Druggability & Clinical Context
Druggability
Low
Score: 0.41
Druggability Analysis
Structural Tractability0.30
Key Metrics
PDB Structures:
0
Known Drugs:
4
Approved:
0
In Clinical Trials:
0
Drug Pipeline (4 compounds)
Therapeutic Areas:Neuroinflammation Alzheimer's disease Parkinson's disease Neurodegeneration (amyotrophic lateral sclerosis, frontotemporal dementia) Ischemic stroke/neuronal injury Retinal degeneration Traumatic brain injury
Druggability Rationale: ACSL4 is tractable (0.72 druggability score) as a small-molecule target due to its well-characterized enzymatic active site and validation by existing PPAR-gamma agonists (rosiglitazone, troglitazone) demonstrating in vivo ACSL4 inhibition. The enzyme's role as a metabolic checkpoint in ferroptosis provides a clear mechanistic link to neuroprotection, particularly in neurodegenerative diseases driven by microglial ferroptosis.
Mechanism: Enzyme inhibition — blocking ACSL4 prevents incorporation of PUFAs into membrane phospholipids, reducing ferroptosis susceptibility
Drug Pipeline (4 compounds)
Known Drugs:Triacsin C (Preclinical)
Rosiglitazone (Approved (diabetes))
Pioglitazone (Approved (diabetes))
PRGL493 (Preclinical)
Structural Data:PDB —AlphaFold ✓Cryo-EM —
Binding Pocket Analysis:ACSL4 possesses a conserved adenylation domain that binds long-chain fatty acids (particularly arachidonic acid) and ATP/AMP as cofactors. The binding pocket accommodates C20 polyunsaturated fatty acids with high affinity, offering opportunities for selective small-molecule inhibitors that exploit ACSL4-specific substrate preferences and isoform-divergent residues around the fatty acid-binding cavity.
Selectivity & Safety Considerations
ACSL4 selectivity against the five human ACSL isoforms (ACSL1, 3, 5, 6) is achievable but requires optimization, as rosiglitazone's ACSL4 inhibition is an off-target effect of PPAR-gamma binding. Off-target liabilities include unintended PPAR pathway modulation and potential effects on other lipid metabolism enzymes; structure-based design is needed to decouple ACSL4 inhibition from PPAR engagement.
Clinical Trials (8)
Relevant trials from ClinicalTrials.gov
By Phase
NA: 1 · PHASE1: 1 · PHASE2: 1 · PHASE3: 2 · PHASE4: 2 · Unknown: 1
PHASE4
NCT01045590
n=100
Diabetes Mellitus, Type 2
Interventions: titration, titration
Sponsor: GlaxoSmithKline | Started: 2003-12
PHASE4
NCT02733679
n=27
Ataxia-Telangiectasia
Interventions: Metformin, Pioglitazone
Sponsor: NHS Tayside | Started: 2016-09-29
PHASE3
NCT00523913
n=70
Diabetes Mellitus, Type 2
Interventions: rosiglitazone
Sponsor: GlaxoSmithKline | Started: 2005-11
PHASE3
NCT01028391
n=317
Type 2 Diabetes Mellitus
Interventions: Sitagliptin 100 mg q.d.+ Pioglitazone 45, Pioglitazone 45 mg q.d. + Sitagliptin 10, Metformin
Sponsor: Merck Sharp & Dohme LLC | Started: 2007-09-01
PHASE2
NCT00760578
n=86
Type 2 Diabetes Mellitus
Interventions: Placebo, Pioglitazone, MSDC-0160 90 mg
Sponsor: Metabolic Solutions Development Company | Started: 2008-09
PHASE1
NCT02774343
n=30
Cocaine Use Disorder, Alcohol Use Disorder
Interventions: Pioglitazone, Placebo, Therapy
Sponsor: The University of Texas Health Science Center, Houston | Started: 2012-08
NA
NCT00324675
n=28
Type 2 Diabetes, Overt Diabetic Nephropathy
Interventions: Rosiglitazone, Placebo
Sponsor: Technische Universität Dresden | Started: 2006-08
Unknown
NCT00501488
n=42
Diabetes Mellitus
Interventions: rosiglitazone
Sponsor: Central South University | Started: 2006-03