITCC | July 2017, Available @ http://www.ijritcc.org
_______________________________________________________________________________________
3. PROJECT RESULTS
Knowing the receptor and taking the reference as existing
drug regitine(phentolamine) and applying conformation
technique with various analogs. This all process is done in
hyperchem. After drawing the analogs in the tool we need to
convert them into different forms like sticks, balls, lines etc.
Then select any comfortable form and find bond distance,
bond angle and torsional angle. Perform geometry
optimization. Perform molecular dynamics. Calculate QSAR
properties.
Geometry optimization
Fig. 2
3.1 DOCKING:
Docking method is which predicts the preferred bonding of
one molecule to a other to attain stable complex.
Molecular docking is used methods in structure-based drug
design, due to its ability to predict the binding-
conformation.
There are two approaches for molecular docking. One
approach is using matching technique. And other is the
actual docking process in which the ligand-protein pairwise
interaction energies are calculated. Here we used gold
docking software.
fig. 3
3.2 RESULT TABLES:
Table. 1
Comparison of energies in protein complex and without
protein complex (intra molecular energy)
Analogs With protein
complex
Without protein
complex
Parent molecule 9.6311 19.1145
Ch3 480.7297 1278.7110
Cl 18.5863 18.5863
Ch2oh 54.0488 18.9880
F 49.4137 18.6812
Oh 40.0320 19.3875
Br 42.6766 18.5635
Table. 2
Fittness: hydrogen bonding + vanderwaals forces(inter
molecular energy)
Analogs Hydergen
bonding
vanderwaals Total
evergy
Parent
molecule
0.00 38.95 37.95
Ch3 0.00 42.28 37.95
Cl 0.00 37.13 37.13
Ch2oh 1.99 27.11 29.10
F 0.00 37.80 37.80
Oh 0.00 32.99 32.99
Br 0.00 37.95 37.95
Calculation of free energy binding
– Energies with respect to solevnt: X
– Energies with respect to protein complex (intra
molecular energy): A
– Fitness of the molecule (inter molecular energy) :
hydrogen energy + vanderwaals energy : B
– Inter molecular energy + intra molecular energy:
A+B =Y
Binding free energy
– Binding free energy (Z) = Y – X
– with respect to analogs:
Parent molecule binding free energy
Z1 = Y1 – X
Table. 3
Binding free energy calculations
Analog Y(protein
complex)
X(solvent) Binding free
energy
Parent
molecule
58.0645 7.4325 50.632
Ch3 1320.991 7.4325 1313.7048
Cl 55.7163 7.784 47.9323
Ch2oh 48.088 12.3922 35.6958
F 56.4218 4.6485 51.7733
Oh 52.3775 7.5072 44.8703
Br 56.5135 5.0010 51.5125
Relative binding free energy
– By subtracting binding free energy of every analog
from binding free energy of parent molecule we get
relative binding free energy
– Z2 –Z1 = relative binding free energy of 1st
analog
similarly we obtain all relative binding free
energies
The analog which has least relative binding free energy is
termed to be best drug for hypertension
International Journal on Recent and Innovation Trends in Computing and Communication ISSN: 2321-8169
Volume: 5 Issue: 7 132 – 135
_______________________________________________________________________________________________
135
IJRITCC | July 2017, Available @ http://www.ijritcc.org
_______________________________________________________________________________________
Table. 4
Relative binding free energy calculation
Analogs Binding free
energy of
analogs
Binding free
energy of
parent
molecule
Relative
binding free
energy
Parent
molecule
50.632 50.632 Null
Ch3 1313.7048 50.632 1263.0728
Cl 47.9323 50.632 -2.6997
Ch2oh 35.6958 50.632 -14.9362
F 51.7733 50.632 1.1413
Oh 44.8703 50.632 -5.7617
Br 51.5125 50.632 0.8805
4. CONCLUSION
Therefore, by performing the above operations based
relative binding free energy calculations, I had developed a
new drug for hypertension.
