“…The extended binding pose adopted by cholesterol explains the need for the equatorially projected hydroxyl, which is capable of making multiple H-bonding contacts, unlike a largely occluded axial hydroxyl in epicholesterol [ 33 ]. Two other notable events occur during the IFD search to permit the association: (i) the terminal residue of the undecapeptide (R437 in PLY and R468 in PFO), a residue critical for the stability of the toxin structure [ 47 ], becomes solvent exposed and opens up the space between two β-sheets to become available for association with cholesterol; and (ii) the first residue of the undecapeptide, (E427 in PLY and E458 in PFO), having lost its salt-bridge partner while remaining in a largely hydrophobic environment is expected to become protonated with a concomitant pKa shift from ~4.5 in PFO or β-hairpin PLY structures to 6.5 and 7.5 in cholesterol-free and bound 4ZGH-derived models, respectively (Epik, Schrödinger, LCC, New York, NY, USA) [ 48 ], making the binding surface even more hydrophobic and therefore, more welcoming to a ligand as lipophilic as cholesterol. This observation is consistent with the report of low pH (5.5–6) enhancing PFO–membrane association [ 9 ].…”