AUTHOR=Do Hung N. , Akhter Sana , Miao Yinglong TITLE=Pathways and Mechanism of Caffeine Binding to Human Adenosine A2A Receptor JOURNAL=Frontiers in Molecular Biosciences VOLUME=Volume 8 - 2021 YEAR=2021 URL=https://www.frontiersin.org/journals/molecular-biosciences/articles/10.3389/fmolb.2021.673170 DOI=10.3389/fmolb.2021.673170 ISSN=2296-889X ABSTRACT= Caffeine is a common antagonist to the four subtypes of adenosine G-protein-coupled receptors (GPCRs), which are critical drug targets for treating heart failure, cancer and neurological diseases. However, the pathways and mechanism of caffeine binding to the target receptors remain unclear. Here, we have performed all-atom enhanced sampling simulations using a robust Gaussian accelerated molecular dynamics (GaMD) method to elucidate the binding mechanism of caffeine to human adenosine A2A receptor (A2AAR). Multiple 500-1000 ns GaMD simulations captured both binding and dissociation of caffeine in the A2AAR. The GaMD predicted binding poses of caffeine were highly consistent with the X-ray crystal conformations with a characteristic hydrogen bond formed between caffeine and residue N6.55 in the receptor. In addition, a low-energy intermediate binding conformation was revealed for caffeine at the receptor extracellular mouth between ECL2-TM1. While the ligand binding pathways of the A2AAR were found similar to those of other class A GPCRs identified from previous studies, the ECL2 with high sequence divergence serves as an attractive target site for designing allosteric modulators as selective drugs of the A2AAR.