Mitochondrial dysfunction is well-established in
Parkinson’s disease (PD); however, its dysfunctions associating with
cell organelle connectivity remain unknown. We aimed to establish the
crucial cytosolic protein involved in organelle connectivity between
mitochondria and the endopalmic reticulum (ER) through a computational
approach by constructing an organelle protein network to extract
functional clusters presenting the crucial PD protein connecting
organelles. Then, we assessed the influence of anti-parkinsonism drugs (n
= 35) on the crucial protein through molecular docking and molecular
dynamic simulation and further validated its gene expression in PD
participants under, istradefylline (n = 25) and amantadine (n
= 25) treatment. Based on our investigation, D-aspartate oxidase (DDO
)protein was found to be the critical that connects both mitochondria
and the ER. Further, molecular docking showed that istradefylline has a
high affinity (−9.073 kcal/mol) against DDO protein, which may disrupt
mitochondrial-ER connectivity. While amantadine (−4.53 kcal/mol) shows
negligible effects against DDO that contribute to conformational changes
in drug binding, Successively, DDO gene expression was downregulated in
istradefylline-treated PD participants, which elucidated the likelihood
of an istradefylline off-target mechanism. Overall, our findings
illuminate the off-target effects of anti-parkinsonism medications on
DDO protein, enabling the recommendation of off-target-free PD
treatments.