RAB27A

Ras-related protein Rab-27A

Score: 0.588 Price: $0.59 Low Druggability Status: active Wiki: RAB27A
๐Ÿง  Neurodegeneration
HYPOTHESES
1
PAPERS
28
KG EDGES
94
DEBATES
0

3D Protein Structure

🧬 RAB27A โ€” PDB 2OT3 Click to expand

Experimental structure from RCSB PDB | Powered by Mol*

Druggability & Clinical Context

Druggability
Low
Score: 0.35
Clinical Stage
Phase II
Target Class
Signaling Protein
Safety
0.40
Druggability Analysis
Drug Development0.30
Structural Tractability0.85
Target Class0.50
Safety Profile0.40
Key Metrics
PDB Structures:
11
Known Drugs:
1
Approved:
0
In Clinical Trials:
0
Drug Pipeline (1 compounds)
1 Preclinical
Therapeutic Areas:
Neurodegeneration (Alzheimer's disease, Parkinson's disease) Amyotrophic lateral sclerosis (ALS) Lysosomal storage disorders Exosome-mediated pathological protein transfer diseases Neuroinflammation
Druggability Rationale: RAB27A presents medium druggability (0.55 score) due to its GTPase activity domain and availability of 11 PDB structures at 2.0 ร… resolution, which support structure-based drug design. However, the challenging kinetics of GTPase inhibition and the small GTPase protein class's inherent difficulty in targeting make this moderately challenging; Nexinhib20's preclinical status reflects the early-stage nature of this approach.
Mechanism: RAB27A inhibitors would block GTP binding or GTPase activity, preventing the recruitment of effector proteins required for vesicular trafficking and exosome biogenesis. This would reduce the release of extracellular vesicles and potentially modulate intercellular communication in disease states involving excessive exosome-mediated signaling or pathological cargo transfer.
Drug Pipeline (1 compounds)
1 Preclinical
Known Drugs:
Nexinhib20 (preclinical) โ€” Rab27a inhibitor, blocks exosome secretion
Structural Data:
PDB (11) โœ“AlphaFold โœ“Cryo-EM โ€”
6HUF7OPP7OPQ7OPR8P3G+6 more
UniProt: H3BS49
Binding Pocket Analysis:

The nucleotide binding pocket accommodates GTP/GDP and is typically characterized by conserved P-loop and switch regions; PDB structures (particularly 6HUF, 8P3G at high resolution) likely reveal both GTP-bound active and GDP-bound inactive conformations, enabling design of state-selective inhibitors targeting the switch II region or allosteric sites adjacent to the nucleotide pocket.

🧬 3D Protein Structure

🧬 RAB27A — PDB 2OT3 Click to expand interactive 3D viewer

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

Selectivity & Safety Considerations

RAB27A selectivity is a significant challenge due to homology with other RAB GTPases (RAB27B, RAB3A, RAB11); off-target inhibition could disrupt alternative vesicular trafficking pathways. Structure-guided design exploiting RAB27A-specific residues and allosteric pockets may improve selectivity over closely related isoforms.

3D Protein Structure

PDB: Open in RCSB AlphaFold model

Interactive 3D viewer powered by RCSB PDB / Mol*. Use mouse to rotate, scroll to zoom.

Clinical Trials (8)

Relevant trials from ClinicalTrials.gov

Active
1
Completed
7
Total Enrollment
860
By Phase
NA: 5 ยท PHASE1: 1 ยท PHASE2: 1 ยท Unknown: 1
Anger Control Training for Youth With Tourette Syndrome Completed
NA NCT00486551 n=26
Tourette Syndrome, Chronic Tic Disorder, Oppositional Defiant Disorder
Interventions: Anger control training
Sponsor: Yale University | Started: 2001-08
Adaptive vs. Continuous Subthalamic Nucleus Deep Brain Stimulation in Parkinson's Disease Recruiting
NA NCT06909045 n=130
Deep Brain Stimulation, Parkinson Disease
Interventions: Adaptive DBS, Continue DBS
Sponsor: Academisch Medisch Centrum - Universiteit van Amsterdam (AMC | Started: 2026-01-27
Expiratory Muscle Training in Patients With Parkinson's Disease Completed
PHASE1 NCT00843739 n=90
Parkinson's Disease
Interventions: EMST - Active Treatment, sham EMST
Sponsor: University of Florida | Started: 2004-01
Study of the Follow-up of Stroke Treated With Anticoagulants Completed
Unknown NCT03292575 n=441
Stroke
Interventions: Anticoagulants
Sponsor: Centre Hospitalier Universitaire Dijon | Started: 2016-01
Early Detection and Prevention of Mild Cognitive Impairment Due to Cerebrovascular Disease Completed
NA NCT01924312 n=80
Cerebrovascular Disease, Mild Cognitive Impairment
Interventions: Heart Health Intervention
Sponsor: Gregory Jicha, 323-5550 | Started: 2013-05
Effects of Modern Board Games on Well Being in Older Adults Completed
NA NCT06306365 n=35
Executive Functions
Interventions: Modern board game-based learning
Sponsor: European University Miguel de Cervantes | Started: 2024-02-07
Treatment of Alzheimer's and Dementia With the Metabolism, Infections, Nutrition, Drug Elimination (MIND) Protocol Completed
NA NCT02260167 n=25
Alzheimer's Disease, Dementia
Interventions: A mix of natural treatments and medicati
Sponsor: Practitioners Alliance Network | Started: 2014-09
A Phase 2 Study to Evaluate Safety of Long-term AL001 Dosing in Frontotemporal Dementia (FTD) Patients (INFRONT-2) Completed
PHASE2 NCT03987295 n=33
Frontotemporal Dementia
Interventions: AL001
Sponsor: Alector Inc. | Started: 2019-09-27

Linked Hypotheses (1)

RAB27A-dependent extracellular vesicle engineering for mitochondrial cargo delivery0.414

Linked Experiments (0)

No linked experiments

Scoring Dimensions

Portfolio 0.62 (25%) Druggability 0.35 (20%) Evidence 0.52 (20%) Safety 0.40 (15%) Competitive 0.70 (10%) Connectivity 0.90 (10%) 0.588 composite

Knowledge Graph (20)

activates (4)

RAB27A โ†’ LATS2
RAB27A โ†’ LAMP1
RAB27A โ†’ ARSA
RAB27A โ†’ LAMP2

associated with (1)

RAB27A โ†’ neurodegeneration

co discussed (7)

RAB27A โ†’ GAP43
RAB27A โ†’ TFAM
RAB27A โ†’ TFEB
RAB27A โ†’ TAU
RAB27A โ†’ COX4I1
...and 2 more

implicated in (1)

RAB27A โ†’ neurodegeneration

inhibits (5)

RAB27A โ†’ COL4A1
RAB27A โ†’ SQSTM1
RAB27A โ†’ SERPINE1
RAB27A โ†’ CXCL12
RAB27A โ†’ CTSD

participates in (1)

RAB27A โ†’ Mitochondrial dynamics / bioenergetics

regulates (1)

RAB27A โ†’ RAB27B

Debate History (0)

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