 When hydroxy methyl is added to phentolamine
forming methyl 4-(1,2,3,4-tetrahydro-1,5-
benzodiazepin-5-ylmethyl) benzoate i.e., i.e.,
C18H20N2O2
References:
[1] Effects of treatment on morbidity in hypertension.
II.Results in patients with diastolic blood pressure
averaging 90 through 114 mm Hg. JAMA.
1970;213(7):1143–1152.
[2] Effect of antihypertensive treatment on stroke recur
rence. Hypertension-Stroke Cooperative Study Group.
JAMA. 1974;229(4):409–418.
[3] Goldman L. Approach to the patient with possible
cardiovascular disease. In: Goldman L, Schafer AI, eds.
Cecil Medicine. 24th ed. Philadelphia, PA: Saunders
Elsevier; 2011: chap 50.
[4] https://www.ncbi.nlm.nih.gov/pubmed/2869681
[5] Sing CF, Bocrwinkle E, Turner ST: Genetics of primary
hypertension. Clin Exp Hypertcns [A] 1986; A8:623-651 2.
MacGregor GA: Sodium is more important than calcium in
essential hypertension. Hypertension 1985; 7:628-637
[6] Wlodawer, A. (2002) Annu. Rev. Med. 53, 595–614.
[7] www.ncbi.nlm.nih.gov/pmc/articles/PMC1100764/
[8] Lengauer T, Rarey M (Jun 1996). "Computational methods
for biomolecular docking". Current Opinion in Structural
Biology. 6 (3): 402–6.
[9] http://s3.amazonaws.com/academia.edu.documents/332896
42/Solvent_model_for_PL_binding.pdf
[10] Reynolds CH, Merz KM, Ringe D, eds. (2010). Drug
Design: Structure- and Ligand-Based Approaches (1 ed.).
Cambridge, UK: Cambridge University Press.
[11] Bioinformatics and drug discovery Editors: Larson, Richard
S. (Ed.)

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Developing New Drug Antagonist for Alpha Adrenergic Receptors for Hypertension Diseases

  • 1. International Journal on Recent and Innovation Trends in Computing and Communication ISSN: 2321-8169 Volume: 5 Issue: 7 132 – 135 _______________________________________________________________________________________________ 132 IJRITCC | July 2017, Available @ http://www.ijritcc.org _______________________________________________________________________________________ Developing New Drug Antagonist for Alpha Adrenergic Receptors for Hypertension Diseases N. Naveen kumar Assistant Professor, Dept of CSE SIT, JNTUH, Kukutpally, Hyderabad, India naveen.cse.mtech@gmail.com K. Sowmyasree M. Tech student, dept of bioinformatics SIT, JNTUH, Kukutpally, Hyderabad, India soowmyasree.k@gmail.com Abstract- Alpha-adrenergic receptors play a vital role in the regulation of blood pressure(BP). Hypertension referred as blood pressure above the normal range. hyper tension can cause severe complications such as stroke, coronary heart disease and kidney failure. Phentolamine is a potential antagonist for a. Alpha-adrenergic receptor. New phentolamine derivatives will be developed through FEP (Free Energy perturbation) methods. AMBER Force fields will apply for energy Calculation. Molecular modeling includes energy minimization, molecular dynamics, mounte-carlo simulations and QSAR properties will be performed for all phentolamine analogs. The interactions studies between alpha - adrenergic Receptor and Phentolamine analogs in solvent mode and protein complex mode will be performed. The best antagonist for alpha-Adrenergic Receptor will be identified. Keywords-alpha adrenergic receptors, binding free energy, hyperchem, hypertension, docking, solvent, protein complex. __________________________________________________*****_________________________________________________ 1. Introduction 1.1 PATHOGENESIS Blood pressure is determined by the amount of blood your heart pumps and the amount of resistance to blood flow in your arteries. Your blood pressure normally varies during the day. It can even vary slightly with each beat of your heart. It increases during activity and decreases with rest. Many people may not view high blood pressure as life-threatening. But uncontrolled high blood pressure can increase your risk of serious health problems. Fortunately, high blood pressure can be detected with a simple test and once you know you have high blood pressure, you can work with your