Ranking the binding of small molecules to protein receptors through physics-based computation remains challenging. Though inroads have been made using free energy methods, these fail when the underlying classical mechanical force fields are insufficient. In principle, a more accurate approach is provided by quantum mechanical density functional theory (DFT) scoring, but even with approximations, this has yet to become practical on drug discovery-relevant timescales and resources. Here, we describe how to overcome this barrier using algorithms for DFT calculations that scale on widely available cloud architectures, enabling full density functional theory, without approximations, to be applied to protein-ligand complexes with approximately 2500 atoms in tens of minutes. Applying this to a realistic example of 22 ligands binding to MCL1 reveals that density functional scoring outperforms classical free energy perturbation theory for this system. This raises the possibility of broadly applying fully quantum mechanical scoring to real-world drug discovery pipelines.
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