ACSL4

Long-chain-fatty-acid--CoA ligase 4

Score: 0.717 Price: $0.50 Low Druggability Status: active Wiki: ACSL4
HYPOTHESES
1
PAPERS
14
KG EDGES
357
DEBATES
0

3D Protein Structure

🧬 ACSL4 — PDB 4WB5 Click to expand

Experimental structure from RCSB PDB | Powered by Mol*

Druggability & Clinical Context

Druggability
Low
Score: 0.41
Clinical Stage
Phase III
Target Class
Enzyme
Safety
0.65
Druggability Analysis
Drug Development0.45
Structural Tractability0.30
Target Class0.85
Safety Profile0.65
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 —
UniProt: O60488
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.

🧬 3D Protein Structure

🧬 ACSL4 — PDB 4WB5 Click to expand interactive 3D viewer

Experimental structure from RCSB PDB | Powered by Mol* | Rotate: click+drag | Zoom: scroll

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.

3D Protein Structure (AlphaFold)

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AlphaFold predicted structure available for O60488

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Clinical Trials (8)

Relevant trials from ClinicalTrials.gov

Active
0
Completed
8
Total Enrollment
700
By Phase
NA: 1 · PHASE1: 1 · PHASE2: 1 · PHASE3: 2 · PHASE4: 2 · Unknown: 1
Glibenclamide (Dose to be Titrated From Starting Dose of 5mg om) Plus Rosiglitazone 4mg om (Increased to 8mg om After 6 Completed
PHASE4 NCT01045590 n=100
Diabetes Mellitus, Type 2
Interventions: titration, titration
Sponsor: GlaxoSmithKline | Started: 2003-12
Response of Individuals With Ataxia-Telangiectasia to Metformin and Pioglitazone Completed
PHASE4 NCT02733679 n=27
Ataxia-Telangiectasia
Interventions: Metformin, Pioglitazone
Sponsor: NHS Tayside | Started: 2016-09-29
A Study Of BRL49653C For The Treatment Of Type 2 Diabetes Completed
PHASE3 NCT00523913 n=70
Diabetes Mellitus, Type 2
Interventions: rosiglitazone
Sponsor: GlaxoSmithKline | Started: 2005-11
30-Week Extension to an Initial Combination Study (24 Weeks in Duration) of Sitagliptin With Pioglitazone (0431-064) Completed
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
A Placebo Controlled Safety and Efficacy Study of MSDC-0160 in Type 2 Diabetes With Active Comparator Completed
PHASE2 NCT00760578 n=86
Type 2 Diabetes Mellitus
Interventions: Placebo, Pioglitazone, MSDC-0160 90 mg
Sponsor: Metabolic Solutions Development Company | Started: 2008-09
PPARγ Agonist Treatment for Cocaine Dependence Completed
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
Effects of Rosiglitazone on Renal Hemodynamics and Proteinuria of Type 2 Diabetic Patients With Renal Insufficiency Due Completed
NA NCT00324675 n=28
Type 2 Diabetes, Overt Diabetic Nephropathy
Interventions: Rosiglitazone, Placebo
Sponsor: Technische Universität Dresden | Started: 2006-08
Effect of Adiponectin Genetic Polymorphism on Rosiglitazone Response Completed
Unknown NCT00501488 n=42
Diabetes Mellitus
Interventions: rosiglitazone
Sponsor: Central South University | Started: 2006-03

Linked Hypotheses (4)

ACSL4-Driven Ferroptotic Priming in Disease-Associated Microglia0.662
40 Hz Gamma Entrainment Gates ACSL4-Mediated Ferroptotic Priming to Selectively Eliminate Disease-As0.515
ACSL4-Ferroptotic Priming in Stressed Oligodendrocytes Drives White Matter Degeneration in Alzheimer0.512
ACSL4-Driven Ferroptotic Priming in Disease-Associated Oligodendrocytes Underlies White Matter Degen0.493

Linked Experiments (0)

No linked experiments

Scoring Dimensions

Portfolio 0.00 (25%) Druggability 0.41 (20%) Evidence 0.78 (20%) Safety 0.65 (15%) Competitive 0.00 (10%) Connectivity 0.00 (10%) 0.717 composite

Knowledge Graph (20)

activates (2)

ACSL4 LIPID_PEROXIDATION
ACSL4 GPX4

associated with (1)

ACSL4 PRKAA1

expressed in (1)

ACSL4 TFR1

inhibits (12)

ACSL4 ALOX12
ACSL4 GPX4
ACSL4 MTOR
ACSL4 TNF
ACSL4 BAX
...and 7 more

regulates (1)

ACSL4 MYC

therapeutic target (3)

ACSL4 NRF2
ACSL4 GPX4
ACSL4 SLC7A11

Debate History (0)

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