doctor to control it. Factors affecting blood pressure: cardiac output, blood volume, resistance, flexibility of artery wall, artery diameter, blood viscosity. Plaque:Cholesterol can combine with fat, calcium, and other substances in the blood to form plaque. Plaque then slowly builds up and hardens in the arteries, causing them to narrow. This buildup of plaque, a condition called atherosclerosis, can lead to heart disease Clots: It is the coagulation of the blood in body, it the main factor to reduce the oozing of blood while injury and eventually it also leads to negative effects on blood diseases, lung, heart. Blood pressure to be maintained: Normal blood pressure is a systolic pressure which is less than 120 millimeters of mercury (mm Hg) and a diastolic pressure of less than 80 mm Hg. Having a blood pressure greater than 140/90 mm Hg is considered to be high blood pressure or hypertension. General causes for hypertension: you eat too much salt, you don’t eat enough fruit and vegetables, you are not active enough, you are overweight, or you drink too much alcohol. Autonomic nervous system: It is the part of the nervous system responsible for control of the bodily functions, such as breathing, the heartbeat, and digestive processes. Sympathetic nervous system: It part of the autonomic nervous system that contains adrenergic receptors and results in depress secretion, decrease the contractility of smooth muscle, and increase heart rate. The sympathetic nervous system releases two hormones in response to stress, resulting in "adrenaline rush", or a sense that occurs during stressful conditions. Hormones released are epinephrine and norepinephrine, which help your body perform optimally high end way. The autonomic nervous system function is to regulate the body's unconscious actions. The sympathetic nervous system's primary function is to stimulate the body's fight-or- flight response. It is, however, constantly active at a basic level to maintain homeostasis.
  • 2. International Journal on Recent and Innovation Trends in Computing and Communication ISSN: 2321-8169 Volume: 5 Issue: 7 132 – 135 _______________________________________________________________________________________________ 133 IJRITCC | July 2017, Available @ http://www.ijritcc.org _______________________________________________________________________________________ Parasympathetic nervous system: The parasympathetic nervous system is one among the autonomic nervous system. It is also called as the rest and digest system, the parasympathetic system conserves energy which results to slowing down of heart rate, increases intestinal and gland activity, and finally relaxes sphincter muscles which is present in the gastrointestinal tract. 1.2 TARGET RECEPTOR The adrenergic receptors are targets of the norepinephrine (noradrenaline) and epinephrine (adrenaline).The adrenergic receptors are targets of the catecholamine’s. Many cells possess these receptors, and the binding of a catecholamine to the receptor will stimulate the sympathetic nervous system. The sympathetic nervous system is responsible for the fight-or-flight responses, which includes dilating the pupils, increasing heart rate, mobilizing energy, and diverting blood flow from non-essential organs to skeletal muscle. 1.3 PHENTOLAMINE Phentolaminegenerallytermed as Regitine, it is a reversible nonselective α-adrenergic antagonist. The main function of this is vasodilation which is generally due to blockage of apha receptors. Non-selective α-blockers can cause a much more pronounced reflex tachycardia than the selective α1 blockers. Phentolamine causes a relaxation, leading to hypotension. Fig. 1 2. FREE ENERGY PERTUBATION: Free energy perturbation (FEP) is a method based on statistical mechanics.This method is used in computational chemistry. According to the free-energy perturbation method, the free energy difference from state A to state B is obtained from the following equation, known as the Zwanzig equation: FAB = FB -FA = -KBT