RELN

Reelin

Score: 0.483 Price: $0.48 Low Druggability Status: active Wiki: RELN
๐Ÿง  Neurodegeneration
HYPOTHESES
1
PAPERS
31
KG EDGES
106
DEBATES
1

3D Protein Structure

🧬 RELN โ€” PDB 5ES4 Click to expand

Experimental structure from RCSB PDB | Powered by Mol*

Druggability & Clinical Context

Druggability
Low
Score: 0.33
Clinical Stage
Approved
Target Class
Signaling Protein
Safety
0.50
Druggability Analysis
Drug Development0.60
Structural Tractability0.70
Target Class0.50
Safety Profile0.50
Key Metrics
PDB Structures:
6
Known Drugs:
4
Approved:
0
In Clinical Trials:
0
Drug Pipeline (4 compounds)
2 Preclinical
Druggability Rationale: The druggability of RELN for neurodegeneration appears challenging due to its complex signaling mechanism and limited direct small molecule targeting options. While preclinical research suggests potential therapeutic approaches through receptor agonists (VLDLR/ApoER2) or downstream pathway modulators, the lack of high-resolution structural data and clinically validated interventions currently constrains direct pharmaceutical development. The most promising near-term strategies likely involve recombinant protein approaches or indirect signaling cascade enhancements rather than traditional small molecule inhibition/activation.
Mechanism: Drugs targeting RELN would primarily work by enhancing reelin expression or signaling through its receptors (VLDLR and ApoER2) to promote neuronal migration, synaptic plasticity, and cognitive function. Alternatively, pathway modulators could enhance downstream signaling cascades (Dab1-mediated pathways) to compensate for reelin deficiency or dysfunction.
Drug Pipeline (4 compounds)
2 Preclinical
Known Drugs:
Leptin (recombinant) (research) โ€” Reelin pathway modulation in neurological disorders
VPS34 inhibitors (e.g., SAR405) (preclinical) โ€” Autophagy regulation affecting reelin signaling
SorLA/LR11 modulators (research) โ€” Reelin receptor trafficking and synaptic plasticity
VLDLR agonists (preclinical) โ€” Reelin receptor activation for neuronal migration disorders
Structural Data:
PDB (6) โœ“AlphaFold โœ“Cryo-EM โ€”
2E263A7Q5B4X6A487LYU+1 more
UniProt: P78509

🧬 3D Protein Structure

🧬 RELN — PDB 5ES4 Click to expand interactive 3D viewer

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

Selectivity & Safety Considerations

Selectivity challenges arise from RELN's broad expression in the CNS and its interaction with multiple receptors (VLDLR, ApoER2, integrin ฮฑ3ฮฒ1), potentially limiting isoform-specific targeting. Off-target effects may occur through modulation of related lipoprotein receptor pathways or autophagy processes when using indirect pathway modulators.

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 (9)

Relevant trials from ClinicalTrials.gov

Active
2
Completed
3
Total Enrollment
1,232
By Phase
NA: 5 ยท PHASE4: 2 ยท Unknown: 2
Prenatal Intervention of Maternal Stress - Breastfeeding & Infant Neurodevelopment Completed
NA NCT06876051 n=162
Stress, Relaxation, Breastfeeding
Interventions: Relaxation & Breastfeeding Education, Active comparator, control group
Sponsor: National and Kapodistrian University of Athens
The Mechanisms of Underlying Accelerated Repetitive Transcranial Magnetic Stimulation for Treatment-resistant Depression Recruiting
NA NCT05607654 n=60
Treatment-resistant Depression
Interventions: active iTBS, sham rTMS
Sponsor: First Affiliated Hospital of Zhejiang University
Research on the Biological Mechanism of the Efficacy of Psychotherapy for Depression Based on the fNIRS Unknown
NA NCT05927129 n=90
Depressive Disorder
Interventions: Antidepressant, Psychotherapy IPT, The combination of antidepressant and IP
Sponsor: First Affiliated Hospital of Zhejiang University
Genetic Association Study Between GAD1 and Reelin Polymorphisms and GABA/Glutamate MRS in Bipolar Disorder Type 1 and He Unknown
Unknown NCT01237158 n=140
Bipolar Disorder
Sponsor: University of Sao Paulo
Reward Mechanisms in Obesity Completed
PHASE4 NCT03347890 n=70
Obesity
Interventions: Liraglutide (Saxenda) 6Mg/Ml Inj Pen 3Ml
Sponsor: Zoltan Pataky
Early Identification of TRD and Construction and Clinical Validation of NTBS Precision Technology Unknown
NA NCT05777876 n=400
Treatment-Resistant Depression
Interventions: non-invasive transcranial deep brain sti, Sham stimulation, Motor cortex stimulation
Sponsor: First Affiliated Hospital of Zhejiang University
Comparison of Different Acceleration Modes of Transcranial Magnetic Stimulation Not Yet Recruiting
NA NCT06881030 n=45
Treatment Resistant Depression (TRD)
Interventions: Noninvasive transcranial magnetic stimul, Noninvasive transcranial magnetic stimul, Sham
Sponsor: First Affiliated Hospital of Zhejiang University
Gene Promoter DNA Methylations and Their Relationships With Endophenotypes in Patients With Schizophrenia Unknown
Unknown NCT01362478 n=120
Schizophrenia
Sponsor: Taipei Medical University WanFang Hospital

Linked Hypotheses (1)

Reelin-Mediated Cytoskeletal Stabilization Protocol0.689

Linked Experiments (0)

No linked experiments

Scoring Dimensions

Portfolio 0.49 (25%) Druggability 0.33 (20%) Evidence 0.53 (20%) Safety 0.50 (15%) Competitive 0.25 (10%) Connectivity 0.90 (10%) 0.483 composite

Knowledge Graph (20)

associated with (3)

RELNneurodegenerationAPOERELNDHX9RELN

co discussed (6)

RELNMAP6RELNHCN1RELNMCURELNIDH2PPARGC1ARELN
▸ Show 1 more
SLC16A2RELN

implicated in (2)

RELNcognitive impairmentRELNdegenerative disease

interacts with (1)

DAB1RELN

protects against (2)

JUNRELNRELNREELIN

regulates (2)

RELNReelin-Mediated Cytoskeletal Stabilization ProtocoRELNTau Propagation

therapeutic target (4)

KCNT1RELNKCNQ2RELNSCN1ARELNMTORRELN

Debate History (1)

Should RELN (Reelin) be prioritized as a therapeutic target for neurodegeneratio2026-04-22