Target intelligence / Profile preview

Cell surface sialic acid-containing glycans (Sialoglycans)

Target
Sialoglycans
Molecular classification
Glycan, Glycoconjugate, Post-translational modification
01

Overview

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).

Other names
Sialylated glycansSialic acid-containing glycoconjugatesSialoglycoconjugatesTerminal sialic acidsSia-glycans
02

Mechanism of action

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).

03

Biological functions

Cell-cell recognitionImmune regulationCell adhesionSignal transductionPathogen binding
04

Disease associations

CancerInfectionInflammationAutoimmune disease
05

Safety considerations

Ubiquitous expression leading to potential off-target effectsSystemic immune activationComplexity of glycan heterogeneityPotential for interference with normal cell-cell communication
06

Interacting drugs

Oseltamivir

4 more in the full profile.

07

Biomarkers

Sialyl-Lewis X (sLeX)Sialyl-Tn (sTn)CA19-9 (sialylated Lewis a)Total serum sialic acid

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