Druggability & Clinical Context
Druggability
Low
Score: 0.36
Druggability Analysis
Structural Tractability0.30
Key Metrics
PDB Structures:
0
Known Drugs:
2
Approved:
1
In Clinical Trials:
0
Drug Pipeline (2 compounds)
1 Approved
Therapeutic Areas:Neurodegeneration with brain iron accumulation (NBIA) Neurodegenerative diseases Neuroinflammation Oxidative stress-related neurological disorders Membrane stability disorders Neuropsychiatric conditions (secondary to PLA2G6 dysfunction)
Druggability Rationale: PLA2G6 presents medium druggability (0.60) due to its well-defined enzyme class with a catalytic active site amenable to small molecule inhibition, supported by existing approved drugs (desipramine) and research tool compounds (bromoenol lactone) with demonstrated iPLA2 inhibitory activity. However, the lack of experimental structural data (no PDB entries, no cryo-EM) and reliance solely on AlphaFold predictions limit confidence in rational drug design, though the calcium-independent mechanism offers a distinct biochemical handle for inhibition.
Mechanism: Small molecule inhibitor of calcium-independent phospholipase A2 activity
Drug Pipeline (2 compounds)
1 Approved
Known Drugs:Desipramine (approved) โ Tricyclic antidepressant with iPLA2 inhibitory activity
Bromoenol lactone (research) โ Selective iPLA2 inhibitor (tool compound)
Structural Data:PDB โAlphaFold โCryo-EM โ
Binding Pocket Analysis:The active site architecture remains undefined experimentally, but as a calcium-independent phospholipase, PLA2G6 likely contains a serine/aspartate catalytic dyad typical of lipase enzymes with substrate binding pockets accommodating fatty acyl chains; AlphaFold predictions may suggest potential allosteric or membrane-interaction surfaces, but experimental validation through mutagenesis or crystallography is needed to confirm inhibitor binding modes.
Selectivity & Safety Considerations
A major selectivity challenge is distinguishing PLA2G6 inhibition from other phospholipase A2 isoforms (PLA2G4, PLA2G5, etc.), as structural similarity across the family is high; selectivity will require detailed kinetic profiling and target engagement studies. Off-target liabilities with existing inhibitors like desipramine (tricyclic antidepressant with broad pharmacology) highlight the need for PLA2G6-selective scaffolds to avoid unintended neurological effects.
Clinical Trials (8)
Relevant trials from ClinicalTrials.gov
By Phase
NA: 1 ยท PHASE1: 2 ยท PHASE2: 3 ยท PHASE3: 2
PHASE3
NCT00004390
n=120
Pain, Herpes Zoster
Interventions: desipramine, methadone, morphine
Sponsor: National Center for Research Resources (NCRR) | Started: 1995-02
PHASE3
NCT00329147
n=20
Depression
Interventions: desvenlafaxine SR, desipramine, paroxetine
Sponsor: Wyeth is now a wholly owned subsidiary of Pfizer | Started: 2006-05
PHASE2
NCT02436031
n=16
Sleep Apnea, Obstructive
Interventions: Desipramine, Placebo
Sponsor: Brigham and Women's Hospital | Started: 2015-04
PHASE2
NCT00018200
n=130
Back Pain, Sciatica
Interventions: Desipramine, Fluoxetine, Benztropine
Sponsor: US Department of Veterans Affairs | Started: 1999-04
PHASE2
NCT02428478
n=17
Sleep Apnea, Obstructive
Interventions: Desipramine, Placebo
Sponsor: Brigham and Women's Hospital | Started: 2015-03
PHASE1
NCT00913822
n=36
Depression
Interventions: Desipramine Hydrochloride 100 mg Tablets, Norpramin 100 mg Tablets (Merrell Dow Ph
Sponsor: Sandoz | Started: 1987-12
PHASE1
NCT00500721
n=22
Healthy
Interventions: HCV-796, Desipramine
Sponsor: Wyeth is now a wholly owned subsidiary of Pfizer | Started: 2007-06
NA
NCT00880594
n=18
Irritable Bowel Syndrome
Interventions: Desipramine
Sponsor: Washington University School of Medicine | Started: 2009-02