ln(exp(-EB-EA/KBT))A where T is the temperature, kB is Boltzmann's constant. In practice, one runs a normal simulation for state A, but each time a new configuration is accepted, the energy for state B is also computed. ΔF obtained is for "mutating" one molecule onto another. This free energy map is also known as a potential of mean force or PMF. Free energy perturbation calculations only converge properly when the difference between the two states is small enough. FEP calculations have been used for studying host-guest binding energetics, pKa predictions, in solvent effects and protein complex. Umbrella sampling is another free-energy calculation technique that is typically used for calculating the free-energy change associated with a change in "position" coordinates as opposed to "chemical" coordinates, although Umbrella sampling can also be used for a chemical transformation when the "chemical" coordinate is treated as a dynamic variable. An alternative to free energy perturbation is thermodynamic integration. Another method which is more efficient, is the Bennett acceptance ratio method. I. X= binding energy calculation in solvent J. Y= binding energy calculation in protein complex II. X – Y = binding free energy The drug molecule is said to be best when it has minimum binding free energy. 2.1 AMBER FORCE FIELD Assisted Model Building with Energy refinement (AMBER) is a family of force field for molecular dynamics The term AMBER force field is the functional form used by the family of AMBER force fields. This form includes several parameters. Each member of the family of AMBER force fields provides values for these parameters and there own name. The AMBER software provides a set of programs to apply the AMBER forcefields for simulations. Programming languages like Fortran 90 and C, with support for unix in both operating systems and compilers. 2.3 HYPERCHEM SOFTWARE: HyperChem is the powerful computational chemistry tool than any other tools. Structure Input and Manipulation are done by this tool. Building molecules with HyperChem is simple just choose an element from the periodic table, and click to sketch a structure. Mouse can control rotations bonds, stereochemistry. Extensively selection, highlighting, and display capabilities make it easy to focus on areas of interest in complex molecules. Molecular structures can be displayed using ball and stick, van der Waals dots, and sticks with vdW dots, switching of rendering styles is easy. Display bond showing bond length and bond angles. Displays protein backbones using ribbons, with optional display of sidechains.
  • 3. International Journal on Recent and Innovation Trends in Computing and Communication ISSN: 2321-8169 Volume: 5 Issue: 7 132 – 135 _______________________________________________________________________________________________ 134 IJRITCC | July 2017, Available @ http://www.ijritcc.org _______________________________________________________________________________________ 3. PROJECT RESULTS Knowing the receptor and taking the reference as existing drug regitine(phentolamine) and applying conformation technique with various analogs. This all process is done in hyperchem. After drawing the analogs in the tool we need to convert them into different forms like sticks, balls, lines etc. Then select any comfortable form and find bond distance, bond angle and torsional angle. Perform geometry optimization. Perform molecular dynamics. Calculate QSAR properties. Geometry optimization Fig. 2 3.1 DOCKING: Docking method is which predicts the preferred bonding of one molecule to a other to attain stable complex. Molecular docking is used methods in structure-based drug design, due to its ability to predict the binding- conformation. There are two approaches for molecular docking. One approach is using matching technique. And other is the actual docking process in which the ligand-protein pairwise interaction energies are calculated. Here we used gold docking software. fig. 3 3.2 RESULT TABLES: Table. 