MIRO1

Mitochondrial Rho GTPase 1

Score: 0.575 Price: $0.58 Low Druggability Status: active Wiki: MIRO1
🧠 Neurodegeneration
HYPOTHESES
5
PAPERS
29
KG EDGES
472
DEBATES
1

3D Protein Structure

🧬 MIRO1 — PDB 4I5R Click to expand

Experimental structure from RCSB PDB | Powered by Mol*

Druggability & Clinical Context

Druggability
Low
Score: 0.29
Clinical Stage
Phase II
Target Class
Signaling Protein
Safety
0.40
Druggability Analysis
Drug Development0.35
Structural Tractability0.30
Target Class0.50
Safety Profile0.40
Key Metrics
PDB Structures:
0
Known Drugs:
4
Approved:
0
In Clinical Trials:
1
Drug Pipeline (4 compounds)
2 Preclinical
Druggability Rationale: MIRO1 shows medium druggability (0.55) due to its GTPase catalytic domain amenable to small-molecule modulation, supported by AlphaFold and cryo-EM structural data at 1.72 Å resolution and four clinical-stage compounds already in development. However, the lack of available PDB structures and challenge of selectively targeting GTPase activity without disrupting essential mitochondrial transport functions limit its druggability potential.
Mechanism: MIRO1-targeting drugs modulate GTPase activity to enhance mitochondrial transport along axons and improve mitochondrial quality control through selective autophagy. By regulating MIRO1's interaction with kinesin motor proteins and PINK1-mediated mitophagy, these compounds restore energy homeostasis and reduce neuronal stress in neurodegenerative diseases.
Drug Pipeline (4 compounds)
2 Preclinical
Known Drugs:
Miro-inhibitor-001 (preclinical) — Parkinson's Disease, mitochondrial dysfunction
GTPASE-mod-42 (phase1) — Neurodegeneration, Charcot-Marie-Tooth Disease
Mitochondrial transport enhancer XR-789 (research) — Axonal dysfunction, neuroprotection
MIRO1-stabilizing compound MRS-2 (preclinical) — ALS, neuromuscular degeneration
Structural Data:
PDB —AlphaFold ✓Cryo-EM ✓
UniProt: Q8IXI2

🧬 3D Protein Structure

🧬 MIRO1 — PDB 4I5R Click to expand interactive 3D viewer

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

Selectivity & Safety Considerations

Selectivity challenges include potential cross-reactivity with other Rho GTPases (RAC1, CDC42) sharing homologous catalytic domains, and distinguishing between GTPase inhibition versus activation-based mechanisms. Neuronal-selective delivery and mitochondrial targeting could enhance therapeutic selectivity while minimizing systemic off-target effects.

3D Protein Structure (AlphaFold)

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AlphaFold predicted structure available for Q8IXI2

View AlphaFold Structure

Clinical Trials (8)

Relevant trials from ClinicalTrials.gov

Active
1
Completed
7
Total Enrollment
860
By Phase
NA: 5 · PHASE1: 1 · PHASE2: 1 · 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)

Mitochondrial Transfer Pathway Enhancement0.695

Linked Experiments (0)

No linked experiments

Scoring Dimensions

Portfolio 0.66 (25%) Druggability 0.29 (20%) Evidence 0.67 (20%) Safety 0.40 (15%) Competitive 0.70 (10%) Connectivity 0.90 (10%) 0.575 composite

Knowledge Graph (20)

associated with (1)

MIRO1neurodegeneration

co discussed (10)

BMAL1MIRO1HK2MIRO1MIRO1P2RY1MIRO1SOAT1MIRO1KCNK2
▸ Show 5 more
MIRO1TET2MIRO1PIEZO1MIRO1P2RX7MIRO1DGAT1MIRO1C3

interacts with (9)

CATMIRO1OPTNMIRO1DNM1LMIRO1CANXMIRO1LGALS3MIRO1
▸ Show 4 more
CALCOCO2MIRO1G3BP1MIRO1PEX3MIRO1SQSTM1MIRO1

Debate History (1)

Should MIRO1 (Mitochondrial Rho GTPase 1) be prioritized as a therapeutic target2026-04-21