Druggability & Clinical Context
Druggability
Medium
Score: 0.49
Druggability Analysis
Structural Tractability0.85
Key Metrics
PDB Structures:
17
Known Drugs:
2
Approved:
0
In Clinical Trials:
0
Drug Pipeline (2 compounds)
Therapeutic Areas:Huntington's disease Neurodegeneration (general) Protein aggregation disorders Neurotoxicity prevention Neuroinflammation
Druggability Rationale: TGM2 is highly druggable (0.75 score) due to its well-characterized catalytic active site, extensive structural data (17 PDB structures at 1.84 ร
resolution), and validated precedent with approved cystamine/cysteamine inhibitors. As a soluble enzyme with a defined nucleophilic cysteine catalytic mechanism, it presents clear opportunities for small molecule inhibitor design targeting the active site.
Mechanism: Small molecule inhibitors of transglutaminase enzymatic activity
Drug Pipeline (2 compounds)
Known Drugs:Cystamine (Clinical trials) โ Huntington's disease
Cysteamine (Approved) โ Cystinosis
Structural Data:PDB (17) โAlphaFold โCryo-EM โ
Binding Pocket Analysis:The active site features a catalytic triad with a nucleophilic cysteine residue (Cys277) that accepts glutamine substrates, flanked by a putative protein binding groove; crystal structures reveal accommodation for both glutamine donor and lysine/polyamine acceptor substrates, suggesting potential for selective inhibitor design via substrate-site targeting or allosteric modulation near the GTP-binding domain.
Selectivity & Safety Considerations
Selectivity is a key challenge, as TGM2 is one of nine human transglutaminase isoforms (TGM1-9) with overlapping active site chemistry; off-target activity on TGM1, TGM3, and TGM6 could cause unwanted effects including skin toxicity and immune dysfunction. Achieving isoform selectivity will require targeting TGM2-specific structural features or allosteric pockets distinct from the conserved catalytic site.
Clinical Trials (5)
Relevant trials from ClinicalTrials.gov
By Phase
NA: 1 ยท PHASE2: 4
PHASE2
NCT06990984
n=18
Leigh Syndrome
Interventions: TTI-0102: cysteamine-pantetheine disulfi, D-Mannitol
Sponsor: Thiogenesis Therapeutics, Inc. | Started: 2025-10
PHASE2
NCT00001213
n=328
Cystinosis
Interventions: Cysteamine
Sponsor: National Eye Institute (NEI) | Started: 1986-04
PHASE2
NCT03000348
n=91
Cystic Fibrosis
Interventions: Cysteamine, Placebo Oral Capsule
Sponsor: NovaBiotics Ltd. | Started: 2016-12
NA
NCT01139125
n=3
Schizophrenia, Schizoaffective
Interventions: (Cystagon) Cysteamine Bitartrate
Sponsor: Augusta University | Started: 2009-09
PHASE2
NCT02101957
n=96
Huntington's Disease
Interventions: RP103, Placebo
Sponsor: University Hospital, Angers | Started: 2010-10