Inhibitors of PIG-H target various biochemical processes that indirectly reduce the functional activity of this protein, which is central to glycosylphosphatidylinositol (GPI) anchor biosynthesis. One mechanism by which these inhibitors act is by disrupting the post-translational modifications necessary for the maturation and proper localization of proteins that PIG-H requires for its function. This can occur through the inhibition of enzymes like farnesyltransferase, which impacts lipidation, or by impeding proteolytic processing via furin inhibition. Additionally, the manipulation of membrane dynamics is another strategy, where agents that disrupt lipid raft formation within cellular membranes or alter membrane fluidity can impair PIG-H-mediated anchoring processes. Compounds that bind to cholesterol or that act as surfactants are examples of how the biophysical properties of the cellular membranes can be modulated to indirectly inhibit PIG-H activity.
Moreover, the structural integrity and function of organelles such as the endoplasmic reticulum (ER) and the Golgi apparatus are essential for the GPI anchor assembly, and thus, for PIG-H's role within that process. Chemicals that induce ER stress or disrupt the normal function of the Golgi can lead to improper folding and trafficking of GPI-anchored proteins. This can result in a failure of PIG-H to catalyze the attachment of GPI anchors to these proteins, since this enzymatic step is tightly coupled with the protein quality control systems of these organelles. In addition, the use of small molecules that interfere with the availability or metabolism of precursors necessary for GPI biosynthesis, such as inositol, ethanolamine, and acyl chains, can also lead to a reduction in PIG-H activity.