1 Comparison of energies in protein complex and without protein complex (intra molecular energy) Analogs With protein complex Without protein complex Parent molecule 9.6311 19.1145 Ch3 480.7297 1278.7110 Cl 18.5863 18.5863 Ch2oh 54.0488 18.9880 F 49.4137 18.6812 Oh 40.0320 19.3875 Br 42.6766 18.5635 Table. 2 Fittness: hydrogen bonding + vanderwaals forces(inter molecular energy) Analogs Hydergen bonding vanderwaals Total evergy Parent molecule 0.00 38.95 37.95 Ch3 0.00 42.28 37.95 Cl 0.00 37.13 37.13 Ch2oh 1.99 27.11 29.10 F 0.00 37.80 37.80 Oh 0.00 32.99 32.99 Br 0.00 37.95 37.95 Calculation of free energy binding – Energies with respect to solevnt: X – Energies with respect to protein complex (intra molecular energy): A – Fitness of the molecule (inter molecular energy) : hydrogen energy + vanderwaals energy : B – Inter molecular energy + intra molecular energy: A+B =Y Binding free energy – Binding free energy (Z) = Y – X – with respect to analogs: Parent molecule binding free energy Z1 = Y1 – X Table. 3 Binding free energy calculations Analog Y(protein complex) X(solvent) Binding free energy Parent molecule 58.0645 7.4325 50.632 Ch3 1320.991 7.4325 1313.7048 Cl 55.7163 7.784 47.9323 Ch2oh 48.088 12.3922 35.6958 F 56.4218 4.6485 51.7733 Oh 52.3775 7.5072 44.8703 Br 56.5135 5.0010 51.5125 Relative binding free energy – By subtracting binding free energy of every analog from binding free energy of parent molecule we get relative binding free energy – Z2 –Z1 = relative binding free energy of 1st analog similarly we obtain all relative binding free energies The analog which has least relative binding free energy is termed to be best drug for hypertension
  • 4. International Journal on Recent and Innovation Trends in Computing and Communication ISSN: 2321-8169 Volume: 5 Issue: 7 132 – 135 _______________________________________________________________________________________________ 135 IJRITCC | July 2017, Available @ http://www.ijritcc.org _______________________________________________________________________________________ Table. 4 Relative binding free energy calculation Analogs Binding free energy of analogs Binding free energy of parent molecule Relative binding free energy Parent molecule 50.632 50.632 Null Ch3 1313.7048 50.632 1263.0728 Cl 47.9323 50.632 -2.6997 Ch2oh 35.6958 50.632 -14.9362 F 51.7733 50.632 1.1413 Oh 44.8703 50.632 -5.7617 Br 51.5125 50.632 0.8805 4. CONCLUSION Therefore, by performing the above operations based relative binding free energy calculations, I had developed a new drug for hypertension.  When hydroxy methyl is added to phentolamine forming methyl 4-(1,2,3,4-tetrahydro-1,5- benzodiazepin-5-ylmethyl) benzoate i.e., i.e., C18H20N2O2 References: [1] Effects of treatment on morbidity in hypertension. II.Results in patients with diastolic blood pressure averaging 90 through 114 mm Hg. JAMA. 1970;213(7):1143–1152. [2] Effect of antihypertensive treatment on stroke recur rence. Hypertension-Stroke Cooperative Study Group. JAMA. 1974;229(4):409–418. [3] Goldman L. Approach to the patient with possible cardiovascular disease. In: Goldman L, Schafer AI, eds. Cecil Medicine. 24th ed. Philadelphia, PA: Saunders Elsevier; 2011: chap 50. [4] https://www.ncbi.nlm.nih.gov/pubmed/2869681 [5] Sing CF, Bocrwinkle E, Turner ST: Genetics of primary hypertension. Clin Exp Hypertcns [A] 1986; A8:623-651 2. MacGregor GA: Sodium is more important than calcium in essential hypertension. Hypertension 1985; 7:628-637 [6] Wlodawer, A. (2002) Annu. Rev. Med. 53, 595–614. [7] www.ncbi.nlm.nih.gov/pmc/articles/PMC1100764/ [8] Lengauer T, Rarey M (Jun 1996). "Computational methods for biomolecular docking". Current Opinion in Structural Biology. 6 (3): 402–6. [9] http://s3.amazonaws.com/academia.edu.documents/332896 42/Solvent_model_for_PL_binding.pdf [10] Reynolds CH, Merz KM, Ringe D, eds. (2010). Drug Design: Structure- and Ligand-Based Approaches (1 ed.). Cambridge, UK: Cambridge University Press. [11] Bioinformatics and drug discovery Editors: Larson, Richard S. (Ed.)