CERS2

Ceramide synthase 2

Score: 0.508 Price: $0.51 Low Druggability Status: active Wiki: CERS2
🧠 Neurodegeneration
HYPOTHESES
1
PAPERS
24
KG EDGES
68
DEBATES
1

3D Protein Structure

🧬 CERS2 β€” PDB 5YSR Click to expand

Experimental structure from RCSB PDB | Powered by Mol*

Druggability & Clinical Context

Druggability
Low
Score: 0.28
Clinical Stage
Phase II
Target Class
Enzyme
Safety
0.40
Druggability Analysis
Drug Development0.30
Structural Tractability0.30
Target Class0.85
Safety Profile0.40
Key Metrics
PDB Structures:
0
Known Drugs:
1
Approved:
0
In Clinical Trials:
0
Drug Pipeline (1 compounds)
Druggability Rationale: CERS2 has low druggability (0.30) despite being an enzyme with an established active site, primarily due to the lack of available crystal structures (0 PDB entries) and the mycotoxin nature of the only known inhibitor (Fumonisin B1), which raises safety concerns for clinical translation. However, the AlphaFold model availability and validation in Phase 2 clinical trials suggest that structure-based drug design approaches may still yield selective, non-toxic inhibitors with improved pharmacological properties.
Mechanism: CERS2 inhibitors would reduce the enzymatic synthesis of very long-chain ceramides by blocking the condensation of serine and palmitoyl-CoA, thereby decreasing ceramide-mediated neuroinflammation and apoptosis implicated in neurodegenerative pathology. This modulation of the ceramide signaling cascade may provide neuroprotective effects in Alzheimer's disease and related neurodegenerative conditions.
Drug Pipeline (1 compounds)
Known Drugs:
Fumonisin B1 (research) β€” Ceramide synthase inhibitor (tool compound, mycotoxin)
Structural Data:
PDB β€”AlphaFold βœ“Cryo-EM β€”
UniProt: H0YNU7

🧬 3D Protein Structure

🧬 CERS2 — PDB 5YSR Click to expand interactive 3D viewer

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

Selectivity & Safety Considerations

CERS2 selectivity against other ceramide synthase isoforms (CERS1, CERS3–CERS6) is critical, as off-target inhibition could disrupt ceramide homeostasis and cause unintended lipid metabolism alterations in non-neuronal tissues. The substrate specificity for very long-chain (C22–C26) fatty acids may provide a degree of isoform selectivity, but comprehensive kinetic profiling will be essential.

3D Protein Structure (AlphaFold)

Open full viewer

AlphaFold predicted structure available for H0YNU7

View AlphaFold Structure

Clinical Trials (2)

Relevant trials from ClinicalTrials.gov

Active
0
Completed
0
Total Enrollment
73
By Phase
PHASE1: 1 Β· Unknown: 1
Mitochondrial Activity and Myosteatosis in the Cachexia of Cancers of the Upper Aerodigestive Tract Unknown
Unknown NCT03111771 n=60
Cancer of Upper Aerodigestive Pathways, Cachexia
Interventions: carcinological surgery, cervical surgery
Sponsor: University Hospital, Clermont-Ferrand | Started: 2016-11
ABC294640 (Opaganib) in Refractory / Relapsed Multiple Myeloma Terminated
PHASE1 NCT02757326 n=13
Multiple Myeloma
Interventions: Opaganib
Sponsor: RedHill Biopharma Limited | Started: 2016-12-13

Linked Hypotheses (1)

Sphingolipid Metabolism Reprogramming0.663

Linked Experiments (1)

CERS2 genetic deletion rescues IL-10 deficiency inflammation0.850

Scoring Dimensions

Portfolio 0.54 (25%) Druggability 0.28 (20%) Evidence 0.49 (20%) Safety 0.40 (15%) Competitive 0.70 (10%) Connectivity 0.90 (10%) 0.508 composite

Knowledge Graph (20)

associated with (3)

CERS2neurodegenerationCERS2RELGBMCERS2

co discussed (8)

NTN1CERS2HSPG2CERS2P2RY12CERS2P2RX7CERS2AQP4CERS2
▸ Show 3 more
EPHB4CERS2SMPD1CERS2C1QACERS2

implicated in (4)

CERS2ARDSCERS2obesityCERS2diet-induced obesityCERS2metabolic disorders

interacts with (3)

BCL2CERS2BCL2L13CERS2CERS6CERS2

regulates (2)

CERS2RELRELCERS2

Debate History (1)

Should CERS2 (Ceramide synthase 2) be prioritized as a therapeutic target for ne2026-04-22