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Cell surface sialic acid-containing glycans, commonly known as sialoglycans, are terminal carbohydrate structures found on the glycocalyx of all mammalian cells. These nine-carbon acidic sugars are essential for maintaining the negative charge of the cell surface and mediating a wide array of biological processes, including cell-cell adhesion, molecular trafficking, and immune system regulation (Varki, A., Nature, 2007). In many pathological states, particularly cancer, cells undergo hypersialylation, where an overabundance of terminal sialic acids creates a "glycan shield" that protects the tumor from immune surveillance by engaging inhibitory Siglec receptors on immune cells (Pearce, O. M., & Läubli, H., Cancer Research, 2016). Additionally, sialoglycans serve as critical entry receptors for various pathogens, such as the influenza virus and certain strains of Streptococcus (Skehel, J. J., & Wiley, D. C., Annual Review of Biochemistry, 2000). Therapeutic approaches targeting these molecules include neuraminidase inhibitors that block viral egress and novel sialidase-based biologics designed to strip sialic acids from tumor surfaces to re-engage the host's immune response (Gray, M. A., et al., Nature Chemical Biology, 2020).
Inhibition of viral neuraminidase enzymes to prevent the cleavage of sialic acid and subsequent release of viral progeny (e.g., oseltamivir); enzymatic removal of terminal sialic acids from the cell surface using sialidase-based biologics to disrupt the Sialic Acid-Siglec immune checkpoint (e.g., E-602); and competitive inhibition of pathogen binding to host sialoglycans (Varki, A., Glycobiology, 2017; Palleon Pharmaceuticals, 2023).
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