Strontium
(Sr), an alkali metal with properties similar
to calcium,
in the form of soluble salts is used to treat osteoporosis. Despite
the information accumulated on the role of Sr2+ as a Ca2+ mimetic in biology and medicine, there is no systematic
study of how the outcome of the competition between the two dications
depends on the physicochemical properties of (i) the metal ions, (ii)
the first- and second-shell ligands, and (iii) the protein matrix.
Specifically, the key features of a Ca2+-binding protein
that enable Sr2+ to displace Ca2+ remain unclear.
To address this, we studied the competition between Ca2+ and Sr2+ in protein Ca2+-binding sites using
density functional theory combined with the polarizable continuum
model. Our findings indicate that Ca2+-sites with multiple
strong charge-donating protein ligands, including one or more bidentately
bound Asp–/Glu– that are relatively
buried and rigid are protected against Sr2+ attack. On
the other hand, Ca2+-sites crowded with multiple protein
ligands may be prone to Sr2+ displacement if they are solvent-exposed
and flexible enough so that an extra backbone ligand from the outer
shell can bind to Sr2+. In addition, solvent-exposed Ca2+ sites with only a few weak charge-donating ligands that
can rearrange to fit the strontium’s coordination requirements
are susceptible to Sr2+ displacement. We provide the physical
basis of these results and discuss potential novel protein targets
of therapeutic Sr2+.