DNMTs are a family of essential epigenetic modifiers that play a fundamental role in numerous cell and development processes [
1,
2]. Their basic mechanism is implemented via the transfer of a methyl group from the S-adenosyl-L-methionine (SAM) molecule to the C5 position of the cytosine (dC) in the CpG islands [
3]. Once the CpG islands are labeled with a methyl group, the gene is silenced. Therefore, the expression levels of DNMTs are directly related to the epigenetic transgenes silencing and expression and thus are reported to elevate cancers in many organs, e.g., colon [
4], prostate [
5], breast [
6], liver [
7,
8], and blood (i.e., leukemia) [
9,
10]. Four mammalian DNA methyltransferases have been identified to date, including DNMT1, DNMT3A/B, and DNMT2 [
9]. It has been reported that DNMT3A/B acts as
de novo methyltransferases and sets the whole epigenetic pattern of the DNA [
11]. DNA replication without the methyl label would create a new complement chain. The DNMT1 then adds the methyl group to the DNA daughter strand, thus acting as a maintenance DNMT. Comparing the clear biochemical roles of DNMT1, the role of DNMT2 is still under debate [
9].
The overexpression and mutations of the DNMTs are closely related to oncogenic activation. They have been validated as drug targets for series cancer and tumor [
12]. To date, several strategies to inhibit DNMT have been developed and reviewed [
13]. These strategies can be concluded as nucleoside and non-nucleoside analog compounds [
13]. Two successful examples of cytidine analogs are 5-Azacytidine (or azacitidine, AZA) and 5-aza-2’-deoxycytidine (or decitabine, DEC) (
Figure 1A). Approved by the USA Food and Drug Administration (FDA) and the European Medicines Agency (EMA), both of them have been used for medical treatment in acute myeloid leukemia (AML), chronic myelomonocytic leukemia (CMML), and myelodysplastic syndromes (MDS) [
14,
15]. Another more stable cytidine analog is Zebularine (ZEB) (
Figure 1A), which is usually used in the co-crystallization of DNMTs X-ray structures [
16]. The ZEB has been developed and found to function at high doses but failed in preclinical trials (
Figure 1) [
17]. These cytidine analogs were usually used to incorporate into the single or double strand(s) chimeric RNA oligo-nucleotides (ssCRO or dsCRO) (US20140171492, WO2014011573, and WO2012142480), which were capable of selecting the target sequences or specifically hybridizing the target genomes and then silencing the gene by chelating the DNMTs (
Figure 1B-D). The ssCROs carried complementary base sequences to a small amount (usually with ~80% of 15 to 30 bp) of an extra-coding RNA (ecRNA;
Figure 1B). They can silence the DNMT1 by forming a double-stranded complex with the natural ecRNA (
Figure 1B). Another circumstance is that ssCRO formed a duplex structure by hybridizing the genomic DNA sequences (
Figure 1C). The dsCROs generally sequestrated the DNMTs by forming a DNMT-dsCRO silence complex, as shown in
Figure 1D. The cytidine analogs of these CROs (e.g., AZA, DEC, 5-fluoro-cytidine, fluoro-cyclopentenyl-cytosine, ZEB, and deoxy-ZEB, etc.) were supposed to covalently or non-covalently bind the DNMTs and thus, in turn, lead the enzymes to degradation, and reduced DNA methylation of the target gene [
18,
19,
20]. These inhibitors are highly potent and active but have poor chemical and metabolic stability and low specificity to different DNMTs when using Cytidine analog alone, thus inducing several side effects [
21]. The less toxic non-nucleoside compounds with different chemical scaffolds have been developed using in silico and experimental screening assays [
22,
23,
24,
25,
26]. However, it has been reported that only a numeral non-nucleoside inhibitors of DNMTs have been developed [
13,
26,
27,
28,
29] They either suffer from weak binding or poor selectivity, making the structural activity relationship (SAR) challenging to be envisaged [
13].
The mechanism-based drug discovery for non-nucleoside small inhibitions has been conducted to improve the potency and selectivity of DNMTs. However, it is still in its infancy due to the lack of studies on complicated catalytical mechanisms of the enzymes with detailed atomic-level understanding [
13]. The methyl transfer and inhibition mechanism of the inhibitors to M.H
haI DNMT has been studied [
30,
31]. In the case of DNMT3A, the critical step of methyl transfer was studied previously [
32]. Our group has just published the entry methyl transfer mechanism of the DNMT3A in its biological assembly [
33]. Recently, utilizing the transition-state (TS) structures from the above studies, a new series of inhibitors have been synthesized, showing the effective potency of DNMT1 and DNMT3B in the micro-mol range [
34]. Given that DNMT3A/B can serve as an oncogene and a tumor-suppressor gene in the lung cancer [
35], the new inhibitors with selectivity toward DNMT1 and DNMT3A/B should be particularly highlighted in the new drug design of DNMT inhibitors (DNMTi). Hence, an urgent need exists to unveil the inhibitory mechanism of DNMT3A and its differences from that of DNMT1. In this study, we have presented a fully atomic-level hybrid Quantum Mechanics/Molecular Mechanics (QM/MM) and classical Molecular Dynamics (MD) simulations to discover the inhibitory mechanisms of AZA and ZEB in DNMT3A by the comparison of dC. Our results provided a theoretical inhibitory explanation of the covalent drugs in DNMT3A, which would hopefully better facilitate the new drug design of DNMTi.