In silico investigation of ketamine and methylphenidate drug-drug conjugate for MDD and ADHD treatment using MD simulations and MMGBSA.

Publication date: Jul 08, 2025

Major depressive disorder (MDD) and Attention-deficit hyperactivity disorder (ADHD) are pervasive psychiatric disorders characterized by impaired memory, sustained attention/motivation, and depression. FDA-approved Ketamine is an antidepressant drug but it affects cognitive abilities. Methylphenidate is the drug used for the treatment of ADHD. Chronic treatment overcomes attention and mental problems but causes depression. In the current study, we have made ketamine-methylphenidate conjugate to treat/reduce side effects to treat both MDD and ADHD. Ketamine and Methylphenidate conjugate were made by ChemDraw, tested for drug-likeness by Swiss ADME, and toxicity by toxCSM. Target gene in ADHD and MDD was selected by the KEGG database. Protein networking was performed by string. The target gene protein 3D structure was retrieved from RSCB-PDB and validated using the Ramachandran plot. Afterward, the active site was discovered by the deep site to perform molecular docking by Autodoc Vina and MD Simulation and MMGBSA by Desmond. Conjugate can cross the blood-brain barrier and shows drug-like properties. It was found to be non-toxic with very low probability prediction for various conditions. By the KEGG pathway, we selected our target protein Tryptophane hydroxylase 2 (TPH2). By molecular docking, conjugate showed good affinity towards TPH2 (- 8. 5 Kcal/mol) as compared to Ketamine (- 6. 7 Kcal/mol) and Methylphenidate (- 6. 9 Kcal/mol). Hydrogen bonding and hydrophobic interactions stabilize the conjugate and TPH2 binding at the site and favor binding affinity and drug efficacy. Ketamine-methylphenidate conjugate is a potential drug candidate for enzyme-based therapeutics for MDD and ADHD. It is safe to use according to the in-silico CADD approach with sustained stability of TPH2.

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Concepts Keywords
Fda Antidepressive Agents
Hydroxylase Antidepressive Agents
Psychiatric Attention-deficit/hyperactivity disorder
Swiss Depression
Target Depressive Disorder, Major
Humans
Ketamine
Ketamine
Ketamine
Methylphenidate
Methylphenidate
Methylphenidate
Molecular docking
Molecular Docking Simulation
Molecular dynamic simulations
Molecular Dynamics Simulation
Tryptophane hydroxylase 2

Semantics

Type Source Name
drug DRUGBANK Ketamine
drug DRUGBANK Methylphenidate
disease MESH ADHD
disease MESH Major depressive disorder
disease MESH psychiatric disorders
disease MESH depression
disease MESH causes
disease MESH suicide
disease MESH anxiety
pathway REACTOME Metabolism
disease MESH learning disabilities
drug DRUGBANK Coenzyme M
drug DRUGBANK gamma-Aminobutyric acid
drug DRUGBANK Sirolimus
drug DRUGBANK Amphetamine
drug DRUGBANK Dopamine
drug DRUGBANK Norepinephrine
disease MESH tics
disease MESH psychosis
disease MESH Tryptophan
drug DRUGBANK L-Tryptophan
disease MESH impulsivity
drug DRUGBANK Serotonin
disease MESH pathological processes
drug DRUGBANK Water
disease MESH aids
drug DRUGBANK Sodium Tetradecyl Sulfate
drug DRUGBANK Sodium Chloride
drug DRUGBANK Amino acids
disease MESH Carcinogenesis
drug DRUGBANK Oxygen
drug DRUGBANK Nitrogen
drug DRUGBANK Iron
drug DRUGBANK Sapropterin
disease MESH panic disorder
disease MESH mood disorders
drug DRUGBANK Cyclic Adenosine Monophosphate
drug DRUGBANK Zalcitabine
disease MESH COVID 19
disease MESH depressive disorders
disease MESH inflammation
pathway REACTOME Autophagy
pathway REACTOME Release
disease MESH genetic disorders
drug DRUGBANK L-Tyrosine
disease MESH spinocerebellar ataxia
pathway KEGG Spinocerebellar ataxia
drug DRUGBANK Spectinomycin
drug DRUGBANK Enterococcus faecium
drug DRUGBANK (S)-Des-Me-Ampa
disease MESH schizophrenia
disease MESH alcohol abuse
drug DRUGBANK Nonoxynol-9
disease MESH cancer
disease MESH Parkinson disease
pathway KEGG Parkinson disease
pathway REACTOME Reproduction

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