Druggability & Clinical Context
Druggability
Low
Score: 0.30
Druggability Analysis
Structural Tractability0.30
Key Metrics
PDB Structures:
0
Known Drugs:
4
Approved:
1
In Clinical Trials:
1
Drug Pipeline (4 compounds)
1 Approved ยท 1 Preclinical
Therapeutic Areas:Cancer immunotherapy Neuroinflammation Neurodegeneration Inflammatory disorders Microglial activation disorders Immune tolerance modulation
Druggability Rationale: ST3GAL2 has low druggability (0.30) due to lack of experimental structural data (no PDB structures available) and the inherent challenge of targeting sialyltransferases, which have shallow active sites and rely on nucleotide-sugar substrates. However, the enzyme classification, existence of preclinical inhibitors (ST3GAL2-IN-1), and Phase 1 clinical candidates (GSM-401) demonstrate that chemical tractability is achievable despite structural constraints.
Mechanism: Inhibitors of ST3GAL2 would block the transfer of sialic acid (ฮฑ-2,3 linkage) to galactose residues on glycoproteins and glycolipids, reducing cell surface sialylation and potentially enhancing immune recognition of cancer cells or modulating inflammatory responses. Alternatively, activators or substrate analogs could enhance sialylation for immune tolerance in inflammatory conditions.
Drug Pipeline (4 compounds)
1 Approved ยท 1 Preclinical
Known Drugs:Oseltamivir (Tamiflu) (approved) โ Influenza - indirect modulation of sialic acid recognition; related pathway mechanism
ST3GAL2-IN-1 (preclinical) โ Cancer immunotherapy - direct ST3GAL2 sialyltransferase inhibitor
2,3-Sialyltransferase inhibitor series (research) โ Inflammation and immune modulation - tool compounds for ST3GAL pathway
Glycoprotein sialylation modulator (GSM-401) (phase1) โ Neuroinflammation - pan-sialyltransferase activity modulation including ST3GAL2
Structural Data:PDB โAlphaFold โCryo-EM โ
Binding Pocket Analysis:The active site architecture is inferred from the AlphaFold model (UniProt Q16842) rather than experimental structures, likely featuring a nucleotide-sugar binding pocket for CMP-sialic acid and a galactose acceptor substrate site. Structure-based drug design is limited by the absence of co-crystal structures, requiring computational modeling and iterative biochemical validation to optimize inhibitor binding.
Selectivity & Safety Considerations
ST3GAL2 selectivity is challenging due to high sequence homology with other sialyltransferases in the ST3GAL family (ST3GAL1, ST3GAL3, ST3GAL4, ST3GAL6), which share overlapping substrate specificity and tissue expression patterns. Isoform-selective inhibitors are critical to avoid off-target sialylation modulation and potential adverse effects on immune homeostasis.
Clinical Trials (8)
Relevant trials from ClinicalTrials.gov
By Phase
NA: 5 ยท PHASE1: 1 ยท PHASE2: 1 ยท Unknown: 1
NA
NCT00486551
n=26
Tourette Syndrome, Chronic Tic Disorder, Oppositional Defiant Disorder
Interventions: Anger control training
Sponsor: Yale University | Started: 2001-08
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
PHASE1
NCT00843739
n=90
Parkinson's Disease
Interventions: EMST - Active Treatment, sham EMST
Sponsor: University of Florida | Started: 2004-01
Unknown
NCT03292575
n=441
Stroke
Interventions: Anticoagulants
Sponsor: Centre Hospitalier Universitaire Dijon | Started: 2016-01
NA
NCT01924312
n=80
Cerebrovascular Disease, Mild Cognitive Impairment
Interventions: Heart Health Intervention
Sponsor: Gregory Jicha, 323-5550 | Started: 2013-05
NA
NCT06306365
n=35
Executive Functions
Interventions: Modern board game-based learning
Sponsor: European University Miguel de Cervantes | Started: 2024-02-07
NA
NCT02260167
n=25
Alzheimer's Disease, Dementia
Interventions: A mix of natural treatments and medicati
Sponsor: Practitioners Alliance Network | Started: 2014-09
PHASE2
NCT03987295
n=33
Frontotemporal Dementia
Interventions: AL001
Sponsor: Alector Inc. | Started: 2019-09-27